Category Archives: Change

Understanding the Stages of Grief: A Gentle Guide Through Loss

It’s the end of October and the beginning of November with Halloween and Dia de los Muertos behind us. I love the idea of having a time of the year dedicated to thinking of the after life and of honoring our ancestors. However, with all the reminders of death during this particular holiday season, grief can be stirred up. There may be those who have been triggered and wondering what is going on with their swings in emotional states. I thought I would take this time to review the stages of grief in order to offer some support and understanding if you find yourself in the grief process.

The Five Stages of Grief

The idea of the “five stages of grief” was introduced by psychiatrist Elisabeth Kübler-Ross in her groundbreaking 1969 book On Death and Dying. She initially developed the model while studying people facing terminal illness, but it has since been applied more broadly to all types of loss (Kübler-Ross, 1969; Kübler-Ross & Kessler, 2005).

1. Denial

Denial serves as an emotional buffer. It helps the mind process loss at a pace it can handle. People might say things like, “This can’t be happening,” or find themselves moving through daily routines on autopilot. Denial gives us space to absorb shock before deeper feelings surface.

2. Anger

As reality sets in, anger often arises — directed at oneself, others, or even at life itself. Anger is sometimes easier to express than pain, and it provides a temporary sense of control. Recognizing anger as a natural part of healing prevents guilt from compounding the emotion (Worden, 2009).

3. Bargaining

In this stage, the mind searches for meaning or tries to negotiate away pain: “If only I had done this differently…” or “Maybe if I change something, things will return to normal.” Bargaining often reflects our struggle to regain a sense of agency in an uncontrollable situation.

4. Depression

When the full weight of the loss sinks in, sadness, fatigue, or withdrawal may appear. This is not necessarily clinical depression but rather a reflection of the profound emptiness that loss brings. Allowing these feelings without judgment helps us integrate grief rather than resist it (Stroebe & Schut, 2010).

5. Acceptance

Acceptance does not mean being “okay” with the loss. It means acknowledging reality and finding a new way to live alongside it. This stage is about integration — learning to carry love and memory forward in a new way (Neimeyer, 2019).

Beyond the Five Stages

In my most recent yoga therapist training at Purusha Yoga School  (San Francisco, CA), I took a class “Aging Gracefully”.  The Primary teacher and founder of this school, Joy Ravelli,  had compiled an excellent class on death and dying.  From her research and practice she shared a different “version” of the grief stages that I feel have changed my perspective on this process, particularly with the addition of the stage of “wisdom”. Here they are:

1.Denial/ Shock 

 Denial and Shock help us survive and cope.  This stage helps us pace our grief.

Shock and denial are defense mechanisms.

2. Exploring Emotional

(Otherwise known as “Anger” and “Bargaining”)

The stage of searching and yearning leads to feeling in the body.  Those feelings may be anger, sadness, panic, hurt, loneliness, despair, depression.  Each of these feelings has a story.  Each of these feelings has an energy.

3. Conscious Rest

(Also known as “depression” – Instead of just depression, this stage includes the following:)

  • Depression. This may be a period of isolation and loneliness during which you process and reflect on the loss.
  • The upward turn. At this point, the stages of grief like anger and pain have died down, and you’re left in a more calm and relaxed state.
  • Reconstruction and working through. You can begin to put pieces of your life back together and carry forward.

4. Acceptance

Acceptance and hope. This is a very gradual acceptance of the new way of life and a feeling of possibility in the future.

5. Wisdom

Grief becomes wisdom and empathy develops for others in that through the transformational experience of grief we come to a place where we can recognize these states in others.

Moving Forward

Grief changes us, but it can also deepen our capacity for empathy, gratitude, and meaning. There is no timetable or “correct” way to grieve — only your way. The stages are also not linear so you could experience acceptance one day and the next day be back in anger.  Support from compassionate others, therapy, and time can help integrate loss into a renewed sense of wholeness.

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References

  • Kübler-Ross, E. (1969). On Death and Dying. Macmillan.
  • Kübler-Ross, E., & Kessler, D. (2005). On Grief and Grieving: Finding the Meaning of Grief Through the Five Stages of Loss. Scribner.
  • Stroebe, M., & Schut, H. (1999). The Dual Process Model of Coping with Bereavement: Rationale and Description. Death Studies, 23(3), 197-224.
  • Stroebe, M., & Schut, H. (2010). The Dual Process Model of Coping with Bereavement: A Decade On. Omega, 61(4), 273-289.
  • Worden, J. W. (2009). Grief Counseling and Grief Therapy: A Handbook for the Mental Health Practitioner (4th ed.). Springer.
  • Neimeyer, R. A. (2019). Meaning Reconstruction in the Wake of Loss. Death Studies, 43(1), 1-11.

