How do I emotionally transition from caregiving?

Thank you. She is on hospice. I will talk to her nurse and get some info on grief counseling

I think you're also experiencing the sadness/loss from grief over losing your fiance's grandmother. When we lose someone we have cared for (or when their end is near), it brings up all kinds of emotions, including our own mortality.

But like most emotions, those feelings of grief and sadness will pass with time. Just be patient and take care of yourself and do what is nurturing to you, whether that is to be with other people or to be by yourself. Listen to music, take a walk, watch sports on TV, whatever you normally do to feel better. This too shall pass.

It sounds like you have depression brought on from caregiving and if anything can cause depression it's caregiving. We give and give and give and give, day in and day out and if we're not getting something in return we end up empty and depressed. This is why we should always take care of ourselves while caregiving. Many people don't understand that and don't do it but as you've experienced once we've given all we've got without getting anything in return we're left with nothing. Is the grandma on hospice? They offer counseling. If hospice is involved avail yourself of their counseling. If not, once grandma passes away see how you feel after a few days and if you're still feeling this way ask your Dr. for a referral to a counselor.

I'm so sorry you're feeling so bereft but it's not permanent. It's burnout and exhaustion on top of depression, maybe there's some resentment in there somewhere....I think once you find someone to talk to and to help you get over this hump you will begin to feel better.