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Nurturing Self as a Caretaker for Balance and Well-Being

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Nurturing oneself as a caretaker may feel like an impossible task when your days revolve around meeting the needs of others. Whether you are a mother raising young children, a professional caring for patients, or someone supporting an elderly family member, your energy is often spent on giving. Caregiving is both satisfying and emotionally draining, as well as physically demanding. Over time, many caretakers neglect their own well-being, believing self-care should come last. Yet the truth is clear: taking care of yourself is not only essential for your health — it strengthens the care you can offer to others.

Caretaker practicing self-care for balance and well-being
Nurturing yourself strengthens resilience and balance

This article examines the emotional challenges of caregiving, strategies to prevent burnout, and how tools from Dialectical Behavior Therapy (DBT) can help you achieve balance. By embracing self-compassion and practicing intentional skills, caretakers can build resilience while continuing to offer meaningful care.

The Unique Challenges of Caregiving

Caring for others is often described as an act of love — and it is. But it also comes with hidden challenges that are rarely acknowledged. Caregivers frequently experience:

  • Chronic fatigue from being “on call” around the clock.
  • Emotional stress caused by constant worry or guilt.
  • Physical strain, as sleep, nutrition, and exercise, is often neglected.
  • Isolation, since personal time and social connections take a backseat.
  • Loss of identity occurs when caregiving roles overshadow one’s own needs and goals.


Many caretakers — particularly women — are raised to believe that putting others first is a measure of worth. While caring deeply for others is admirable, continually sacrificing your own requirements can lead to burnout, resentment, and declining health.

Why Caregiver Stress is Different

Unlike other stressful jobs, caregiving rarely has “off hours.” The role is personal, emotionally connected, and often feels non-negotiable. This constant pressure makes it harder to set boundaries or prioritize self-care. Without intentional support, many caretakers face exhaustion that impacts both their well-being and the quality of care they provide.

Why Nurturing Yourself is Essential

It may feel counterintuitive, but self-care is not a luxury — it’s a necessity. When caretakers prioritize their own needs, they:

  • Protect their health, reducing risks of illness, depression, and anxiety.
  • Model healthy balance, showing children and loved ones the importance of well-being.
  • Strengthen resilience, allowing them to face challenges with more patience and clarity.
  • Improve caregiving quality, because a calm, nourished caregiver is better able to respond with empathy.


By reframing self-care as effective caregiving, caretakers can release the guilt associated with prioritizing themselves. You cannot pour from an empty cup — but when your cup is full, you have so much more to give.

Practical Self-Care Strategies for Caretakers

Even on the busiest days, small practices can help reduce stress and restore balance.

Quick Reset Practices

  • Pause for breath: Take 3–6 slow breaths, lengthening the exhale to calm the nervous system.
  • Drink water mindfully: Use hydration as both self-care and a grounding exercise.
  • Stretch or move: Gentle yoga or a short walk can release built-up tension.
  • Soothing rituals: Sip tea, light a candle, or listen to calming music.
  • Ask for help: Share responsibilities when possible. Even small breaks matter.

Daily Wellness Habits

  • Prioritize nutrition: Choose nourishing meals to sustain energy.
  • Create boundaries with technology: Set a time to unplug before bed.
  • Sleep Hygiene: Protect Your Rest by Creating a Consistent Bedtime Routine.
  • Journaling or reflection: Write down thoughts, feelings, or gratitude moments to reset perspective.


Small, consistent steps often matter more than large, occasional efforts. Integrating short, restorative practices throughout the day helps caretakers feel grounded and capable, even amid chaos.

How DBT Supports Caregivers

Dialectical Behavior Therapy offers tools designed for individuals managing intense emotions, making it especially valuable for caretakers. DBT teaches skills that support emotional regulation, self-awareness, and resilience.

Mindfulness: Staying Present

Mindfulness helps caretakers remain aware of their own needs while being fully present with those they support. Instead of rushing through tasks on autopilot, mindfulness encourages caretakers to slow down, notice emotions, and engage intentionally.

