The Subjective Grief Experience: The Stages of Grief

Everyone will experience grief and loss at some point in their lives. Grief can impact people in many different ways and can look very different from person to person. It also doesn’t just come from the death of a loved one. People can experience grief that can be brought on by loss of a job, a housing move, loss of a friendship, opportunities, a relationship, and any number of things. It can also be brought on by a loss of a social role, such as the role of a worker when someone retires or the loss of parenting role once children become adults and start their own lives away from home. People often talk about the stages of grief, something we’ll discuss in detail here.

Grief can be about mourning the actual, physical loss of a person but it can also be about mourning the future and dreams involved with that person. Any joint plans, expectations, or hopes for the future that can no longer happen because of someone not being in our lives anymore can all come with an experience of grief and a feeling of loss and mourning.

There is no one way to grieve and there is no one definitive list of what can cause a grief response for someone.

The Five Stages of Grief

Elizabeth Kubler-Ross was the first to detail what many of us know as the “five stages of grief”. While she initially developed these to explain the process those with life-threatening illnesses go through once they receive a terminal diagnosis, it can also be applied to many other forms of grief. These stages are not linear. What this means is that someone can go through them in any order, may never experience certain stages, or may go back to stages even after “resolving” them. For example, someone may reach acceptance, but may then experience anger or denial again.

Denial

This stage is defined as not being able to accept or understand that someone or something is truly gone. People can experience this as an expectation that things will go back to normal and that this is temporary. When dealing with illness, for example, it is a denial that the diagnosis is terminal and that you or someone you love will find an effective treatment that will not result in death.

Anger

When talking about the stages of grief, anger can be seen as a desire to blame someone or something else. Often this is seen as an expression of things not being fair or just. “Why is this happening to me?” “Why would God do this to me?”

Bargaining

With grief, bargaining often looks like trying to make promises to the universe, a deity, or someone in our lives in order to make things go back to normal. This is different from denial because the person accepts that the loss is happening but not accepting that nothing can be done to change it. Sometimes this can look like “I promise I’ll go to church again if you save my mother from dying” or “I promise I’ll take my medication and go to the doctor if I can just get better.” It’s an attempt at gaining control over a situation in which someone feels helpless in the face of their loss.

Depression

This is a realization of the loss, and the fact there isn’t anything that can be done about it, which often brings upon strong feelings of despair and hopelessness. Often people withdraw from their families or loved ones as a result of this. It can be seen as “What’s the point?” or “Why should I even bother?”

Acceptance

This should not be seen as the end of the grief experience or cycle. People do not always reach “acceptance” about their loss and then stop there. Sometimes someone can accept their loss but then go back to anger or denial, for example. This stage involves accepting the reality of their loss and no longer trying to change it but moving forward. There is an acceptance that things cannot go back to the way they were before the diagnosis, the housing move, or the job loss.

Grieving

The process of grieving and going through these stages is incredibly personal and individualized. No two people will experience grief or mourning in the same way, even if they are responding to the same loss. Two siblings going through the loss of a parent will experience this loss in different ways, going through different stages at different times, and reconciling with their own personal experiences with this parent and the impact of the parent’s loss on their lives.

It is normal to compare your experiences with grief and loss to how others are experiencing it or how society tells us we should. Our perceptions of how others are experiencing a similar grief can also impact how we should or should not be behaving or reacting to grief. There is no timeframe for grief and there is no normal way to grieve. Our personal way of grieving is not wrong just because it doesn’t look like someone else’s.

Help and support

There are many different resources out there for people who are grieving. Getting support and care from those we love is certainly a first step. We can also take extra steps to be gentle with ourselves and prioritize self-care. Bereavement therapy is an option for those who feel grief is impacting their lives in a way they need extra support with and there are many grief counseling groups revolving around different forms of grief, such as child loss or parent loss.

Additional resources

https://www.grief.com

https://optionb.org/

About the Author

Kerry Moran is an intern at CCC who is currently enrolled in the undergraduate psychology program at the University of Massachusetts Dartmouth. She is currently applying to graduate programs for her master’s in counseling with the goal of becoming a Licensed Mental Health Counselor. Grief is a topic that is close to her heart and something she feels passionately about, especially since so many people grieve alone as a result of societal pressures. Grief and grieving are important parts of the human experience and her hope is to be able to one day work with many different types of clients, but especially those experiencing grief and loss.

Why I Decided to Run a Postpartum Group

By April Lacey, LICSW

How it Started

I thought it might be beneficial to share why I decided to run a postpartum support group. Initially another clinician decided they wanted to facilitate a Postpartum Depression Group due to the lack of resources and support in the area. Once I heard the idea, I was immediately on board with becoming a co-facilitator. Circumstances changed and I became the one to move forward with facilitating the group.

The Structure

This group was designed to benefit mother’s with infants ranging from birth to age one. The group was initially scheduled as a 6 week series. I felt like 6 weeks wasn’t enough time to really gain those meaningful connections and process through all the struggles of being a parent. I decided to switch it to an ongoing group and change the name from Postpartum Depression Support Group to Postpartum Stress Support Group. My reason was to make the group all encompassing to anyone experience postpartum struggles. Since then I have decided switching to a 10 week group as that sweet spot to meet the need. I plan to run it in a cycle of 10 week series all year round.

