Coping with Grief and Loss: Support for Grieving and BereavementCoping with Grief and Loss
Support for Grieving and Bereavement
What is grief?
Grief is a natural response to loss. It’s the emotional suffering you feel when something or someone you love is taken away. You may associate grief with the death of a loved one – and this type of loss does often cause the most intense grief. But any loss can cause grief, including:
- A relationship breakup
- Loss of health
- Losing a job
- Loss of financial stability
- A miscarriage
| - Death of a pet
- Loss of a cherished dream
- A loved one’s serious illness
- Loss of a friendship
- Loss of safety after a trauma
|
The more significant the loss, the more intense the grief. However, even subtle losses can lead to grief. For example, you might experience grief after moving away from home, graduating from college, changing jobs, selling your family home, or retiring from a career you loved.
Everyone grieves differently
Grieving is a personal and highly individual experience. How you grieve depends on many factors, including your personality and coping style, your life experience, your faith, and the nature of the loss. The grieving process takes time. Healing happens gradually; it can’t be forced or hurried – and there is no “normal” timetable for grieving. Some people start to feel better in weeks or months. For others, the grieving process is measured in years. Whatever your grief experience, it’s important to be patient with yourself and allow the process to naturally unfold.
Myths and Facts About Grief
MYTH: The pain will go away faster if you ignore it.
Fact: Trying to ignore your pain or keep it from surfacing will only make it worse in the long run. For real healing it is necessary to face your grief and actively deal with it.
MYTH: It’s important to be “be strong” in the face of loss.
Fact: Feeling sad, frightened, or lonely is a normal reaction to loss. Crying doesn’t mean you are weak. You don’t need to “protect” your family or friends by putting on a brave front. Showing your true feelings can help them and you.
MYTH: If you don’t cry, it means you aren’t sorry about the loss.
Fact: Crying is a normal response to sadness, but it’s not the only one. Those who don’t cry may feel the pain just as deeply as others. They may simply have other ways of showing it.
MYTH: Grief should last about a year.
Fact: There is no right or wrong time frame for grieving. How long it takes can differ from person to person.
Source: Center for Grief and Healing
Are there stages of grief?
In 1969, psychiatrist Elisabeth Kübler-Ross introduced what became known as the “five stages of grief.” These stages of grief were based on her studies of the feelings of patients facing terminal illness, but many people have generalized them to other types of negative life changes and losses, such as the death of a loved one or a break-up.
The five stages of grief:
-
Denial: “This can’t be happening to me.”
-
Anger: “Why is this happening? Who is to blame?”
-
Bargaining: “Make this not happen, and in return I will ____.”
-
Depression: “I’m too sad to do anything.”
-
Acceptance: “I’m at peace with what happened.”
If you are experiencing any of these emotions following a loss, it may help to know that your reaction is natural and that you’ll heal in time. However, not everyone who is grieving goes through all of these stages – and that’s okay. Contrary to popular belief, you do not have to go through each stage in order to heal. In fact, some people resolve their grief without going through any of these stages. And if you do go through these stages of grief, you probably won’t experience them in a neat, sequential order, so don’t worry about what you “should” be feeling or which stage you’re supposed to be in.
Kübler-Ross herself never intended for these stages to be a rigid framework that applies to everyone who mourns. In her last book before her death in 2004, she said of the five stages of grief, “They were never meant to help tuck messy emotions into neat packages. They are responses to loss that many people have, but there is not a typical response to loss, as there is no typical loss. Our grieving is as individual as our lives.”
Grief is a roller coaster, not a series of stages
It is best not to think of grief as a series of stages. Rather, we might think of the grieving process as a roller coaster, full of ups and downs, highs and lows. Like many roller coasters, the ride tends to be rougher in the beginning, the lows may be deeper and longer. The difficult periods should become less intense and shorter as time goes by, but it takes time to work through a loss. Even years after a loss, especially at special events such as a family wedding or the birth of a child, we may still experience a strong sense of grief.
Source: Hospice Foundation of America
Common symptoms of grief
While loss affects people in different ways, many people experience the following symptoms when they’re grieving. Just remember that almost anything that you experience in the early stages of grief is normal – including feeling like you’re going crazy, feeling like you’re in a bad dream, or questioning your religious beliefs.
-
Shock and disbelief – Right after a loss, it can be hard to accept what happened. You may feel numb, have trouble believing that the loss really happened, or even deny the truth. If someone you love has died, you may keep expecting them to show up, even though you know they’re gone.
-
Sadness – Profound sadness is probably the most universally experienced symptom of grief. You may have feelings of emptiness, despair, yearning, or deep loneliness. You may also cry a lot or feel emotionally unstable.
-
Guilt – You may regret or feel guilty about things you did or didn’t say or do. You may also feel guilty about certain feelings (e.g. feeling relieved when the person died after a long, difficult illness). After a death, you may even feel guilty for not doing something to prevent the death, even if there was nothing more you could have done.