Distress Tolerance: Managing Overwhelm

Caretaking often brings unexpected crises. DBT’s distress tolerance skills teach healthy ways to cope with overwhelming situations — from breathing practices to grounding exercises — reducing the urge to shut down or react impulsively.

Emotion Regulation: Finding Balance

Guilt, frustration, and exhaustion are common emotions experienced by caregivers. DBT provides tools to identify, understand, and shift emotions before they spiral into burnout.

Interpersonal Effectiveness: Building Boundaries

Caretakers often struggle to ask for help or set limits. DBT emphasizes communication strategies that strengthen relationships while protecting one’s own well-being.

If you’re curious about the foundation of these skills, exploring what dialectic means in DBT and the broader principles of DBT and dialectics can deepen your understanding of how balance is created in moments of conflict and care.

Reframing Caregiving Through Values

Caretaker finding balance through mindful self-care
Caring for yourself enhances how you care for others

One influential way caregivers can nurture themselves is by aligning their daily actions with their personal values. Ask yourself:

  • What truly matters to me? (family, compassion, health, creativity?)
  • Do my current routines reflect these values?
  • Where am I neglecting my own needs?


When you identify core values, you create a roadmap for balance. For example, if health is a priority, carving out time for exercise or nutritious meals is not indulgent — it is an expression of living in alignment with your values.

For caretakers who want structured guidance in learning these practices, DBT skills classes offer supportive environments where practical skills are taught, practiced, and reinforced.

Overcoming Caregiver Guilt

One of the most significant obstacles caretakers face is guilt. It often feels like choosing yourself means neglecting someone else. DBT encourages a dialectical perspective: two truths can exist at once. You can care deeply for others and care for yourself. In fact, both are necessary for sustainable caregiving.

Radical acceptance — a core DBT skill — helps caretakers accept the reality of their limitations while choosing practical actions. This shift allows guilt to be replaced with empowerment.

Building a Sustainable Support System

Self-care does not have to be solitary. Caretakers thrive when they create strong networks of support. This may include:

  • Family members who share responsibilities.
  • Friends who provide emotional connection.
  • Support groups with others in similar roles.
  • Professional therapy for deeper guidance.


At Oakland DBT and Mindfulness Center, our therapy services provide caretakers with the tools and support to navigate challenges while protecting their own well-being. By working with a professional, caretakers gain a safe space to process emotions, develop resilience, and create a sustainable path forward.

Conclusion 

Caregiving is an extraordinary act of love, but it should not come at the cost of your health and happiness. Nurturing self as a caretaker is not selfish — it is a vital practice that strengthens your capacity to care for others with compassion and consistency. By integrating simple self-care practices, embracing DBT skills, and seeking support when needed, you can transition from just surviving to truly succeeding in your caregiving role.

Remember, taking care of yourself is the best gift you can give to both yourself and those you love.

FAQs (Frequently Asked Questions)

Why is self-care important for caretakers?

Self-care enables caregivers to recharge physically and emotionally, thereby preventing burnout and exhaustion. By maintaining their own well-being, they can offer more effective and compassionate support. Taking time for self-nurturing is not selfish — it is essential for sustainable caregiving.

How can DBT skills support people in caregiving roles?

DBT skills, such as mindfulness, emotion regulation, and distress tolerance, enable caregivers to manage stress and intense emotions effectively. These tools provide healthier ways to cope with overwhelm and maintain balance. By using these strategies, caretakers can strengthen resilience and improve their ability to support others.

What are small daily practices that reduce caregiver stress?

Even a few minutes of intentional self-care can make a meaningful difference — such as practicing deep breathing, stretching, or savoring a quiet cup of tea. Practicing mindfulness during routine tasks can also bring calm and grounding. These simple actions help regulate stress and protect emotional energy.

How can caretakers set healthy boundaries without feeling guilty?

Healthy boundaries enable caregivers to meet their own needs while still providing care. Communicating limits clearly and compassionately helps preserve energy and prevents resentment. Remember, boundaries are an act of love that protects both the caretaker and the person receiving care.