Topics covered are the following:

Self-care

Family Support

Attachment

Boundaries

Baby Blues

Perinatal Mood and Anxiety Disorders

Breastfeeding

Mom guilt

Expectations

Motherhood Myths

Milestones

My Why

So why did I jump at the chance to facilitate this group?

First and foremost I am a mother. As a parent we all have our own idea of what having a baby might look like. We set these expectations and make plans in our mind. You might think you are prepared because you already have kids, worked with kids, watched kids, or have kids in your family. The one thing I learned from becoming a mother is “I was not.” All babies are different. Yes, I was prepared for the basic things in order to keep my child alive but there are plenty of things that happened that I wasn’t prepared for. Parents are going most likely feel challenged. They are going to have moments when they may feel like a complete failure. They are going to experience an array of emotions. But remember, that’s okay. There is no certain way you should feel or act. We all going on instinct and doing what is best for our child.

Experiencing postpartum struggles does not always mean that something went “wrong”  or was “different”. Even having what society might consider a “normal experience” can still lead to parents developing feelings of sadness and anxiety. Many mothers and even fathers will experience the “baby blues” the first few weeks after giving birth.

For me there were some complications and my daughter was born 6 weeks premature in January 2020. None of what I planned for happened. And just two short months later COVID happened. I had to not only adjust to all of the emotions of being a new mom with a premature baby, but also the isolation of quarantine.

I wanted parents to know they are not alone. There is support and others who can empathize and understand what you are experiencing.

My next Postpartum Stress Support Group starts Monday January 9 at 7pm.

April graduated from Boston College in 2012 with her Masters in Social Work and is a Licensed Independent Clinical Social Worker. She is in the process of working towards her Perinatal Mental Health Certification and currently runs the Postpartum Sress Support Group here at Compassionate Counseling Company.

Navigating LGBTQIA Family Holidays

By Aden Meiselbach, LICSW

Growing up did you receive negative messages from your family and friends about sexual and gender identities they deemed to be outside the social norm?

After you moved away from your family home did you finally feel safe to identify with your true self and now you want to make sure your confidence in your identity doesn’t become diminished?

If either of these ring true to you, the following tips might be helpful for you navigating the holidays with family and friends.

Patience and Understanding

First, think about how much time it took you to decide and accept who you are as a person. Likely, expressing your true sexuality or gender identity took some time and consideration on your part. Remember how much time it took you to process who you were and come out to family and friends? Family and friends that have known you for a long time might need some time as well to process and accept your newly disclosed identity, as it may be brand-new information for them.

I came out as Transgender to my family around the age of 21 and unfortunately received less than supportive reactions from the majority of my family. However, about 8 years later, I finally found myself in a place where I felt accepted by most of my family and comfortable returning home for the holidays. Without the patience and understanding that I forced myself to practice throughout this transitional time, I wonder if I would still have a relationship with them right now. After all, it is important that as individuals we role model the actions and words that we expect from others. However, practicing patience and understanding is no easy feat, and should not be confused with allowance for disrespect. So then you ask what do I then do to ensure I receive respect from those around me? The answer is to set boundaries!

Setting Boundaries

So what are boundaries or what do boundaries look like? Boundaries are imaginary property lines set between you and others you interact with. It gives you the ability to separate your physical, mental, and emotional space from others, with the imaginary property line. Setting boundaries also give others around you a clear expectation of appropriate and inappropriate ways of interacting with you and defining what respecting you might look like.

So what do boundaries look like? This is a difficult question to answer as everyone’s boundaries look different. However, when deciding what boundaries you want to set you start by prioritize your needs and comfortability over those of others. It’s also important to determine within yourself what rigid boundaries (those you will not allow anyone to cross at any time for any reason) and those which we identify as soft boundaries (setting expectations for how others interact with you but leaving room for exceptions to the rule).

One boundary you might think about the setting is that you disclose your sexual or gender identity to whomever you choose, not who your family chooses. Early in my transition, I had a girlfriend, with whom I finally felt comfortable disclosing my gender identity. While processing this information she choose to disclose my gender identity to people in our lives. I was not ready to disclose that information. While I understand where she was coming from, this was very hurtful and difficult early on as I was in my most vulnerable state at the time.

That being said, it is important to consider what boundaries you might want to set prior to seeing family and friends during the holidays. However, these are important conversations prior to the day of, so they have time for processing and to be held accountable. This is not to say even the most accepting of friends are family might “slip up,” every now and again. However, you will quickly learn what are honest mistakes and what mistakes are intentional!

