Hospice Care Doesn’t End With Death

Endings matter, not just for the person but, perhaps even more, for the ones left behind.  — Atul Gawande

In his article, Demystifying Hospice Care, medical news and information reporter William Stroh argued that hospice organizations need to do a better job of informing the public about the services they provide. He urged them “to fire up a dialogue with people in their community about hospice care” and to “engage with the community on a regular basis through popular sharing sites such as Facebook and Twitter.”

I couldn’t agree more. Through such efforts, I hope more patients and their families will come to understand that when a life-limiting illness no longer responds to treatment aimed at a cure, they can turn to hospice for the comfort, care, and support they need.

But did you also know that your local hospice organization may be one of your best sources of bereavement information, comfort, and support—both before and after a death?

Living With Loss Without Living in Grief

Trying to forget someone you love is like trying to remember someone you never met.  ~ Unknown

A reader writes: It's been a week since the fifth anniversary of my Mum's passing. Since then, I have found that I'm trying to forget about it. Putting it to the back of my mind and hoping it doesn't appear in a conversation. Is that wrong? It’s also been six months since I visited the cemetery, but it's not because I find it hard to go there, I suppose I feel that it's not important to. Is that wrong?

When Grief Is Postponed: Finding Your Way Back to Healing

I tried to shut out the feelings that were hurting my heart with a thousand tiny pinpricks, which was somehow worse than having it broken all at once.  ~ Morgan Matson, in Second Chance Summer

A reader writes: I lost my dad ten months ago, while I was in my last year of nursing school. I had to 'tuck in' the grieving process in order to graduate which was my dad's greatest wish for me. He literally said, "Don't stop school for me." I originally felt rejected by him, but now I see he was protecting me again. He had an 8 month battle with pancreatic cancer that was just horrible. 

 So, I've graduated from nursing school, passed my state boards, and I wish I could give him a big hug. Now that the stress from school is over, I feel like I need to continue the active grieving. 

In Grief: When Healing Is Mistaken for Letting Go

I desire no future that will break the ties of the past.  ~ George Eliot

A reader writes: I have been told several times by people to "let go" of my ex who has died. I hate that.

I was told by a counselor once to "let him go," and this counselor (a spiritual counselor) said I was holding his spirit back by hanging on to my grief. I began to feel guilty, and decided I wouldn't think about him or talk aloud to him any more, if I was holding him back from moving on into heaven. That very night I had a dream. He and I were riding in a car with my sisters, and he had his arm around me. He turned to me and said very clearly, "We belong together. Why do you listen to others tell you things you know are not true?"

In Grief: Finding Crying Time

Sorrows which find no vent in tears may soon make other organs weep. ~ Sir Henry Maudsley

A reader writes: My sister has been very sick and only recently recovered from a serious illness, thank goodness. Thursday will be three months since my big brother died. And last night I found myself crying—really crying—for the first time. Maybe it’s because I can breathe a little easier now that my sister is more out of the woods. I've always been a caretaker. I've always put everyone I love before myself. I did that for my big brother when he was alive. And I'm doing it for my sister. I couldn't save my big brother, just as I couldn't save our father. I cried for a good couple of hours last night. My husband tried to console me, but either I just wouldn't allow it, or he was doing it wrong. I don't know really. All I know is that my big brother is gone and I'm having a hard time with his loss. He was my big brother and meant the world to me. His passing is hitting me hard.

Understanding and Managing Grief, June 1 - June 30, 2025

Best selections from Grief Healing's X feed this month:

Pet loss can be just as devastating as the loss of a human loved one. Some say it is even worse. Studies like this can help to validate this experience—and shed light on how people cope, grow, and honor their special bond. For anyone who has grieved a pet, you’re not alone. What It’s Like to Lose a Pet: 4 Lessons About How We Grieve « Psychology Today

In Grief: Finding Support That Is Right for You

The human organism knows how to heal itself, once it knows its symptoms are normal.  ~ Gail Sheey, in New Passages

Reaching out to others is often very difficult when we’re struggling with grief, but experience teaches us that the more support and understanding we have around us, the better we will cope.

You may wish that friends, family and co-workers would just “be there” for you without your having to ask, but that’s not likely to happen. It’s not that these people are uncaring; there simply is no way for them to fully understand the significance of your loss and the depth of your pain. Unfortunately your friends, family members and co-workers may not fully understand or appreciate the attachment you have with the one who has died and the pain you may still be feeling weeks and months after the death. What is more, your need to talk about your loss may outlast the willingness of others to listen.

If you find yourself in this position, please know that you have a number of helpful alternatives available to you.

Bereaved Parent Asks: Can I Offer Grief Counseling in My Home?

One of the most important things you can do on this earth is to let people know they are not alone.  ~ Shannon L. Adler

A reader writes: I have been looking into doing counseling in my home for bereaved parents and sibliings. Do you know if there is a license a person would have to have to start this, or are there other courses to take? I have just finished a psychology and sociology program over the internet. I am a beraeaved parent, and am wanting to help others walk this path in life that we never intended on taking. Can you help me or direct me to another party who can?

In Grief: Trying to Forget Mum's Passing

Trying to forget someone you love is like trying to remember someone you never met.  ~ Unknown

A reader writes: It's been a week since the fifth anniversary of my Mum's passing. Since then, I have found that I'm trying to forget about it. Putting it to the back of my mind and hoping it doesn't appear in a conversation. Is that wrong? It’s also been six months since I visited the cemetery, but it's not because I find it hard to go there, I suppose I feel that it's not important to. Is that wrong?