When should a caretaker consider seeking professional support?

If stress, fatigue, or emotional overwhelm begins to impact health, relationships, or daily functioning, professional guidance can be very beneficial. Therapy or skills training can offer strategies tailored to caregiving challenges. Support from professionals ensures caretakers feel less isolated and more equipped to manage long-term responsibilities.

Rajesh Jagannathan

Rajesh Jagannathan

Rajesh Jagannathan was born in India and earned a B.Tech in Computer Science from IIT, Madras. After spending a few youthful years in the Masters/Ph.D. program at the Ohio State University moved to the Bay Area for work. Since then he has stayed in the Bay Area and worked in tech for the better part of 20+ years. He has been with the center since its inception playing a key advisory role on tech related matters.

He enjoys living in the bay area with his family, exploring the outdoors in California and the world at large. While interests change over time some constants through the years have been travel, cooking, painting and board games. Lately all his spare time has been consumed by pickleball.

David Pepper

David Pepper, MD (Retired)

Dr. Pepper was born in San Francisco and attended UC Berkeley and then Medical and Graduate School in Iowa. Returning to California, he practiced and taught full spectrum Family Medicine with UCSF for 30+ years, working in Fresno, San Francisco and Contra Costa Counties. 1,000 births and 1,000 deaths one could say – with thousands of Families in between… in the ER, Hospital and Outpatient Clinics – always with a focus on Family and Community.
 
He has a long interest in Psychedelics and completed the CPTR program through CIIS in 2023. He is passionate about helping people think about how to craft their second half of life with meaning, including planning for a natural End of Life process that is not over medicalized.  He believes that a well planned End of Life allows people to live well.  More about his work can be found here.  
 
He brings his expertise in clinical assessment, and the tools that support this to working with the Team at Oakland DBT and Mindfulness Center to develop best practices for working with clients seeking expanded state treatment.  He collaborates with his wife who also works with clients in Expanded States.  He enjoys his 4 children, gardening, hiking, and community.
Rochelle

Rochelle Frank, PsyD

Rochelle Frank, PhD is a clinical psychologist in Oakland, CA with over 30 years of experience in both the public and private sectors. Dr. Frank earned her doctorate in clinical psychology at Syracuse University and completed her clinical training at Yale Psychiatric Institute. She specializes in evidence-based transdiagnostic treatment of  complex and co-occurring mood, anxiety, and trauma disorders in adults and adolescents, and related  problems in high-conflict couples and families. 

In addition to her private practice Dr.  Frank is an assistant clinical professor of psychology at the University of California, Berkeley, and also  holds faculty and supervisory appointments at The Wright Institute and the University of California San  Francisco School of Medicine.  She is co-author of The transdiagnostic road map to case formulation and  treatment planning: Practical guidance for clinical decision making (Frank & Davidson, 2014; New Harbinger),  a contributing author to S. G. Hofmann & S. C. Hayes (Eds.), Beyond the DSM (2020, New Harbinger), and  currently serves on the board of directors for the Institute for Better Health.

Dr. Frank has been involved with Oakland DBT and Mindfulness Center since 2012.  She has served as a clinical consultant and focuses on helping the Team bring a transdiagnostic process-based perspective to case formulation and treatment planning, as well as integrating methods from other third-wave cognitive behavioral therapies into the DBT model.  

In addition to enjoying time with her family, Dr.  Frank is an avid golfer, home chef, and a frequent beta-tester of her clinical skills while skiing and mountain biking.

Michael Stanger

Michael Stanger, MD

I am a board-certified psychiatrist practicing in California and Colorado across a range of settings – inpatient, outpatient, emergency and partial hospital, with current affiliations at Contra Costa Regional Medical Center and Boulder Community Health.

I have a particular interest in the therapeutic utility of ketamine to support psychotherapy. I began working with ketamine in 2016, initially in my California private practice where I administered oral and intramuscular doses. I have since continued to support therapist access and to develop understanding around the most effective use of these modality. In related work, I have mentored with the CIIS Center for Psychedelic Therapies and Research and taught sessions with the Polaris Insight Center on ketamine.

