Coping With Ambiguous Loss

The term ambiguous loss was coined by Dr. Pauline Boss in the 1970s. She is an internationally-recognized American educator, researcher and family therapist.

She has written a few books on the topic of ambiguous loss:

• Ambiguous Loss: Learning to Live With Unresolved Grief

• Loving Someone Who Has Dementia: How to Find Hope While Coping With Stress and Grief

• The Myth of Closure

What is Ambiguous Loss?

Ambiguous loss is defined as a loss that lacks closure or a clear understanding. 

Dr. Boss classified two types:

• Physically Absent But Psychologically Present: A loved one is gone physically but remains present in the minds and hearts of family and friends (e.g., a missing person, estrangement, giving up a baby for adoption, separation). The experience is: Gone but no certainty if they are alive or dead, which often leads to a search for answers.

Coping With Ambiguous Loss

• Physically Present But Psychologically Absent: In this type of loss a person is physically present but they are emotionally or cognitively absent (e.g., dementia/Alzheimers; traumatic brain injury; chronic depression; an intense preoccupation with work, technology, etc.) The experience: "Here but not here" which leads to grief for what is missing.

Ambiguous loss is considered the most stressful loss because it usually doesn't allow for typical grieving rituals and closure.

Coping With Ambiguous Loss

Coping with ambiguous loss involves accepting that complete closure may not be possible.

Strategies for coping include:

• Finding Meaning: Acknowledging the ambiguity and that the situation is not within your control but finding personal meaning for yourself

• Balancing Emotions: Managing the tension between hoping for a return/recovery and accepting the current reality

Coping With Ambiguous Loss

• Seeking Support: Utilizing therapy or a support group for emotional support and to validate your experience

Clinical Vignette

The following vignette, which is a composite of many different cases, illustrates how someone can cope with the ambiguous loss of a loved one being physically present but psychologically absent:

Gina

When Gina's mother, Ann, was diagnosed with Alzheimer's disease, Gina felt crushed. Her mother had always been an intelligent, active and loving person who held a responsible job as a hospital administrator for many years before she retired.

Coping With Ambiguous Loss

Several years after Ann retired, she complained to Gina that she was getting forgetful and confused. When Gina discussed this with her brother and sister, they decided to take their mother to a neurologist to get evaluated. That's when they were told that their mother was in the middle stage of Alzheimer's.

The neurologist provided them with resources for their mother and support groups for them, including the Alzheimer's Association. 

They talked about the diagnosis as a family and realized they had different views. Gina and her sister felt their mother should be told because they knew she would want to know what was happening to her and be part of the planning. However, their brother, who was the eldest, said their mother would only get upset if she knew so she shouldn't be told.

After going back and forth about this decision for several weeks, the brother relented and said he would go along with what Gina and her sister thought was best.

When they told Ann, they weren't surprised to hear that she already had a feeling that she might have Alzheimer's because her mother and maternal grandmother had it (although people don't always inherit Alzheimer's).

Knowing that she would decline over time, Ann was very sad, but she was also a practical person. She asked her children to arrange for visits with a geriatric social worker and an elder care attorney to advise them.

Gina and her siblings each had different reactions. Gina's brother tended to be stoic and he didn't want to discuss his feelings. Gina and her sister supported each other in their grief. They talked frequently. They also joined an online Alzheimer's support group and felt relieved to hear that other adult children were going through the same emotional ups and downs as they were experiencing.

Gina also sought help in individual therapy because she wanted the privacy to talk about things she didn't feel comfortable talking about in the support group.

She told her therapist that she had always relied on her mother for emotional support and advice whenever she had to make big decisions and the thought of not being able to do that made her feel tremendous grief.

As her mother declined, Gina's therapist recommended that she work on a family photo album with her mother. So, Gina gathered together the loose family photos her mother kept in a box, bought a photo album and went through the pictures with her mother as they placed the pictures in the album.

She and her mother laughed and reminisced about the events in the photos for hours. Her mother told her she hadn't thought about some of the people and events in the photos for a long time.

They also listened to some of her mother's favorite music which she enjoyed when she was younger. This also stimulated certain memories for her mother.

While her mother was still able to garden, Gina's sister and Ann spent time planting in the mother's garden, which they both found relaxing.

Gina's brother took Ann for walks around the neighborhood and pointed out places that Ann knew from years ago. 

Although the medication the neurologist prescribed helped to slow Ann's decline, eventually, Ann could no longer be maintained at home with a home health aide, and Gina and her siblings had to make tough decisions.

