Stages of Grief

The loss of someone you love is very painful deep heartache and deep sorrow of not having the physical presence of our loved one can be overbearing. The emotions and the physical sensations a person goes through when experiencing the loss of someone close is called grief.

There are many ways to start discussing the grieving process, but perhaps one of the most known models of understanding loss and its effects is the Kubler-Ross Model.

Denial, anger, bargaining, depression, acceptance are the main five stages mentioned and often referred to when touching the subject of bereavement.

In order to get prepared for writing this post, I started searching for more information about the above mentioned model and of course my mind wondered off. I started asking myself, Who is Kubler-Ross? How and Why did she come up with the concept of breaking down the human reaction of facing death?

Well, Dr. Elisabeth Kubler-Ross was one of triplets, born in Zurich (Switzerland) on July 8th, 1926. She studied medicine and worked for the International Voluntary Service for Peace after WWII. It was then that she discovered her passion, serving and helping the people whose lives had been destroyed by the unforgiving monster of war. One day in Maidanek (a concentration camp),she found carved in the wall where prisoners spent their last moments, the picture of a butterfly. Since then, "it became her symbol of transformation that she believed occurred at the time of death"

She later came to America and worked in many hospitals, bringing compassion and fighting against the "standardised" treatment of of patients facing death. She wrote many books but it was her bestselling first book, "On Death and Dying", 1969, that made her an internationally-renowned author. The five psychological stages of dying (denial, anger, bargaining, depression and acceptance) which were outlined in her book "became accepted as common knowledge throughout the world". She died at 78 on August 24th, 2004, in Scottsdale, Arizona of natural causes.

Her life was dedicated to the treatment of others, especially of those facing death and their loved ones with compassion, empathy and respect. I believe that understanding the bereavement process, is important in order to cope and know how to deal with grief. We should also raise awareness that the process for some people start much earlier, when physical death has not occurred yet. In the case of a prolonged illness this is a very stressful moment for both the family and the person making the transition. Following a  suicide the survivors face shock , anger, resentment and many other strong emotions. If left unresolved, they may cause depression and other mental health issues.

In my up-coming post, I will be addressing the ways that understanding, caring and compassion can help in dealing with the effects of grief.

Credits:
With written permission
http://www.ekrfoundation.org/

http://www.elisabethkublerross.com/






Over the last couple days we have been taking a look at the five stages of grief. Today we will look at the final stage in the grief process, acceptance.

ACCEPTANCE

Acceptance is really the first true stage on the upward swing to returning to normal functioning. The thing to note, however, is that we can be growing in acceptance, even while still in the depression or bargaining stages. This means that while the first signs of acceptance do typically show that the grieving person is on the upswing, it does not necessarily mean that the person has moved out of depression or bargaining. Caring Connections

Acceptance does not mean you have forgotten what has happened, just that you have turned the corner in the process of grieving. Often times, a person who has gone through an intensive grieving process will emerge with a new understanding for life, new priorities, and a different outlook. During the final phase, the person learns how to deal with grief, and how to live without guilt or sorrow. Ultimately, the person gives themselves permission to live life again, and to feel true emotions again.

Here is a great blog that talks in depth about the final phase in the grief process.

As I have said many times in the last few blogs, don't take these stages as set in stone. Emotional grief can manifest very differently in each person it affects. It is important to learn how to deal with grief, and how the grieving process affects you.

Remember, healthy living is mind, body, and soul!

Many of us in our life come upon a time when we are confronted with dealing with grief. The grief process can be overwhelming, and emotional grief can have a strong physical effect as well.

Over the next few blogs we will look at the five stages of grief. Today we will look at Denial.

WHAT IS DENIAL?
  • A way to avoid conflict, disagreements, or disapproval from others.
  • A defensive response; protection from pain, hurt, or suffering.
  • Being unwilling to face problems on either a conscious or subconscious level.
  • A way of retaining our sanity when experiencing unbearable pain.
HOW DOES DENIAL LOOK IN OTHERS?
  • Appear to be irrational to those who know the problems and losses  they have suffered.
  • Appear to be calm and relaxed to those who do not know the problems and losses they have suffered.
  • Appear to be avoiding or rejecting those who are intent on confronting them with their problems.
WHAT ARE THE NEGATIVE CONSEQUENCES OF UNRESOLVED DENIAL?
  • Greater conflict between the deniers and the non-deniers.
  • The denier totally avoiding or withdrawing from everyone who knows of the loss or problem.
  • The denier becoming a social recluse.
HOW CAN WE DEAL WITH DENIAL OURSELVES?

  • Asking ourselves honestly why we are in denial.
  • Allowing ourselves to admit to being out of control.
  • Trusting others to help us with our problem.
  • Admitting our vulnerability and our need for assistance.
HOW CAN WE COPE WITH DENIAL IN OTHERS?
  • Have a great deal of patience in order to allow them the time it takes to finally confront their loss or problems.
  • Be accepting of the denial as a psychological defense that is a vehicle for them to retain their sanity.
  • Be ready with a rational perspective to help them refute their current irrational beliefs.
Please note that these are just a few of the points on each topic that show denial. For the complete list, and some great tools for coping with life's stressors, visit coping.org.

