When Grief is Complicated

Losing someone we love is always a heartbreaking and emotionally difficult experience. Grief is the word we use to describe the set of emotions we have and the emotional process we experience related to that important loss. Grief can feel gentle and straightforward or it can feel extremely difficult and consuming, or any variety of this. Grief is often a very natural process of healing from a loss. Sometimes, though, we can get stuck in the healing process and need support to move forward. It might be helpful to understand the different circumstances that might cause us to get stuck.

• UNEMBARKED GRIEF
  • Unembarked grief is an emotional journey that hasn’t been initiated yet. This person has yet to enter the wilderness of  processing through the emotions they have related to the loss of their loved one. There are a number of reasons one might avoid entering the grieving process, and this person may need a skilled grief companion to help them overcome the barriers that exist for them to enter their personal grief journey.
• IMPASSE GRIEF
  • Someone experiencing a grief impasse has come up against a significant barrier in processing their emotions related to their loss. Their grief journey has become obstructed; stuck at a certain point. This may present as a prolonged experience of anger, anxiety, sadness, guilt or panic, and this person may need skilled help to feel safe enough to experience their grief emotions and move forward through them.
• CARRIED GRIEF
  • A person with carried grief has an accumulation of grief from prior losses that have not been mourned completely. This experience may look like difficulty with trust/intimacy, depression, negative outlook, anxiety, panic, emotional numbing, addictions, irritability, physical problems, etc. Additionally, when this person experiences another loss, they are flooded with emotions from all of their losses.
• OFF-TRAIL GRIEF
  • Off—trail grief happens when avoidance patterns replace the work of grief or mourning. These avoidance patterns may look like overworking, overeating, overthinking, addictive behaviors, shopping, travelling, displacing, somaticizing. These may offer temporary relief, but the reality is that they create more personal suffering because the grief does not go away and they have maladaptive patterns that also need to be addressed.
• ENCAMPED GRIEF
  • When someone has encamped grief, they have stopped moving on the journey of grief, they set up permanent residence in their grief. They avoid moving through their emotions related to their loss and become entrenched in their grief experience. This person is choosing their grief experience over nurturing relationships with living family/friends. This may look like unending, unchanging distress, depression and it has a function in their life that will need to be addressed for them to move forward and heal.

Each person’s grief story is completely unique to that person and to the relationship that is lost. Even though we have noticed specific patterns related to complicated grief, there are no consistent reasons why any one person may have these experiences. It is helpful to understand the factors that may be complicating their emotional process:

1. SOCIETAL CONTRIBUTORS
   • How is death incorporated in society?
   • Western societies tend to dodge grief altogether
2. CIRCUMSTANCES OF THE DEATH
   • Are there traumatic elements that make grieving that much harder?
   • Sudden, unexpected, tragic, before-time, out-of-order, means of death, physical distance from death, self-blame for death
3. THE GRIEVER’S UNIQUE PERSONALITY
   • How do they handle emotions, expressing difficult emotions, doing inner work?
4. MENTAL HEALTH
   • Any existing mental health challenges will magnify the grief experience
5. THE GREIVER’S RELATIONSHIP WITH THE PERSON WHO DIED
   • Strong attachments will cause painful grief journeys
   • Complex, complicated or abusive relationships complicate grief process
6. THE GRIEVER’S LOSS HISTORY
   • Each new grief experience is built on all former grief experiences
   • A person’s loss history is as important as their medical history to their doctor
7. THE GRIEVER’S ACCESS TO AND USE OF SUPPORT
   • Does the griever have close family and friends who are offering consistent and ongoing support?
   • Is the person willing to accept support?
8. OTHER CONCURRENT STRESSORS IN THE GRIEVER’S LIFE
   • Grief is made more complicated if it was already a difficult time in life
   • Other stressors might include health, education, aging, relationships, children, parents, finances, etc.
9. THE GRIEVER’S RELIGIOUS/SPIRITUAL/PHILOSOPICAL BACKGROUND
   • Faith systems may help or hinder grief process
   • May provide comfort if grief is embraced; may cause complications if it is not
10. THE GRIEVER’S FAMILY SYSTEM
    • Families have unwritten rules about values, behaviors, social norms, emotionality
    • Some families have the belief that death, grief, emotions are inappropriate to discuss
11. THE GRIEVER’S PARTICIPATION IN MEANINGFUL CEREMONIES
    • Generally speaking, ceremonies help move grief forward. Complicated ceremonies may complicate the grief process.
    • Honoring the loss and remembering the person are crucial to grief journey!
12. THE GRIEVER’S GRIEF COUNSELING EXPERIENCE TO DATE
    • Previous grief counseling may have been positive/negative
    • Beliefs or difficulties experienced before will impact their grief journey now

Now that we may have helped you identify why your grief has become complicated, we want to offer you hope. All of these experiences can be improved! Our skilled therapists know how to meet each person in their grief journey, offering support to get unstuck or to overcome significant barriers. If you are stuck and want to move forward, please reach out to our team! We would love to provide skilled and sensitive grief therapy to make the journey more approachable for you!

• References: Wolfelt, A.D. (2016) Counseling Skills for Companioning the Mourner. Ft. Collins, CO: Companion Press.