Grief Support

After the unexpected death of his wife, Irish author C.S. Lewis wrote in A Grief Observed, "No one ever told me that grief felt so like fear. The death of a beloved is an amputation."

While dealing with grief is not easy, we believe the resources within this section of our website can help. Should you need additional support in grieving your loss, please call us. We will do everything we can to assist you.
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Grieving with Purpose

No one is prepared for grief. The rush of feelings, the thoughts, anxieties, and heartache can take us by surprise and drive us to our knees. Yet, when we choose to harness that power for self-growth, amazing things can happen. Good can come from pain.

Sigmund Freud first brought up the concept of grief work in 1917, and today the idea that bereavement is purpose-driven continues. Dr. James Worden chose to see the work of bereavement as task-oriented:
  1. To accept the reality of the loss
  2. To process the pain of grief
  3. To adjust to a world without the deceased
  4. To find an enduring connection with the deceased in the midst of embarking on a new life
Your current job is to focus your attention on achieving each of those goals. It will not occur in any logical order; each of us is different and the path we walk in the bereavement journey is not a straight one.

Dealing with grief is hard work. It takes both courage and hard work to successfully adapt to the loss of a significant person in your life.

Six Signposts Along Your Journey

Dr. Stephen Joseph identifies what he calls six signposts to facilitate post traumatic growth. He reminds readers too that "post traumatic growth does not imply the absence of emotional distress and difficulties in living. It does imply that it is possible through the struggle to come out on the other side, stronger and more philosophical about life."

Before identifying these six signposts, Dr. Joseph reminds his readers of three very important things:
  1. You are not on your own
  2. Trauma is a normal and natural process
  3. Growth is a journey
He also provides a fundamental rule: don't do anything you might not be able to handle now. "If you experience intense emotions, become physically upset, or begin to panic... stop." He gently reminds readers that "having a sense of personal control over your recovery is important. There might be some things you do not feel ready to handle now, but in time, as you discover new strength and develop new coping skills, this will likely change."

"By focusing on these six signposts," writes Dr. Joseph, "you will find that your post-traumatic growth is beginning to take root."

Signpost #1: Taking Stock

Are you physically well? Are you getting enough sleep and eating the right foods for optimum health? Have you received the kind of medical, legal, or psychological help you need? What is your current condition: physically, spiritually, and emotionally?

Signpost #2: Harvesting Hope

People traumatized by loss often feel hopeless. It's hard to get up in the morning and thinking about the future sparks pessimism and negativity. Find inspiration in the stories of personal growth written by others; set goals and practice hope as you set out to achieve them.

Signpost #3: Re-Authoring

Learn to tell your story differently. Take the victim mentality out of the story of loss you tell yourself and others and replace it with the word survivor to return to a sense of control over your life.

Signpost #4: Identifying Change

Keeping a daily diary can help you to see the small changes within more easily. You can also track those moments when you feel at your best and identify the conditions that brought them about. Identify and nurture the positive changes in your life throughout your bereavement journey.

Signpost #5: Valuing Change

Review these changes, identifying the ones that you'd like to continue to nurture. Personal transformation requires it. Growth is encouraged when we take time to think about what we have gained from loved ones and when we find a way to use what we have learned to give to others.

Signpost #6: Expressing Change in Action

Express your growth in new behaviors or, more simply, put your growth into action. When you think in terms of concrete actions, it helps make the growth experienced within your bereavement real to you.

Ending Denial and Finding Acceptance

Acceptance is the very first task in your bereavement. Dr. James Worden writes that we must "come full face with the reality that the person is dead, that the person is gone and will not return."

This is where a funeral can be very important. Traditionally, the casketed body of the deceased is at the front of the room and guests are invited to step up to personally say their goodbyes. Part of stepping up means seeing with our own eyes that death has actually occurred and that actualizing is an essential part of coming to accept the death. Yet, the tradition of viewing has eroded over time with many families today choosing cremation and opting to hold a memorial service after the cremation has taken place. The focal point of the ceremony becomes the cremation urn, holding the cremated remains or ashes out-of-sight and making the reality of the death less evident and the road to acceptance less clearly marked.

Acceptance May Seem Out of Reach

For many, acceptance means agreeing to reality. Most of us, when we lose someone dear to us, simply don't want to agree to it; we actually have an aversion to agreeing and accepting. So, let's use a different word—try "adjustment", or "integration". Both words focus on the purposeful release of disbelief. Someone who has integrated the death of a loved one into their life has cleared the path to creating a new life; a pro-active life where a loved one's memory is held dear, perhaps as a motivating force for change.

It does take time. In "Coping with the Loss of a Loved One", the American Cancer Society cautions readers that "acceptance does not happen overnight. It’s common for it to take a year or longer to resolve the emotional and life changes that come with the death of a loved one. The pain may become less intense, but it’s normal to feel emotionally involved with the deceased for many years after their death. In time, the person should be able to reclaim the emotional energy that was invested in the relationship with the deceased, and use it in other relationships."

Whatever you call it, this essential part of mourning is what allows us to live fully again. It allows us to step out of the darkness of mere existence and back into the sunshine where life is sweet again. Of course, it's a very different life than the one you had before your loved one died.

