Tag: Grief

  • How to support a loved one diagnosed with a serious health condition

    How to support a loved one diagnosed with a serious health condition

    Sachin H. Jain writes for Forbes about the importance of understanding how difficult a grave diagnosis can be for a patient. Many people do not want to accept the fact that they have a serious condition, let alone a life-threatening illness. If your loved ones are diagnosed with a serious condition, try to appreciate why they might be in denial and help them manage their emotions.

    Jain explains that being told that you have a serious health condition is a lot like hearing that someone you love has died. People feel grief and often struggle to accept reality. Denial can be a way for people to protect themselves. It is a coping mechanism which permits people to move forward with their lives. Otherwise, it’s easy to feel burdened and at a standstill.

    For sure, accepting a diagnosis of a serious health condition also can be helpful. Acceptance can lead people to change their behaviors or seek medical treatment. Often acceptance follows denial.

    For family members and caregivers who want only the best for their loved ones, it can be hard to see them in denial about a serious illness. You want your loved ones to modify their behaviors in order to extend their lives. But, that may not happen immediately. It’s therefore best for you to be patient and not judge your loved ones for failing to act as you would want them to.

    As a general rule, you and other caregivers should accompany the people you love when they visit the doctor. It can help them manage their sadness and fear. If the sadness and fear is recognized and discussed, rather than suppressed, behavioral modifications and other treatments are generally easier to follow.

    Do not focus on a loved one’s denial of a condition or non-compliance with treatment recommendations. Recognize how hard it is to face a serious health condition and how such a diagnosis can be scary and cause sadness.

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  • A psychiatrist’s reflections on grief

    A psychiatrist’s reflections on grief

    In the spring of 2014, I lost my “memere” (the French Canadian term for grandmother). While I had lost grandparents before and have since, my memere’s passing was particularly painful for me. From my earliest memories, she was a constant source of love, support, and joy. She was like a second mother, from taking care of me when I was home from school for a couple weeks with the Chicken Pox, to helping me navigate the choppy social waters of adolescence, to the countless times her quick wit made me laugh. As painful as her death was, it also somehow felt “normal.” She lived to her late seventies, and while I would have wanted her to live longer, I had the sense that she lived a long, rich life. Because she had found out she was dying of pancreatic cancer while still feeling relatively well, I had the opportunity to say goodbye. And I spent the days following her passing with family, celebrating her life and cherishing her memory.

    Five months later, my father died suddenly of a heart attack at sixty-one years old. Only catastrophic metaphors seem to work here: it was like being hit by a Mack truck of grief. For all we knew before he died, he was perfectly healthy, with a stellar visit with his primary care physician only weeks prior and very few risk factors for heart disease (e.g., he wasn’t a smoker, obese, or diabetic). His relatively young age and seemingly good health made his sudden death stunning and tragic. I immediately thought about everything he would never get the chance to experience (retirement with my mother, his grandson’s birth, a new home on the coast of Maine). To make matters even worse, he died on his thirty-fifth wedding anniversary. My mother found an un-signed card. (I could go on, but I won’t . . . )

    I still wince remembering the details of that day (a psychiatrist would call this a traumatic memory), and the following days and weeks were a blur of blinding shock and grief, during which I sometimes felt like I was underwater emotionally, desperate to catch a breath but unable to surface. It was nothing less than a physical experience, and a deeply alienating one that no one could understand or ease. I hurt for my father, thinking about all the life he was so abruptly deprived. I hurt for myself, in a desperate state of disbelief about the reality that I would never see him again. Most of all, I hurt for my dear mother, who had lost her mother and her life companion in the span of five months. Seeing her in her own place of anguish and wrenching grief, where I could neither reach nor comfort her, was the worst part.

