By Raquel Rogers |ย Houston Defender | Word In Black

This post was originally published on Defender Network

Tanisha Tate poses beside her book cover, "Who Cares for the Caregiver."
After over a decade as a full-time caregiver, Tanisha Tate uses her experiences to guide and encourage others. Courtesy: Tanisha Tate

(WIB) – When Tanisha Tateโ€™s phone rang on Aug. 16, 2013, she had no idea the call would alter the course of her life.ย 

That day, her vibrant, energetic mother collapsed in a parking lot. Tests revealed a brain tumorโ€”meningiomaโ€”that would require surgery.

Tanisha Tate, pictured here with her mother, Nancy Blacknell, has been a caregiver for 12 years. Courtesy: Tanisha Tate

The operation was successful in removing the tumor, but a devastating stroke during the procedure left her mother hospitalized for nine months. In the aftermath, she lost the use of her right side and her speech and now suffers from Aphasia, a communication disorder that affects a personโ€™s ability to speak, understand speech, read or write.

โ€œWe went through eight different hospitals and rehab facilities before my sister and I decided she would come live with me,โ€ Tate recalled. โ€œItโ€™s been 12 years of ups and downs as we learned to accept our new reality.โ€

That reality is filled with challenges, love andโ€”thanks to her motherโ€™s personalityโ€”more than a few moments of humor. 

โ€œAnyone who knows my mom knows she may have lost her speech, but she hasnโ€™t lost her spunk. Sheโ€™ll get you together real quickโ€”in gibberish,โ€ Tate said.

Learning Through Living

Tanisha Tate champions care for cargivers

Tateโ€™s caregiving journey didnโ€™t just change her lifeโ€”it became the foundation for her new book, Who Cares for the Caregiver. Written with equal parts honesty and compassion, the guide pulls back the curtain on the parts of caregiving people rarely talk about: The exhaustion that creeps in after long nights, the loneliness of feeling no one else truly understands and the tightrope walk between giving your all to someone else and holding on to your well-being.

In the book, Tate breaks down the realities sheโ€™s lived for more than a decade. She explores how to spot the early signs of burnout before they spiral into emotional or physical collapse. She shares simple, practical self-care techniquesโ€”like five-minute mindfulness exercises, short evening baths, or carving out time for personal goalsโ€”that donโ€™t require money or major planning. She talks about the importance of communication, even when itโ€™s uncomfortable and about building a circle of people who can lift you up on the days you feel you canโ€™t keep going.

Author and caregiver Tanisha Tate signs copies of her new book, โ€œWho Cares for the Caregiver,โ€ at a recent event with her friend Jodi Williams. Credit: Jodi Williams

Itโ€™s a message sheโ€™s earned the hard way. โ€œIโ€™ve been a caregiver now for a while, and I get questions all the time: How do you do it? How do you manage? Who comes in to give you relief?โ€ Tate said. โ€œSo I wrote this book because I was getting so many questions, I felt passionate about sharing my story so more people could learn from my struggle.โ€

The struggles have been many. Over the years, Tate has juggled scheduling doctorsโ€™ appointments, battling with insurance companies, navigating complex hospital systems, paperwork and managing her motherโ€™s rehabilitation transitionsโ€”all while working full time and raising her now 21-year-old son. Sheโ€™s endured logistical headaches, physical exhaustion and moments when self-doubt threatened to take over.

But sheโ€™s also learned how to adapt, how to advocate fiercely, and how to find resilience when she thought she had nothing left to give. Who Cares for the Caregiver is as much about those lessons as it is about survivalโ€”itโ€™s a book born from lived experience, offering fellow caregivers a reminder Tate wishes sheโ€™d had in the beginning: caring for yourself is not selfish; itโ€™s survival.

Whoโ€™s Caring for the Caregiver?

