The reactions to a loss can be collectively described as grief. To grieve or mourn, is to experience a process which unfolds over a length of time.
Upon learning of the death of a loved one, each of us embarks on a journey of healing. Although at first it is characterized by painful feelings, once the realization of the death comes, the therapeutic process of bereavement begins. Shock and denial will overwhelm the bereaved individual before he or she begins what is usually called the “grief work”.
Grief is highly complex, but an absolutely normal reaction to a death. It affects each person differently. As their relationship was unique with the person who passed away, so too will be the way in which they grieve. Because grief is something that is so personal, it cannot be avoided by ignoring it or by frenetic activity. The grieving process must occur as there is no way around it; grieving is nature’s way of healing.
Symptoms of Grief
It is difficult to sleep during bereavement. A grieving person may have distressing thoughts about their loved one, such as regrets, worries, anxieties, or sadness about their time together or how they passed. If they shared their bed with the deceased loved one, it can be especially heartbreaking to sleep without them.
How does grief affect our sleep, and what can you do to sleep better during bereavement?
(Adapted from Bold Steps: Achieving our Best in Bereavement Care by Jessica Easton and Toby Snelgrove)
Grief: The process of experiencing the psychological, behavioural, social, and physical reactions to the perception of loss.
Grief is experienced in four major ways:
- Psychologically (through affects, cognitions, perceptions, attitudes, and philosophy/ spirituality)
- Behaviourally (through personal action, conduct, or demeanour)
- Socially (through reactions to and interactions with others)
- Physically (through bodily symptoms and physical health)
Grief is a continuing development.
Grief is a natural, expectable reaction.
Grief is a reaction to all types of loss, not just death.
Grief is dependent upon the individual’s unique perception of loss.
Grief response expresses one or more of a combination of four things:
- Feelings about the loss and the deprivation it causes (e.g. sorrow, depressions, guilt)
- Protest at the loss and wish to undo it and not have it be true (e.g. anger, searching, preoccupation with the deceased)
- Effects caused by the assault on the mourner as a result of loss (e.g. disorganization, confusion, fear and anxiety, physical symptoms)
- Personal actions stimulated by the above (e.g. crying, social withdrawal, increased use of medication and/or psychoactive substances)
Mourning: The cultural and/or public display of grief through ones behaviours.
Mourning refers to the conscious and unconscious processes and courses of action that promote three operations, each with its own particular focus:
- The undoing of the psychosocial ties binding the mourner to the loved one.
- Adapt to the loss
- Learn how to live in a healthy way without the deceased
Mourning involves processes related to the deceased, the self, and the external world.
The purpose of active grief and mourning is to assist the mourner in recognizing that the loved one is truly gone and making the necessary internal (psychological) and external (behavioural and social) changes to accommodate this reality. Grief helps the individual recognize the loss and prepare for the processes of mourning.
(Dr. Alan Wolfelt, PH.D., C.T., centerforloss.com)
Grief is what you think and feel on the inside after someone you love dies, whereas mourning is the outward expression of those feelings. To mourn is to be an active participant in our grief journey. We all grieve when someone we love dies, but to heal we must also mourn.
The “reconciliation needs of mourning” are six “yield signs” developed by Dr. Alan Wolfelt that people are likely to encounter on their journey through grief. All mourners must yield to these basic set of needs, even though each person’s grief journey will be very personal and unique.
Need 1. Acknowledging the reality of the death
The first need involves gently confronting the reality that someone you care about will never physically be back. This acknowledgment can take place over weeks or months, and it is important to be patient.
Need 2. Embracing the pain of loss
It is easier to avoid, repress, or deny the pain of grief than to confront it, yet in confronting our pain we learn to reconcile ourselves to it. Doing well with your grief means becoming well acquainted with your pain, however you should take your time and not overload yourself with hurt all at once.
Need 3. Remembering the person who died
“Death ends a life, but it does not end a relationship” – Robert Anderson. You must allow and encourage yourself to pursue this relationship, because remembering the past makes hoping for the future possible.
Need 4. Developing a new self- identity
Part of self-identity is built from relationships with others, and when someone you have a relationship with dies, your self-identity naturally changes. The way you define yourself and the way society defines you changes (i.e. “wife” or “husband” to “widow” or “widower”). Every time you do something that used to be done by the person who died, you are confronting your changed identity.
Need 5. Searching for Meaning
It is natural to question the meaning and purpose of life after someone you love dies. This is normal and part of your journey toward renewed living.
