Pride, Dementia, and Holding Space for Both: Finding LGBTQ+ Dementia Caregiver Support
- Dr. Weston Donaldson

- Jun 11
- 3 min read
I’ve long recommended the resources provided by the Alzheimer’s Association for people living with neurocognitive decline and those caring for them. If I had to pick my top three to help an LGBTQ+ dementia caregiver, they would be:
The 24/7 Helpline (1-800-272-3900): A vital safety net for late-night crises or immediate behavioral management questions.
The Driving Cessation Resources: Actionable guides on how to approach the incredibly difficult "giving up the keys" conversation.
Local or Virtual Support Groups: Connecting with others who understand the unique intersections of memory loss and identity.
When I worked in medical settings, I often recommended these tools to my patients and their loved ones. I helped them log the helpline on speed dial. We role-played driving cessation conversations. I printed out support group schedules.
There’s a personal piece to this work, too—I donate every year on my gramma’s birthday. She was taken by dementia over a decade ago, and she remains a continued guiding light, inspiring me to help families confronting the unique pains and challenges associated with cognitive decline.

The Emotional Whiplash of Pride Month
With the greater flexibility afforded by my private practice, I have been able to get involved again as a volunteer. This past weekend, I had the opportunity to volunteer at my local LGBTQ+ Pride festival to share resources tailored specifically to the experiences of LGBTQ+ older adults living with dementia and their chosen families.
It was at times an exercise in emotional whiplash. Interspersed between exclamations of “Happy Pride!” and “yaassss queen!” were quiet, profound moments of raw vulnerability. Passersby stopped to disclose the deep ache of grief after losing a loved one to the disease, or the current, mounting fear and stress of trying to navigate long-distance caregiving for an LGBTQ+ older adult.
A particularly beautiful thing about Pride is its focus on the personal journey, self-acceptance, and diversity of experience. This aligns perfectly with the poignant stories shared by those who stopped by our table. No two caregiving experiences were exactly the same, yet everyone was tied together by love, grief, and meaning in the face of what can feel like an unalterable future.
Proactive Brain Health and Hope for a Cure
At the festival, we didn't just talk about grief; we talked about agency. We discussed emerging research, including the exciting advancements in blood tests that offer early warnings, giving people the ability to be truly proactive.
We talked about daily lifestyle factors and applauded the things people were already doing in service of their brain health—whether intentionally or not. Above all, we talked about the hope that someday there will be a cure—a "first survivor" who stops Alzheimer's in its tracks and moves on without it.
Until that day comes, my goal is to show up, both in my community and in my clinical practice, to provide dedicated LGBTQ+ affirmative therapy and support for those feeling alone and lost in their care for themselves and others.
Frequently Asked Questions: LGBTQ+ Dementia Caregiver Support
Q: Where can I find specialized LGBTQ+ dementia caregiver support?
A: Specialized group support can be found through national organizations like SAGE (Services & Advocacy for GLBT Elders) and the Alzheimer’s Association, which offer dedicated peer support groups and resources tailored to the unique legal, social, and emotional needs of queer care partners and chosen families. Individual support is also available, like those offered in my practice.
Q: Why do LGBTQ+ dementia caregivers face unique challenges?
A: LGBTQ+ caregivers often deal with heightened minority stress, fear of discrimination in traditional aging services and care settings, and systemic barriers regarding legal recognition for "chosen family" structures. Specialized LGBTQ+ online therapy can help care partners navigate caregiver burnout while processing historical and current systemic challenges.
Q: What role does early detection play in inclusive memory care?
A: Early detection—including lifestyle tracking and recent medical advancements like early-warning blood tests—empowers LGBTQ+ older adults to establish legal protections, outline their care preferences, and secure affirming medical advocates before cognitive decline impacts decision-making capacity. Talking to a medical provider or behavioral health professional about this can be an important first step.
Take the Next Step
Caring for a partner or a chosen family member through cognitive change is a journey you do not have to walk alone. If you are looking for a safe, expert space to process the weight of caregiving, Schedule a consultation today to discuss how we can navigate this chapter together.
DONATE
Join me as a donor or Walk to End Alzheimer's participant! You can join my team, Proud Heart Therapy & Friends today, or find a Walk near you. Participation in the walk is free, and goes toward highlighting the research and resources backed by the Alzheimer's Association.

For the whole month of June, I'll be writing about how dementia and cognitive health impact the lives of LGBTQ+ people. Subscribe and share with someone who might need to read this today.




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