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Counselling :: Experiences of Loss


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Unplanned Pregnancy

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Experiences of Loss

 

:: Loving and Remembering - a non-denominational service for pregnancy loss


:: Remembrance Service Resource Kit - for ministers and celebrants


:: Creating Memories - ways to remember your baby


:: Rachel's Vineyard Retreat - a spiritual healing journey after abortion


:: New Article Coming soon


:: Supporting a friend in pregnancy loss


:: Experiences of grief


:: Coping with depression

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Experiences of grief

 

A Guide to Understanding the Grieving Process

 

“We become more fragile, sensitive and vulnerable when struggling with our loss. Everything seems to impact on us more.”

 

This article explores the various phases of grief and the wide range of feelings and reactions that may be experienced after any loss. There is also advice about seeking help.


 

 

BUT IT HURTS ... DIFFERENTLY

 

There is no way to predict
How you will feel.

The reactions of grief
Are not like recipes,
With given ingredients,
And certain results.


Each person mourns in a different way.
You may cry hysterically,
Or
You may remain outwardly controlled,
Showing little emotion.


You may lash out in anger
Against your family and friends,
Or
You may express your gratitude
For their concern and dedication.


You may be calm one moment
In turmoil the next.
Reactions are varied and contradictory.


Grief is universal.
At the same time
it is extremely personal.
Heal in your own way.

 

Earl A. Grollman.

 

It is important to understand the various experiences of grief. There are many more aspects to grief.

However, everyone does not necessarily go through every experience, nor do they go through them in any set order. Each person has his or her own timetable and his or her own style of grief. You may struggle with several feelings at the same time. The depth and duration of each experience is different for everyone. You may experience a feeling briefly, intermittently or struggle with it daily.

 

A central issue involved in the grieving process is the effect it has on our self-esteem. We become more fragile, sensitive and vulnerable when struggling with our loss. Everything seems to impact on us more.

 

The following pages explore each experience of grief. Understanding the various phases helps you to cope. To learn that what you are feeling is completely normal is a great relief and comfort. Knowing that others have gone through this pain and have eventually been able to reinvest themselves in life gives one a sense of HOPE.

 

Grief is a universal experience. It is the very natural response to any significant loss, real or imagined. Although the extremes of the grief response appear when one loses a close meaningful relationship, particularly in death, any significant loss evokes the same response but to a lesser extent. Pregnancy loss falls into this category.
 

Other losses may include separation, divorce, loss of job or status, loss of possessions or health and changes in identity such as rape, sexual abuse, assault, menopause and loss of youth. Each of these losses, depending on how important they were for the person, leads to some experience of the grief response.
 

This article is based on the process of grief associated with the death of someone close but the phases explored are pertinent to any loss. We take a step-by-step approach to help you understand that what you may be experiencing is a normal and natural process rather than something unhealthy and abnormal.

 

DISBELIEF


“It can’t be true.”
You keep thinking that any minute you will wake up from a bad dream/nightmare. Sometimes you can’t cry at first because you don’t really believe it happened. Often people will comment on “How well you are doing.” Inside you know that the reason you appear to be doing so well is that you just don’t believe it.
 

SHOCK


Shock is nature’s way of softening the blow. It serves as a cushion - giving you time to absorb the fact of your loss. You hear the words, but do not comprehend the full impact. Emotions seen frozen. You feel disoriented, restless, numb, bewildered, stunned and unable to think. It takes everything just to function. You go through the motions like a robot and feel as if you are an observer watching this happen to someone else.
 

SOBBING/CRYING


Sobbing means to weep aloud with short, gasping breaths. Sobbing is an outlet for the deep strong emotions that accompany the death of a loved one. Some people cry often and cry a lot. Others push down their tears, but this may lead to psychological or physical problems. It is helpful to cry - to release all that pent-up emotion. Cry alone or with others - but take the time to cry. The book, HOW GOING TO PIECES HOLDS YOU TOGETHER, says it very well. The advice “don’t cry” is ill advised. Accept the grief - don’t try to be brave and fight it. At first, you need to take time to grieve daily. Looking at pictures/mementos, playing special music may aid in releasing pent-up tears. Men can and should cry. Crying is a good model for children. When adults cry, children learn that it is “okay” to cry and to express their feelings. Children learn to share their feelings instead of suppressing them and struggling alone.
 

