When You’re the Only One Who Shows Up

When You’re the Only One Who Shows Up

July 17, 20253 min read

“Why am I the only one doing everything?”

It’s a question whispered in kitchens.
Typed into group chats and never sent.
Swallowed during hard moments and sleepless nights.

If you’re the default caregiver in your family—doing all the things, carrying all the weight, showing up when no one else does—you’re not alone.

You’re also not doing anything wrong.

But you may be carrying resentment. And that’s a signal worth listening to.


Resentment Is Not a Failure. It’s a Signal.

Many caregivers feel shame when resentment creeps in.
But that feeling isn’t weakness. It’s wisdom.

It’s your body and mind saying:
This is too much. I can’t sustain this pace. Something needs to change.

If you ignore that voice, burnout is not far behind.

So how do you respond with strength, not silence?
With clarity, not conflict?

Here’s the 3-part framework I teach inside the Thrive & Lead coaching program.


Step 1: Acknowledge the Load You’re Carrying

One of the biggest barriers to change is invisibility—not just from others, but from yourself.

So many caregivers downplay what they do.

“It’s just what I have to do.”
“I’m used to it.”
“They wouldn’t know how anyway.”

But ask yourself this:

If someone else was doing what you’re doing, would you think they deserved help?

Write it all down.

  • Appointments you schedule

  • Medications you manage

  • Conversations you mediate

  • Bills you track

  • Emotions you absorb

Name it. See it. Own it.
Because you can’t ask for what you need until you recognize what you’re already giving.


Step 2: Set the Record Straight With Calm, Not Conflict

You’ve done the internal work. Now it’s time to communicate.

This doesn’t have to be dramatic. In fact, it shouldn’t be.

Try this script:

“I wanted to update you on what I’ve been handling. I’ve been managing appointments, meds, care needs, and daily logistics, and it’s becoming unsustainable. I’d like to talk about how we can better share the load.”

You’re not shaming.
You’re not demanding.
You’re leading.

If they step up, great.
If not, you’ve created a line in the sand that centers your well-being.

And if this isn’t the first time you’ve had this conversation?

That brings us to step three.


Step 3: Lead Without Waiting for Consensus

Sometimes the support never comes.
And leadership means moving forward anyway.

Here’s what that can look like:

  • Setting boundaries without apology

  • Outsourcing where you can (even if family could help)

  • Creating a rhythm and structure that works for you, not for group approval

  • Releasing the idea that shared DNA means shared responsibility

You can lead without permission.
You can protect your peace even if no one else changes.


Clara’s Story: Peace Without Permission

Clara was caring for her father with dementia.
Her brothers checked in occasionally but never offered real help.

Together, we wrote out her task list. More than 30 weekly items.

Then we crafted a simple family message asking for specific support.

One brother offered money. The other went silent.

Clara stopped waiting.
She hired backup help, built a routine, and let go of resentment.

She didn’t just find peace. She found power.


You Don’t Have to Wait for Others to Step Up

If you’re tired of carrying everything, you don’t need to wait for permission to lead differently.
You’re not wrong for being tired.
You’re not weak for feeling hurt.
You’re not dramatic for wanting help.

You’re a leader who has been carrying too much alone.

It’s time to shift from silent suffering to clear strategy.
From resentment to resilience.
From surviving to leading.

You’ve got this.
And I’ve got you.



Explore More from The Age of Caregiving™

🎧 Listen on Buzzsprout: https://www.lifecareleadhership.com/podcast

📺 Watch on YouTube: https://www.youtube.com/@ageofcaregiving

📝 Read more on our Blog: https://lifecareleadhership.com/ageofcaregiving


The views and opinions expressed in this post are solely my own and do not reflect the views of any past or present employer of Dr. Thomas. This content is for educational and informational purposes only and is not intended as medical or legal advice.


Dr. Anna Thomas is a board-certified physician, two-time TEDx speaker, and leadership coach who helps professionals, caregivers, and organizations thrive through the challenges of caregiving, change, and leadership in today’s workplace.
As the founder of LifeCare LeadHership™, she bridges medicine, coaching, and corporate wellbeing to teach practical resilience strategies for balancing work, life, and care.
Her keynotes and trainings explore topics such as caregiving in the workplace, dementia care education, burnout prevention, workplace culture transformation, and women’s empowerment in leadership.
A John Maxwell Certified Speaker and Trainer and creator of the CARE™ Framework, Dr. Thomas equips leaders and teams to build care-ready cultures, strengthen retention, and promote mental health and wellbeing at work. 
Audiences describe her talks as inspiring, evidence-based, and actionable — blending storytelling, science, and strategy to help people lead with compassion, balance, and impact.
Learn more or book Dr. Thomas for your next conference, leadership summit, HR event, or women’s empowerment program at www.AnnaThomasSpeaks.com


***Disclaimer: The information, keynotes, and trainings provided by Dr. Anna Thomas and LifeCare LeadHership™ are intended for educational and leadership development purposes only.
They do not constitute medical or mental-health advice, diagnosis, or treatment, and participation does not establish a doctor–patient relationship. All views expressed are Dr. Thomas’s own and do not represent the opinions of her current or former employers.

Dr. Anna Thomas

Dr. Anna Thomas is a board-certified physician, two-time TEDx speaker, and leadership coach who helps professionals, caregivers, and organizations thrive through the challenges of caregiving, change, and leadership in today’s workplace. As the founder of LifeCare LeadHership™, she bridges medicine, coaching, and corporate wellbeing to teach practical resilience strategies for balancing work, life, and care. Her keynotes and trainings explore topics such as caregiving in the workplace, dementia care education, burnout prevention, workplace culture transformation, and women’s empowerment in leadership. A John Maxwell Certified Speaker and Trainer and creator of the CARE™ Framework, Dr. Thomas equips leaders and teams to build care-ready cultures, strengthen retention, and promote mental health and wellbeing at work. Audiences describe her talks as inspiring, evidence-based, and actionable — blending storytelling, science, and strategy to help people lead with compassion, balance, and impact. Learn more or book Dr. Thomas for your next conference, leadership summit, HR event, or women’s empowerment program at www.AnnaThomasSpeaks.com ***Disclaimer: The information, keynotes, and trainings provided by Dr. Anna Thomas and LifeCare LeadHership™ are intended for educational and leadership development purposes only. They do not constitute medical or mental-health advice, diagnosis, or treatment, and participation does not establish a doctor–patient relationship. All views expressed are Dr. Thomas’s own and do not represent the opinions of her current or former employers.

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