    How does one get through this? While grief is a universal human experience, every individual’s suffering is unique and in certain ways incomparable. However, I feel that my own experience five years ago, combined with my training as a psychiatrist, might benefit others. Take it one day at a time; recovering from grief is not a race. Realize that life will never go back to “the way it was before” your loss, so your goal should be to – slowly and carefully – find a “new normal.” You will never stop missing your loved one or hurting over their loss, but trust (even when you can’t imagine it) that your day-to-day experience will get easier. I still think of my father every day, but memories of him are no longer always accompanied by pangs of sadness that take my breath away. And while I don’t believe that trauma makes anyone stronger, healing is possible, and you may even find that you grow in ways that you never would have otherwise.

    Take care of yourself, by doing all the things that you don’t want to do. Eat even though you have no appetite. Go to bed early or sleep in. Exercise even if you have no energy. Avoid turning to alcohol or drugs to temporarily numb the pain (they will likely make you feel worse). Do things that you enjoy and find meaningful, even if nothing brings you pleasure and everything seems meaningless. Even though you can’t concentrate, read books about other people’s grief, or books that have nothing to do with loss whatsoever. Interact with friends and family even though you feel like isolating. Let people know how they can help you (otherwise, you will drown in floral arrangements and baked ziti). For instance, you may need help with funeral arrangements, more time off or a lighter load at work for a while, or a few shoulders to cry on. Ask for what you need.

    Finally, reach out for more formal help if you’re struggling to feel better and move forward after a month or two. Grief counseling could help, either in a group or one-on-one. And if your grief prevents you from functioning for what feels like a long time or is accompanied by serious symptoms like thoughts of suicide or crippling anxiety, be sure to let your health care provider know. These are signs that you might need mental health treatment to cope with your loss, and the sooner you start it, the better.

    Grief is part of the human experience. Everyone who experiences the joy of loving will experience the pain of losing. But even when you’re suffering so much that you can’t imagine going on, it is important to remember that healing is possible, and that you can and will move forward without your loved one, but with their memory and legacy. After all, wouldn’t they want it that way, and isn’t this one of the reasons you loved them so much?

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  • Good Grief: A Guide to Navigating Loss

    Good Grief: A Guide to Navigating Loss

    Each year 2.5 million people die in the U.S. Loss is an inevitable part of life. And, people increasingly must cope with the death of loved ones over the course of older adulthood. While the instinct may be to brace yourself against the emotional wave of grief, studies show that exploring all the accompanying feelings is a critical part of understanding, navigating and accepting a loss.

    The coping process affects the mental, physical and emotional well-being of all those affected by loss, so it’s important to address the changes in your body, mind and soul, whether it’s with a family member, caregiver, doctor or nurse practitioner. Here are a few places to start:

    1. Practice mindfulness. Avoiding the pain of loss lets it build internally over the course of time, so it’s better to address your feelings as they come. Acknowledging your feelings is the first step to mindfulness, which is the practice of non-judgmental awareness of your conscious thoughts and feelings. And keep in mind that it takes time to mourn a loss.
    1. Talk to caring friends, join a support group or get professional help. Many adults see a grief counselor at the onset of a loss, but talking to a mental health care provider or caregiver repeatedly can help establish emotional and behavioral patterns that might affect the grief process. Consistent visits to a counselor can help you get more comfortable with opening up about your thoughts over time.
    1. Pay attention to your diet. Grief can manifest in appetite changes, which lead to under- and over-eating. Keeping track of new eating habits, cravings and weight fluctuations can highlight a need to readdress your nutrition. Sharing a meal with a family member can be a simple and fulfilling way to stay accountable for your eating habits.
    1. Get closure. You can pay homage to loved ones by visiting their grave, writing a letter, creating an artistic tribute, or talking about them to your friends or family. There’s no limit to the opportunities for closure, and many adults pursue more than one method.

    These are only a few of the dozens of ways adults can pursue healthy habits when navigating the loss of a loved one. If you or someone you know needs help, visit https://www.mentalhealth.gov/get-help/ or talk to a health care provider today.

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