My parents had me when they were in their 40s, so I became a primary caregiver and decision-maker much earlier than most of my peers. Since my parents' passing, my husband and I have started living with his mother, anticipating caregiver duties which are coming soon. Moving from child to a more, well, "parental" role is one of the most challenging changes in family dynamics anyone will face, and one of the least talked about. Whether they stay in their own home, move in with you (or you with them) or they transition to an adult care or nursing home, facing their aging, changing health, and needs can be beyond overwhelming. How do you talk to them about driving, about their budget, about end-of-life? How do you balance your own personal and professional responsibilities while taking on a more active role in your parents' care? And, for many of us, how do we negotiate difficult relationships with our parents now that they need so much of our attention and energy?