PHYSICAL SYMPTOMS


You may experience some of the following: lack or increase of appetite; sleeplessness or oversleeping; knot or emptiness in pit of the stomach; tightness in the throat; shaky legs; headaches; stomach aches; sighing to get your breath; trembling; chills; fatigue; chest pains; general achiness; difficulty swallowing and/or speaking; digestive disorders (indigestion, nausea, diarrhoea); feeling weak/faint; tension; slower in speech/movement; temporary paralysis of limb or sight. It helps to understand that some of these symptoms may be a part of grief and can emerge anytime. It is advisable to have a physical checkup to make sure that there is not another cause for your physical ailments. Take care of yourself by establishing a simple routine (good nutrition, adequate rest and time for relaxation). Exercise aids sleep and may lighten depression.
 

DENIAL


The phone will ring, the door opens, or you will see someone, and at first you think that it is your loved one. You may subconsciously be searching for your loved one when out in a crowd. It takes times to believe what happened. Even though you know the fact of death, you continue not to really believe it. Many habits continue, such as setting the table for the same number, expecting your loved one to come home at the regular time, buying his/her favourite food, watching a TV program and saying; “I’ve got to tell him/her what happened.” This shows our unconscious denial of their death. Denial provides a buffer zone from the reality of what has happened.
 

WHY?


Often we keep asking “WHY?” “Why did he/she have to die?” We don’t necessarily expect an answer, but the question “WHY?” seems to need to be asked repeatedly in an effort to make sense of the loss. The questions may be unanswered, but it is important to ask the question until we can take the step of letting the question go. Rabbi Kushner states in his book WHY DO BAD THINGS HAPPEN TO GOOD PEOPLE? that often the “why” is not a question, but a cry of pain.
 

REPETITION


You may find that you are saying almost the same things to the same people. The same thoughts keep running through your head. In saying the words and hearing ourselves over and over again, it helps us to believe what has happened. It is important to find friends who will listen, especially someone who has experienced a similar sorrow.
 

REALITY OF DEATH


“It’s true”. “It really happened.” This is a frightening time. We feel that we are getting worse. Often this happens after people who have been so helpful have left. It seems as if we are going backwards. Actually, this reality has to “hit”. The best advice is to “lean into the pain”. As much as we don’t want to hurt, we must.
 

CONFUSION


“I can’t think”. “I forget what I am saying halfway through a sentence”. The simplest decisions seem impossible. It is difficult to concentrate and follow through on things. You feel disorganised and error-prone. Bereaved people often feel impatient and want to do something, but feel unclear as to what to do. Sometimes motivation to do something may be very low and basic survival needs may not even be met. Confusion abounds because you are using all your emotional energy to grieve and there is very little left over for anything else. The weariness due to grief may affect thinking and concentration.
 

IDEALISATION


At first, you may only focus on the best qualities - seeing your loved one as perfect. It is a very normal reaction, but it is important to be aware of others in the family. They may compare themselves to the “perfect” loved one and feel that they are not as loved - that it would be better if they had died instead.
 

IDENTIFICATION


Many people seek to identify with their loved one who has died by wearing their clothes, taking up a sport they liked, planning to follow in their footsteps, etc. It is a way of ‘staying close’.
 

ANXIETY/PANIC (Fear of Losing Control)


At first you may fear being alone. You worry about the future and may be afraid that something else will happen to another loved one. You often panic at the approach of special dates (birthday, holidays, anniversary of the death). Usually they are not as difficult as the days prior to the special days. This is due to our unbelievable panic and apprehension. You may feel as if you are ‘GOING CRAZY’. It may seem as if you are losing control of yourself. Usually we don’t tell anyone that we think we are “going insane”. Sometimes bereaved people have thoughts of suicide as the only way to escape the physical and emotional pain. We panic at the prospect of “always feeling like this”. We feel that we should be doing better and panic when we don’t. Our situation may seem hopeless and our thinking becomes jumbled. Panic is normal. If panic seems intolerable, you need to do something about it. Talking about our feelings, getting busy with something, sobbing, screaming, exercise - all may help to release the “panicky” feelings. Emotional and physical fatigue contribute to our panic. Good nutrition and rest are vital.
 

