Heart Love to Head Love is a daunting and unconventional coming-of-age story frame against the backdrop of managing loved ones with the onset of a debilitating neurocognitive disorder. Two blended families find themselves forced to face and conquer the reality of caregiving in its rawest form. Their collective creativity and resilience intersect beautifully to untangle the complexities of their new normal, particularly in relation to two major characters who start out as strangers and end up connected in the most unusual way. Family dynamics, memory care issues, health decisions, planning for the future, and day-to-day survival, mixed in with good old-fashioned fun, are topics that evolve through this American love story. The work is hard but the balancing act is a story worth telling.