At that point, their mother had declined so much that she only remembered her children intermittently. She was also frequently agitated, which was so different from how Gina and her siblings had always known Ann to be prior to the onset of Alzheimer's.

Gina and her sister wanted to explore nursing homes, but their brother refused to even consider the idea. The thought of putting their mother in a facility was beyond what he could bear. So, he decided to take time off from work and, with the help of an aide, took care of Ann full time.

He soon discovered how exhausting this was--even with Gina and her sister relieving him for a few days out of the week and the help of a home health aide.

When Gina's brother needed to return to work, they spoke with the geriatric social worker who helped them to find facilities that were suitable for their mother. They visited several places, which were good but left each of them feeling very sad.  These facilities had memory units to help patients with dementia and Alzheimer's, patients were well taken care of, but the sight of many elderly impaired patients was upsetting.

At that point, Ann was no longer able to make decisions for herself. Gina and her siblings had already consulted with an elder care attorney to establish a durable power of attorney with Gina in charge. Then, they chose a facility close to where they all lived so they could visit Ann frequently.

At each stage of her mother's decline, Gina felt, at times, that her sadness and grief were unbearable. But she continued to discuss her feelings with her therapist and in the Alzheimer's support group because this was unlike any loss she had ever experienced before.

Over time, even though she felt tremendous sadness and grief, she accepted she couldn't control what was happening to her mother. 

There were some days when her mother seemed content to be participating in activities at the facility and other days when Ann glared at Gina and her other children and said, "Why did you put me here?"

Every time Gina felt she had come to accept her mother's condition, she had to contend with the next stage of her mother's decline. 

Gina's friends, who had older parents who were still functioning well, seemed to want to avoid talking to Gina about how she felt. Gina felt frustrated about this, but she understood that they had their own fears for what might eventually happen to their parents.

In addition to therapy and the Alzheimer's support group, Gina also felt some comfort in journaling. 

After her mother died, Gina felt a mixture of sadness, grief and relief that her mother was no longer suffering. 

She told her therapist she felt guilty that she felt relief and her therapist normalized what Gina was experiencing. She told Gina that it's common for adult children to experience a mixture of emotions including relief.

Gina learned to accept that her grief and sadness would come in waves so that she could feel better for a period of time but, seemingly out of nowhere, she felt tremendous sadness.

Over time, Gina learned to live with her grief. There were even days when she felt hopeful and grateful for what she had in her life. 

She also volunteered to be a peer group leader with the Alzheimer's support group so she could help others to deal with their loss and provide them with a sense of hope.

Conclusion

There are two types of ambiguous loss. I focused on the physically present but psychologically absent because this type of loss isn't addressed as often as the physically absent but psychologically present.

The vignette presented a daughter with a mother who had Alzheimer's. This type of loss could also involve someone coping with a sick or cognitively impaired spouse.

Coping With Ambiguous Loss

Both types of ambiguous loss are difficult, but with help there is hope.

Getting Help in Therapy

Loved ones can be well-meaning but often say and do things that are unsupportive.

A licensed mental health professional, who has an expertise with helping clients to cope with ambiguous loss, can help you to navigate the stages of loss.

Rather than struggling on your own, seek help from a qualified mental health professional so you can learn to cope with ambiguous loss.

About Me

I am a licensed New York psychotherapist, hypnotherapist, EMDR, AEDP, EFT (for couples), Parts Work (IFS and Ego States Therapy), Somatic Experiencing and Certified Sex Therapist.

I have helped many individual adults and couples over the years with grief, loss, trauma and many other issues.

To find out more about me, visit my website: Josephine Ferraro, LCSW - NYC Psychotherapist.

To set up a consultation, call me at (917) 742-2624 during business hours or email me.

Also See My Articles

The Challenges of the "Sandwich Generation": Raising Children and Taking Care of Elderly Parents

Coping With the Loss of Loved Ones - Common Reactions 

The Many Layers of Grief 

You Continue to Have an Internal Relationship With Your Parents After They Have Died

Coping With the Loss of a Pet

Coping With the Death of an Abusive Parent

One of the most complicated experiences of grief is coping with the death of a parent who abused you.

This is especially true if there were times when this parent was kind and caring and, at other times, abusive or just abusive most of the time, which can create confusion for the child being abused. And that confusion often continues into adulthood.

