ABSTRACT The scientific understanding of gratitude has grown in recent years. However, research on the role gratitude plays in the lives of family caregivers of persons with Alzheimer’s disease in the early or begnning stages is limited. Therefore, the aim of the current study was to gain a rich understanding of gratitude through the narratives of 27 family caregivers of persons with early-stage Alzheimer’s. Interpretative phenomenological analysis, a qualitative methodology, was used to identify the following themes: (1) A caregiver’s individual affinity towards having a grateful life orientation influences their unique caregiving experience; (2) Gratitude for a range of resources, including what the person with Alzheimer’s continues to contribute, makes a difference; (3) Gratitude for the efforts of other people, including how caregiving strengthened relationships, was present; and (4) Spirituality is a gratitude-related resource which may be expressed behaviorally to enhance well-being among caregivers. This study provides an in depth understanding of gratitude in this unique and growing population which can inform the development of clinical interventions for improving well-being.