When Grief Doesn't Ease

Sometimes it feels as if your bereavement will never end. You feel as if you’d give anything to have the pain go away; to have the long lonely hours between nightfall and dawn pass without heartache. You are not the only grieving person who has longed for some measure of relief.


In the novel, My Sister’s Keeper , author Jodi Picoult wrote, “There should be a statute of limitations on grief. A rule book that says it is all right to wake up crying, but only for a month. That after 42 days you will no longer turn with your heart racing, certain you have heard her call out your name.”


No such rule book exists. Grief counselors and therapists tell us that the length of time it takes anyone to grieve the loss of someone they held dear to them is dependent on the situation, how attached you were to the deceased, how they died, your age and gender. So many variables exist and there’s absolutely no way to predict how long it will take for you to adapt to your loss.

The Difference Between Normal and Complicated Grief

Research findings have led experts to come up with many differing categories of grief experience ranging from normal to complicated. Normal (or uncomplicated) grief has no timeline and encompasses a range of feelings and behaviors common after loss such as bodily distress, guilt, hostility, preoccupation with the image of the deceased, and the inability to function as one had before the loss. All are normal and present us with profound, and seemingly endless, challenges. Yet, Katherine Walsh says, “Over the course of time, with average social support…most individuals will gradually experience a diminishment of these feelings, behaviors, and sensations.”

So, how can you know if your bereavement is no longer within the range of normal? Ms. Walsh goes on to say, “While there is no definitive time period by which this happens, if an individual or members of a family continue to experience distress intensely or for a prolonged period—or even unexpectedly years after a loss—they may benefit from treatment for complicated grief.”

A Useful Model for Assessment: Worden’s Four Tasks of Mourning

There are certain tasks that, when achieved during your bereavement, can successfully allow you to emerge on the other side of loss as a better, stronger, and more resilient individual. James Worden proposed these four tasks:
  1. To accept the reality of the loss
  2. To process the pain of grief
  3. To adjust to a world without the deceased
  4. To find an enduring connection with the deceased in the midst of embarking on a new life
Instead of focusing on your bodily discomforts, feelings, and common behaviors, this model allows you to better see where you may be stuck or stalled in the adaptive process. Fortunately, Worden also gives us a list of indicators advising that "any one of these clues in and of itself may not be sufficient" for a diagnosis of complicated grief. "However," he continues, "any of these…should be taken seriously, and the diagnosis of complicated grief should be considered when they appear."

12 Clues... 12 Insights

While grief educators and theorists tell us that a diagnosis of complicated grief should not even be attempted until after the first anniversary of the death, if any one of the following symptomatic clues exists for longer than six months, you may want to consider grief counseling or grief therapy:
  1. You cannot speak of the deceased without experiencing intense and fresh grief long after the loss.
  2. A relatively minor event triggers an intense grief reaction.
  3. Your conversations with others are littered with references to loss. In other words, loss is an ever-present motif in your world view.
  4. You have issues related to your loved one's possessions. Keeping everything the same as before their death could indicate trouble just as tossing out everything right away can also be a clue to disordered mourning. (You also need to factor in your cultural and religious background)
  5. You have developed physical symptoms similar to those of the deceased before their death. Sometimes these symptoms recur annually, on the anniversary of the death, or on holidays. An increased susceptibility to illness or the development of a chronic physical complaint can also be an indicator.
  6. If you have made radical changes to your lifestyle, or excluded friends, family members, or even activities associated with the deceased, it may indicate unresolved grief.
  7. A long history of depression, often marked by guilt or low self-esteem, can reveal disordered mourning. The opposite is also true: a person experiencing a false sense of happiness or elation could be experiencing unresolved grief.
  8. A compulsion to imitate the deceased, in personality or behavior, can be a sign of complicated mourning.
  9. Having self-destructive impulses or exhibiting self-destructive behaviors can be significant. These can range from substance abuse, engaging in self-harm, developing eating disorders and suicidal tendencies.
  10. A sense of unexplained sadness occurring at a certain time each year (holidays, anniversaries, or birthdays) can also be a clue to unresolved grief.
  11. Developing a strong fear about dying, especially when it relates to the illness that took the life of your loved one, is an important clue.
  12. If you have avoided visiting your loved one's grave or if you are still unwilling to discuss the circumstances of their death, this could indicate complications in your bereavement.
There are many types of complicated grief; it can be delayed, masked, exaggerated, or chronic. Self-diagnosis is without purpose. A year after the death, if you feel your grief symptoms worsening, we advise that you seek a referral from your family physician for professional grief counseling or therapy.

Sources:

 

  1. Freud, Sigmund. On the History of the Psycho-Analytic Movement Papers on Metaphyschology and Other Works.
  2. Worden, James, Grief Counseling & Grief Therapy: A Handbook for the Mental Health Practitioner, 4th Edition, 2009.
  3. Fleming, Stephen. The Changing Face of Grief: From 'Going On to 'On-Going''
  4. Joseph, Stephen. What Doesn't Kill Us: the New Psychology of Posttraumatic Growth
  5. American Cancer Society, "Coping with the Loss of a Loved One", 2012
  6. Walsh, Katherine, Grief and Loss: Theories and Skills for the Helping Professions, 2nd Edition, 2012
  7. Worden, James, Grief Counseling & Grief Therapy: A Handbook for the Mental Health Practitioner, 4th Edition, 2009