Need 6. Receiving ongoing support from others
The quality and quantity of understanding support received will have a major influence on your capacity to heal. You should not try to do this alone, drawing on the experiences and encouragement of others is not a weakness but a healthy human need. Because mourning takes place over time, this support must be available months and even years after the death of someone in your life.
(Jane Galbraith, BScN, R.N., theadventurouswriter.com)
Who hasn’t heard or said themselves “I just don’t know what to say” or “I feel so helpless – there’s nothing I can do!! Well, there are things that you can do or say to help those in pain due to the death of a loved one. We can help; and not just in little ways, and it makes a tremendous difference to those we see in pain.
Talk about the person who has died. We may not want to mention the loved one who died to grieving friends because we don’t want to upset them. But, people love to speak the name of the person they lost! To not talk about them as if they have never existed is very distressing to your friend who is grieving. Speaking about lost loved ones may produce tears, but it’s often more comforting than feeling that the name can never be mentioned. So, when your friend loses a loved one, don’t be afraid to talk about him or her.
Ask your friends how they feel – and don’t let them get away with “I’m fine.” We are so polite in our society that we don’t want to burden others with our problems. Ask your friend how they feel many months after the death. In the beginning, people are in shock and the pain sometimes takes months to hit. By then the world feels you should be “getting over it”! To support mourning friends, don’t just ask when you see them at work or at a social function. Pick up the phone and call.
Acknowledge that it’s a difficult time when your friend loses a loved one. It takes an enormous amount of energy to “be strong” or look “normal.” Many would win Oscars for their performances, looking and acting as they did before so their friends would not be uncomfortable. In actuality they are trying to discover what their new “normal” is, and that takes time. Just because people look good doesn’t mean they feel good, so don’t let the façade fool you. Your mourning friend may need someone to acknowledge that this is a difficult time. To learn the importance of expressing grief, read tips for grieving widows or widowers.
Avoid clichés about “getting on with life” and “getting over it” because they irritate your friends who have lost a loved one. They know these expressions do not represent the reality. They won’t get over it, but they will learn to live with it or adjust to their new world. Your mourning friend isn’t just dealing with the absence of the person they loved, but also how that person affected their lives, and the loss of future plans and dreams. Continue to love your friend as he/she changes and adapts to a new world.
Keep supporting your mourning friends by reaching out. Sometimes they don’t know what they need and don’t have the energy to figure it out, so it would be better if you figure out what your friend needs and just do it. If it is an invitation to go somewhere, don’t be offended if you are turned down. Keep asking. Every day is different and by continuing to ask you are staying in touch and connecting with someone who is in pain. Continuing to invite someone will let him or her know you are there for him or her and you care.
(Dr. Alan Wolfelt, PH.D., C.T., centerforloss.com)
Tenet One: Companioning is about being present to another person’s pain; it is not about taking away the pain.
Tenet Two: Companioning is about going to the wilderness of the soul with another human being; it is not about thinking you are responsible for finding the way out.
Tenet Three: Companioning is about honoring the spirit; it is not about focusing on the intellect.
Tenet Four: Companioning is about listening with the heart; it is not about analyzing with the head.
Tenet Five: Companioning is about bearing witness to the struggles of others; it is not about judging or directing these struggles.
Tenet Six: Companioning is about walking alongside; it is not about leading or being led.
Tenet Seven: Companioning is about discovering the gifts of sacred silence; it does not mean filling up every moment with words.
Tenet Eight: Companioning is about being still; it is not about frantic movement forward.
Tenet Nine: Companioning is about respecting disorder and confusion; it is not about imposing order and logic.
Tenet Ten: Companioning is about learning from others; it is not about teaching them.
Tenet Eleven: Companioning is about compassionate curiosity; it is not about expertise.
BC Bereavement Helpline Grief & Loss Support Brochures
This brochure includes BCBH history and contact information, plus a few helpful tips on grief.
50 copies of our the BCBH Grief & Loss Support brochures are complimentary for our Bronze, Silver, Gold and Platinum members. Non-members are welcome to order quantities of 50 brochures at $25 each, plus postage. Please refer to our Membership Order form for details.
Dr. Alan Wolfelt “Helping Series” Brochures
Loss-specific brochures authored by Dr. Alan Wolfelt, PhD, CT, noted author, educator and Clinical Thanatologist, are available through BCBH. Sample titles include: Helping Yourself When Someone You Love Has Died, Helping Yourself When Your Parent Has Died, Helping Yourself Heal When Someone You Care About Dies of a Drug Overdose, Helping Yourself When Your Spouse Has Died, and over 20 other titles to help with your particular loss.
