Grief and Loss Booklet
Grief and Loss Booklet
Grief and Loss Booklet
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“The hardest part of losing
someone isn’t having to say
goodbye, but rather learning to
live without them. Always trying
to fill the void, the emptiness that’s
left inside your heart when they
go.” –Author Unknown
If you are reading this guide, someone dear to you has
died. We would like to express our deepest sympathy to
you, as well as anyone else who is experiencing the pain of
grief during this difficult time.
2
In addition to the others who are assisting you, please also
consider the University of Michigan Rogel Cancer Center’s
Grief and Loss Program a resource. Please visit the website
at www.rogelcancercenter.org/support/managing-
emotions/grief-and-loss-program
Warmest Regards,
University of Michigan Rogel Cancer Center
Patient and Family Support Services
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Table of Contents
What to Expect 5
What is grief? 6
22
23
25
Financial Matters 28
Additional Resources 35
Summary 38
Notes 39
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What to Expect
5
What is grief?
Grief is defined as “deep sorrow, especially that
caused by someone’s death.” Grief is a natural
response to death and sometimes involves strong,
even overwhelming, feelings and deep emotions.
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days when you feel like you are “going crazy,” like
nothing makes sense; you can’t get organized; you
can’t stop crying; you are forgetful; you are always
tired; you don’t feel like getting out of bed. It could
be all of these, none of these, a combination of these,
or other feelings that are completely new to you.
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our everyday life and we adjust to life without this
person. Experiencing a deep sense of loss and the
associated emotions can sometimes last for months
or even longer. However, you should notice a gradual,
ever so slight, improvement as time passes. Again, be
patient with yourself, and remember to check in with
those you trust and/or professionals if it seems that
your grief is going on too long or if it is complicated
by other factors.
•• Disbelief •• Loneliness
•• Anger •• Heartbreak
•• Fear •• Exhaustion
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•• Relief •• Blame
•• Shame •• Irritability
• Decreased immune
system
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current experience of grief. Complicated grief can inhibit
someone from resuming their normal life, undermine
other relationships or affect us in other ways. A person
experiencing complicated grief can have difficulty
accepting the fact that their loved one has died and may
become preoccupied with the person who died.
10
What are the signs of clinical depression?
• Feelings of • Irritability
worthlessness,
• Restlessness
helplessness
• No interest in social or
• Extreme and constant
once enjoyable activities
sadness
• Inability to function in
• Excessive or
daily life
inappropriate guilt
• Recurrent thoughts
of death or suicide, or
suicide attempt
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How to seek professional help when
concerned about complicated grief or
depression
Seeking professional help from a therapist or a
counselor can be overwhelming, intimidating, and a
source of embarrassment or feelings of shame. This is
not only because of the stigma attached to it, but
because we so often feel as though we need to -- or
should be able to -- do it on our own. However, seeking
professional help can also be one of the best things you
can do for yourself during this difficult time. The vast
majority of those who seek treatment find it to be very
effective. It often leaves people wondering, “Why didn’t
I do this sooner?” A professional will help you assess
your experiences and situation and will make
suggestions about what to try, including psychotherapy
or medications, or perhaps a combination of the two.
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provider’s web site to get additional information along
with increasing your comfort level with your final choice.
Once you have decided on a specific provider, make the
call to set up your first meeting.
13
Generally, they do not provide counseling, but many
times work in conjunction with another practitioner
who does.
14
• Art Therapist (BC-ATR): A board-certified art therapist
has a master’s degree in art therapy. An art therapist is
trained in using art when words are too painful to
express.
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Coping with Grief
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No two people – even family members – cope with
death in the same way. You shouldn’t feel like you
need to “get over it” in a certain amount of time. Be
patient with yourself and grieve in your own time
frame, not someone else’s. You also do not need to
grieve the way others do or how they tell you to
grieve. The fact is we never truly get over the death
of someone we loved and their memory will be with
us forever. Believe it or not, the pain and depth of
emotions will subside, healing will happen and we do
learn to live life without the person’s physical
presence.
• Reach out and help others deal with loss (when the
timing is right). Helping others has the added
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benefit of making you feel better as well. You may
find it helpful to share your story and hear other
people’s stories.
18
Helping Children
Cope with Grief
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Children follow the cues around them and model how
adults grieve. Providing a supportive environment
where parents and caregivers openly show emotions,
talk about their grief and express their frustration
can help children understand that it is okay for them
to feel the way they do. Mourning as a family gives
children a sense of security and provides an outlet
for their feelings.