Coping With the Death of an Abusive Parent

In a prior article, Unresolved Trauma: Coping With a Passive Parent Who Didn't Protect You From Abuse, I wrote about an example of this issue in the vignette in that article.

Under these circumstances, it's common to feel a mixture of feelings including relief, sadness, grief, guilt and shame.

Since the parent who abused you is dead and if they didn't express remorse, this means that they can no longer express their remorse and ask for forgiveness. For many adult children, this is its own form of loss.

How to Process Your Emotions While Coping With the Death of An Abusive Parent

• Acknowledge All Your Feelings: It's important to acknowledge all of the mixed feelings you might have towards your dead parent--all the messy feelings like relief, grief, sadness, anger, resentment, guilt and shame.

Coping With the Death of an Abusive Parent

• Be Aware of Your Personal Survival Strategy: Whether your brain and body are numbing or your mind is overanalyzing, recognize that these are your coping strategies for the moment. Grounding techniques and breathing exercises can help you to stay relatively calm. Exercise, even walking, can help you to release some of this "stuck" energy.

• Grieve For the Lost Potential: You might find yourself grieving for the parent you wish you had and deserved to have in addition to any grief you might feel for your actual parent.

Why is Grieving Under These Circumstances So Complicated?

• Biological Paradox: Your brain's attachment system, which seeks connection, and your threat system, which detects danger, are both activated simultaneously. This can lead to internal chaos for you.

• If There Was No Reconciliation: Death removes any chance for the parent to understand, acknowledge and make amends for the abuse. You are left with many unresolved and complicated feelings that you need to work out on your own or, preferably, with the help of a licensed mental health professional who has an expertie in this area.

• Fragmented Memories: It's not unusual for a parent to be warm and loving at one point and threatening and abusive at other times. This can make it very difficult to understand who this parent was to you and how you feel about them. If the abuse occurred when you were young, you might even experience this parent almost as if they are two different people in your life.

• Lack of Validation: Other people might praise your deceased parent at a funeral or memorial service which can feel isolating because it doesn't match your reality. Even close relatives who might know your parent's abusive nature might tell you, "Don't speak ill of the dead" which can also make you feel alone and lonely in your experience.

What Can You Do to Heal?

• Validate All Your Feelings: Accept that it is normal and common to feel many contradictory feelings at the same time. 

• Prioritize Your Peace of Mind: You are not obligated to place your deceased parent who abused you on a pedestal, nor are you obligated to attend their funeral if it will compromise your peace of mind. Others might not understand or agree, but you have to do what is right for you.

• Externalize Your Emotional Pain: Writing a no-holds-barred letter, which you do not send, or writing in your journal can help you to express all your contradictory feelings and begin to process any unfinished business between you and your deceased parent.

• Get Help in Trauma Therapy: Grief counselors often don't have specialized training in how to deal with complex grief like this. Working with a trauma therapist, a licensed mental health professional who is trained in complex trauma, can help you to work through your mixed feelings and overcome the unresolved trauma. There are various modalities of trauma therapy including:

• EMDR (Eye Movement Desensitization and Reprocessing)

• AEDP (Accelerated Experiential Dynamic Psychotherapy)

• Somatic Experiencing 

• Parts Work Therapy (IFS and Ego States Therapy)

About Me

I am a licensed New York psychotherapist, hypnotherapist, EMDR, AEDP, EFT (for couples), Parts Work (IFS and Ego States Therapy), Somatic Experiencing and Certified Sex Therapist.

As a Trauma Therapist, I have helped many individual adults and couples.

To find out more about me, visit my website: Josephine Ferraro, LCSW - NYC Psychotherapist.

To set up a consultation, call me at (917) 742-2624 during business hours or email me.

Also See My Articles:

Grieving For a Parent Who Wasn't There For You

Coping With the Loss of a Loved One: Common Reactions 

Coping With Complicated Grief 

Mourning the Loss of a Father You Have Never Known 

Letting Go of Resentment

Grieving For a Parent Who Wasn't There For You

Grief for a deceased parent isn't always related to how close you were.

Grieving For a Parent Who Wasn't There For You

In fact, grief related to the loss of a parent you weren't close to can be even more intense than grief for a nurturing parent because it often involves grieving for what  you hoped for and never got (see links for my articles about grief below).

For adults who have lost a parent under these circumstances, part of the grief is knowing that the warm loving relationship you might have wished for can never be experienced after your parent died. The death can bring a painful finality to your wish and wash away any hopes you might have had to improve the relationship.

