AfterCare

When you lose someone dear to you, grief is a completely normal response. Everybody experiences it. The fact that you are going through feelings of grief means that you had deep emotional ties to the person who has died. For many people, grief starts out intense, and in time, it begins to ebb and flow. But what happens when the intensity of your grief will not subside? What if you find yourself unable to cope, even though many months or years have passed since your loss? It could be that you’ve developed complicated grief, and it’s time to consider the benefits of professional grief therapy.

Is it Complicated Grief?

If you find yourself unable to function in daily life long after the loss of your loved one, you may want to consider the possibility that you are experiencing complicated grief. While grief is a perfectly normal, healthy response to loss, complicated grief is a psychological problem that, if left untreated, can severely impact your quality of life.

Here are several signs of complicated grief to look out for:

• Intense sorrow, pain, or pining over the loss, focusing on little else
• Problems accepting the reality of the death
• Strong attachment to mementos/reminders or a strong avoidance of them
• Numbness, detachment, bitterness, and/or easily irritated
• Feeling that life holds no meaning or purpose
• Trouble carrying out normal routines, including personal hygiene
• Increasingly isolated and withdrawn
• Denial and defensiveness when asked about the grief
• Guilt over feeling that they did something wrong, could have prevented the death, or should have died along with the loved one

If you or someone you know is experiencing these symptoms, it’s time to consider getting help from a professional therapist.

How Does Grief Therapy Help?

If you think you may be struggling with complicated grief, professional grief counseling or therapy can be a useful resource for dealing with it. A trained counselor can give you the tools that you need to start enjoying your life again. It is important to realize that counseling is not an attempt to make you forget about the life of your loved one or diminish their legacy. Rather, it is a way to help you accept the reality of their death and make tangible steps toward finding joy in life.

Here are a few ways grief therapy can help:

Inspires Rational Thinking

Counseling can be especially beneficial if you find yourself suffering from extreme guilt, anxiety, or fear. Getting an outside perspective could help you to see when your thoughts become irrational. For instance, if you are someone who blames yourself for the death of a loved one, hearing a fresh perspective might allow you to see things differently. A liberating insight from a therapist could provide just the boost you need to get back to finding joy and meaning in your life.

Helps You Accept the Reality of Loss

Of course, it is unhelpful and unrealistic to believe that we will ever fully “move on” or “recover” from a loss. Even if this state of mind could be achieved, it wouldn’t be desirable. You will always remember the person you love, and the knowledge of their loss will always be painful. This knowledge falls under the category of grief that is considered normal. The pain of loss is part of what it means to love.

But if your thoughts of your loved one border on obsession, and even long after their death you find yourself ignoring everything except those thoughts, then you may be struggling to accept the reality of the loss. Grief therapy can help you get to a place of acceptance and can provide you with advice on how to carry this experience with you as you continue to navigate your life journey.

Encourages You to Honor Your Loved One’s Memory

One of the best ways to work through grief is by confronting the pain of loss. Dr. Alan Wolfelt, a nationally-recognized grief counselor and educator, puts it this way:

“Someone you love has died. In your heart, you have come to know your deepest pain. From my own experiences with loss as well as those of the thousands of people I have counseled over the years, I have learned that we cannot go around the pain of our grief. Instead, we must learn to embrace and express it. This is hard but absolutely necessary work.”

With a trained professional by your side, you can begin to do the hard but necessary work of grief. Honor your loved one’s memory. Confront the things that are holding you back. Find ways to hold onto your loved one’s legacy that are healthy and inspiring. Finding a way forward doesn’t mean forgetting; it means learning how to carry the wound without letting it negatively affect you.

How Do I Know if Counseling is Right for Me?

Studies suggest that people who are struggling with complicated grief respond better to therapy than those who struggle with normal grief. For the grieving, time is the most important factor in the healing process. So how can you know that therapy will be useful for you? At what point can you reasonably estimate that your grief has become complicated?

There’s no definitive answer. You have no way of knowing with absolute certainty if counseling or the mere passage of time will be the best approach for your mental health. But if you feel that a significant amount of time has passed and that you are still unable to cope with daily life, consider giving counseling and therapy a try. At the very least, you’ll have a trained professional to talk to, an experienced person who will listen as you get some things off your chest. This simple step could end up making the biggest difference in your grief journey and your life.

