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Maintaining Emotional Intimacy
When Your Loved One Is Ill

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In our culture, when we discuss intimacy, many people think immediately of sexuality. While sex may be part of an intimate relationship, it in no way encompasses it. When we think of intimacy as only sex it makes it difficult to focus on the other really satisfying parts of human relationships.

Development of truly intimate relationships is difficult during times of good health and general well being. When someone is chronically or terminally ill, and is being provided physical care, they can find it very difficult to ask to have their emotional needs met also. Caregivers are often overwhelmed and may have difficulties verbalizing their own emotional and physical needs. There may be feelings of guilt and shame attached to having any physical or emotional needs.
The primary concern of caregivers remains how to keep their relationship with their loved one at a level that provides emotional intimacy. In counseling sessions we advise our clients to remember the three A’s:


Good communication is the key to acknowledging your loved one. Remember, in order to communicate effectively you need to: accept your differences, listen to each other’s opinions, and not close the door on painful subjects—including the wants and desires of the caregiver.

 If your loved one is terminally ill, they may want to discuss their feelings about death. We would encourage you, as the caregiver, to be prepared for the inevitable and invite discussion whenever possible. As the caregiver, acknowledge the person’s feelings—be supportive of their view of the situation. Be careful not to take the attitude that, “I know what is best” or, “Do what I say.”


Paying attention to someone involves a lot more than monitoring his or her physical well being.You can let a person know that you are paying attention by listening attentively, making good eye contact and, by being aware of “non-verbal” communication, including how the person holds their body, tension, and lack of eye contact.


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