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The answer to your question is Yes. He is beyond the point where you can not longer provide the best care for him. That would probably be true even if you were healthy and making a lot of money, but it is doubly true now.
Why did you ask the question if you have this strange "rule" in your head, that you cannot put him in a home? Please, for his sake and yours, try to open your mind and your heart to consider all the options, and select the best one.
Your therapist is right, you are overwhelmed. Anyone would be at this point. What does your therapist suggest that you do about being overwhelmed?
Your father puts guilt trips on you? Shame on him! Shame on a man who puts his own comfort over his daughter's health needs. He is a sick man, and maybe we need to cut him some slack for his selfish behavior, but that does not change the fact that you need to act on your own behalf.
I hope that your therapist can help you build your confidence so that you can stop backing off doing what you know you need to do.
When Father is in a Care Center of some kind, you can go back to being a loving daughter, visiting him, advocating for him, being sure he is getting good care, having a few meals with him a week, sending him funny stories and jokes via email. You can give up being his servant and his 24/7 hands-on caregiver.
I think we feel guilt simply because they are our parents, no matter what the circumstances are. We remember them being our world, and our inner child is sometimes still afraid to do something that will displease them. The negative emotional side to caregiving is that when we are overextended we have few defenses against our inner fears that we may be unaware of. When we have to face the fact that our parents are declining, in whatever way, we have to accept the fact that we are going to lose them, and that on top of everything else that you are managing can be so difficult that we do anything to keep things as they are. It starts to become denial that is not healthy for you, and not healthy for him, no matter what he wants.
Your father will have a bit of a hard time adjusting to other people caring for him, also because he is stuck in some very bad habits. Diabetic, having gained that much weight, and sedentary? He's rolling down a hill fast and if he doesn't know it, then it is your duty as his daughter to put things in place for him. It is not your duty as his daughter to be a slave to his disfunction. Of course he is going to pull the guilt trip, he wants things to stay as they are, we all do in our lives. But he has given up all healthy control of his own life by not managing his own health, and... you are not responsible for that!
My father had some mental health issues already before he developed Alzheimer's disease, and often that was even more difficult to deal with than his needing more care later in his life. He is now in a Nursing Home, just since a few days ago, and it has gone very well and is the best thing that i could have done for him. And yet i struggled with the pain of it all, and wanted to take him home again and care for him. It would have been a 24/7 job that would have been too much for me (or any one person), and yet i truly wanted to do that.
I wish you strength and a clear focus on what this situation needs, and lots of support while you make the changes that need to be made. They do need to be made, i think you know that. Keep reaching out for support here too, we really do understand!
Your dad can't take care of himself, plus he has no desire to do so. If he was in a nursing home, he would be eating a diabetic diet and could lose some weight. He would not be able to cut himself or burn himself. In time, he could make some friends and adjust. He could get some physical therapy too, and his medications would always be correct and on time. His needs would be covered 24 hours a day.
You need a peaceful environment to heal in. I'm sorry to say this, but your father is a tremendous obstacle in your ability to care for yourself. He is pulling you down with him and doesn't care. He's not going to change. I hope you can accept that realization and understand that you must make changes if you want to survive.
You may not be able to force him into nursing home care, but you can tell him that new living arrangements have to be made. The issue is not about what he has done for you or what you have done for him. The issue is that you can not continue to live like this anymore and it's critical for your health that changes be made.
Assisted living is another possible option for him and may be the place to start. You can tell your father that you love him and are sorry the circumstances are what they are. Obviously, you didn't want to become disabled and in need of recovery, but those are the cards you have been dealt and you must make changes to save your life.
May I ask you if you are buying your home rather than renting? Are you able to afford to live there alone on your income? Also, would you share your age and your father's age.
Please stay in touch. We all care about you. Love, Cattails
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