Also, if you are already comfortable with professional counseling, you might consider speaking with a grief counselor or therapist soon after your loss. There’s no need to wait until you are experiencing complicated grief to see someone. You can speak to a professional at any time during your grief journey, and if you do it sooner rather than later, you may prevent complicated grief entirely.

Your way back will happen very slowly. Almost like a whisper. You will be OK. Not the same. But OK. Not you. But still you. – Christina Rasmussen

Sometimes talking about our grief isn’t enough. Maybe our words don’t fully say what we want them to say. Or they don’t capture the depth of what we feel. This is why creative expression is such an integral part of the human experience and an excellent way to process the painful feelings we encounter, especially during times of grief. For many, participating in creative self-expression can help bring deep-rooted, complex emotions to light.

As part of your grief journey, you might consider taking up an activity that allows you to express yourself creatively. For many of us, painting comes to mind first, but you don’t have to take up painting if you don’t want to. There are many ways to express yourself creatively and tap into what is hiding below the surface. For example, you could: draw (pencil, pastels, ink), paint, sculpt, scrapbook, keep a grief journal, take photographs, garden, write poetry or prose, cook, bake, take up calligraphy, compose music, restore a car, woodwork, or create a memory quilt or box.

In the end, the final product doesn’t matter. The healing value is in the doing. You don’t have to be good at something to take it up as a vehicle for healing. In other words, you don’t have to be a writer to keep a grief journal. You don’t have to be a painter to use watercolors or oils. You don’t have to be a photographer to take beautiful pictures. All you need is the motivation and the desire to see if creative expression will help you.

Here are a few reasons why delving into your creativity may help you deal with loss.

1. It helps you express things you might not be able to put into words.

We all know how it feels to be at a loss for words. Creative expression allows us to become more aware of how we actually feel. In the creative process, we slow down a little and think about our emotions, actions, moods, and behaviors. There may be something going on inside that we don’t realize is there until we take the time to explore it.

2. The creative options available to you are wide and varied.

As mentioned above, you aren’t limited in what medium you choose as your creative outlet. An Australian woman did choose to paint and is now exhibiting her work, while another woman created works of art made from the clothing left behind by the son she lost. Eric Clapton, a musician who lost his young son in a freak accident, used music to help him deal with his grief. No matter what form of expression you choose, the results can contribute to the healing and reconciliation you come to regarding the death of the person you loved.

3. It’s a safe way to express your emotions.

Grief can bring out a myriad of emotions. Some of your emotions may even make you nervous or afraid. Using your creativity to deal with loss is a way to safely express yourself. No other person needs to be around when you create, unless you want them to be. It’s a time when you can choose to be alone to constructively explore what’s in your heart and mind. Your work is as private as you want it to be, and even if the emotions that reveal themselves are ugly, it’s better to get them out than to have them bottled up inside, waiting for a moment to burst.

4. It’s something you can control in a world that may seem out of control.

When we lose someone we love, our world is rocked. Things that felt safe and secure before may now feel shaky and uncertain. Depending on the depth of the loss, it may feel like everything is spiraling out of control. By taking up a creative habit, you create an opportunity where you can exert a certain level of control over at least one aspect of your life. It’s your work, and you make the rules. Throughout the process, creativity may become a reliable friend – a means of self-support during a time of confusion and pain.

5. It provides you with an opportunity to engage with others who are grieving.

Some will choose to engage in solitary creative expression. Others will take the opportunity to participate in collective creative expression. If you decide to paint, you might join a group of other painters who are going through loss. If you decide to write poetry, you could join a writing group focused on grief. You are not alone in your journey – so many others are also dealing with grief in their own way. You may find a kindred spirit in a class who will come alongside you as you grieve.

6. It is beneficial to your health.

It has been discovered that self-expression, particularly the arts, can actually help relieve feelings of stress, fear, and depression. The body calms during the activity, which, in turn, contributes to reduced blood pressure and even releases chemicals in the brain to decrease some types of depression. By allowing the emotions building up on the inside to find outward expression, you are actually allowing your body to relax, resulting in less strain and better health.

7. It helps you remember that there is still beauty in the world.

No matter which medium you choose to interact with – photography, journaling, woodworking, painting, etc. – at some point you will make a realization: there is still beauty in the world. The flowers are still delicate, the mountains are still impressive, and people are still worth knowing and loving. Even in grief, you will have good moments – days when you remember that life can be good. When those days come, don’t reject them. Embrace them. Remember that life can be good again…not the same but still good.