BARGAINING


You want “things to be as they were”. You may hope that just wishing will bring back the person. You may try to bargain with God “that things will be different”; that you will try to be a better person if only the loved one can be alive again.
 

DEPRESSION


It is a feeling of being in the “pits”. You hurt so much. Sometimes you just don’t care about anything. You just sit. Mornings are terrible. So is the time and the day of the week your loved one died. It’s an effort just to get out of bed, to shop or to fix a simple meal. Talk things over with a friend who cares and will listen. This is one action that may help a person not to become seriously depressed. Talking to others in a support group of bereaved people who know what you are going through also helps a great deal.
 

SEVERE DEPRESSION


It is a feeling of deep, overwhelming sadness and hopelessness that lasts for longer than two weeks. Other symptoms may be: loss of appetite; insomnia; inability to enjoy anything; anxious or restless behaviour; apathy; preoccupation with thoughts of suicide; wishing to be dead; loss of interest in sex; difficulty in concentration and making decisions; poor memory; irritability; feelings of worthlessness; inability to cry even if one desperately needs and wants to; intense guilt and withdrawal from relatives and friends. It is important for bereaved people not to become alarmed, because everyone experiences some or all of these symptoms at some time. If six or more of these symptoms are severe and continue over an extended period of time (so that pain and problems outweigh pleasure much of the time), then it would be advisable to get professional help.
 

RELIEF (Laughter)


This phase comes and goes. Often after the reality “hits”, or after a particularly troublesome time, you feel better and may even think that the difficult times are over. There is a sense of great relief at no longer feeling down. Appreciate the relief ... the grief will return soon enough. It is helpful to recall the fun times. Wholesome fun and laughter are beneficial. It is not being disloyal to our loved one to enjoy life. In fact, plan things to which you can look forward. Having a sense of humour is often mentioned by bereaved people as being helpful.
 

EXPECTATIONS


We often expect too much of ourselves. We want to handle the grief better and more quickly than is humanly possible. Submerging our feelings is very detrimental because we still have to face these feelings eventually. The expectations of others, “You must be over your grief by now”, only adds to our burden. Often we will expect that after the holidays, or after some special day, we will feel “much better”. This kind of expectation only hinders the grief process. It is more helpful not to have a timetable of how we should feel, or when we will get better. Taking one day at a time, or half a day, or one hour at a time is more realistic.
 

LOWERED SELF-ESTEEM


A bereaved person’s confidence is often undermined. In a study in self-esteem using a scale of 100, it was found that an average person’s self-esteem was in the 70’s and generally a bereaved person’s was in the teens. Understanding the impact of grief on your self-esteem may help you find ways of coping.
 

PREOCCUPATION


Your loved one who has died may be in your thoughts constantly. You may think of nothing but the loss. You may even dream of your loved one, or be preoccupied with his/her image. Even at work, church, doing the dishes ... in fact, no matter what you are doing ... you may find that some of your thoughts are always about your loved one. The intensity of this preoccupation usually lessens with time.
 

GUILT


Many people are tortured by “if onlys” and “what ifs”. “If only I had called”. “If only we hadn’t let him/her take the car that night” or “If only I had taken time to listen and visit”. We tend to blame ourselves for something we did/didn’t do that may have contributed to the death, or for things that we wish we had done for our loved one. Feelings of guilt are normal, though often not realistic. It is best not to push down the guilt. Talk about it until you can let it go. Hopefully, in time, you will realise that you did the best you could under the circumstances. None of us are perfect. The past is behind us. All we can do with the guilt is to learn from it for the other people in our lives. When the death is by suicide, it is especially important to remember we can’t control the behaviour of another person.
 

ANGER


Anger may be directed at ourselves, others (including family members, spouse, doctors, nurses, person who caused accident); the person who died; God; or we may experience a general irritability. We may feel angry towards people who push us to accept our loss too soon, or who pretend that nothing happened. Anger is normal. Pushing down anger is harmful and may cause things like ulcers, high blood pressure or depression. Unacknowledged anger may be directed at innocent people and unrelated events. It will come out one way or another. It is often difficult to admit being angry. Erroneously we may think, ‘nice people don’t get angry’. It is important to recognise our anger. It is helpful to find ways to express our anger such as screaming in a private place, walking, swimming, aerobic classes, tennis, golf - even installing a punching bag in our home. Talking about our anger also helps us to define, understand and learn how to handle it. To suppress anger can lead to deeper than normal depression and bitterness. It is important to acknowledge our anger and to take steps to handle it.
 

