When you are the caregiver of a loved one, you need to also take care of yourself. Signs of burn out are: withdrawal from family and friends; feeling blue, irritable and helpless; changes in sleep patterns; getting sick more often; and feelings of resentment. What can you do to support yourself? Talk to a trusted friend or co-worker; set reasonable goals; be realistic about your loved one’s disease, especially if it is a progressive disease such as Parkinson’s or Alzheimer’s. Use respite care services when you need a break or while you are assessing care plan changes.