A brief note regarding creative expression and children in grief: Creative expression activities (most often arts & crafts) are very helpful for children experiencing grief. Children have a difficult time identifying what they are feeling, much less putting it into words. Arts & crafts allow them to communicate without words and provide an opportunity to release their emotions and express their thoughts.

If you’d like to give creative expression a try, you first need to pick an activity that appeals to you – even if you don’t think you’re good at it! Then, for three or four consecutive days, spend at least 20 minutes a day doing your chosen activity. After a few days, evaluate how you feel and if you’d like to continue. Fully embrace the activity during the trial phase and express yourself fearlessly. Your emotions are important, and they need to be expressed so that you can move forward.

When we lose someone we love – whether to an unexpected event or a prolonged illness – we don’t always get the chance to say the words we wish we had. And for some, the loss is harder to process because of the things left unsaid. But there is hope. Taking time to write these thoughts down is an excellent and proven method for helping people heal from emotionally stressful events. By writing a letter to your lost loved one, you can give expression to the thoughts and feelings rolling around inside your mind and heart, so that you can move forward in the healing journey.

By writing a letter, you give yourself time to think through all the questions in your mind. You can be honest and reflect on your true feelings. Do you wish you’d shared something with them, whether good or bad? Are you struggling with “why” questions? Do you simply miss them and want to feel connected again? All of these are good reasons to take time to write a letter addressed to your loved one, allowing yourself the opportunity to release your emotions and unburden yourself.

A Few Tips

1. This is an exercise for you, so there’s no time frame. Take all the time you need.
2. You may need to write more than one letter. That’s perfectly fine. Write to your loved one as often as you need. In the beginning, you may write more often.
3. Write down EVERYTHING you want to say. Don’t hold anything back, even if it’s something negative.
4. If you’d like, after you’ve written the letter, you can read it aloud. Perhaps you can go to your loved one’s gravesite or another significant place to read it so that you feel close to them.

To Get Started

First, choose a medium. Do you want to write a series of letters? Perhaps a notebook or journal would be appropriate. Would you prefer to write a traditional letter on stationery? Or would you prefer to type on a computer or smart device? Take a look at a few examples, and choose whatever medium best fits your needs.

Second, find a comfortable place to write, knowing that this may be an emotional process. For some, coffee shops are appealing, and for others, a quiet room at home is preferred. Alternatively, you can find a beautiful spot outdoors or visit a special place to begin your letter.

Third, write. There’s no instruction manual, so there’s no way you can do this the wrong way. Just write openly and from the heart. Tell your loved one all the things you didn’t say. Allow yourself to really enter into the exercise and put it all out there. Maybe you need to ask their forgiveness. Or, you just wish you’d said, “I love you” one more time. Maybe they hurt you deeply and you need to put that pain into words. No matter what you feel, tell them.

Different Approaches & Prompts

Again, there’s no wrong way to do this, but if you’d like a place to start, here are some tips and prompts to help.

• Share what has happened in your life since their death.
• How do you feel?
• What do you miss about them?
• Is there something you regret not doing or saying?
• Were there unresolved issues that you need to get off your chest?
• Talk about ways that you’ve grown and changed.
• Tell them how you plan to honor their memory.

Write to them as if they are still alive, and make sure to say everything you need to.

What Do I Do Once It’s Written?

There are a number of things you can do with your letter. It will all depend on what is most satisfactory to you. This is not a comprehensive list, so feel free to come up with another option that may work better for you.

• Destroy the letter – burn it, rip it up, shred it, or some other method.
• Seal it in an envelope and keep it in a special place.
• Keep it in a place where you can see it often, like on a bedside table.
• Save it on your hard drive for reference later (if you used an electronic device).
• Send it to someone you trust, who will take care of it until you want it back.
• Share your letter with others through email, social media or a blog.

No matter what you decide, writing a letter to your loved one and saying everything that’s on your heart and in your mind is a step toward greater acceptance and reconciliation to the loss you’ve suffered. This exercise will not miraculously remove your grief. In fact, grief isn’t really something we can “get over.” But we can give our grief a voice, and you will find that the more you express your feelings of grief, the easier it becomes to deal with those emotions. Sharing your heart and giving expression to all the emotions – good, bad, tender, destructive – is an important step on the journey toward healing.