-
Anger – Even if the loss was nobody’s fault, you may feel angry and resentful. If you lost a loved one, you may be angry at yourself, God, the doctors, or even the person who died for abandoning you. You may feel the need to blame someone for the injustice that was done to you.
-
Fear – A significant loss can trigger a host of worries and fears. You may feel anxious, helpless, or insecure. You may even have panic attacks. The death of a loved one can trigger fears about your own mortality, of facing life without that person, or the responsibilities you now face alone.
-
Physical symptoms – We often think of grief as a strictly emotional process, but grief often involves physical problems, including fatigue, nausea, lowered immunity, weight loss or weight gain, aches and pains, and insomnia.
Coping with grief and loss tip 1: Get support
The single most important factor in healing from loss is having the support of other people. Even if you aren’t comfortable talking about your feelings under normal circumstances, it’s important to express them when you’re grieving. Sharing your loss makes the burden of grief easier to carry. Wherever the support comes from, accept it and do not grieve alone. Connecting to others will help you heal.
Finding support after a loss
-
Turn to friends and family members – Now is the time to lean on the people who care about you, even if you take pride in being strong and self-sufficient. Draw loved ones close, rather than avoiding them, and accept the assistance that’s offered. Oftentimes, people want to help but don’t know how, so tell them what you need – whether it’s a shoulder to cry on or help with funeral arrangements.
-
Draw comfort from your faith – If you follow a religious tradition, embrace the comfort its mourning rituals can provide. Spiritual activities that are meaningful to you – such as praying, meditating, or going to church – can offer solace. If you’re questioning your faith in the wake of the loss, talk to a clergy member or others in your religious community.
-
Join a support group – Grief can feel very lonely, even when you have loved ones around. Sharing your sorrow with others who have experienced similar losses can help. To find a bereavement support group in your area, contact local hospitals, hospices, funeral homes, and counseling centers.
-
Talk to a therapist or grief counselor – If your grief feels like too much to bear, call a mental health professional with experience in grief counseling. An experienced therapist can help you work through intense emotions and overcome obstacles to your grieving.
How to support a grieving person
If someone you care about has suffered a loss, you can help them heal by asking about their feelings, spending time just being with them, and listening when they want to talk.
Read: Helping and Supporting Someone Who Is Grieving
Coping with grief and loss tip 2: Take care of yourself
When you’re grieving, it’s more important than ever to take care of yourself. The stress of a major loss can quickly deplete your energy and emotional reserves. Looking after your physical and emotional needs will help you get through this difficult time.
-
Face your feelings. You can try to suppress your grief, but you can’t avoid it forever. In order to heal, you have to acknowledge the pain. Trying to avoid feelings of sadness and loss only prolongs the grieving process. Unresolved grief can also lead to complications such as depression, anxiety, substance abuse, and health problems.
-
Express your feelings in a tangible or creative way. Write about your loss in a journal. If you’ve lost a loved one, write a letter saying the things you never got to say; make a scrapbook or photo album celebrating the person’s life; or get involved in a cause or organization that was important to him or her.
-
Look after your physical health. The mind and body are connected. When you feel good physically, you’ll also feel better emotionally. Combat stress and fatigue by getting enough sleep, eating right, and exercising. Don’t use alcohol or drugs to numb the pain of grief or lift your mood artificially.
-
Don’t let anyone tell you how to feel, and don’t tell yourself how to feel either. Your grief is your own, and no one else can tell you when it’s time to “move on” or “get over it.” Let yourself feel whatever you feel without embarrassment or judgment. It’s okay to be angry, to yell at the heavens, to cry or not to cry. It’s also okay to laugh, to find moments of joy, and to let go when you’re ready.
-
Plan ahead for grief “triggers”. Anniversaries, holidays, and milestones can reawaken memories and feelings. Be prepared for an emotional wallop, and know that it’s completely normal. If you’re sharing a holiday or lifecycle event with other relatives, talk to them ahead of time about their expectations and agree on strategies to honor the person you loved.
When grief doesn’t go away
It’s normal to feel sad, numb, or angry following a loss. But as time passes, these emotions should become less intense as you accept the loss and start to move forward. If you aren’t feeling better over time, or your grief is getting worse, it may be a sign that your grief has developed into a more serious problem, such as complicated grief or major depression.
Complicated grief
The sadness of losing someone you love never goes away completely, but it shouldn’t remain center stage. If the pain of the loss is so constant and severe that it keeps you from resuming your life, you may be suffering from a condition known as complicated grief. Complicated grief is like being stuck in an intense state of mourning. You may have trouble accepting the death long after it has occurred or be so preoccupied with the person who died that it disrupts your daily routine and undermines your other relationships.