My background includes childhood immigration from South Africa to New York, working in the technology industry for several years and then traveling in an unscripted manner to arrive at the awareness that medicine, and ultimately psychiatry would be the path to be helpful to others in an applied way.

Chrysanthe

Chrysanthe Christodoulou

Operations Manager

Chrysanthe is our Operations Manager and one of our in-house Mindfulness Experts. She connects with new clients as they come into the Center, oversees day to day operations and runs special projects.  She is instrumental in supporting the Team by bringing joy, flow and ease.

Chrysanthe studied Meditation, Yoga, and Mindfulness with some of the most respected teachers of our time. She also holds a BS in Economics.  This combination of skills ensures our Center runs efficiently behind the scenes and lends wisdom to our budding Mindfulness Program.

Her local teaching career has spanned the Bay Area and beyond: overseas in Spain, Chile, Greece, and Amsterdam; and locally in San Francisco, Marin, Berkeley, Oakland, and Walnut Creek. Chrysanthe honors the magic in both movement and stillness, stirring energy and witnessing what emerges as everything settles into place. 

When Chrysanthe isn’t handling the business end of the Center or running mindfulness programming, you can find her exploring trails with her wolf pup, finding connection in community, and enjoying the sun and the sea.

Priya Jogia

Priya Jogia

Licensed Clinical Social Worker (LCSW)

​​Priya Jogia is a licensed clinical social worker (LCSW). Since 2013, she has worked in various clinical settings including: community mental health, hospital, and outpatient programs. Priya’s also spent time in Vietnam studying international social work and the relationship between culture, ethnicity, and mental health.

Priya is an active practitioner of mindfulness-based behavioral therapies including DBT and ACT, and has extensive training in CBT. As a DBT therapist, she’s seen the positive impact of using DBT skills in her own life, and is strongly committed to helping clients live meaningful lives that are aligned with their values.

Priya has an interest in perinatal mental health and working with BIPOC populations, and she strives to integrate a social and racial justice lens into her work. While being a therapist has brought a lot of meaning to Priya’s life, she tries not to take herself too seriously, and gets much joy from being a mum, being in nature, and cuddling with her dog.

Jay Indik

Jay Indik

Licensed Clinical Social Worker (LCSW)

Jay brings his compassion, creativity, and equanimity to support each person who seeks therapy.. He believes that what makes each person happy is connected to their deepest sense of what is important. Jay listens for how each client can idiosyncratically transform their suffering into a happier life. As a result of working with Jay folks’ learn to address unwanted behavior, regulate their emotions, recover from individual or cultural trauma, repair relationships, and organize their behavior consistent with their values Jay has intensive training and has practiced the following modalities for decades: DBT, Narrative Therapy, Somatic Experiencing, Sensory Modulation, Psychodynamic Treatment and Expressive Arts Therapies. Jay specializes in working with couples, parents, parent child dyads and young adults, as well as with individuals from mid-life through retirement. Jay’s experience as a theater director, parent, teacher, and executive combined with his knowledge of research validated treatments allows him to best relate and serve each individual.

Jay has two adult children (one daughter, one non-binary), a “Real Dads Love Trans kids” t-shirt, and one amazing grandchild he watches one day a week.

Ari Tavano

Ariana Tavano

Licensed Clinical Social Worker (LCSW)

Ari Tavano is a licensed clinical social worker (LCSW). She has worked in an array of clinical settings for over ten years, and utilizes the diversity of her experience to foster a therapeutic frame rooted in curiosity and empathic regard. She specializes in working with those looking to cultivate self-growth, increase interpersonal efficacy, and develop an affirming relationship with their internal worlds.

Ari extends a humanistic approach to her work by nourishing the whole self – according to one’s intersectionality and inherent wisdom. She is trained in DBT and other treatment modalities, including CBT, Existentialism, and Trauma Theory. She harmonizes the concepts of behaviorism and intuitiveness of relational healing, with opportunities to explore psychedelics and expanded-state work.

