The missing stage of bereavement grief: anxiety

This was helpful to me. My mom died a month ago, and on top of the sadness and sense of loss, I've been hit by these feelings of dread.

This article says anxiety's a normal part of the grieving process.

http://www.slate.com/articles/health_and_science/medical_examiner/2013/02/five_stages_of_grief_revision_anxiety_should_replace_bargaining.html

When Elisabeth Kübler-Ross debuted the five stages of grief in her book On Death and Dying, published in 1969, they were intended for people facing their own deaths. Kübler-Ross later went on to apply these same five stages to the bereaved, to people who had lost a loved one, but upon closer inspection, I’m not sure they work as well. Losing a loved one is not the same as losing your life. Grief thrusts us into an uncertain world where anxiety often reigns supreme. Yet anxiety is the very element missing from Kübler-Ross’ stages.

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It’s now been close to 15 years since that ER visit, and I’ve become a therapist specializing in grief. When I look back on that time in my life, it’s easy for me to recognize how my anxiety was linked to the loss of my mother. In fact, anxiety is the most common symptom of grief that I see in my practice. But I also know that it’s often one of the most overlooked aspects of bereavement, so much so that I find myself constantly wishing that Elisabeth Kübler-Ross had included anxiety as a stage and saved us all a lot of, well, grief.

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Including anxiety in the five stages of grief would better serve the bereaved. Even more than depression, anxiety is the response my grieving clients express a desire to overcome since experiencing loss. They describe feelings of panic and obsessive thinking about their own deaths and potential illness. They tell me about bouts of helplessness and of feeling overwhelmed by life itself, about panic attacks and moments of such paralyzing fear that they pull their cars over on the way to work. I have even heard my own story about the ER told back to me countless times.

When we lose someone we love, we are thrust into a world where we feel more vulnerable than ever before. Suddenly we must face the fact that there are absolutely no guarantees in life. Everything that once seemed sturdy is now fragile, particularly the people we love. These feelings can be incredibly overwhelming and oftentimes terrifying. It takes time and work to overcome them, to feel secure again in such a now-delicate world. And for people who suffer multiple losses in a short period of time, it can take even longer.

The anxiety that comes with grief can be debilitating, but because it is not included in Kübler-Ross’ five stages, it tends to be ignored or dismissed as a different problem altogether. However, anxiety is a very real and very normal reaction to grief and it must be recognized. It is also highly treatable once it is distinguished for what it is.