This is the second of three blogs looking at the symptoms that define PTSD. Today we will be looking at Avoidant Numbing Symptoms.

AVOIDANT NUMBING SYMPTOMS

So we talked about the first cluster being that the person experiences the symptoms, now we see that the second cluster is the person trying to avoid the symptoms, either psychologically or physically. Here are the defined symptoms for Avoidant Numbing:
  •  Efforts to avoid thoughts, feelings, or conversations associated with the trauma
  •  Efforts to avoid activities, places, or people that arouse recollections of the trauma
  •  Inability to recall an important aspect of the trauma
  •  Markedly diminished interest or participation in significant activities
  •  Feeling of detachment or estrangement from others
  •  Restricted range of affect (e.g., unable to have loving feelings)
  •  Sense of foreshortened future (e.g., does not expect to have a career, marriage, children, or a normal life span)
There are other psychological strategies: psychic numbing to shut down their emotional capacity so they can't feel upset; they can't feel terrified; they can't feel afraid. But when you do that, you also shut down your capacity to feel pleasure, to feel love, and that's why marriages and family life are such a casualty in PTSD.
It is important to remember that there are many stages of dealing with grief caused by a traumatic event, and the effects of grief can be widely varied. PTSD is only one of several stress related mental health issues, and it is always a good idea to seek counseling if you or someone you know is experiencing any such symptoms.

"The greatest wealth is health."  ~Virgil



Today's alternative remedy for your mental health is Ignatia.  Grown primarily
on the Philippine Islands, Ignatia has small oval fruit and grows on a vine.
It was named after a Jesuit priest, Saint Ignatius of Loyola. 

The seeds in this plant contain strychnine, a toxic alkaloid, that causes paralysis, muscle cramps and breathing problems. When extremely, diluted, however, it can support the nervous system. As a homeopathic medicine, Ignatia, in minute quantities can alleviate hypersensitivity, headaches, emotional and stomach distress and menstrual pain. Ignatia is prepared by taking the dried seeds from the plant and grinding them into a fine powder which is then added to alcohol or put into pill form.

Ignatia is an excellent remedy for those of us who are going through an emotional crisis, as it helps restore inner fortitude and self assurance. It is especially helpful if you are prone to depression and become sick after a romantic break-up, or are grief stricken from a loss, as it calms your frayed nerves. In addition to calming your nerves, Ignatia also helps to soothe your mind from disturbing thoughts and allows you to rest at night.
 
You are an Ignatia type if 4 of these statements fit you.
         
  • Do you sigh often and loudly? 
  • Do you cry suddenly, when alone?
  • Are your feelings worse when someone tries to calm you?
  • Have you had a deep loss and feel helpless due to your grief?
  • Do you have migraine headaches and stress driven intestinal ills?
  • Do you brood and keep your feelings to yourself?

If these symptoms are overwhelming and chronic, it is advisable for you to consult with your mental health practitioner, homeopathic physician, or health provider, as I have mentioned in my other blogs. In order to determine whether or not Ignatia can provide relief for you, your doctor will ask you questions such as the following.

Is it Better?
  • When resting on the affected side.
  • On a full stomach.
  • After switching positions.
  • When warm.

Is it Worse?
  • When pressure is applied on the unaffected side.
  • As you are being consoled.
  • Where there are strong tobacco odors.
  • With pent up emotions such as grief, fear or anger.

Stay tuned for the continuation of my series about homeopathic remedies for your mental health, I will be talking about Pulsatilla to help with Depression.



Reference

The Complete Guide to Natural Healing, International Masters Publishers,
     Pittsburgh, PA.
http://findarticles.com/p/articles/mi_m0NAH/is_3_29/ai_54189565
http://www.internethealthlibrary.com/hom-library/ignatia.htm

Continuing on with our Mental Health Alternative herbs, I now come to Valerian (Sitka Valerian - Valeriana sitchensis), which is quite beautiful in flower form as you can see.

Valerian is the most widely used sedative in Europe, with more than 100 different preparations sold in stores and pharmacies alike. It can reduce and relieve in most cases, symptoms associated with nervousness and physical grief, such as headaches, cramping, palpitations of the heart, and low concentration levels.

Valerian and Valerian Root have been a mainstay of traditional Chinese medicine, as well as Indian Ayurvedic medicine, for thousands of years. Great staying power, huh?

Valerian is currently one of the top 10 herbs used around the world. In fact, along the same lines as it's use in Chinese medicine for so long, Doctors prescribed it exclusively before Valium came along for grief treatment as well as coping with emotional grief. 

There is a huge amount of scientific documentation to its effectiveness and overall safety. For daytime anxiety, take 50-100 mg two to three times a day.