To see the full list of available brochures and to order by clicking below
Dr. Alan Wolfelt “Healing Your Chronic Illness Grief: 100 Practicual ideas for Living Your Best Life” Book
Chronic illness is a type of loss. Depending on your condition and its course, you may be confronted with physical limitations, financial struggles, relationship challenges, and much more. Your hoped-for future may feel stolen from you.
In addition to good physical care, acknowledging and working through your normal, necessary grief along the way are essential to living well with chronic illness. Mourning is important self-care. The 100 tips, affirmations, and simple activities in this book will help you attune to and express your feelings each day. They will support you in living your best life physically, cognitively, emotionally, socially, and spiritually.
Pre-order now availble here.
"Ten Things to Know About Grief" Brochures
This brochure provides helpful and informative facts about what to expect and how to help yourself through the grief process. Please download and circulate to those in need at your discretion. (Brochures are in PDF format.)
Dealing with Grief: A Guide to Understanding Your Reactions Brochure
Created by the Victoria Hospice Bereavement Program, this three-panel brochure helps explain the social, physical, emotional, mental and spiritual reactions one may experience with grief and loss.
BC Centre on Substance Use (BCCSU) Gone Too Soon Grief Handbook
The BC Centre on Substance Use partnered with BCBH to create a grief handbook specific for those who have lost a loved one due to substance use entitled "Gone Too Soon."
Black Ribbon Pins (outward symbol of grieving)
These black, enamel pins with gold trim are delicately designed and meant to be worn if you are in grief or are wanting to recognize someone who is. Meant to raise awareness of the state of bereavement as being a time for slowing down and taking care of one’s self, these pins replace the “black arm band” of many years ago. When our heart is broken after the loss of someone we love, we have no outward sign of how much we hurt inside. The Black Ribbon Pin helps identify that we would appreciate a little more compassion and patience than usual while in our bereaved state. To order pins, please see our order form.
All books listed below are available on Amazon.ca, or you may check your local library.
Guides for the Bereaved and Their Loved Ones - General
Healing Your Grieving Heart After a Cancer Diagnosis, by Alan D. Wolfelt, Ph.D.
Understanding Your Grief: Ten Essential Touchstones for Finding Hope and Healing in Your Heart, by Alan D. Wolfelt, Ph.D.
Healing a Friend or Loved One's Grieving Heart After a Cancer Diagnosis, by Alan D. Wolfelt, Ph.D.
Grief One Day at a Time: 365 Meditations to Help You Heal After Loss, by Alan D. Wolfelt, Ph.D.
Finding the Words: How to Talk with Children and Teens About Death, Suicide, Funerals, Homicide, Cremation, and Other End-of-Life Matters, by Alan D. Wolfelt, Ph.D.
Getting Grief Right: Finding Your Story of Love in the Sorrow of Loss, by Patrick O'Malley PhD and Tim Madigan.
Life After Loss: A Practical Guide to Renewing Your Life after Experiencing Major Loss, by Bob Deits
Grief is a Journey: Finding Your Path Through Loss, by Kenneth Doka
No Enemy to Conquer: Forgiveness in an Unforgiving World, by Michael Henderson
Facilitating with Heart: Awakening Personal Transformation and Social Change, by Martha Lasley
Calling the Circle: The First and Future Culture, by Christina Baldwin
The Circle Way: A Leader in Every Chair (Business), by Christina Baldwin
Guides for the Bereaved and Their Loved Ones - Children
Death, Grief, and Loss: A Guide for Parents, Caregivers, Educators, Counsellors, and Other Helpers to Talk about Difficult Topics, by Dallas Shirley, M.Ed., RCC and illustrated by Amanada Shirley and Dallas Shirley
My Many, many, Many Feelings: A Guide for Parents, Caregivers, Educators, Counsellors, and Other Helpers to Talk about Difficult Topics, by Dallas Shirley, M.Ed., RCC and illustrated by Amanada Shirley and Dallas Shirley
Guides for the Bereaved and Their Loved Ones - Sibling
The Empty Room; Understanding Sibling Loss by Elizabeth DeVita-Raeburn
Online Grief Resources - General
AfterTalk.com - Online grief support. A place for comfort and sharing for those who have experienced loss or are supporting a loved one in hospice care.
