Balancing independence and support

It can be difficult for couples to balance their relationship with the responsibilities of caregiving, but prioritising independence can help

Danie Breedt
5 Min Read

It can be difficult for couples to balance their relationship with the responsibilities of caregiving, but prioritising independence can help

When a loved one sustains a spinal cord injury (SCI), both partners face profound challenges during the recovery process. While attention often focuses on the individual with the injury, the partner, who often assumes a caregiving role, encounters unique difficulties. It can be complex to balance the roles of partner and caregiver, but with the right strategies, it is possible to maintain a healthy, supportive, and intimate relationship.

Encouraging your partner’s independence is essential. Assisting them in finding adaptive tools and strategies that enable them to perform daily tasks on their own can foster their sense of autonomy. Celebrating small victories and milestones reinforces their capability and builds this confidence. Additionally, clearly defining boundaries between caregiving and your personal relationship helps preserve the romantic and emotional aspects of your partnership. Establishing times when you focus solely on being partners, not caregiver and patient, can significantly contribute to maintaining your relationship’s health.

Open and honest communication about needs, expectations, and feelings prevent misunderstandings and resentment from building up. Using “I” statements to express your feelings and needs without blaming can create a more supportive environment.

Couples therapy, especially with a psychologist that understands SCI, can provide a safe space to explore changes in your relationship dynamics. Therapists can offer tools and strategies for better communication and conflict resolution.

Building a support network of family, friends, and community resources can offer an occasional breather for the person with the injury and the partner. Allowing yourself time to recharge and maintain your well-being will help guard you against burnout or feeling despondent. Any opportunity to “outsource” all or part of the caring burden should be embraced as this will enable you to focus more on your role as a partner. Anyone can be a carer but only you can be the partner.

Prioritising intimacy is equally important. Just as you schedule medical appointments and therapies, make time for intimacy. This doesn’t always have to mean sexual intimacy. Emotional closeness and physical affection are equally vital for maintaining a strong bond.

Be open to exploring new ways to be intimate, as SCI might necessitate discovering different methods of physical closeness and sexual expression that accommodate your partner’s capabilities and comfort levels. This could be a wonderful opportunity to reconnect with your partner. Recognising and acknowledging your own needs is essential for effective caregiving. Make time for activities that you enjoy, pursue hobbies, and ensure you have a healthy outlet for stress.

Joining support groups, whether in person or online, allows you to connect with other caregivers who understand your challenges, providing emotional support and practical advice. Sharing experiences with those in similar situations can be incredibly validating and empowering.

Staying informed about the latest advancements in SCI care and rehabilitation can empower you to advocate effectively for your partner’s needs. Knowledge about adaptive technologies, therapeutic practices, and legal rights ensures you are well-equipped to navigate the complexities of caregiving. Additionally, educating those around you about SCI can foster understanding and reduce the burden of unnecessary questions or misconceptions.

Whether it’s family members, friends, or colleagues, providing them with information helps create a more supportive environment for both you and your partner. By focusing on these strategies, you can help ensure that the relationship remains strong and supportive, and that both partners feel valued and understood. Balancing the roles of caregiver and partner is challenging but not impossible, and with the right approach, it can lead to a deeper, more resilient relationship.

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Danie Breedt
Psychologist
Danie Breedt is a passionate scholar-practitioner in the field of psychology. He divides his time between training future psychologists, research and clinical practice. Danie works from an integrative interactional approach in therapy dealing with a wide range of emotional difficulties. He is currently working as a psychologist at numerous physical rehabilitation hospitals across Gauteng for Charis Psychological Services where he does supportive counselling as well as sexual education for patients with disabilities. Column courtesy of Charis Psychological Services.
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