Ari invites you to build capacity for both processing and playfulness. She prioritizes humor and is often found in the ocean, on the dance floor, and imagining her next adventure. Ari has also worked as a licensed public school teacher in Hawai’i and documentary photographer in South Africa. She is committed to equity, inclusion, and the pursuit of social justice.

Alyson Barry

Alyson Barry, PhD

Licensed Clinical Psychologist

Alyson Barry is a licensed clinical psychologist (PhD). Since 2005, she’s gained experience in diverse areas of practice, including inpatient hospitals, intensive outpatient programs, community mental health, and private practice. Alyson came to DBT in 2013 through her own yoga and meditation practice, which led her to seek additional training in mindfulness-based therapies. Drawn to work with people who’ve experienced developmental trauma, she begins by addressing what’s happening in the present, helping her clients develop practical skills that fundamentally improve how they interact with themselves and the world around them. As a result of this work, this can over time, set the stage for healing the older wounds. She believes in a collaborative and consent-based treatment approach, working to ensure that clients understand and are in agreement with any diagnosis or therapeutic technique. She hopes that this transparency can help to create an environment of respect for her clients’ choice, autonomy, and knowledge of themselves. She is also a big believer in bringing humor and irreverence into therapy. In her free time, Alyson enjoys snorkeling, hanging out with her cat, and spending time with friends. Alyson is available to work via telehealth with clients in California, Colorado, and Florida.
Heather Macbeth

Heather Macbeth

Licensed Marriage & Family Therapist (MFT)

Heather co-founded the Oakland DBT & Mindfulness Center in 2012. She is a licensed MFT. She offers a relational, somatic, experiential and humanistic approach to her work and is committed to relieving psychological suffering. Her style is both compassionate and gentle as well as directive and aims to be supportive of each person’s unique needs. Her work focuses on emotion regulation, changing persistent cycles of self-blame, listening more closely to intuitive knowing and increasing self compassion. She is committed and dedicated to helping her clients have a life where they can find themselves thrive vs. just survive. Working as a therapist, clinical supervisor, skills group and workshop facilitator has brought her a lot of joy. In addition to a private practice setting she has worked in community mental health organizations with disenfranchised youth and families and in public schools as a Behavioral Specialist. Heather works with adults and teens. She is intensively trained in DBT and other treatment modalities such as; Gestalt, Psychodynamic, MBSR, ands Expressive Arts. She is certified in EAP (Equine-assisted psychotherapy) and offers equine-facilitated learning workshops in the Bay Area. Additionally, she has received her training in Ketamine Assisted Psychotherapy through the Polaris Insight Center in San Francisco and is inspired by the potential healing benefits of expanded states of consciousness work.

In her free time, and in ideal worlds, she is exploring jungles, hot springs, beaches, hanging out with animals (large and small), enjoying good food, travel and most importantly time with loved ones.

Christine Benvenuto

Christine Benvenuto

Licensed Marriage & Family Therapist (MFT)

Christine is a Licensed Marriage and Family Therapist and the co-founder and Executive Director of the Oakland DBT and Mindfulness Center. She brings over 25 years of experience in mental health to her work, with a background in working with people in all walks of life in residential, outpatient and home based settings. A systems thinker, valuing sustaining relationships, she works with individuals, couples and groups, with a strong belief that small shifts can create dynamic changes.

She blends a lifetime of interest and practice in somatics, meditation, embodiment, psychedelics and the arts with a passion for social justice, nature and thriving ecosystems. Her mentors are psychologically savvy, center co-existence, value differences and maintain a sense of humor.

Her professional training spans from depth oriented, expanded state and attachment based to behavioral styles of treatment. She co-creates a therapeutic container that feels collaborative, warm, dynamic, thoughtful and deeply resonant.

She works with individuals, couples and groups, offering ongoing weekly therapy, Ketamine-Assisted Psychotherapy and Consultation.

Along side of her professional life, Christine is grateful for her extended web of relationships as daughter, sister, wife, friend, step-mom and community connector.

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