The stress expectations and guilt of the caregiver often go unnoticed. But caregiving takes a huge toll on the person(s) providing the care. The helper is often on call 24/7, dealing with household disruption, additional financial pressures, added paperwork, additional workload, implied expectations of others and a feeling of guild that it is never enough. Some people give years or decades to caregiving and don’t even realize or feel how the stress and burden is affecting them. Top symptoms of burnout are: impatience, personal health problems, bitterness, resentment, forgoing leisure activities (like never going on vacation), feeling run down, anxious, irritable, gaining or losing weight or sleep problems.