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Published on : Jan 08, 2015
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Slide 1 - Understanding Grief: Assessment and Treatment Planning Karen Horinek, L.C.P.C. Bereavement Coordinator/Counselor And Terra Solove, M.S.W. Bereavement Counselor
Slide 2 - What is Grief? Grief is the physical, emotional, somatic, cognitive and spiritual response to actual or threatened loss of a person, thing or place to which we are emotionally attached. We grieve because we are biologically willed to attach. (John Bowlby, Father of Attachment Theory)
Slide 3 - Common Grief Responses Feelings Numbness Shock Anger Anxiety Loneliness Fatigue Yearning Relief
Slide 4 - Common Grief Responses Physical Sensations Tightness in the chest Shortness of Breath Lack of Energy Panic Attack-like symptoms
Slide 5 - Common Grief Responses Cognitions Disbelief Confusion Sense of Presence Lack of Concentration
Slide 6 - Common Grief Responses Behaviors Sleep disturbances Appetite disturbances Social withdrawal Dreams of the deceased Absent-minded behavior
Slide 7 - Common Grief Responses Cultural Differences Gender Differences
Slide 8 - Differences between Grief and Depression Depression shares common features with grief. Misdiagnosis can result in overlooking depression when it is present and inappropriately treating grief. American Family Physician Article (www.aafp.org/afp/20020301/883.html)
Slide 9 - Assessing between Grief and Depression Grief Experienced in waves Diminishes in intensity over time Healthy self-image * Excerpts from Therese A. Rando (1993).Treatment of Complicated Mourning. Research Press, Champaign, IL. Depression Moods and feelings are static Consistent sense of depletion Sense of worthlessness and disturbed self-image
Slide 10 - Assessing between Grief and Depression Grief Anhedonia Hopelessness Response to support Overt expression of anger * Excerpts from Therese A. Rando (1993).Treatment of Complicated Mourning. Research Press, Champaign, IL. Depression Anhedonia Pervasive hopelessness Unresponsive to support Anger not as pronounced
Slide 11 - Assessing between Grief and Depression Grief Guilt is focused on aspect of loss Not demoralizing or humiliating Preoccupation with deceased Suicidal gestures rare in uncomplicated grief Elicits sympathy, concern and desire to embrace * Excerpts from Therese A. Rando (1993).Treatment of Complicated Mourning. Research Press, Champaign, IL. Depression Guilt is preoccupied with a negative self-image Demoralizing and humiliating Preoccupation with self Suicidal gestures not unusual in depression Elicits irritation, frustration and a desire to avoid
Slide 12 - Grief Assessment What was the relationship Nature of the Attachment Mode of Death Historical Antecedents Personality Variables Social Variables * Adapted from William Worden. (1982). Grief Counseling and Grief Therapy. New York: Springer Publishing Company
Slide 13 - Theories on Bereavement Elizabeth Kubler-Ross: Stages William Worden: Four tasks of grieving Robert Neimeyer: Rebuilding life and search for meaning
Slide 14 - Treatment Planning Establish a relationship with the bereaved Be comfortable with their expression of grief Listen Normalize grief reactions Companion them in rebuilding their life
Slide 15 - Taking Care of Myself Know your own limits Set boundaries Nurture yourself