Action Oriented Grieving: Putting how you feel into words can help you (1) connect your behaviors in that moment to your feelings, and (2) help you create a new action plan going forward.

This doesn’t mean that you’re trying to stop your grief. You are just channeling that restless energy into making positive improvements in your life, and journaling can be helpful to that important step in your growth. This wheel can help you put into words how you are feeling and whether a certain behavior brought those feelings to light. For instance, if you were out enjoying a few cocktails with friends and suddenly felt overwhelming sadness because seeing all the happy couples enjoying each other made you cry and you could not explain it to your friends, this wheel can help. If you find SAD in the center, you most likely are experiencing one or more of the middle feelings which brought you to one or more of the outer reasons. Journaling this will help you remember how this activity made you feel and in the future could serve as a reminder to you. It also helps to go back and read those entries to see your healing progress.

Helps you find the right words to describe what you are feeling

Putting action-oriented grieving to work also may include harnessing that restless energy that we have from grief into making positive impacts for others and more positive improvements toward healing. Directing your energy by providing support to others who are grieving, or by creating a memorial for your loved one or even by advocating for a cause you believe in will inspire others and are all examples of action-oriented grieving.


Today I Saw a Ghost at a Funeral

I was sitting by myself in the lonely and cold room of the funeral home staring at my friend’s body surrounded by flowers. He looked good as corpses go, decked out in a fine suit with an Art Deco pin on the lapel. He had on a lot of make up, but then again, most do. The casket was glistening steel in a muted silver and they hadn’t bothered to drape the underside, so the criss-cross bars that supported him were exposed. There were a smattering of funeral floral arrangements, all beautiful and one just as fragrant as the next. There were two screens on the wall above him, playing a woman speaking and singing incessantly as the tape rolled over and over. She had a great voice, but it was a short video and the volume was too low to be heard in the back, where I finally moved to after an hour and a half of waiting for the service to begin. More people made their way in and as the waiting time became closer to two hours, some began to leave. The older age of those gathered made no argument for the rest of us to get back to the day at hand. As I looked around, I noticed a friend and he came and sat and said hello. He was shaking, sweating and smelled of tobacco. I saw that he came in earlier and left with two other guys and was just returning. As he started to speak, his voice was shaky and he was unable to speak in a clear sentence-as if his speech was forced, muted and choppy. His eyes were so dark and his hands were trembling. All he could muster was “I’m socially inept at the moment”. I asked why and he said he was just having trouble. Fresh out of rehab and back in town, he was contacting old customers like myself as he was starting a new job this evening. My body language must have said it all, if only he were sober enough to have read it. In his twenties with so much talent and a bright future ahead of him, he was making ill use of his idle hands and wide open schedule. He managed to awkwardly apply his black cloth face mask, half exposing his mouth and beard. After about 15 minutes, his body began twitching uncontrollably as he was either going into withdrawal or suffering from chorea. I weighed out my options of either giving him my business card which listed my specialty in counseling or just asking him about his sobriety. I did neither. After all, I am not his counselor and I have no business asking him about his choices. On the other hand, I do care that a young guy that I care about is absolutely not ok. It reminded me of some terrible choices that I made at his age. I remember that horrible feeling of not being able to speak when spoken to and wanting to sink into the floor. Today, I saw a ghost.


Persistent Complex Bereavement Disorder

If you have lost something or someone that meant something to you, you will grieve the loss. It’s ingrained in our DNA as living beings. It is the price we pay for love.

There is no getting around it. It’s a door you have to walk through in order to get to the other side. Some people claim that they never stop grieving, it just morphs into something softer like an old sweater that you know is unravelling but still feels familiar and is strangely comforting.

You fear that if you pull it out into the open too many times it may just fall apart and you’ll forget what it feels like, so you fold it up and test placing it on a shelf for a while until the feelings are so unbearable you walk around wearing an old sweater in the heat and people begin to stare. Family and friends stop calling because they don’t know how to help you and they feel embarrased and ashamed to admit it and this makes them feel powerless. This would be tragically sad if it werent so… ironic.

After about a year, if you still feel as if your head is in the clouds, and you’ve made robotic attempts at living, all the while still yearning for the deceased as though the loss were yesterday, you may be experiencing Persistent Complex Bereavement Disorder. It is defined in the Diagnostic and Statistical Manual of Mental Disorders fifth edition as continuing to experience sorrow and intense emotional pain; preoccupation with the deceased and the circumstances of their death on more days than not. It has been descibed as being emotionally numb, having difficluty with positive reminiscing about the loss with escessive avoidance of people, places and situations that may be a reminder and bring pain to you. Sometimes there may also be a desire to die in order to be with the deceased and feeling utterly alone in that process. Life may have no meaning any longer and trusting others to confide in is nonexistent. And if the breavement was due to tragic circumstances, such as murder or death by suicide, there may also be a preoccupation with the factors surrounding the loss.