Clinical Vignette:

The following clinical vignette is a composite of many different cases with all identifying information removed:

Alex

Alex was in his mid-30s when he received a phone call from his stepmother, a woman he had never met, telling Alex that his father had terminal cancer. She told him that his father was in hospice and he wasn't expected to live more than a few days.

Before Alex could respond, his stepmother put his father on the phone to say a few words. It was clear to Alex that his father was heavily medicated and Alex didn't know what to say. His father asked for Alex's forgiveness for walking out on Alex and Alex's mother more than 30 years ago. He said he regretted not ever contacting Alex after he walked out on them.

Alex was shocked and confused. He didn't want to reject his father's dying wish, so he told his father that he forgave him. Then, his stepmother got back on the phone and told Alex that his father was too weak to talk any more. Before she hung up,she told Alex she would keep him apprised.

Not knowing what else to do, Alex sat for several minutes to take in what had just happened. When he was a child, he would ask his mother where his father had gone and his mother would tell him that his father was away on a business trip. But as weeks turned into months and years, Alex realized his father wasn't returning and he never asked his mother about it again because he didn't want to upset her.

Alex buried his feelings about his father and tried not to think about him. But there were times in his life when Alex felt sad that his father wasn't there for him, like when he graduated high school, when he graduated college, when he got married and when he had his first child. But during those times he didn't allow himself to dwell on those thoughts.

By the next day, Alex thought he might want to go visit his father before his father passed away, but then he received another call from his stepmother that his father died that night. She said she planned to have a memorial service in a few months and invited Alex to attend and meet his half brother, Jack.

A wave of profound sadness came over Alex. His wife attempted to soothe him, but Alex was too confused, anxious and angry to talk about it. He never even knew he had a half brother.

His wife said to him, "But you haven't seen your father in so many years and you don't even remember him. So, why do you feel sad?"

Alex couldn't explain why he felt so many mixed emotions, but after weeks passed and he didn't feel any better, he got help in therapy.

Grieving For a Parent Who Wasn't There For You

His therapist helped Alex explore his feelings and he realized that, even though he didn't allow himself to dwell on being abandoned by his father, he always had a wish that he and his father would reunite and they would develop a strong father-son relationship. But now that his father was dead, the reconciliation was impossible and this made him feel deeply sad.

His therapist helped Alex to grieve the abandonment and the loss of a relationship he wished for but now would never have. He also worked on his anger about his father asking him as he was dying to forgive him because, even though Alex said he forgave him, he wasn't sure how he felt.

As Alex continued to work on these issues in therapy, he realized how much he had stuffed his feelings from the time he was young because there was no one to help him with his complicated feelings about being abandoned and never seeing his father again. He believed his mother did the best she could, but she wasn't emotionally equipped to help him when he was a child.

After his father's death, when he spoke to his mother, he realized her memories of that time were different from his. She believed she had sat him down, talked to him and comforted him after his father left. When he told her what he remembered, she denied it, so Alex dropped the subject.

The memorial service was several months away and Alex had mixed feelings about going. Part of him wanted to go to meet his half brother and to find out more about his father, but another part of him didn't want to go. Even though he knew logically that none of this was his half brother's fault, he felt hurt and angry that his half brother had the relationship with his father that Alex wanted.

Then one day Alex received a call from his half brother, Jack, and they talked for over an hour. Jack said he could only imagine how difficult it must have been for Alex to get the call from Jack's mother after so many years. He also hoped they could meet and get to know each other.

Over time, they developed a relationship and Alex decided to go to the memorial service.

It took Alex a while to sort out his feelings about his father and his anger about the way his mother lied to him when his father left. But he also felt relieved to release the emotions in therapy--emotions he had suppressed for so many years.

Over time, Alex worked out his grief in therapy and maintained a relationship with Jack.

Getting Help in Therapy

Grieving for a deceased parent is difficult and it can be that much more difficult when a parent hasn't been there for you.

Getting Help in Therapy

Rather than trying to deal with these complicated emotions on your own, seek help from a licensed mental health professional who has experience helping clients with grief and loss.

About Me

I am a licensed New York psychotherapist, hypnotherapist, EMDR, AEDP, EFT (for couples), Parts Work (IFS and Ego States Therapy), Somatic Experiencing and Certified Sex Therapist.

I am an experienced psychotherapist who has helped many individual adults and couples.

To find out more about me, visit my website: Josephine Ferraro, LCSW - NYC Psychotherapist.