CAUTIONS:
  • May cause hangover symptoms the next day.
  • Valerian has been reported to cause stimulant effects in about 5% of hte population.
  • Headaches, nervousness, palpitations and upset tummy are rare side effects.
  • NEVER combine any sedative with alcoholic beverages folks - it's just not wise to tempt fate!

As well as being the cold & flu season, unfortunately this is also the season for depression and grief for many, so I will continue on with alternative medicine herbs for mental health issues.

In today's society natural remedies are taking a front seat to the usual medicines that most mental health care professionals chose for us. As an addition to my favorite stress reducing technique of choice: "relaxation breathing" - which Wanda P. does a fine job in describing in her blog entry "Wave Breathing" here in Cha Cha Health - there are certain herbs that come to mind for dealing with grief, emotional issues and depression; Kava Kava (Piper methysticum) is one of those.

Called the "natural tranquilizer", kava is a member of the pepper family, believe it or not. The plant usually grows to about 6 feet tall but in rich, dark soil can actually get to about 20 feet in height.

The compounds that give Kava its effects are kavalactones. Preparations of the herb are usually about 70% kavalactones. Be sure to check your labels carefully - regardless of whether you are taking it in pill, tea, tonic or other format.

Kava Kava has traditionally been used in Polynesian tribal rituals. Grown in the South Pacific for more than 3,000 years, the local use of the herb as a relaxing traditional beverage has been likened to the tradition of drinking a glass of wine at the end of the day. But be careful folks, it does have some intense intoxicating effects - so don't Kava and drive!

Kava has been shown to be very effective for anxiety and depression. Generally, Anxiety is often accompanied by such physical symptoms as shortness of breath, hyperventilation, heart palpitations, muscle tension, sweating, dry mouth, nausea and dizziness.

For General Anxiety, take 100mg of Kava extract - three times a day (please make sure it is standard 70% kavalactone!).

Taking 400-600mg as a sleeping sedative about one hour before bedtime is good for those nights your mind just doesn't want to shut up.

PLEASE remember that taking any alternative herbal remedy should always be checked with your physician first. You may have other issues that could harm you in the long run.

CAUTIONS:
DO NOT
take Kava Kava with alcoholic beverages or taking sleeping pills, anti-depressants or other sedatives.
DO NOT use for more than three months without medical advice and/or supervision.
DO NOT drive or use heavy machinery while taking Kava Kava!
DO NOT use if pregnant or breastfeeding little ones!
Avoid Kava if you have Parkinson's disease.
Avoid mega doses!!!

*may cause mild gastrointestinal disturbances (that's GAS to you and I); and with heavy use it may also cause your skin to turn a slight shade of yellow - don't worry folks, it goes away after you stop using it.


Grief: Coping with the Holidays

The Holiday Season brings family and friends together. It is a time for sharing with loved ones in the traditions we hold dear. There are celebrations, gifts and old memories to be remembered and new ones to be made involving everything and everyone we hold close to our hearts. But, what if we are going through the loss of a family member or friend? How can we cope during this season not having the physical presence of a loved one? How can I grieve and still be part of gatherings and celebrations?

First of all, you have to be yourself and not put up a front. Own your emotions and know there is not a right or wrong way to feel. If you feel sad share it with a friend or close family member. Chances are people around you will not only comfort you, but find comfort as well in having a good talk. Know you are not alone.

Be flexible! We hold traditions and schedules so tightly we may add to the mounting stress of the holidays, and this is true even if we haven't experienced a loss. Try to get enough rest and don't be afraid to pick and choose the traditions you want to follow this year.

What about shopping? You may want to replace an exhausting Christmas shopping marathon. Gift Cards are now available in almost every store, make use of them. It is healthy to remain part of traditions, but keep it simple!

If you find yourself with not enough energy, let other people help. During hard times people come closer together. If someone offers to help clean your house or go grocery shopping take them on their offer. Also if they don't offer let them know how they can help, often they don't know how to behave around a bereaved person, and wont want to intrude. It is funny how we let people help when we are recovering from surgery or any medical ailment, but we close up when we are recovering from a loss. The pain is equally if not more real. You need help, accept it, seek it.

Maybe is a good time to learn some meditation and breathing techniques, they are known to prevent depression and anxiety. Remember there is emotional grief and physical grief . Pay attention to your aches and pains.

Don't be afraid of having a good time. It is OK to laugh. If it makes you more comfortable put a basket and fill it with pictures or little notes with good things to be remembered about your loved one. Maybe get a "Guest Book" for people to right fun memories and thoughts during that special holiday dinner. This is a good way to honor and include them. Light a small candle and start a new tradition that will keep their memory alive.

 Most importantly, educate yourself. Read about loss and understand the process and stages of grieving. Take care of your own health and well-being. Understand and be patient with yourself. Look for a support group, speaking and listening to others helps in coping with loneliness. Re-adjustment after the passing of a loved one is a long process. Find this holiday season an opportunity to grow stronger from within.