The article discusses the critical role of family caregivers in the lives of individuals with dementia, often referred to as "invisible second patients." These caregivers face significant challenges, including high levels of burden, psychological morbidity, social isolation, physical health issues, and financial hardship. The article highlights the importance of identifying caregivers who are particularly vulnerable to adverse effects and factors that can mitigate or exacerbate these burdens. Psychosocial interventions have been shown to reduce caregiver burden and depression and delay institutionalization. Comprehensive management of dementia patients includes building partnerships between health professionals and family caregivers, referring them to support groups like Alzheimer's Associations, and providing psychosocial interventions when necessary. The article also explores the diverse motivations of caregivers, the types of care they provide, and the impact of caregiving on their physical and mental health. Additionally, it addresses the role of social support, the effectiveness of various interventions, and the unique challenges faced by special categories of caregivers, such as those from ethnic minorities or with younger-onset dementia. Finally, the article emphasizes the importance of local Alzheimer's Associations in providing essential support and advocacy for caregivers.The article discusses the critical role of family caregivers in the lives of individuals with dementia, often referred to as "invisible second patients." These caregivers face significant challenges, including high levels of burden, psychological morbidity, social isolation, physical health issues, and financial hardship. The article highlights the importance of identifying caregivers who are particularly vulnerable to adverse effects and factors that can mitigate or exacerbate these burdens. Psychosocial interventions have been shown to reduce caregiver burden and depression and delay institutionalization. Comprehensive management of dementia patients includes building partnerships between health professionals and family caregivers, referring them to support groups like Alzheimer's Associations, and providing psychosocial interventions when necessary. The article also explores the diverse motivations of caregivers, the types of care they provide, and the impact of caregiving on their physical and mental health. Additionally, it addresses the role of social support, the effectiveness of various interventions, and the unique challenges faced by special categories of caregivers, such as those from ethnic minorities or with younger-onset dementia. Finally, the article emphasizes the importance of local Alzheimer's Associations in providing essential support and advocacy for caregivers.