To set up a consultation, call me at (917) 742-2624 during business hours or email me.

Also See My Articles

Mourning the Death of a Father You Never Knew

Common Reactions to the Death of a Loved One 

The Many Layers of Grief 

The Emotional Impact of Losing Both Parents

Who Are You After Both of Your Parents Die?

Writing to Cope With Grief

How to Cope With Pregnancy Loss When You and Your Partner Have Different Feelings About the Loss

Couples often discover that they might differ in their feelings about a pregnancy loss (see my articles:  Coping With Pregnancy Loss and Allowing Room For Grief).

You might understand how you and your partner feel different about many areas in your life, including different feelings about friends, family members, in-laws, religion, politics and other areas.

Coping With Pregnancy Loss

But when you and your partner differ on your feelings about pregnancy loss, this can put a strain on the relationship, especially if each of you feels you're dealing with it in the "right way" and your partner is dealing with it in the "wrong way".

If you both have a hard time talking to each other about the way you feel, the loss can erode the relationship and, possibly, push you apart.

You might feel frustrated, angry and sad if:

• One of you wants to talk about the loss and other doesn't.

• Your partner experiences the loss in a different way from the way you do.

Coping With Pregnancy Loss

• You feel alone because your partner doesn't understand how you feel or they might not want to talk about it.

• Your partner expresses feeling alone because you don't feel the same way they do.

• Your partner wants to "move on" to start making plans for the future including wanting to try again to get pregnant and you're not ready.

Coping With Pregnancy Loss

• Your partner doesn't seem to think your feelings are as important as theirs.

• You might think your feelings are more important than your partner's feelings or vice versa.

• One or both of you feel you're either overreacting or under-reacting to the loss.

• Your partner doesn't feel  the pregnancy loss was really a loss at all, but you feel devastated by it (or vice versa).

• You feel your partner is getting all the attention from loved ones and you feel your feelings are being minimized or vice versa.

• You feel so upset about the loss that you're unable to be emotionally supportive of your partner.

• You feel the miscarriage was your fault and you have let down your partner.

• You feel so guilty and ashamed about the miscarriage that you feel too upset to talk about it.

Clinical Vignette

The following clinical vignette is a composite of many different cases with all identifying information omitted to protect confidentiality:

Donna and Jack

Donna and Jack, who were both in their mid-30s, were married three years when Donna had a miscarriage during the ninth week of the pregnancy.

Coping With Pregnancy Loss

They had been trying to get pregnant for two years and they were both elated when Donna found out she was pregnant. 

But several weeks later, Donna felt cramping which was similar to menstrual cramps. She also had lower back pain. Suddenly she noticed that she had vaginal bleeding and she realized she was having a miscarriage.

Jack rushed Donna to the hospital in their car and their worst fears were confirmed. The emergency room doctor was empathetic and tried to reassure them that miscarriages occur about 10-20% of the time. He also told them that she should see her OB-GYN.

Donna's OB-GYN reiterated what the ER doctor told them. He offered to refer them for counseling to deal with the loss, but neither of them was ready to speak with a counselor at that point.

They avoided telling their families for a few days because Donna was sure her family would blame her for the miscarriage and Jack thought his family would feel uncomfortable talking about the miscarriage.

Coping With Pregnancy Loss

During that time, Donna tried to think about what she might have done that could have caused the miscarriage. Despite reassurances from her OB-GYN that she had done nothing to cause the miscarriage, Dona felt guilty and ashamed. She felt like she had let Jack down--despite Jack telling her that he didn't blame her and she shouldn't blame herself.

A few weeks later, they told their families about the miscarriage and both families reacted as they feared they might. Donna's mother told her that she must have done something to cause the miscarriage, which was hurtful to Donna, and Jack's family barely said a word about it. His mother came every few days to check in with them and to bring food, but neither of Jack's parents could bring themselves to talk about it.

A month later, Jack told Donna that he couldn't tolerate feeling sad about the miscarriage any more and he felt they should "move on" and try to get pregnant again. He knew Donna was still very sad, but he hoped that getting pregnant again would help Donna to feel better.

But Donna felt she couldn't even consider getting pregnant again so quickly. She feared she would have another miscarriage--even though her OB-GYN assured her that there was no reason why she shouldn't be able to have a baby.

Donna wanted to be able to talk to Jack about the loss, but Jack told her that he didn't think he could talk about it any more, "Donna, I don't know what else to say about the miscarriage. I feel sad too, but I need to feel we're moving ahead and creating a future together. Why wouldn't you want that too?"

