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Carer Burnout Is Real - And It’s Not Your Fault

  • Writer: Amiee El Khoury
    Amiee El Khoury
  • Apr 24
  • 5 min read

Caring for a child with additional needs can be beautiful, meaningful and full of love. It can also be exhausting, lonely and relentless.


Many parents and carers tell me they feel:

  • “On duty” 24/7

  • Guilty for feeling tired or frustrated

  • Afraid to say how bad it really feels in case they’re judged


As a Board Certified Behaviour Analyst (BCBA) and UKBA(cert) behaviour analyst, I work with families who are doing their absolute best in very tough circumstances. Carer burnout is real - and it is not a sign that you are weak or failing.


This post is a gentle space to name what’s happening, understand why it happens, and think about small, realistic steps towards support.


What is carer burnout?

Carer burnout is more than just feeling tired. It’s a state of emotional, physical and mental exhaustion that builds up over time when you’re caring for someone with high or ongoing needs.


You might notice:


  • Emotional signs

    • Feeling numb, tearful or irritable

    • Snapping over small things

    • Feeling hopeless or stuck

    • Losing interest in things you used to enjoy


  • Physical signs

    • Constant tiredness, even after sleep

    • Headaches, stomach aches, tension

    • Getting ill more often


  • Thinking patterns

    • “I can’t keep doing this.”

    • “I’m a terrible parent.”

    • “No one understands.”

    • “If I stop, everything will fall apart.”


Burnout doesn’t mean you don’t love your child. It means you have been carrying too much, for too long, often with too little support.


Why carers of children with additional needs are at higher risk

Parents and carers in your situation often face pressures that others don’t see:


  • Constant vigilance

    • Watching for meltdowns, safety risks, or signs of distress

    • Managing school emails, appointments, forms and meetings


  • Extra emotional load

    • Advocating for your child in systems that don’t always understand them

    • Holding your child’s worries, plus your own


  • Less rest and recovery time

    • Broken sleep

    • Few chances for genuine time off

    • Difficulty finding trusted childcare or respite


  • Feeling judged or misunderstood

    • Comments about “parenting” or “discipline”

    • People minimising your child’s needs because they “seem fine”


When you put all of this together, burnout is not surprising. It is an understandable human response.


It’s not your fault

Burnout often comes with a heavy dose of self-blame:

  • “If I were stronger, I’d cope better.”

  • “Other parents manage, why can’t I?”

  • “I should be grateful - it could be worse.”


But:

  • You did not choose your child’s needs.

  • You did not design the systems that make you fight for support.

  • You are responding to real, ongoing demands.


Feeling overwhelmed does not mean you don’t love your child. It means you are human.


Small signs you might be nearing your limit


Sometimes burnout creeps up slowly. You might notice:


  • You feel dread when you wake up, even on “quiet” days

  • You find yourself shouting more, then feeling awful afterwards

  • You avoid messages from school or other parents

  • You feel disconnected from friends, partner or family

  • You can’t remember the last time you did something just for you


If some of this feels familiar, it’s a sign you deserve more support - not more pressure.


What realistic support can look like

Support doesn’t have to mean a complete life overhaul. Often, it’s about small, steady changes.


Some possibilities:


  • Practical help

    • Asking a trusted person to take over one regular task (school run, bedtime, a weekly meal)

    • Exploring respite options, if available in your area

    • Using online food shopping or other shortcuts without guilt


  • Emotional support

    • Talking honestly with one safe person about how things really are

    • Joining a parent/carer group (online or in person) where you don’t have to explain the basics

    • Considering counselling or therapy if that feels right for you


  • Professional support around behaviour

    • Working with a behaviour analyst (BCBA / UKBA(cert)) to reduce daily flashpoints

    • Creating clear, simple plans for tricky times of day (mornings, bedtimes, homework)

    • Helping school share the load with consistent strategies


The aim is not to make you “cope better” with an impossible load. It’s to reduce the load where we can, and to give you tools and allies.


Tiny, guilt-free moments for you

When life is intense, “self-care” can feel like a joke. You might think:


  • “I don’t have time for that.”

  • “A bath won’t fix this.”

  • “Other people need me more.”


You’re right that a bubble bath won’t solve systemic problems. But tiny, regular moments where your nervous system can breathe do matter.


That might look like:

  • Sitting with a hot drink for 5 minutes without doing anything else

  • Listening to a favourite song in the car before you go back inside

  • Stepping outside to feel the air on your face and take 5 slow breaths

  • Saying “no” to one extra commitment this week


These are not selfish. They are small acts of keeping yourself going.


Talking to professionals about burnout

It can feel scary to tell professionals how bad things feel. Many parents worry:

  • “Will they think I can’t cope?”

  • “Will this affect how they see my child?”


You are allowed to say:

  • “I am really struggling at the moment.”

  • “I’m worried I’m burning out.”

  • “I need support, not judgement.”


A good professional; whether that’s a GP, therapist, social worker, or behaviour analyst, should respond with care, not criticism.


As a behaviour analyst, part of my role is to:

  • Help reduce the daily stress points in your routine

  • Work with school so you’re not holding everything alone

  • Make sure any behaviour plan is realistic for you, not just ideal on paper


Your wellbeing is not an “extra”. It is central to your child’s support.


If you’re at crisis point

If you feel:

  • You might harm yourself

  • You might harm someone else

  • You cannot keep yourself or your child safe


please seek urgent help. This might mean:

  • Contacting your GP or out-of-hours service

  • Calling NHS 111 (in the UK) for urgent advice

  • Going to A&E if you are in immediate danger

  • Reaching out to a crisis line or trusted person


Needing crisis support does not make you a bad parent. It means the situation has become too big for one person to hold alone.


Final thoughts


Carer burnout is not a personal failure. It is a sign that you have been carrying more than one human nervous system is meant to carry, often without enough support.


You deserve:

  • To be believed when you say it’s hard

  • To have your needs taken seriously

  • To receive practical and emotional help


If you’d like support to reduce behaviour-related stress at home or to bring school into a shared plan, this is exactly the kind of work I do as a Board Certified Behaviour Analyst (BCBA) and UKBA(cert) behaviour analyst – always with your wellbeing in mind as well as your child’s.

 
 
 

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