How to help
• Set a time to explain what happened. If you feel
it’s necessary, ask a trusted friend or family
member to assist you with the conversation. Make
sure you agree on the approach and what will be
said. Do not be afraid of emotions and sharing
tears. Again, you are modeling grief for the
children. Be honest and give accurate, age-
appropriate information. Remember, it may be
necessary to have separate conversations with
different aged children. Take time to listen to the
child’s response and any fears they may have.
Help them understand death is a normal part of
life. You can use this time to discuss your beliefs
about what happens after death.
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• It is OK for your children to see you cry. Crying
together can be good for all of you.
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• Disarm fears and guilt: Death is nobody’s
fault. Talk to your children about this directly to
make sure they are not feeling unspoken guilt.
Research suggests that kids often feel like they did
something to cause the death, so make it clear that
they did not.
22
Things to consider doing
• Seek out local grief groups for kids of all ages.
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• Be sensitive to challenges your children already
face. Puberty and hormonal changes can influence
a teenager’s perception of a stressful event.
24
Additional support for children and teens
Children and teens can suffer from complicated grief,
too. They may develop serious problems after the
death of a loved one. Like adults, they may require
professional help and may need someone they trust to
suggest they seek counseling.
25
Honoring the
Memory of
Your Loved
One
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Finding ways to hold the memory of your loved one
close to you is important. The anniversaries, birthdays
and other significant days can be difficult, but some
families find comfort in planning for those special
days. Also consider using the suggestions below for
various times throughout the year, even if it is just a
day when you particularly miss the person who died.
27
Financial Matters
28
The initial hours and days after the death of a loved
one will be hectic and confusing. During this difficult
time, it’s important to gather around you the people
you trust to help manage the details. Funeral directors
are a valuable resource for information; by law, they
cannot charge a fee for information services. Learn
what options are available to you for cemetaries,
memorial services or anatomical donation. Use this
information to decide what’s best for you and your
family.
29
• Obtain death certificates from your funeral
director or county health department. You will
need as many as 12 certified copies which can be
ordered from the county clerk’s office. A certified
death certificate may be required when you apply for
benefits.
30
claims against it. An attorney may be helpful in this
situation.
◊ Trust papers.
◊ Divorce/Separation papers.
31
• Locate insurance and benefit documents,
including:
32
• Inquire about any 401(k), pension or company
stock benefits. Change name on stocks and bonds.
33
◊ Don’t ignore the account or log into the
deceased's account yourself (this could be
considered a violation of the social media’s terms
of use and it could also be against the law).
34
Additional Resources
American Cancer Society
800-227-2345
www.cancer.org
Compassion Books
1-800-970-4220
www.compassionbooks.com
Books, audios, and videos to help children and adults
through serious illness, death and dying, grief, and
bereavement.
Compassionate Friends
National Office
1-877-969-0010
www.compassionatefriends.org
Assists families following the death of a child of any age.
Cancer Care
1-800-813-4673
www.cancercare.org
Provides support and resources for people who have
experienced the loss of a loved one.
Cancer.Net
www.cancer.net
Information about grief and loss.
GriefNet
www.griefnet.org
An internet community of people dealing with grief,
death and major loss.
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National Cancer Institute
1-800-4-CANCER
www.cancer.gov
Information about cancer, grief, and bereavement.
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Children
Ele’s Place
www.elesplace.org
Healing center for grieving children and teens. Four
branch locations support families throughout the
Ann Arbor, Grand Rapids, Flint and Lansing areas.
Gilda’s Club
www2.gildasclubdetroit.org
A free support community for men, women and
children living with any type of cancer, their families
and friends.
Dougy Center
www.dougy.org
The Dougy Center provides support in a safe place
where children, teens, young adults, and their
families grieving a death can share their experiences.
Financial
Burial Services
Michigan Department of Health & Human Services
www.michigan.gov
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Summary
We hope that you found this guide helpful, whether
your grief is still very new or whether you’ve had
some time to heal. Be patient with yourself as some
days will be better than others.
Sincerely,
University of Michigan Rogel Cancer Center
Patient and Family Support Services
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Notes
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Executive Officers of Michigan Medicine: Marschall S. Runge, M.D., Ph.D., executive vice president for medical
affairs, dean, University of Michigan Medical School, CEO, Michigan Medicine; David A. Spahlinger, M.D.,
president, UMHS, and executive vice dean for clinical affairs, University of Michigan Medical School; Patricia D.
Hurn, Ph.D., dean, School of Nursing.
Regents of the University of Michigan: Jordan B. Acker, Michael J. Behm, Mark J. Bernstein, Paul W. Brown,
Shauna Ryder Diggs, Denise Ilitch, Ron Weiser, Katherine E. White, Mark S. Schlissel (ex officio).
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