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A primer on Ďtraumatic grief,í and its complicated treatment

July 27, 2015


A traumatic event often causes deep-rooted, profound feelings. Depending on the nature of the event, those feelings may be fear, confusion, grief or a combination of emotions.

"Feelings of traumatic grief are complex and encompass many challenges and reactions ó both emotional and physical. In order to effectively support someone who is grieving, you must first understand griefís nuances," says Jessie Wolf, licensed independent clinical social worker at Mayo Clinic Health System.

Wolf addresses a few common questions about traumatic grief and how to handle it.

What is traumatic grief?

Traumatic grief is a period of experiencing sorrow, numbness, guilt and anger and can be the result of a loved oneís death. This can be through illness, accident or violent act, such as domestic abuse or murder. Experiencing numerous deaths of close family or friends or the death of a child ó no matter the age or cause ó leads many people into a state of traumatic grief.

How is traumatic grief felt?

Traumatic grief can be felt in the body, such as an increase in sensitivity to sight, sound and touch, as well as a decrease in appetite and sleep changes ó inability to sleep and nightmares. Emotionally, those grieving may experience an increase in aggression or irritation in addition to deep feelings of sadness, guilt or self-blame. Their memory may not be working well, so they forget things, are late for appointments or donít remember details for weeks or months after their loved oneís death. People frequently describe their grieving period as a blur or being in a fog. Often, people experiencing traumatic grief feel time moving very slowly or stopping altogether.

What should I say?

An individual experiencing traumatic grief may become isolated because talking to people is too difficult. Many people offer condolences by saying, "They are in a better place" or "Everything happens for a reason" or "Donít feel guilty" or "Itís not your fault." The sentiments are intended to help the bereaved person feel better. However, these statements minimize the personís feelings and donít allow for further conversation. Alternatively, ask questions and create an environment that fosters dialogue.

How can I support a grieving person?

Goals for support:

ó Ensure basic needs are met, but donít try to force the person to eat, sleep or drink. Let them know those options are available when theyíre ready.

ó Offer a supportive presence, and donít try to fix the situation. Acknowledge their feelings, and avoid telling them not to feel what theyíre feeling. Prescribing their emotions can result in their no longer being comfortable with sharing. Itís OK to feel the feelings.

ó For children, answer questions that are appropriate for the age level. If uncertain, consult with their parent ó if the child isnít yours ó for direction before answering. As with adults, allow the child to share their feelings, acknowledge how feel and simply listen. Donít try to fix everything.

ó Avoid accelerating the grieving period. Grief knows no timeline and canít be rushed. The loss of a loved one will always be part of them, but as time moves forward, grief may feel differently. For some individuals, grief may not feel differently for many years.

ó Allow the person to memorialize or remember their loved one in a manner in which they are comfortable. Funeral rituals, spiritual practices, having a picture in the home, talking about their loved one, writing a letter to their loved, lighting a candle in memoriam or scrapbooking are some common practices.

ó Seek out a mental health professional if you or someone else needs or wants a professional to process the situation or if there are concerns for safety.

 

 


McClatchy-Tribune Information Services