Symptoms, Not Stages, of Grief
Grief is a normal and natural response when we suffer a loss. While everyone will experience a loss at some point, the symptoms of grief are often misunderstood – both by the people going through it and the people around them. By raising grief awareness, individuals in mourning can better understand their own reactions and their loved ones can better support them.
Stages of Grief
In 1969, Elisabeth Kübler-Ross’s On Death and Dying was published, introducing the world to her five stages of grief: denial, anger, bargaining, depression and acceptance. While these emotions and experiences are common in those grieving a loss, the term “stages” is misleading. There is no straight path or progression of emotions that mourners follow. There is no timeline. Grief is unpredictable, with good days and bad days. We never “get over” the loss of a loved one. Each individual and each loss will have its own unique process for healing.
Symptoms of Grief
When we stop thinking of grief as a timeline, we can look at the actual physical, mental, emotional and spiritual reactions individuals may experience. Simply knowing these feelings are normal can help some people in mourning. Understanding the symptoms of grief is also helpful for those around them.
What a mourner is experiencing today may fade and be replaced with other reactions. It is not a linear process. Mourners may circle back to emotions. The bereaved may go through a period of time when they feel at peace and then return to sadness. All of this is normal.
Common Feelings for Mourners :
Agitation – inability to relax, shaken up
Anger – a strong emotion of displeasure with others or with an event
Anxiety – feeling nervous and worried
Apathy – things do not seem important anymore, not caring what happens
Betrayal – feeling someone purposely chose to hurt you
Despair – to lose hope
Disbelief – trouble accepting the loss really happened
Emptiness – feeling hopeless and sad, with nothing to give others
Fear – the individual does not feel safe or worries for the safety of loved ones
Guilt – self-blame, feeling regretful about doing or not doing something
Helplessness – feeling like there is nothing one can do to make a difference in a situation
Impatience – want things right away and have trouble waiting
Isolation – removed or away from others
Loneliness – feeling alone
Numbness– can’t feel any emotion
Powerlessness – having no control over what is happening
Relief – to feel free from stress, pain or burden
Sadness – feeling unhappy and sorrowful
Shame – feeling dishonored or disgraced
Shock – feeling surprised and disturbed by a sudden powerful event
Strength – tough, powerful
Thankfulness – appreciative
Uncertainty – feeling unsure
Uselessness – feeling worthless
Weakness – frail, powerless
Common Mental Reactions to Grief
Difficulties in concentrating
Continuously thinking about the loss
Difficulty making decisions
Low self-esteem
Believing you were responsible for the loss
Increased or decreased dreams
Increased nightmares
Thinking everyone is watching you
Thinking you are different from everyone else
Self-destructive thoughts
Common Physical Reactions to Grief
Sleeping changes – too little or too much
Weight and appetite changes
Tiredness
Deep sighing
Feeling weak
Energized: feeling strong/invincible
Muscle tension
Pounding heart
Headaches and stomach aches
Easily shaken by certain sights and sounds (particularly those that remind you of the loss)
Increased number of colds and infections
Common Spiritual Reactions to Grief
Feeling lost and empty
Feeling abandoned or punished by God
Questioning a reason to go on living
Feeling like you don’t belong
Feeling angry with God
Questioning your religious beliefs
Feeling spiritually connected to the person who died
Feeling spiritually connected to God
Needing to receive forgiveness
Finding hope in prayer/spiritual beliefs
Finding purpose in life
Common Behaviors and Social Interactions When Grieving
Trying to stay constantly active
Overachieving
Underachieving
Changes in work performance
Being preoccupied and forgetful
Being more clumsy
Crying a lot, or more easily
Blaming others
Not caring about things, wanting to drop out
Wanting to spend more time alone
Dropping out of social activities
Pulling away from other’s attempts to touch and comfort you
Wanting more attention and affection
Seeking approval and reassurance from others
Being aggressive, getting more arguments
Showing more creative expression through music, writing, and art
Finding Grief Support
Many people feel alone when they’ve experienced a loss, even when surrounded by caring friends and family. A grief support counselor or therapist can help those who have suffered a loss understand the grief symptoms they are experiencing and provide tools to help them cope with their feelings. Many communities also have grief support groups that connect mourners to individuals going through a similar experience.