Self Care and Positive Affirmations

Holidays can be one of the most difficult times of the year for people who are part of the LGBTQIA community for a multitude of reasons. Although the holidays are been advertised as a time of being thankful and giving back to others, it’s important to give to yourself as well. Make sure that during the holiday season you are giving more to yourself as well. This might mean prioritizing your own self-care, (ie taking a nice bath, getting your hair done, seeing your therapist more frequently, or joining a local support group). Also, be mindful that self-care can look different for each person and does not have to look any particular way. Think about what makes you happy, what fuels your heart and soul, and what healthy thing makes it just that much easier when you have a bad day. Whatever your answer might be, that is your self-care! Self-care is always best coupled with positive affirmations. It can be difficult to be kind to yourself when the world can be an unkind place. Positive daily affirmations, although an awkward feeling at times, can definitely increase a person’s self-worth. By simply writing, saying, or acknowledging a positive quality about yourself daily, you will equip yourself with a little more armor to battle the world!

For me, some days self-care looks like a nap on the weekend, and for others, it’s taking an overnight trip to the mountains. And positive affirmations are an ongoing list on my phone to remind me of the qualities I like in myself.  So what fuels your soul? What makes you who you are? What qualities are you proud of?

You have the Right to Celebrate the Holidays the Way in Which You Choose

Above all else, you choose where, when, and how you celebrate. If you don’t want to celebrate with this person or that person it is okay! You have a right to your own autonomy and to make your own choices. You are under no obligation to explain yourself to others either. Most importantly you have the right to enjoy your holiday the way you choose to! Happy Holiday Season!

Aden is a Licensed Independent Clinical Social Worker. He has over 10 years of experience treating co-occurring disorders. He is a Certified Trauma Professional and specializes in the LGBTQA population. He currently facilitates our Gender Spectrum Support Group.

Baby Blues or Postpartum Depression?

By: April Lacey

First and foremost, congratulations on having a new baby! Entering parenthood has the potential to give rise to many unanticipated emotions and expectations for yourself. Some people will have feelings of excitement and/or happiness while others might experience feelings of being overwhelmed, sad, and/or anxious. You might also have a mixture of both. Generally, society presents the former as the norm and you might feel as though you are expected to just know what to do. As a result of these expectations you may be under the impression that something is “wrong”  or that you are a “failure” if you have difficulty meeting society’s expectations of immediate connection and happiness. However, experts report that an estimated 80% of all new mothers will experience mood swings and/or weeping that starts a few days after following the birth of a new child. These are symptoms of what we refer to as “Baby Blues”.  Symptoms of baby blues typically only last for a few weeks and do not require medical intervention nor do they interfere with your ability to care for your infant.

Symptoms of Baby Blues include:

Mood swings

The other side of motherhood. At times, the responsibilities of motherhood can be exhausting.

Anxiety

Sadness 

Irritability

Feeling Overwhelmed 

Crying

Reduced concentration

Appetite problems

Trouble sleeping

Now that we’ve highlighted the symptoms that are characteristic of the Baby Blues; I believe that it is equally important to highlight the symptoms that are characteristic of Postpartum Depression as well so that you might be better able to to distinguish the differences between the two. It is important to note that if you observe that your symptoms of Baby Blues does not resolve or even start to increase after a few weeks, then it may be a possibility that you are experiencing symptoms of Postpartum Depression or another perinatal mood disorder. Please know that you are not alone! Postpartum Depression affects approximately 15% of women and it even affects 10% of dads. It is also important to note that symptoms of Postpartum Depression are very much similar to those of Major Depressive Disorder although symptoms of Postpartum Depression tend to occur after pregnancy and can last up to one year postpartum. If left untreated, Postpartum Depression can potentially develop into Major Depressive Disorder.

Symptoms of Postpartum Depression include:   

Severe mood swings

Symptoms of Postpartum Depression and the Baby Blues can be debilitating, leading us to question our parenting skills.

Excessive crying

Difficulty bonding

Insomnia

Intense irritability and anger

Hopelessness

Feelings of worthlessness

Inability to concentrate

Thoughts of harming self or baby

Please remember that if you are experiencing symptoms of either of these disorders; early identification leads to early treatment and relief. Postpartum depression is temporary and treatable with professional help. However, it is important to note there is no universally defined time frame to feel better and each person is unique with different needs. If you feel that you may be suffering from Postpartum Depression, please reach out for support. A few possible treatment options include connecting with your social circle (family or friends), connecting with a therapist, joining a support group, and/or consulting with your primary care physician, OBGYN, or a psychiatrist for medication if necessary. As a new parent, it is important for you to take time to engage in self-care activities including but not limited to getting rest and recuperating, eating well, and taking breaks to prevent burnout. No one is perfect and each of us could use a helping hand at times. Never be afraid to ask for help.

At Compassionate Counseling Company, we are offering an ongoing weekly Postpartum Stress Support Group that begins virtually on Monday August 8th at 7 PM. You do not need to have a formal diagnosis in order to attend the group. Come meet and be supported by other parents with shared experiences by taking advantage of the opportunity to process the stressors and emotions that come along with having a new baby. If you are interested, sign up here.

April graduated from Boston College in 2012 with her Masters in Social Work and is a Licensed Independent Clinical Social Worker. April enjoys working with children, adolescents, adults, and families and she currently runs the Postpartum Stress Support Group here at Compassionate Counseling Company.