Grief is not…a “two steps forward, one step backward” kind of journey; it is often one step forward, two steps in a circle, one step backward. It takes time, patience, and, yes, lots of backward motion before forward motion occurs.  – Dr. Alan Wolfelt

Losing someone we love is one of the most heartbreaking and difficult events we will ever face in life. While death deprives us of a loved one’s physical presence, that doesn’t mean we’ve lost everything we love about the person. Our relationship becomes one based on memory rather than physical presence. As Dr. Wolfelt states above, the grief journey is a meandering way, filled with many steps. And part of the journey is traveling back into our memories in order to move forward toward reconciliation with our loss. That said, our loved one may be gone, but their memory need never die. Below are several ways you can remember and honor your loved one’s memory long after they have gone on.

1. Celebrate your loved one’s birthday

The first birthday after your loved one has passed can be a painful a milestone. But it can also be a special time set aside to honor the one you love. Every year, take a few moments to be thankful for the life they lived and the positive ways they impacted you. You can look back on the wisdom shared, the joyful moments, the love and support you received, and you can honor those memories by sharing that wisdom, love, and support with others.

2. Host a dinner in their honor

Choose a special day (birthday, anniversary, Mother’s Day, for example) to honor your loved one’s memory by inviting a group of friends to dinner. You could hold it at the person’s favorite restaurant or craft a menu of dishes that your loved one particularly enjoyed, then share memories and receive support from friendships in your life.

3. Get involved

If your loved one favored a particular organization or charity, you can get involved with that group as a way of continuing your loved one’s legacy. Or, if they weren’t involved with a particular group, think about what they loved. Were they a teacher? Provide backpacks full of school supplies to kids in need. Did they enjoy walking at a particular park? Volunteer your time to maintain the park by picking up litter or ask about upkeep and/or gardening. Did they volunteer at the local soup kitchen? Consider volunteering and invite a few friends to join you.

4. Set up a permanent memorial and visit regularly

For those who are grieving, it’s often helpful to have a place to go where you feel close to the one you’ve lost. For many people, a memorial or gravesite becomes that special place. If there is not a gravesite, installing a memorial bench at a significant place or planting a memorial tree may be an alternative. You could even include a memorial plaque so that anyone who passes by will be touched by your loved one’s life.

5. Create a memorial video/memory box

This activity may be especially helpful for those with young children. Children’s memories fade over time, so a memorial video or memory box can help a child hold onto memories and form a connection with the person they love and miss. The child can see his or her loved one regularly and watch the video as much as needed. With a memory box, they can touch and hold items that once belonged to the person who died and create a connection in that way.

6. Create your own tradition

If your loved one enjoyed dominoes, play dominoes on their birthday. If your loved one enjoyed action movies, set up a monthly night to watch the newest one. Let’s say your loved one enjoyed reading westerns – commit to reading one a year in their memory. Did your loved one just adore bananas? Set up an evening of banana-flavored foods with friends. Banana bread. Strawberry-banana smoothies. Banana pudding or pancakes. Your grandmother’s banana punch. The possibilities are as unique are your loved one.

7. Visit special places

If you and your loved one had places you always enjoyed going together, continue to visit those places. Did you have a favorite coffee shop or bookstore? Perhaps a favorite vacation destination or state park? Go to those places and enjoy yourself while also setting aside time to remember your loved one. You might even consider writing them a letter each time you visit, telling them about a specific time you visited together or sharing how much you miss them.

Death does not stop us from loving those we’ve lost. The love stays with us. The relationship you shared is important and worth remembering and sharing with others. We all need an outlet to express what we are feeling on the inside, and these activities will help you do that. By taking part in any or all of these activities, you will feel closer to your lost loved one and create forward motion in your grief journey.

We experience a wide range of emotions when faced with the death of a loved one. And those emotions aren’t the same for everyone. Perhaps, if everyone grieved in the same way, we could craft a formula for grief – something that worked every time. But that’s not how it works. There’s no “correct” response to death. Every grief journey is different, as are the emotions swirling around within us.

As you deal with emotional stress, it’s important to name your feelings and acknowledge them. Nationally renowned and respected grief expert Dr. Alan Wolfelt says, “I have worked with thousands of grieving people and they have taught me about many, many different thoughts and feelings after a death. Rest assured that whatever you are thinking and feeling, while in one sense your thoughts and feelings are completely unique to you, they are also usually a common human response to loss.” Whatever you’re feeling – whether it seems typical or unusual – is normal. There are, however, a few normal emotional reactions that are often viewed negatively – ones that we think we shouldn’t feel after a loss. Let’s take a few moments to discuss them.

