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Aug 20 2025

Caught in the Middle: Life of the Sandwich Generation

Written By Vernisa Kilgore, MSN, PHMNP-BC
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Summary


Life in the middle isn’t easy, but it can be very meaningful. For the Sandwich Generation, finding the balance to care for aging parents and children can be challenging yet fulfilling.

The Sandwich Generation is steadily growing. Many adults find themselves caught between two worlds—caring for two generations at once. From packing school lunches in the morning to managing doctor’s appointments in the afternoon, it is a balancing act that is filled with love, sacrifice and compassion.

Caregiving Crunch

The Sandwich Generation refers to middle-aged adults often in their 40s and 50s, who simultaneously provide care for their own children and their aging parents. The term “sandwich” refers to being “squeezed” between the two generations. They support both generations through routine daily care, financial assistance and emotional support.

The Crowded Middle

Many factors contribute to the rise of the Sandwich Generation. Thanks to advances in health care, people are living longer, which increases care needs for aging parents. 

Economic factors also play a major role—many young adult children opt to live at home longer because of the increased cost of living independently. Another contributing factor is that many people are waiting longer to start families, which causes an overlap with caregiving stages.

Common Struggles

Individuals in this generation face undeniable challenges. Juggling the responsibility of caring for both children and parents often feels like an impossible task. Some of these challenges include:

  • Financial Difficulties: Covering the cost of your child’s tuition while also assisting with the cost of a parent’s medication or care can be difficult.
  • Emotional Exhaustion: Parents often feel they are unable to give enough attention to either parent or child, leading to burnout and guilt.
  • Career sacrifice: Many in this generation sacrifice their career by reducing work hours and/or leaving their job.
  • Relationship strain: With less personal time, relationships often take the back burner, leaving less time to focus on spouse or partner.

Caring without Crumbling

Balancing the demands of both generations while caring for yourself is crucial. Prioritize your needs by including regular exercise, getting an adequate amount of sleep and obtaining professional mental health support through therapy or caregiver support groups. 

It is also important to develop a plan early with your parents about future care needs, including establishing a long-term financial retirement security plan. You may also need to seek help with responsibilities from siblings or extended family when needed.

Moments that Matter

Life in the Sandwich Generation can leave you feeling overwhelmed. Although challenging, your actions as a caregiver can teach your children valuable lessons about empathy and responsibility. Caring for both children and aging parents offers moments of joy and pride that last a lifetime.

Strike a Balance

Finding balance through planning, effective communication and support helps you navigate this journey with compassion and resilience, which leads to deeper connections and lasting family bonds. Life in the middle is hectic, but it is also deeply rewarding.

Meet the author

Vernisa Kilgore, MSN, PHMNP-BC

Psychiatric Mental Health Nurse Practitioner

Vernisa Kilgore, MSN, PHMNP-BC, is a board-certified Psychiatric Mental Health Nurse Practitioner who received her degree from the University of South Alabama in Mobile. Building on her experience as a registered nurse helps to create a smooth transition into her role as a Psychiatric Mental Health Nurse Practitioner at NMMC’s Behavioral Health Center. Dedicated to making a difference in her community, Vernisa strives to combine her advanced education with hands-on experience to empower patients on their journey toward improved mental health and well-being.

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