Types of Grief

By Kellie Calderon, MA, LPC

"Grief I've learned is just love. It's all the love you want to give but cannot. All of that unspent love gathers up in the corners of your eyes, the lump in your throat, and in that hollow part of your chest. Grief is just love with no place to go."- Anonymous

As if grief weren’t complicated enough to deal with, there are a few different types of grief to be aware of. The importance of knowing these different types of grief is that you or a loved one can understand what you or they are going through to better process the grief and manage the emotions that go along with it. If you would like to get a recap on symptoms of grief, head over to the previous blog here!

Anticipatory Grief

This type of grief occurs when there is either a terminal or progressive illness that causes you to anticipate the grief that will occur when the individual passes away.

What you may experience:

• Anger

• Loss of emotional control

• Helplessness

• Loss of other things, such as dreams, future or family structures

How to help:

In situations where you may be anticipating the loss, it is important to use the time to process the loss with that person. It can be difficult to accept the fact that a loved one is going to pass away, but it gives an opportunity to spend time with them to find meaning in your relationship with that person and gain closure and peace for when they actually pass.

Complicated Grief

This type of grief lasts longer than “normal” grief (I put normal in quotes because there really is not a normal way to grieve, so use this term lightly), and may affect your daily living if you are not receiving help. If someone has an underlying mental health diagnoses such as depression or anxiety, it can also make the grief feel more intense. Someone who has depression or anxiety may have a harder time finding coping skills that are effective without additional help from a therapist.

What you may experience:

• Grief lasting a long period of time with no improvement

• Delayed grief (experiencing grief long after someone passes)

• Extreme or intense reactions to the loss (self-destruction, changes in behavior)

How to help

Since complicated grief is just how it sounds, complicated, the best route to process it would be to speak with a counselor. It may also be beneficial to set up an appointment with a psychiatrist if you feel you may have an underlying mental health condition as well.

Disenfranchised Grief

This type of grief occurs when a society, family member, friend or community invalidates the grief. This could be if the death is a suicide, overdose or something similar. This may also be if the death is someone that was not necessarily a close part of their life such as a coworker. These can be tough because although you may not be a close friend or family member, you still can feel the loss. Friends or family may wonder why you are experiencing grief, but it is important to remember that grief can manifest itself in different ways within different people. It could also be a trigger of a another time someone felt grief.

What you may experience:

• Feeling isolated

• No validation of your grief/feelings

• Feeling shameful or guilty for grieving

• Suppressing the grief

How to help

It can be helpful to find others who may have experienced that type of grief to help normalize the feelings (support groups, etc.). It may also be a good idea to talk to a counselor to find support and an outlet for your feelings of grief. Remember that everyone experiences grief differently, and just because others do not validate your grief, does not mean what you are feeling is not real.

Other types of grief

Along with the types of grief mentioned above, there are other types that may not be as common but still should be discussed.

Traumatic Grief - When a loved one dies in a traumatic and/or violent nature. This could cause nightmares, flashbacks (if witnessed), etc.

Cumulative Grief - Experiencing a loss while still grieving a different loss

Masked Grief - Experiencing grief that affects daily functioning but is not recognized by the person grieving. This person may be masking the symptoms with other behaviors (overeating, physical symptoms, self-sabotaging, etc.)

Collective Grief - Refers to grief experienced by a group. This is becoming more common with school shootings, natural disasters or if there is a death in a close knit community.

Absent grief - When the person is not showing any signs of grieving and is in denial of the loss. This might look like someone who goes about their normal life as if the person had not passed away. This person may be in complete shock and unable to recognize the loss.

There is no “right” way to process grief. However, if you notice that the grieving process is affecting your daily life and functioning, we encourage you to seek out counseling. This will help with processing the grief as well as learning how to manage the emotions that come along with it.