In Grief: Son Disapproves of The Way Mom Needs to Grieve

Imagine the choices you'd make if you had no fear-of falling, of losing, of being alone, of disapproval.  ~ Martha Beck

A reader writes: It will be one year tomorrow that the love of my life, my everything -- will have been in Heaven for one year and I miss him so very, very, very much. Announcement of the anniversary of my husband’s death appears in the newspaper today and I am a wreck. I just can't do this life thing without my beloved...it is so hard and I don't know where to turn. I am tired of pretending, so very, very tired................

My oldest son didn't want to put in a memoriam and my youngest, well he basically asked me to do it for him. It hurts so much. I know they truly miss their father with all of their being but why, why won't they talk to me or, or I don't know what.

In Grief: Comparing Pet Loss to Loss of a Person

I question whether experiences of such severe loss can be quantified and compared.  Loss is loss, whatever the circumstances.  All losses are bad, only bad in different ways.  No two losses are ever the same.  Each loss stands on its own and inflicts a unique kind of pain.  What makes each loss so catastrophic is its devastating, cumulative, and irreversible nature . . . So whose loss is worse, hers or mine?  It is impossible to give an answer.  Both are bad, but bad in different ways.  ~ Jerry Sittser in A Grace Disguised: How the Soul Grows through Loss

Understanding and Managing Grief, July 23 - July 29, 2023

Best selections from Grief Healing's Twitter stream this week:

If the results of this study can be replicated and generalized, it seems that we are left with a major public mental health educational challenge. Whether by lack of knowledge or psychological denial, a large swath of the public may be suffering and not resolving grief normally. Recognizing and Reducing Prolonged Grief « Psychiatric Times

Using Antidepressants to Manage Acute, Normal Grief

[Reviewed and updated November 9, 2024]

Encouraging words are good medicine for the soul. ~ Lailah Gifty Akita

A reader writes: About four weeks ago, I came off an antidepressant which allowed the unresolved grief issues over my brother’s death to surface. I believe that the antidepressant kept me from fully grieving his loss, which I am in the process of doing now. A colleague, therapist, and good friend who has known me over the years knows exactly where I am and says perhaps just a small dosage of an antidepressant (not the one that I was on) could be beneficial until resolution and integration is accomplished. I see my M.D. next week to explain what has been going on, and to get a med check (I am also on a thyroid medication). I seem to be doing well and don’t really want to take any more meds. I would appreciate any advice in this respect.

Seeing a Specialist in Grief Counseling: Why It Matters

[Reviewed and updated April 4, 2026]

A reader writes: I’ve been suffering from depression for a long time and am under the care of a psychiatrist. I went to see my doctor for the first time since my father died and was a complete wreck since I had to re-tell what happened. I was crying because it's hard to talk about Dad's sudden downfall and last day, but my psychiatrist seemed to think that I was being overly emotional. I tried to tell him that I'm not upset every day and that I didn't think that my sadness less than five months after Dad's death was abnormal. I did confess to doing some stupid things immediately after he passed and how hard some things have been, but I walked out of his office feeling like I should be over it. 

Mother's Death Threatens Couple's Love Relationship

[Reviewed and updated April 19, 2025]

The death of a mother is the first sorrow wept without her.  ~ Unknown

A reader writes: I've been with my fiance for almost two years. His mother passed away unexpectedly nine months ago, and he was the one to find her. I understand this is a significant emotional struggle for anyone. I've tried to be there for him as much as possible, but any time he loses his temper, it's usually taken out on me.

Understanding and Managing Grief & Pet Loss, February 12 - February 18, 2023

Best selections from Grief Healing's Twitter stream this week:

If Dog Mountain were just a joyful place where dogs can run around, or plop into a nice pond, it would still be pretty special – 150 dog-friendly acres in the scenic hills of northern Vermont. But there is much, much more to this story. It's actually a real tear jerker, sweet but sad.  A dog lover's pilgrimage to Dog Mountain « CBS News

Supporting A Parent in Grief

[Reviewed and updated December 22, 2024]

The loneliest moment in someone’s life is when they are watching their whole world fall apart, and all they can do is stare blankly. ~ F. Scott Fitzgerald

A reader writes - My mom died six months ago after a long battle with COPD (Chronic Obstructive Pulmonary Disease). Knowing that she had a terminal illness and that she was in the end stages of this disease, our family agreed to take her off life supports. I thought I had this all figured out, her dying. I thought I was prepared for that day. Boy what a shock to myself. This has been the worst thing that I have been through. I miss my mom so much that I feel physically ill. I don't think you ever really get over it, just need to figure out how to live with it. Now I am very worried about my dad. He has shut down. He drinks too much. He sits on the couch watching TV. He says he has no ambition to do anything. He misses her badly and is very lonely. My adult children do not visit him because they don't know how to handle him. So I call everyday and visit, have him over two or three times a week for supper. I don't know how to help him start living again.

Understanding and Managing Grief, August 28 - September 3, 2022

Best selections from Grief Healing's Twitter stream this week:

Wherever you might be in your grieving process, support can be found through counseling, which can help you work through grief and heal in a healthier way. Learn more below about the different types of grief, what grief counseling entails and how you might benefit from trying it. Grief Counseling: How It Works, Benefits And More « Forbes Health

Understanding and Managing Grief, July 31 - August 6, 2022

Best selections from Grief Healing's Twitter stream this week:

If you are unsure whether you are experiencing grief or finding it challenging to work through bereavement, grief counseling can offer support and helpful ways to bring meaning to the loss and allow you to move forward through your grief. Grief Counseling: What It Is, and Therapist Finder Resources « Very Well Health

Understanding and Managing Grief, February 27 - March 5, 2022

Best selections from Grief Healing's Twitter stream this week:

How much we struggle to keep that which we’re soon to lose. Anticipatory grief is normal and it is borne out of love people have for the person they are grieving. What Is Anticipatory Grief? « Psychology Today.