As the primary caregiver for my wife, I learned about the various topics that families face when caring for someone with a life-threatening disease. Lynne battled glioblastoma for nearly four years before succumbing to the disease. Glioblastoma is a stage 4 brain cancer that is recognized for its fast-growth and recurring properties. Having learned about grief models prior to Lynne’s illness, the learning helped with my grief recovery process. The models provide a framework to understand the various emotions that one faces during a significant loss.While different grief models exist, proposed by many experts, in 1969, Kübler-Ross published the first, widely accepted model of grief. This work provided insight into the emotions that people experience when facing death. Much literature references this model and serves as a basis for discussion, in many articles and papers that followed its release. Later, other researchers extended or revised the model to include other people who experience grief, not only those facing death. The model suggested a linear progression through grief. Over time, a growing number of experts rejected the idea that people progress sequentially through the phases. As a result, some experts subsequently provided additional models to help understand grief and the effects that grief has on people.
Like me, you might discover parallels within your grief like those described in the model. Some describe the experience with these grief phases as overlapping at times with some phases extending for prolonged times. I know that grief is not a tidy or straightforward process. Some claim the grief experience feels more like the ball in a pinball machine bouncing from one stage to another with nothing described as sequential. We just need to keep in mind that the way each person experiences grief is unique to the individual. The one huge benefit of these models is that they provide some legitimization for the emotions we experience as individuals as we recover from a significant loss.Because people reference the Kübler-Ross model most often, I will provide an overview of the following stages:
Shock and DenialDuring the shock and denial phase, the shock of the loss is overwhelming. This occurs whether the loss is sudden or anticipated. The griever tends to deny that the loss will occur or has already occurred. This is a normal part of the process for most people. The brain’s protection mechanisms help grievers try to cope with the loss.
AngerAnother normal part of grief is the emotion of anger that surfaces because of the loss or the anticipation of the loss. The griever may blame family, friends, or even themselves. The grieved may even blame the person they lost. It is important that the griever express the emotions through sharing with a trusted person to avoid prolonged depression, self-destructive behaviors, health issues, or other negative effects. Depending on the depth of grief, this may lead to a friend, spiritual advisor, counselor, therapist, or physician.
BargainingIn the bargaining phase, the grieved bargain with themselves, other people, or even with God to avert the loss. The grieved try to seek out options to change the reality of the loss.
DepressionFor some, the depression phase is the feeling of sadness or despair, while for others this phase results in clinical depression. It is important to seek out support from a doctor, counselor, therapist, friend, or support group. This phase often leads to other problems, both physical and emotional, if not addressed. For some, this phase is often the longest phase of the grieving process. We pay this price as human beings because we care about others. In any major loss, it is not a sign of weakness to ask for support, in fact, this is an inevitable step, necessary in the grief recovery process. The griever then begins to deal with the often-painful memories and begins to learn to cope with the life changes resulting from the loss.
AcceptanceThe acceptance phase results when the pain of the loss begins to lessen. The griever begins to look ahead. The acceptance of the loss causes the griever to move forward, embracing, or at least accepting the changes that the loss created in their lives. The depleted energy resulting from grief begins to increase steadily, as the weight of sadness and despair begin to lift from the griever’s shoulders.This grief model does not provide a comprehensive approach to understanding the grief recovery process but does provide a framework for discussion. Other experts have provided other models that add to the body of knowledge about this human experience. Grief is a universal human experience, yet the experience is unique to each individual. I hope that by sharing my personal experience that others will also benefit.
This change in character outcomes in impulsive and risky behaviors. Some sufferers cross on purchasing sprees, participate in unprotected sex, and are much more likely to try tablets and other dangerous substances. Their interest span greatly decreases and that they come to be distracted very effortlessly. In intense instances of mania, some sufferers enjoy grandeur and psychosis. They are afflicted by delusions and hallucinations, fake ideals that they had been chosen for a specific undertaking. People going via the mania segment might not even experience anything is inaccurate with them but to different human beings, they appear to be performing weird and not themselves. This can frequently motive problems in relationships, the circle of relatives’ existence, and the administrative center. Although the mania section causes harm to the patient’s existence, depression remains some distance worse. Depression occurs commonly after mania and can be extra negative. Patients revel in decreased power, low self-esteem, low self really worth and no delight in something that they as soon as loved. Anxiety, anger, and guilt also are not unusual in the melancholy segment. Phases of depression could make patients greater prone to harm themselves or dedicate suicide. These phases can remain anywhere from some weeks to several months if left untreated.TreatmentTreating this form of the condition is in no way smooth for psychiatrists. Even with the advancements in the era, there’s no permanent remedy for bipolar disorder. Most treatment techniques awareness on coping with the signs and teaching patients to apprehend the signs and symptoms of an episode. Group therapy is any other approach used to get their own family contributors concerned within the treatment system. This additionally enables the sufferers to figure out what reasons them to transition into mania. Most remedy strategies additionally require the use of medication to be greater a success. Anti-depressants, benzodiazepines, and different temper handling drugs are used to help sufferers transition from one mood to another other. These tablets also are used to decrease the signs of mania and depression.