Donna became angry and frustrated with Jack's response. She couldn't understand why he couldn't just be there for her without focusing on the future, "Besides, I can't even think about having sex at this point. I just don't feel sexual."

They decided to see a couples therapist who was also a sex therapist. Their therapist normalized that it's not unusual for two people to feel differently about a miscarriage or about any loss.  

She focused on getting them each to listen and validate each other's feelings.  She helped them to communicate with each other about how they were each feeling instead of focusing on the "right" or "wrong" way to feel.

When she encouraged them to create a ritual together to remember the loss, Donna suggested that they light candles for a week while they sat together in front of the candles to memorialize the loss. This worked out well for Jack because he felt he didn't have the words to talk about the loss outside the couples therapy session.

When they returned to their couples therapy session a week later, Donna said she was feeling somewhat calmer. She was still sad, but she didn't feel angry and frustrated with Jack. She said they sat together holding hands in front of the candles and she felt emotionally supported by Jack.

Jack said he felt less pressure to come up with what he wanted to say about the miscarriage. He also indicated that he felt a lot more empathy for Donna when they sat together in this way.

This was a turning point in their loss and, gradually, Donna was able to begin thinking about the possibility of trying to get pregnant again. She still wasn't in the mood to have sex, but Jack was patient.

Their couples therapist was also a sex therapist so they worked on reviving their physical intimacy together until they both felt ready to reconnect sexually. 

Initially, they focused on reconnecting emotionally and enjoying the sexual intimacy before they tried to get pregnant again.

How to Deal With Pregnancy Loss Together When You Each Have Different Feelings

• Accept You Both Have Different Feelings: It's normal for two people to feel and react differently to a loss. Also, two people can have different times when they grieve. Some people grieve immediately and others grieve in a few months (see my article: The Many Layers of Grief).

• Listen and Talk to Each Other: Even if you don't feel the same way your partner feels, allow your partner to tell you how they feel. If they can't talk about it, maybe they can write down their feelings. Be emotionally supportive of each other (see my article: Writing About Grief).

• Find Ways to Memorialize Your Loss: You and your partner can find ways to memorialize your loss together in whatever way is meaningful to you including lighting candles together or finding other meaningful rituals you can do together (see my article: The Power of Personal Rituals).

Get Help in Therapy

If you and your partner are unable to talk to each other about the loss, seek help in therapy. 

A skilled therapist, who has experience helping couples deal with pregnancy loss, can help you both to grieve in whatever way is meaningful to each of you.

Get Help in Therapy For Pregnancy Loss

Rather than struggling on your own and allowing the loss to erode your relationship, seek help from a licensed mental health professional so you can heal together.

Also see my other articles about grief:

Coping With Grief

Complicated Grief

About Me

I am a licensed New York psychotherapist, hypnotherapist, EMDR, AEDP, EFT (for couples), Somatic Experiencing and Sex Therapist.

With over 20 years of experience, I have helped many individual adults and couples to work through their grief.

To find out more about me, visit my website: Josephine Ferraro, LCSW - NYC Psychotherapist.

To set up a consultation, call me at (917) 742-2624 during business hours or email me.

Reconnecting With Deceased Loved Ones in Your Dreams

Having dreams about deceased loved ones is a common experience for many people (see my article: Common Reactions to the Loss of a Loved One).  

Reconnected With Deceased Loved Ones in Dreams

Some people believe loved ones come to them in dreams to reconnect or to impart an important message.  

Others believe these dreams come from a place deep inside them as a way to remember and mourn their loss.

Whatever you believe, these dreams can be an important part of your healing process as way to come to terms with your loss. 

A Child's Recurring Dreams About a Deceased Father

When I was a child, I had recurring dreams about my father, who died suddenly (see my article: Grief in Waiting After the Death of a Parent).

Reconnecting With Deceased Loves Ones in Dreams

Each dream was slightly different, but there were certain recurring themes. 

One recurring theme was that I would be shocked to see my father appear suddenly in front of me.  I would be happy to see him, but I would also feel confused and I would say to him, "But I thought you were dead..."

In some of the dreams he would tell me he had just gone away and now he was back, and in other dreams he would acknowledge that he was dead. 

Whichever response I received would confuse me: How could he be dead and still be standing in front of me?

Then, at some point, I would tell my father I wanted to let my mother know he was back. But when I turned around, he was gone and I felt the painful loss again.