LONELINESS


After the initial help, relatives/friends usually pick up their own lives and we are often left to deal with our grief alone. Co-workers, friends, neighbours and sometimes even family may avoid us or change the subject. Some friends withdraw because they are hurting and do not know how to help us. We often become isolated in our grief. The widowed often say, “I not only lost my spouse, but my friends as well.” In reality, few people are able to help or understand. Support groups can be helpful. Some aspects of grief can not be totally shared, even in the same family. It is difficult for husbands and wives to help each other. As Harriett Schiff, author of THE BEREAVED PARENT states: “It is difficult to lean on someone who is already doubled over in pain”. Especially at first when we are hurting so much, we realise that we are not much fun for others to be around. When others have all their loved ones alive, it makes us feel even lonelier. We may feel intense loneliness due to the absence of our loved one, because we are unable to share thoughts and feelings, to touch, to be understood. We feel empty without our loved one.
 

DESPAIR


“How can I go on?” You may come to the point where the agony seems intolerable. You can’t bear it - you think that you won’t be able to survive. Your hopes/dreams are dashed. It may seem as if there would be little difference if you lived or died. You may have suicidal thoughts: feelings of desperation, despondency, pessimism and loss of all hope seem to surround you. If you are a smoker you may smoke more than ever due to nervousness, or to an attitude that you don’t care if you ever take care of yourself again. Sometimes it is blackest before the burden of grief begins to lift. Talk to someone who has made it through grief.
 

SADNESS


We miss our loved one and feel deprived of his/her presence. We may feel unhappy, inconsolable, distressed, sorrowful, dejected and heartbroken. These feelings seem to pervade our life.
 

HELPLESSNESS


“What am I going to do?” We feel helpless about our feelings ... our grief. It seems as if we are unable to help ourselves to cope, or to get better. We do not seem to be capable of aiding other family members. We may feel self-pity. Although we realise that we had no control over what happened, we feel a sense of powerlessness at not being able to prevent it.
 

ENVY


You may feel jealous of people who still have their loved ones to enjoy. With a child’s death, dreams for their future are gone. This pertains to college, job, wedding, grandchildren - things you would have shared together. When a spouse dies, you envy others watching their children/grandchildren grow up and enjoying retirement together.
 

FRUSTRATION


Many frustrations are a part of our grief. “Why am I feeling so upset for so long?” We become disappointed with ourselves that we are not coping as well as we think we should. So many impulses, thoughts, feelings and actions that had become habits are stopped in mid-course. We are left with these unfulfilled emotions, desires and thoughts buzzing about in our heads or sitting in our stomachs.
 

RESENTMENT/BITTERNESS/HATRED


Bereaved people often feel resentful about the death and their changed circumstances. Sometimes there is a (sub) conscious hostility towards others whose families are still intact. Some bereaved people feel hatred toward those responsible for the death. These bitter feelings should be recognised and worked on, or the bitterness could last for many years. Hatred and bitterness drain you of energy and may be destructive to your health and relationships. When these feelings are left unattended, healing becomes blocked.
 

LIMBO


Eventually we may reach an in-between point between the reality of death and the point where life seems worthwhile again. We may feel a little better at last, but be uncertain of what to do next. It may take much longer than we would like before our zest for living returns. We often live behind a facade - masking our feelings and saying, “we are fine”.
 

HOPE EMERGES


You realise that your grief is softening. At first the pain was with you constantly. Now the pain of grief is briefer and comes less frequently. The good days out-balance the bad days. You feel encouraged that you will get better. Things, which had been so painful before like shopping, painting the living room, looking forward to events, etc., all become a part of your life again. Once again you are effective at work and home, able to make decisions and handle problems. Generally you are able to sleep and eat as you did before. You are able to care about others. You begin to realise that you are moving forward and can once again enjoy life. You smile and laugh once again and are rewarded with the smiles of family, friends and strangers.
 