Anger

If you are feeling angry, you are not alone. Your anger may stem from feeling helpless, powerless, or abandoned. It may also be directed at someone or something in particular, like the doctors, your loved one’s health choices, God, or even life in general.

It’s important to remember that being angry is a normal response. As long as you don’t hurt yourself or others, it’s good to find a way to vent your feelings. If you are able to articulate what you feel, then consider writing it down or talking with a safe person (either a counselor or a good friend). However, if your emotions are more explosive, you might try using a punching bag, running, or participating in some other physical activity to help you release your anger.

Also, pay close attention to your words and actions. You may be more irritable and easily triggered than normal, causing you to be short-tempered with those you love.

Anxiety, Fear

For some, death can stir up anxiety or fear. Questions may arise in your mind. Will I be okay? Does my life have any purpose after this? Will other people I love die soon, too? What if something happens to me?

Feelings of anxiety or fear are often triggered by feeling vulnerable or that your security is threatened. For example, a child who loses a parent may feel anxious or fearful about whether something will happen to their remaining parent as well. Other options are that fear and anxiety are learned responses (a previous experience has conditioned you to respond this way) or that you aren’t sure how you will be able to cope so your anxiety rises, or you are worried that other sad things might happen.

Guilt & Regret

Another common emotion after a loss is feeling guilty about what happened or what didn’t happen. However, in many cases, it is misplaced guilt, though that doesn’t make the feeling any less real. Someone might feel guilty for not being a donor match, for not calling or visiting more often, or for not doing more to prevent the death (such as in the cases of depression, suicide, or substance abuse).

If you are dealing with feelings of guilt, remember that, while it’s a normal reaction to feel this way, your feelings may not be accurate. Consider why you feel guilty and whether you might actually be feeling regretful. There is a difference. Guilt, by definition, means that you have intentionally done harm to the person who has died. However, regret means that you wish you had done something differently. The main difference between the two is intent.

If you determine that you are guilty of some wrongdoing, look for ways to make up for your mistake – write a letter to your lost loved one to apologize or ask forgiveness of other people affected by your actions. Also, try to forgive yourself. We all make mistakes. On the other hand, if you are feeling regret, work through your emotions. Determine what changes you can make to avoid regret in the future.

Relief

Relief may be one of the most common yet misunderstood emotions a person may experience after a death. We feel so strongly that we shouldn’t be relieved that we sometimes hide the fact that we are. But relief is to be expected, especially after a period of intense or prolonged suffering (as is the case with terminal illnesses). If a person dies after a long period of illness or was the cause (directly or indirectly) of increased stress in your life, it’s only natural to feel relieved when you are no longer suffering under high levels of stress. It doesn’t mean you wanted them to die or that you didn’t love the person. It simply means that you have been through a difficult time and are now emerging on the other side. Relief is normal and natural in such circumstances. As human beings, we are complex and can feel both relieved and sad at the same time. What you feel does not minimize your love for the person or the depth of your grief.

A Few Tips for Dealing with Your Emotions

1. Don’t bottle them up. Let yourself feel what you feel.
2. Realize and accept that your emotions are complex.
3. Find a way to express yourself.
4. Give yourself time to grieve and process. There’s no rush.
5. If you need additional help, consider joining a grief support group or visiting a grief therapist.

Taking time to process and confront your emotions is a necessary part of every grief journey. Experiencing any or all of the emotions we’ve covered is normal, as are others we didn’t cover, like sadness, numbness, denial, and confusion. However, as time passes, and you do the work of mourning, the emotional intensity should lessen. As Dr. Wolfelt puts it, “Your feelings of loss will not completely disappear, yet they will soften, and the intense pangs of grief will become less frequent.  Hope for a continued life will emerge as you are able to make commitments to the future, realizing that the person you have given love to and received love from will never be forgotten. The unfolding of this journey is not intended to create a return to an ‘old normal’ but the discovery of a ‘new normal.’”

Embrace your grief in all its complexities and allow yourself to feel all of your emotions (they are natural!). In time, if you do the work of mourning, you will find your “new normal.”