Symptoms of complicated grief include:
- Intense longing and yearning for the deceased
- Intrusive thoughts or images of your loved one
- Denial of the death or sense of disbelief
- Imagining that your loved one is alive
| - Searching for the person in familiar places
- Avoiding things that remind you of your loved one
- Extreme anger or bitterness over the loss
- Feeling that life is empty or meaningless
|
The difference between grief and depression
Distinguishing between grief and clinical depression isn’t always easy, since they share many symptoms. However, there are ways to tell the difference. Remember, grief is a roller coaster. It involves a wide variety of emotions and a mix of good and bad days. Even when you’re in the middle of the grieving process, you will have moments of pleasure or happiness. With depression, on the other hand, the feelings of emptiness and despair are constant.
Other symptoms that suggest depression, not just grief:
- Intense, pervasive sense of guilt.
- Thoughts of suicide or a preoccupation with dying.
- Feelings of hopelessness or worthlessness.
| - Slow speech and body movements
- Inability to function at work, home, and/or school.
- Seeing or hearing things that aren’t there.
|
Can antidepressants help grief?
As a general rule, normal grief does not warrant the use of antidepressants. While medication may relieve some of the symptoms of grief, it cannot treat the cause, which is the loss itself. Furthermore, by numbing the pain that must be worked through eventually, antidepressants delay the mourning process.
When to seek professional help for grief
If you recognize any of the above symptoms of complicated grief or clinical depression, talk to a mental health professional right away. Left untreated, complicated grief and depression can lead to significant emotional damage, life-threatening health problems, and even suicide. But treatment can help you get better.
Contact a grief counselor or professional therapist if you:
- Feel like life isn’t worth living
- Wish you had died with your loved one
- Blame yourself for the loss or for failing to prevent it
- Feel numb and disconnected from others for more than a few weeks
- Are having difficulty trusting others since your loss
- Are unable to perform your normal daily activities
Related articles
Need More Help?
Feeling overwhelmed by sadness, anger, loneliness, guilt, or other painful emotions? This toolkit can help you get through the grieving process and regain your emotional balance. Go to Toolkit »
Related links for coping with grief and loss
General information about grief and loss
The Grieving Process – Provides helpful handouts on the grieving process, including the stages of grief, how to take care of yourself, and the different ways people react to loss. (Hospice of the North Shore)
Life after Loss: Dealing with Grief – Guide to coping with grief and loss, including normal grief reactions to expect. (University of Texas Counseling and Mental Health Center)
Grief Support – Provides insights into grieving and the grief process. A companion page contains detailed information about children’s grief. (Australian Centre for Grief and Bereavement)
Death and Grief – Article for teens on how to cope with grief and loss. Includes tips for dealing with the pain and taking care of yourself during the grieving process. (Nemours Foundation)
Death of a loved one
Grief: Coping With Reminders After a Loss – Tips for coping with the grief that can resurface even years after you’ve lost a loved one. (Mayo Clinic)
Healing Steps – Advice on how to heal after the death of a loved one, including the rituals that can help and things you can do to keep memories alive. (California Home Care & Hospice, Inc.)
On Being Alone: A Guide for the Newly Widowed – A comprehensive series of articles on grief and loss offering practical, as well as psychological advice. (AARP)
Support for grief and loss
GriefNet.org – Online support community for people dealing with grief, death, and major loss, with over fifty monitored support groups for both kids and adults.
Compassionate Friends - National, self-help organization for those grieving the loss of a child. Includes a Chapter Locator and supportive online brochures on various aspects of grief.
Stages of grief
The Kübler-Ross grief cycle – Details each stage as it applies to persons facing death or other negative life change. Note that the cycle as presented includes seven stages, including initial shock. (ChangingMinds.org)
What is Grief? – Lays out general stages of grief with tips for helping someone who is grieving. (University of Illinois Counseling Center)
Complicated grief and depression
Major Depression and Complicated Grief – Lists the warning signs and symptoms that suggest grief has progressed to major depression or complicated grief. (American Cancer Society)
Complicated Grief – Learn the difference between the normal grief reaction and complicated grief. Includes information about symptoms, risk factors, and treatment. (Harvard Medical School Family Health Guide)
Grief after suicide
Grief after Suicide - Survivors of suicide and their friends can help each other and themselves by gaining an understanding of grief after suicide. (Canadian Mental Health Association)
Grief after Suicide Understanding your emotions, as well as suicide in general, may ease your grieving after suicide. (Buddha Dharma Education Association)
Melinda Smith, M.A., Ellen Jaffe–Gill, M.A., and Jeanne Segal, Ph.D., contributed to this article. Last modified: November 2010
Llamamos ansiedad normal a un conjunto de emociones y manifestaciones físicas, que se producen de forma automática y sin control voluntario, cuando nos enfrentamos a situaciones nuevas, o de exigencia. La “ansiedad normal” nos ayuda a adaptarnos a estas situaciones de manera tal que podamos obtener la respuesta más adecuada para las mismas. En este sentido, es beneficiosa, ya que nos permite alcanzar mejor los objetivos que nos planteamos en la vida.
Print
Authors
Understanding Depression
Bring Your Life Into Balance: Emotional Skills Toolkit