Many clients tell me how real these dreams feel to them and I know this from my own experience. 

Each person comes to their own understanding of the meaning of their dreams. 

Looking back now, I believe these dreams were a way for my unconscious mind to work through the loss when my conscious mind couldn't make sense of it (see my article: Making the Unconscious Conscious).

In other words, my unconscious mind helped with the healing process. 

Many years later, when I was ready, a skilled psychotherapist helped me with a deeper level of working through the grief (see my article: The Many Layers of Grief).

Dreams About a Deceased Psychotherapist

Over the years I've had dreams about a psychotherapist who was important in my healing process as a young adult.

In some of those dreams, I talked to the therapist about current issues in my life.  

In those dreams it was as if he were still very much alive and I was having a therapy session to talk over a problem. 

I usually wake up feeling a little wistful but also refreshed.

After I wake up, I allow myself to enjoy the experience of the dream without analyzing the meaning--at least not at first.

For me, allowing myself to linger in the experience of this reconnection with someone who was so important to me during my youth is more meaningful (initially) than an analyzing the dream.  There's always time for that later, if I want it.

Conclusion

There are many ways to grieve and work through the loss of a loved one including healing through dreams (see my articles: Writing About Your Mother After Her Death).

Although not all dreams about deceased loved ones are healing, the ones that are can help with the grief and mourning process.

It doesn't matter whether you believe your loved one actually came to you or you believe the dream was your unconscious mind's way of helping you to deal with the loss.  Either belief can help in the healing process.

Recalling, writing down and talking about these dreams with trusted friends and family can help you to cope with loss.

Although dreams can be healing, sometimes grief is too difficult to work through on your own and therapy can help.

Getting Help in Therapy

Time alone doesn't heal all wounds (see my article: Time Doesn't Heal All Wounds).

Grief work in therapy can help you to move through the mourning process at a pace that feels right for you.

Getting Help in Therapy

Rather than struggling on your own, seek help from a skilled psychotherapist who does grief work with clients.

Working through grief can help you to heal from the pain and live a more fulfilling life.

Also See My Other Articles About Grief:

Coping With Complicated Grief

You Continue to Have a Relationship With Your Parents Even After They Die

Holding Onto Grief as a Way to Stay Emotionally Connected to a Deceased Loved One

Mourning the Death of a Father You Have Never Known

Coping With the Loss of a Pet

About Me

I am a licensed New York psychotherapist, hypnotherapist, EMDR, AEDP, EFT (for couples), Somatic Experiencing and Sex Therapist.

With over 20 years of experience, I have helped many individuals and couples to heal.

To find out more about me, visit my website: Josephine Ferraro, LCSW - NYC Psychotherapist.

To set up a consultation, call me at (917) 742-2624 during business hours or email me.

The Many Layers of Grief

There is no right or wrong way to grieve. Everyone grieves in their own way and in their own time (see my article:  Common Reactions to the Loss of a Loved One).

The Many Layers of Grief

The 5 Stages of Grief

The idea that there are stages of grief was developed by Swiss-American psychiatrist Dr. Elizabeth Kubler-Ross in the late 1960s. 

According to Kubler-Ross, these stages are:

• Denial
• Anger
• Bargaining
• Depression 
• Acceptance

Although these stages are usually thought to be linear, they often occur in no particular order and they're often reoccurring. 

For instance, if someone experiences anger first, they might experience denial, depression and bargaining and a certain level of acceptance. 

But over time this same person will probably re-experience these stages in no particular order on certain anniversaries (e.g, birthdays, anniversaries of their loved one's death and holidays).

In addition, acceptance has many layers to it. There is the initial acceptance that the death has occurred, but over time acceptance can deepen as the meaning of this loss also deepens.

The Many Layers of Grief

In addition to the 5 Stages of Grief, people often experience grief in waves and in layers.

Anyone who has ever grieved for the loss of a loved one is aware that grief comes in waves. Weeks, months and years after the loss you might experience a wave of grief come over you for no apparent reason that you're aware of at the time.

The Many Layers of Grief

The concept that there can be layers of grief over time isn't commonly recognized.  The layers, which often go with the stages, are usually experienced from surface to depth.  

In other words, even if you go through all five stages several times and in a different order or in a combination of stages each time, you might go through these stages in more profound ways each time from surface to depth.