MISSING


You will always miss your loved one. Special family events, such as holidays, birthdays, weddings, anniversaries, even a song or special TV program will trigger the feeling of longing for your loved one. Seeing other families enjoying special events “that might have been for you” also deepens your feeling of yearning. You can’t help but wish your loved one were alive. You miss countless things that were special about your relationship ... a hug, a kiss, a smile, a phone call or hearing them say “I love you”, or “Thank you”. For some people, when there was a special relationship, the missing can be more acute. If relatives do not live at home, they may find coming home for a visit especially difficult. Their feelings of missing, anger, guilt, etc., may be intensified. The reality of the death is more believable at home where their loved one is undeniably missing.
 

STRUGGLE WITH NEW LIFE PATTERNS


You realise that you have a choice. You can rebuild a new life. It will be different without your loved one, but life can be enjoyed again. It is important to seek meaning in living. Learn how to make happiness in your life. It is estimated that between 70% and 90% of marriages where a child has died become endangered and end in separation and/or divorce. It is important to be aware of such statistics and to renew the marriage. You need to reinvest in work, activities and friends. New friends can be found among other bereaved people. You may find it necessary or helpful to move, find a job, do volunteer work, join a support group, etc. Be open to renewing familiar patterns and friendships, but be ready to try new ways of living.
 

LIFE IS WORTH LIVING

 
Eventually we are able to think and talk about our loved one with happiness and a sense of peace. We have learned to accept the death and can see options and possibilities for the future. We may experience renewed meaning in life. There is the possibility of emotional, spiritual and personal growth. Often we become a different person - stronger, more involved, wiser, more compassionate, concerned, understanding and aware. Our loved ones have entered a beautiful new life without pain and problems. We will be together some day. Meanwhile, they would want us to live, love and appreciate this life and the people in our life to the fullest.
 

SEEKING HELP


For many of us, we are too “proud” to ask for or accept help. When asked how we are feeling we may say “fine” - when in reality we are falling apart inside. We may think “I can do it by myself” or “I should be able to do this by myself” not realising how unprepared we are for the death of a loved one.

We may be unsure, stubborn or feel uncomfortable about letting anyone know how we feel. This makes it difficult for others to give us the help we so desperately need. We need to consider if our grief is being complicated by our pride and, if so, work on ourselves to ask for and accept help.

Sharing such deep grief does help us to cope and understand. Don’t be afraid to reach out and seek the support of others whether they be friends, spouse, minister or counsellor. Help is available. Grieving is essentially a lonely experience - no one can fix it but they can make it more bearable.

Grief counselling and therapy are available through Open Doors Counselling. It is often very helpful to be able to pour your heart out to someone totally independent as we may worry about burdening those we are close to. There are many reasons for seeking outside support. We encourage you to consider this option.
 

THE BUTTERFLY


Out of the tragedy of the Nazi concentration camps comes a beautiful story. In the children’s camps, boys and girls began to scratch out butterflies on the walls in reaction to their dismal prospects of surviving. These drawings became a network of communication among the children. Those that understood and drew these wonderful creatures belonged to the club of the butterfly. The butterfly therefore symbolised youth, life and HOPE.
 

SUGGESTED READING

 

Anatomy of a Bereavement
B. Raphael. Basic books. N.Y. 1982.


Good Grief
Granger Westberg. Augsburg Fortress Publications. 1992.


Life after Loss, Getting Over Grief, Getting On With Life
NSW Millennium. 1989.


Necessary Losses
Judith Viorst. Ballantine Books. N.Y. 1987.


The Courage to Grieve
Judy Tatelbaum. Lippincott & Crowell. N.Y. 1980.


Why Do Bad Things Happen to Good People?
H. Kushner. Pan McMillan. 1982.
 


These are only general suggestions. You should always seek outside help if you are unsure what to do. If you need to talk to someone right now you can call
 

OPEN DOORS COUNSELLING
5 Greenwood Ave Ringwood. 3134
Ph: (03) 9870 7044
Freecall outside Melbourne 1800 647 995
Email: info@opendoors.com.au

Updated October 2007

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Copyright ©2005 Open Doors Counselling And Education Services Inc. All Rights Reserved.