COVID 19 Update

In order to try to be mindful of the times we live in and reduce spread of the COVID 19 virus I am transitioning to telehealth. At this time how we transition is an individual process for each client and I will work with all of my clients to come up with a plan that suits them. For webinar I use Zoom and I subscribe to their package that is HIPAA compliant. Please feel free to contact me with any questions and/or feedback about this process.

Renewal

Spring seems like a great time to start back up with my blog posts. This Spring we are all in desperate need of some renewal. So far 2020 has been challenging. We are all experiencing something quite unique for our time. Humanity of course has seen and endured other pandemics but enduring a pandemic in the informational age is filled with easy access to ongoing death tolls and news that makes the calmest of us a little on edge. It is also, however, filled with easy access to all sorts of positive resources. After a week of seeing clients since schools and restaurants were ordered to close I have been able to gather suggestions from clients of things that are helping to keep them renewed and not drained with all the alarming aspects of what they see online. Here are some of the ideas I have heard this past week.

  1. Yoga with Adrien is a continued recommendation from my clients, https://www.youtube.com/user/yogawithadriene
  2. limiting social media to only an hour a day
  3. Having friends call up and give them the news instead of hearing it on line.
  4. You tube projects
  5. Pinterest projects
  6. Online parties and meetups with friends
  7. Looking up old friends online and catching up.
  8. Starting an Etsy shop
  9. Getting rid of clutter by selling items on Ebay
  10. Online yoga classes and fitness classes that are being offered for free through gyms and places like yoga journal
  11. Online free virtual tours of museums
  12. Replacing 30 minutes of social media time with a podcast
  13. Finding online support groups via NAMI and local hospitals
  14. mindfulness courses and meditation through apps like “Insight Timer” and “Head Space”

This is the current list and I will continue to collect ideas and do a follow up post on this later. As we try to follow guidelines and stay safe, I ask you to take a moment to ground yourself and try to find some positivity for the day. It does appear that this may be a long haul for us and we are going to need some ongoing renewal as we keep moving forward.

Take Care and wishing you peace.

Brain Health

 

Research on Alzheimer’s was again in Scientific American this month.  This particular article was reviewing research based on a clinical trial by “FINGER” (the Finnish Geriatric Intervention Study to Prevent Cognitive Impairment and Disability) between 2009 and 2011.  The results of the clinical trials and the study show that it is never too early and in this case  never “too late”  to intervene with cognitive decline through changes in the way one lives.

The changes they were referring to were eating a Mediterranean like diet, getting exercise, and challenging the brain through learning new things and memory challenges.  These recommendations are by no means new to the public but just validates even more this life style.  To be clear the exercise that showed positive results in memory and organization was 2-3 times a week of 60 minute periods of exercise like muscle strength training, aerobic exercise and postural balance and the Mediterranean diet was fruits, vegetables, whole grains, rapeseed oil, a fish meal  at least twice a week.  The only supplement given was Vitamin D.

Of course the groups started slow and built up to this goal which is encouraging.  They started at 30 minutes.  The exercise sometimes is the most difficult to work in.  It’s important to note that the time they give is not straight cardio work, it combines strength building, cardio, and posture improvement such as in physical therapy, physiotherapy, and some types of yoga.

Motivation for change can be a slow process but building up reasons to change is one of the steps.  Looks like this study gives us more to add to that list of pros and cons.  Hopefully also  it will also help us to work through the ambivalence.

 

NEW OFFICE LOCATION!

I am now at Revolution Mills as of 1/24/17.

The new office location is:

1250 Revolution Mill Drive

Suite 262

Greensboro, NC 27405

Revolution Mill Drive is off of Yanceyville Street.  If you are coming from downtown you would take a left on Yanceyville.

Parking:

You can park in the visitor spots in the first 2 parking lots on the right.  There is designated handicapped parking on the curb outside of the building.

Entrance:

There are 2 entrances for my office.

  1. The first is at the 1250 building entrance above a flight of steps.   Once inside walk to the left of the red stairway diagonally pass the Mill History Exhibit toward suite “261”.  My office is next door on the left.
  2. The 2nd entrance is at the 1175 building entrance and has no steps.  This one is handicapped accessible.  Once inside go through the next doorway and take a left.  Go down the hallway past the red stairs on the left.  Take a right after the Mill History Exhibit.  You should see suite “261”.  My office is next door on the left.

*If you arrive early you may see a sign that says that either directs you wait by chairs near the Mill exhibit or to come inside and take a seat.   In these cases I’m in a session.  Please just text/call me to let me know you have arrived.  (Prefer text.)

Click below for map.

Map