Although this is understandable when the loss is close, people are often surprised to go through many layers of grief even when they were estranged from the person who died or the death was of a relative they never knew (see my article: (see my article: Mourning the Death of a Father You Have Never Known).

Clinical Vignette

The following clinical vignette illustrates how grief can come in layers over time for an estranged family member:

Sara

When Sara received the phone call from the police that her estranged older sister, June, was found dead from an overdose of heroin hundreds of miles away, she was shocked at first. She and her sister had estranged for over 20 years (see my article: Family Estrangements: Understanding the Barriers to Reconciliation).

Growing up Sara wasn't close to June. By the time Sara was five years old, her older sister had already quit high school to move in with a boyfriend that no one in the family liked, so Sara never saw her sister again.

As friends and family members heard about the June's death, they reached out to Sara to express their condolences (see my article: Expressing Condolences in a Caring and Tactful Way).

In response to their concern, Sara told them that she didn't have a sense of loss because she and June weren't close. She said she was just glad that June wasn't suffering anymore.

After Sara and her husband arranged for June's burial, they resumed their daily activities as if nothing had happened. But over time June's feelings changed. She noticed that her level of acceptance of June's death evolved over time.

As time passed and she went through what was left of June's personal belongings, Sara felt waves of sadness to be missing the sister she had never really known. 

Going through one of June's picture albums, Sara was surprised to discover that June kept pictures of her when she was a baby. It was at that point that Sara realized, even though June was someone she never really knew, she was important to June in ways she had never known.

The Many Layers of Grief

After discovering the pictures of herself, Sara made an effort to find out more about her sister. 

With much effort, she was able to find people in the area where June lived who knew her. She discovered that, before her life took a precipitous decline, June liked to draw portraits, including portraits of Sara when she was a baby.

She also discovered that up until June began abusing heroin, she loved to cook and she often invited friends and neighbors to her home for a meal, including people who were much less fortunate than her.

No one who knew June in the past was sure why her life took such a turn for the worse because she isolated herself in her final years. 

But some former friends believed her life got worse after she began a relationship with a man who introduced her to heroin. They surmised that after he left June, she kept to herself and her heroin use got worse until the day she overdosed.

As she discovered more about her sister, Sara was surprised to feel a depth of grief for June she would have never anticipated. 

Soon after that, she began therapy to deal with her loss.

People who are estranged from family members for a long time and people who have never known certain relatives are often surprised by the many layers of grief they feel.

Grieving in Your Own Way

We're hardwired for attachment in order to survive as babies. We're not hardwired for grief.

Grief is a topic that makes many people feel uncomfortable. In fact, many people try to avoid feeling emotions related to grief. 

The Many Layers of Grief

Those who aren't grieving often express surprise when people who have experienced a loss are continuing to grieve. 

Many make unkind remarks like, "You're still sad about your loss? How can this be when it's been over a year?" or "You just need to get out there and meet someone new."

As I mentioned at the beginning of this article, there's no one right or wrong way to grieve so if you're grieving, you'll go through it in your own time and in your own way, but it's important to make room for all your feelings.  

Certain rituals in various cultures are meant to help those who are grieving to acknowledge their feelings and come together with other people for emotional support (see my article: The Power of Creating Rituals).

The Many Layers of Grief

But after everyone has gone home and returned to their lives, you'll probably realize your life has changed in unanticipated ways after your loss.  

You might return to work and other routines but, just like any other profound experience, grief can change you.

Aside from experiencing the loss, you might also discover that, over time, grief can give you a new appreciation for love and life.

About Me

I am a licensed New York City psychotherapist, hypnotherapist, EMDR, AEDP, EFT (for couples), Somatic Experiencing and Sex Therapist.

I work with individual adults and couples and I have helped many clients to work through grief in their own way.

To find out more about me, visit my website: Josephine Ferraro, LCSW - NYC Psychotherapist.

To set up a consultation, call me at (917) 742-2624 during business hours or email me.

Also see my articles:

Coping With the Loss of a Loved One

Coping With Grief: It's Common For Emotional Pain to Get Worse Before It Gets Better

Complicated Grief

Complicated Grief and Unresolved Mourning

Inconsolable Grief For a Mother's Death

Taking Care of Yourself After the Death of a Loved One

You Continue to Have a Relationship With Your Parents After They Die

Who Are You After Both Parents Have Died?

The Emotional Pain of Clearing Out Your Parents' House After They Die

Writing as a Way to Cope With Grief

Writing About Your Mother After Her Death

Coping With the Loss of a Pet