Children also can suffer from the disorder. Unlike adults, children are usually more resilient when it comes to loss. After about six months (versus twelve in adults), they have usually accepted their life as it is as their new normal. Grieving in children will resurface at each holiday, birthday and anniversary, but will return to baseline and this should be expected into young adulthood. On the other hand, if after six months the child continues to express yearning in their play behavior and has marked difficulty accepting the finality of death, then they may also be experiencing the disorder. Younger children will avoid talking about their feelings regarding the deceased and older children may be preoccupied with them. The less the caregiving routine of children is disrupted, the better.

Increased and misdirected anger when someone speaks about the deceased, acting as if the deceased individual will be coming home, cooking meals for them or saving presents for them at holidays or auditory or visual hallucinations in adults may be present. This can occur at any age after 12 months of life. Grief responses are different, and usually occur at once after a loss. PCBD may be delayed months or in some cases years. Although this is rare, anyone experiencing these symptoms should get medical help immediately.

Pathologizing grief to some is unnecesary, however there are those that walk around in many, many shades of pain and are afraid to ask for help. Please don’t be. Death remains a mystery but to those of us left behind, it can be a great teacher if we learn to share in our grief. As much pain as you may be in right now while you are reading this, please know that there is someone else following right behind you and it may help them to know that you survived in spite of it.



Love & Death

We are taught how to love, but not how to grieve and when a loss happens it can be devastating.

Love and loss are inevitable. It happens to us all and yet some can handle it better than others. Why? Did they take a class that I wasn't aware of or is it natural for them? The answer is not an easy one. I believe that spirituality and upbringing are part of it, and so are cultural expectations. We are products of our environments and that includes our own personal awareness of death.

As a child raised in the North, West and South regions of America, I became spiritually aware at a very young age. By age 8 I was baptized in the Roman Catholic church, yet I attended an Orthodox church each week with my aunt in MA. I had never been to a funeral, but I remember helping my grandmother pour wine and clean plates for guests when she cooked for family wakes. By age 9, I was living in Anchorage, AK and remember visiting the Native burial grounds and found it so interesting that they buried their family members in a seated position. I would stare at those beautifully adorned little houses built over the graves, complete with bells to be rung and loaves of petrified bread to be eaten by the spirits. But it wasn’t until I came to Virginia at age 12 that I went to my first funeral. I did not notice at the time, but I most likely was the only child that fell apart and had to be held up by my parents as I walked toward my great uncle Grady’s casket. A man that was very old to me and whom I had only met once represented the scariest thing on earth: a dead body. Most children in the South back then were used to being in the church and attending funerals. They also posed for pictures next to their departed loved ones and cherished the photo albums dedicated to them. I now have two in my home from my husband’s childhood when his grandparents passed away. He and his brother were dressed in their suits and drank punch and ate cake while playing around the casket amongst the flowers and their relatives. He can also remember paying his last respects to some other relatives in their own homes in NC. They don’t bring caskets into homes anymore, at least not here but I am told back then it was normal.

When my own grandfather passed away, I was in my early twenties and traveled to MA to be with my family. We had a three day wake, then a funeral, then a dinner at my grandmother’s home. The funeral director brought in chairs and tables and greeted guests at her front door. They provided transportation and drivers for anyone who needed to go anywhere over the entire course of the week and then made sure the caterers kept the house stocked with food. My grandmother made sure the house was stocked with wine. In MA in the winter, the ground is too hard to bury someone so once again, the family gathered for the interment in the Spring. It was less formal but still was attended to properly by the funeral home.

When my father passed away, the funeral was planned and over in two days. The service was in the funeral home and he was buried the same day. There was no caterer, a few neighbors brought food and my mother enjoyed the company of her family in the home. When my mother joined him seventeen months later, her service was a mass in the church, then a dinner in the hall. She was also buried the same day and then life just seemed to resume as us siblings and our spouses got used to being adult orphans. In both cases, we met the funeral director the day of the funeral and never spoke to them again.

Over the years, funeral fanfare has diminished. But not to the depths we have witnessed with COVID. Families were forced to say goodbye as someone entered the hospital and in certain places, they were not even allowed to hold a funeral. Bodies were being cremated en mass in an effort to stop the spread of the pandemic. Eventually, as we learned that the disease was host-dependent and airborne, some restrictions were lifted and eventually funerals resumed, but with limited attendance. Now, over a year later, we will hopefully see things get back to a new normal. But what is normal? How should a loved one be remembered and does it matter to those left behind? The answer is yes. The way you grieve can affect you for the rest of your life and it can change the way your brain processes other losses-forever. So, if this is so important, then why aren’t we taught how to grieve and how to accept inevitable loss? Good question!

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