Showing posts with label stages of bereavement. Show all posts
Showing posts with label stages of bereavement. Show all posts

Wednesday, May 20, 2009

The Real Stages of Grief Recovery








The stages of Death and Dying evolved by Elizabeth Kubler-Ross are often mis-identified as The Stages of Grief Recovery. In her schema, she came up with 1) denial, 2) anger, 3) bargaining, 4) depression and 5) acceptance as reactions to a diagnosis of terminal illness. Her stages only make sense when considered against that backdrop. As such, this configuration has nothing to do with the stages of grief recovery.

Looking back over my 25 years of therapeutic experience dealing with hundreds of individuals and families going through grief and loss and a review of the currently available data I have come up with 4 stages of Grief Recovery. Kubler-Ross' stages do not fit this paradigm even though they are often mistaken as the quintessential guideline. For those of you seeking grief recovery the following stages are what you can expect.

1) Numbness and Shock: - We hear the news about the death of a loved one and our mind goes into shock. The news is too unbelievable, too hard to digest in one sitting. Numbness enters the picture because our mind is still reeling from the news as our body goes into a state of emotional numbness. We try desperately to process this terrible news. Simple tasks now feel overwhelming. Feelings of disorientation and displacement are common. Some have described this as a dreamlike state where you feel disconnected from events and people around you. Funeral arrangements and other issues are accomplished mechanically.

Stage 2 - Disintegration and Disorientation: The initial shock of losing a loved one begins to settle down and we are now faced with the deeper feelings of grief and bereavement. Emotional disintegration, which feels like "falling apart" enters the picture as the reality of the loss hits us hard. Physical reactions such as sleeplessness and loss of appetite are not uncommon and need to be taken up with your family doctor. On the emotional side, feelings of confusion, anxiety, anger and depression may now begin to surface. These deeper reactions are your body and mind's way of trying to release stress. Grief recovery means working through these reactions over time.

Stage 3) Bereavement and Grief Recovery - Once you are past the shock and have started to come out of disorganization, bereavement and grief recovery can begin in earnest. You can now make full use of your grief recovery resources including books, audio books, healing music and grief counseling. These days, you can be part of an online support group where sharing is the by-word and all persons there are eager and ready to listen and help each other recover. You are not alone, unless you choose to be. And you are not a victim, unless you choose that as well!

Stage 4 - Coming Back Together / Reintegration - You've been following an action plan laid out in your favored grief resources. A good book, counselor or support group has provided a set of guidelines to follow and you realize this journey of recovery is manageable. Books, audio resources, counseling and support groups provided the framework to recovery you've been looking for. Your action steps bear fruit. You notice a little less emotional tenderness with each passing day and more of your old self returning. Your life has changed. You've lost a valued loved one. The pain at times felt unbearable. But you are past that now and your grief recovery is near the end.

These are the stages of grief recovery as I have come to know them after 25 years of helping hundreds of individuals, couples and families come to terms with Murder Grief, Suicide Grief, Relationship Grief, Loss of a Parent, Loss of a Child and Loss of a Spouse. I have also dealt with many losses in my own life including a best friend, mother, favorite brother-in-law, special uncle and other family members and acquaintances.

For a successful grief recovery I recommend the following: 1) Acquire a good reading and/or audio book resource that you can access whenever you want and need to, something that will provide support and guidance as you work your way through the necessary grief recovery action steps. 2) Check out any support groups in your area. This will help eliminate the feeling that you are alone and will normalize your recovery experience.

3) Sometimes local groups are not available. Not to worry because online Grief Support Networks are plentiful. Just do a search for "Grief Support Online" and numerous choices will be available to you. Again, the main benefit is community and a sense of belonging. There is no need to go through grief alone or suffer for an extended period of time. Share your story with others and listen to theirs. This helps you both. 4) If necessary see a therapist. Some of your early experiences may be too overwhelming or confusing. See an expert. He or she will help you get on track with a tailor made grief recovery program.


Wednesday, February 25, 2009

If Tomorrow Starts Without Me

If Tomorrow Starts Without Me
A few years ago a woman was killed in an auto accident. She was very well liked, so the office shut down for her funeral.On the day the workers came back to work, they found this poem in their e-mail that the deceased woman had sent on Friday before she left work to go home. Happy to share this piece here.

If Tomorrow Starts Without Me
"If tomorrow starts without me And I'm not there to see, If the sun should rise and find your eyes all filled with tears for me.
I wish so much you wouldn't cry the way you did today, While thinking of the many things We didn't get to say.
I know how much you love me As much as I love you, And each time that you think of me I know you'll miss me too.
But when tomorrow starts without me Please try to understand, that an angel came and called my name And took me by the hand.
And said my place was ready In heaven far above, And that I'd have to leave behind all those I dearly love.
But as I turned to walk away A tear fell from my eye, For all my life, I'd always thought I didn't want to die.
I had so much to live for So much left yet to do, it seemed almost impossible that I was leaving you.
I thought of all the yesterdays The good ones and the bad, I thought of all that we shared And all the fun we had.
If I could relive yesterday Just even for a while, I'd say good-bye and kiss you and maybe see you smile.
But then I fully realized That this could never be, For emptiness and memories would take the place of me.
And when I thought of worldly things I might miss some tomorrow, I thought of you, and when I did My heart was filled with sorrow.
But when I walked through heaven's gates I felt so much at home, When God looked down and smiled at me From His great golden throne.
He said, "This is eternity, And all I've promised you." Today your life on earth is past, but here life starts anew.
I promise no tomorrow But today will always last, and since each day is the same way There's no longing for the past.
So when tomorrow starts without me don't think we're far apart, For every time you think of me I'm right here, in your heart."


Send this to all those you care about because you never know what's going to happen tomorrow Show them how you care, before it's too late.
May God watch over you and your family now and always. There is no right time to do the wrong thing, there is no wrong time to tell someone you care.

THANKS TO SHIRLEY WHO LOST HER DAUGHTER IN 2006