BetterHelp.com - online counseling resource
Canadian Virtual Hospice - Information and support on palliative and end-of-life care, loss and grief
Twitter - @refugeingrief
Website - Refuge In Grief
MindShift™ CBT - MindShift™ CBT is an app that uses scientifically proven strategies based on Cognitive Behavioural Therapy (CBT) to help you learn to relax and be mindful, develop more effective ways of thinking, and use active steps to take charge of your anxiety.
Vivibot - a chat bot for young people dealing with life beyond cancer
Create, and maintain, innovative peer-based grief support programs for widowed men and women that serve a worlwide population.
by Therese A. Rando, Ph.D. An excerpt from How to Go On Living When Someone You Love Dies (New York: Bantam Books)
by Zampitella, Christina. Adult siblings have a relationship unique to all others. They share not only 50% of their biological composition but a familial story.
Jordon Ferber, a comedian in New York City runs a sibling grief group through The Compassionate Friends’ sibling affiliate The Sounds of the Siblings.
BC Victims of Homicide Resource Guide - 2018 - Includes resources related to homicide and traumatic loss throughout Canada.
A Grief Like No Other: Surviving the Violent Death of Someone You Love, by Kathleen O’Hara
Confronting the Horror: The Aftermath of Violence, by Wilma Derksen
Have You Seen Candace?, by Wilma Derksen
Healing Your Traumatized Heart: 100 Practical Ideas After Someone You Love Dies a Sudden, Violent Death, by Alan D. Wolfelt, Ph.D.
Helping a Homicide Survivor Heal (brochure) - available through the BC Bereavement Helpline. Please click here.
Homicide: The Hidden Victims: A Resource for Professionals, by Deborah Spungen
Violent Death: Resilience and Intervention Beyond the Crisis, by Edward Rynearson
When a Child Has Been Murdered: Ways You Can Help the Grieving Parents, by Bonnie Hunt Conrad
Wolves Among Sheep, by James Kostelniuk
The Guinnevereproject.com - The Guinnevere Project is a peer-based service for families navigating the BC Coroners Service and/or the Criminal Justice System, due to the sudden death or homicide of their loved ones
Online Assistance for Victims of Violent Crime
VictimsInfo.ca - an online resource for victims and witnesses of crime in BC
Healing Your Traumatized Heart: 100 Practical Ideas After Someone You Love Dies a Sudden, Violent Death, by Alan Wolfelt, Ph.D.
Helping a Suicide Survivor Heal, (brochure) - available through the BC Bereavement Helpline. Please click here.
Understanding Your Suicide Grief: Ten Essential Touchstones for Finding Hope and Healing Your Heart, by Alan Wolfelt, Ph.D.
The Wilderness of Suicide Grief: Finding Your Way, by Alan D. Wolfelt, Ph.D.
Night Falls Fast: Understanding Suicide, by Kay Redfield Jamison
[In Spanish Only] Superando El Duelo Despues De Un Suicidio - Las Experiencias de los que se Quedan, by Jessica Wolf Ortiz
Most of the links from the book titles above will lead you to Amazon.com, where you can learn more about the book, read reviews about it, and order it if you'd like.
Vancouver Island Crisis Line 1-888-494-3888
Grieving A Loss to Suicide: This webiste helps navigate different ways of grieving and highlights common symptoms of suicide bereavement.
Online Resources - Loss by Suicide
Download: The BC Centre on Substance Use (BCCSU) "Gone Too Soon" Grief Handbook To order a physical copy of the Gone Too Soon Grief Handbook, Click Here.
Brochure: Helping Yourself Heal When Someone You Care About Dies of a Drug Overdose by Dr. Alan Wolfelt - available through the BC Bereavement Helpline. Please click here to order.
The G.A.P. Network Grief and Addiction Support Resource List - A resource list with emphasis on social media communities, compiled by individuals who have lost loved ones to drug overdose.
From Grief to Action - A voice and support network for families and friends affected by substance use.
Moms Stop the Harm is an advocacy group consisting of a network of Canadian mothers and families whose loved ones have died due to substance use, or hope for recovery. You can join as a Network Ally or Network Member. Click here for their Facebook page.
Healing Hearts Group : Bereavement and Peer Support After a Substance Use or Drug Harms. The meetings provide an opportunity for mutual support and understanding.
Nar-Anon - The Nar-Anon Family Groups is primarily for those who know or have known a feeling of desperation concerning the addiction proglem of someone very newar to you. Click here for BC Nar-Anon Meetings.
Parents Forever - Supporting families affected by substance use. Parents Forever is a professionally supported, mutual support group for parents and family members of adult addicted children (18 years of age and up) located in Vancouver.