Itโ€™s easy for caregivers to lose sight of their own needsโ€”not just emotionally, but physically and financially too. The numbers from the Bloomberg School of Public Health tell a powerful story:

  • In the U.S., more than 105โ€ฏmillion adults provide care to a relativeโ€”often unpaidโ€”with 53โ€ฏmillion caring for a spouse, aging parent, or special-needs child.
  • Since 2011, the number of family caregivers supporting older adults has surged 32%, from 18.2โ€ฏmillion to 24.1โ€ฏmillion, and the time spent caring for them has nearly doubled, averaging 31 hours per week in 2022.
  • Caregivers frequently juggle work and caregiving: 67% report difficulty balancing both, while 27% reduce work hours, and 16% step away from their careers entirely.
  • AARPโ€™s 2025 report estimates 63โ€ฏmillion family caregivers in the U.S.โ€”most unpaid, many overwhelmed; only 11% had formal training, and nearly half are handling high-intensity care.

These figures make clear a sobering reality: Caregivers bear a tremendous personal tollโ€”emotionally, physically, financiallyโ€”and far too often are left to do so alone.

Self-Care as a Lifeline

One of Tateโ€™s most urgent messages is this: Self-care isnโ€™t optionalโ€”itโ€™s essential.

โ€œThe biggest takeaway I want caregivers to have is that at some point, you have to put you first,โ€ she said. โ€œItโ€™s a physical, mental and emotional toll. You canโ€™t take care of others if youโ€™re not at your best.โ€

As someone in the so-called โ€œsandwich generation,โ€ Tate knows this balance too well. Raising her now-21-year-old son while caring for her mother has tested her in every way.

I make time for what makes me happy and I donโ€™t worry about what anyone thinks. I know in my heart that my mom would do the same for me. – Tanisha Tate

โ€œYou have to do little things every day,โ€ she advised. โ€œThat doesnโ€™t mean a trip or a massage every day, but it can mean a five-minute prayer or taking a bath every night. Something that lets you wake up refreshed and ready to tackle the world.โ€

โ€œIโ€™ve watched Tanisha navigate this journey and Iโ€™ve been amazed at how no matter how frustrating it gets for her, she has mastered the ability to push pause and take care of herself,โ€ said her friend Jodi Williams. โ€œI always feel like the guilt would wear me down if I was in a similar situation.โ€

Letting go of guilt became Tateโ€™s breakthrough. โ€œA wise person once told me, โ€˜You canโ€™t pour from an empty cup,โ€™โ€ she said. โ€œThatโ€™s advice I live by. I make time for what makes me happy and I donโ€™t worry about what anyone thinks. I know in my heart that my mom would do the same for me.โ€

While caregiving is โ€œnot for the weak,โ€ as she puts it, Tate embraces the role fully. Now, through her book, she hopes to offer other caregivers something she once had to figure out on her ownโ€”a reminder that they matter, too.

Who Cares for the Caregiver is available at www.Amazon.com.

Tanishaโ€™s Top Caregiver Tips

1. Put yourself firstโ€”without guilt.
โ€œYou canโ€™t pour from an empty cup,โ€ Tate says. Caring for yourself is not selfishโ€”itโ€™s essential.

2. Do something small for yourself every day.
It doesnโ€™t have to be big or expensiveโ€”take a bath, say a prayer, read a book, or go for a walk.

3. Accept your emotions.
Caregiving brings a mix of feelings, from frustration to joy. โ€œItโ€™s okay to feel whatever you need to in order to sustain.โ€

4. Find your balance.
Create boundaries to have your own life while still showing up for your loved one.

5. Tap into your support system.
Donโ€™t be afraid to ask for help from friends, family, or local caregiver networks.

6. Remember the humor.
Moments of laughterโ€”planned or unexpectedโ€”can keep you going in tough times.

7. Know youโ€™re not alone.
Millions of Americans are part of the โ€œsandwich generation,โ€ caring for both aging parents and children. Sharing stories builds community.