Types of Grief. (2017, March 28). Retrieved from https://whatsyourgrief.com/types-of-grief/

Understanding Grief: Symptoms and Ways to Cope

By Kellie Calderon, MA, LPC

Everyone experiences grief at some point in their lives. This can be through the death of a close loved one, or through other losses such as the loss of a job, the loss of a pet, or even the loss of a lifelong dream or goal. When a loss occurs, there are many different emotions someone can experience. Reactions can range from crying and sadness, to anger and disbelief. The difficult part about experiencing a loss is that there is not a one-stop-shop solution. Grief is not linear. There is not a specific set of things you can do to make it better, and what works for one person may not work for another.

The first part of this series is going to be covering the symptoms of grief as well as a few ways to cope. It is important to be able to identify these symptoms when you may be grieving yourself, or when someone you know may be grieving. By identifying the symptoms, you can begin the healing process, or help guide someone going through it.

There are many different symptoms that can manifest when someone is grieving. They can be separated into feelings, cognitions, physical symptoms and behaviors, and many of them are listed below. (Freeman, 2005; Worden, 2005). 

-Feelings:

- Sadness

- Numbness

- Anger

- Guilt

- Anxiety

-Cognitions:

- Obsessive Thinking

- Intrusive Thoughts

-Physical Symptoms:

- Tight Chest

- Lack of Energy

- Muscle Weakness

- Dry Mouth

-Behaviors:

- Sleep Issues

- Changes in Appetite

- Social Withdrawal

- Absent Mindedness

Many of these symptoms are very normal when it comes to the grieving process. However, one thing to be aware of are symptoms of depression versus grief. There are some similarities between the two but they are also very different experiences, and if left untreated, depression can become very serious. Below are some symptoms of major depression:

- Worthlessness

- Exaggerated guilt

- Suicidal thoughts

- Low self-esteem

- Powerlessness

- Helplessness

- Agitation

- Loss of interest in pleasurable activities

- Exaggerated fatigue

 Coping with Grief

 As mentioned earlier, grief is not linear. This is very important to remember because someone’s grieving process may take a few weeks, while others may take a few years. It is essential to be sensitive to someone who is grieving and to not force them through the grieving process. Below are a few strategies that may help when going through the process of grief (Note: many of these reference death; however, as we have stated loss can take many different forms).

 -Talk about the death. Many people deny the death which can cause isolation and may make it more difficult to accept the death and move on with life.

-Experience and accept feelings. It is important to remember that feelings of sadness, anger, numbness, etc. are all normal. In order to process the loss you must accept these feelings and try to experience them.

-Prioritize Self-Care. Many people neglect themselves while grieving. There is a lot happening and it can be distracting. Make sure you focus on your eating habits, exercise and sleep. Try Mindful Meditation to help as well. Apps such as “calm” or “headspace” can help with this.

-Accept support and help from others. It can be easy to feel like a burden to people when you are grieving, but the people around you are there for you to lean on. Surround yourself with your support people and accept the help they offer.

-Remember your loved ones in a positive light. It can be difficult to think about the positives in a time where everything seems so negative. Celebrate the life of the deceased and remember them in ways that make you feel good. Sometimes it can help to memorialize them in ways such as planting a tree, creating a memory book or advocating for a certain charity that is in their name.

 If you or someone you know is experiencing grief and is having a difficult time, please seek out professional help from a mental health counselor.

Sources:

Freeman, S (2005). Grief and Loss. Understanding the Journey. Belmont, CA: Thompson Brooks/ Cole

Grief: Coping with the loss of your loved one. (n.d.). Retrieved from   

        https://www.apa.org/helpcenter/grief

Schwartz, A., LCSW, PhD. (n.d.). The Difference Between Grief and Depression, The DSM V. Retrieved

      from https://www.mentalhelp.net/blogs/the-difference-between-grief-and-depression-the-dsm-v/

Worden, J.W. (2005). Grief Counseling and Grief Therapy: Handbook for Mental Practitioners (3rd ed.).

      New York, NY: Springer Publishing Company