Support Groups for Loss due to Substance Use
Healing Hearts Support Groups - a peer-based support group for families and loved ones who have lost someone to a substance related passing.
Kelowna: email email@example.com
Victoria: email HealingHeartsVictoria@gmail.com
GRASP - Grief Recovery After a Substance Passing Support Groups
Langley, Surrey and Fraser Valley GRASP: firstname.lastname@example.org
Kelowna GRASP: email email@example.com or call 250-718-6735
Comox: Beyond the Stigma, Silence and Sorrow Contact Purcell at 250-650-7282, or Nicole Burgess at 250-339-5533.
Online Resources – Loss Due to Substance Use
BC Bereavement Helpline – email us for grief support resources at firstname.lastname@example.org
Vivibot - a chatbot for young people dealing with life beyond cancer
Book: When Your Pet Dies, A Guide to Mourning, Remembering and Healing, by Alan D. Wolfelt, PhD
Call the BC Bereavement Helpline for additional Pet Loss resources that may be in your community 604-738-9950, or 1-877-779-2223.
“Security with Care: Restorative Justice & Healthy Societies, by Dr. Elizabeth M. Elliott
Peacemaking Circles – From Crime to Community, by Kay Pranis, Barry Stuart, and Mark Wedge
Online Resources - Restorative Justice
A First Nations and Indigenous specific crisis line available 24 hours a day, 7 days a week, toll-free from anywhere in British Columbia.
KUU-US Crisis Line can be reached toll-free at 1-800-588-8717. Alternatively, individuals can call direct into the Youth Line at 250-723-2040 or the Adult Line at 250-723-4050.
The First Nation Action & Support Team (FAST) program is administered by Gitxsan Health Society to service the communities of Kispiox, Sik-e-dakh, Gitanmaax, Gitsegukla, Gitwangak, Gitanyow, Hagwilget, Moricetown, Kitsumkalum, Kitselas, and Gitxaala.
What you can expect from FAST:
Follow-up contact if you have been to the hospital with suicidal thoughts or actions.
To provide support and/or assist with finding resources to ensure assistance for anyone who has been affected by the loss of a loved one thru suicide
Referral services to community programs and services
Set up and Co-ordinate Grief & Loss community Workshop
Set up and facilitate Through the Pain community Workshops
- If you're experiencing emotional distress and want to talk, contact the toll-free Hope for Wellness Help Line at 1-855-242-3310 or the online chat at hopeforwellness.ca open 24 hours a day, 7 days a week.
- Experienced and culturally safe Help Line counsellors can help if you:
- want to talk
- are distressed
- have strong emotional reactions
- are triggered by painful memories
- The Hope for Wellness Help Line offers immediate mental health counselling and crisis intervention to all Indigenous peoples across Canada. Phone and chat counselling is available in English and French. On request, phone counselling is also available in:
The Saa’ust Centre offers services and supports to families and survivors of MMIWG. It is an LGBTQ2S safe space and respects an individual’s family of the heart. Supports include:
- Referrals to counselling services both on and off site
- Statement-taking for those already registered with the inquiry
- Ceremonies, drumming, and cultural activities from across Turtle Island
- Prayer space and access to Elders and Knowledge Keepers
- Silk screening, beading, and medicine pouch and button blanket making among other art programs
After someone dies, the people left behind are faced with a wide range of tasks to close the affairs of the deceased. Addressing these tasks is also required to access the assets of the deceased, receive financial and non-financial assistance, cancel payments and reduce the risk of identify fraud.
This document will help you understand who you need to notify, what documentation you need, and what services and benefits may be available to you
This booklet offers practical information to dying and bereaved people and their families. Such as home care, wills of estate, advance care, funeral plans, finances, insurance, and so forth.
This checklist is a tool that can assist with identifying key federal departments and provincial ministries that should be notified of a death to terminate benefits and services or to initiate benefits for survivors.
(Dr. Alan Wolfelt, PH.D. , C.T., centerforloss.com)
Adults grieve. So do children. As an adult or child, experiencing grief means to "feel," not just to "understand." Anyone old enough to love is old enough to grieve. Even before children are able to talk, they grieve when someone loved dies. And these feelings about the death become a part of their lives forever.
youthspace.ca - Everyone across Canada under 30 years is welcome to chat with youthspace.ca. They are open 6pm-midnight PST, 365 days a year. They offer a diverse community of trained volunteers who would love to listen to how things are going for you.