Grief and Loss

What is Important to Say When a Loved One is Dying?

8/30/2023

by Shelley Kruszewski, LLC

Skilled grief counselors at Trinity Family Counseling can help in navigating through the loss of a loved one.

Shelley Kruszewski is a Limited Licensed Counselor (LLC) in private practice and is the newest member of the Trinity Family Counseling Center team. She has graduated with her Master’s Degree in Counseling from Oakland University. In addition to her individual case load at Trinity, Shelley also serves as a co-facilitator of the Walk With Me® Grief Support Group.

Well-chosen words can be powerful tools for emotional well-being for us and our families. However, have you ever thought about what is helpful to say to someone that is dying? According to Dr. Ira Byock, a renowned palliative care physician and author of the book, The Four Things That Matter Most, there can be comfort and healing by using these four simple phrases:

Please forgive me
I forgive you
Thank you
I love you

It’s not necessarily the words that matter, but the sentiments behind the words that brings healing. If you are doing it with good intentions, it is a safe discussion to have. No relationship is perfect, and saying these things can give you and your loved one the opportunity to feel complete.

To “ask for” and “offer” forgiveness acknowledges we make mistakes. It’s not about forgetting; it means getting rid of the emotional baggage. Since grief can become more complicated when things are left unsaid, forgiveness is not just for the dying, but becomes a pathway to healing for ourselves.

Saying “thank you” and “I love you” might be stating the obvious, but there is a lot of weight in having someone hear it. Some people are reluctant to say the words because they believe their dying loved one already knows how much they are loved and appreciated. Dr. Byock’s response to that is, “Good, then it will be real easy for you to say it!”

There are also four lessons we should consider as we face death:

Lesson #1- Human beings are imperfect.
Don’t beat yourself up, nor inflict people with guilt at end of life. Cultivate feelings of worthiness and acceptance. Have mercy.

Lesson #2 – The things that matter most are not things—they are other people!
Our busy calendar will fall away quickly when you or someone is ill. Our connection to people is the primal source of meaning.

Lesson #3- Because humans are imperfect, relationships tend to be imperfect.
Some of the wounds we carry may reopen, especially if they are deep. Mortality makes it urgent for us to deal with these imperfect relationships while we still have the chance.

Lesson #4 – Healing is possible.
Dr. Byock was surprised himself to see how quickly people got it together when the dying process brought a sense of urgency. He has observed over and over again that when there is nothing left unsaid, simply being in the presence of your loved one takes on a sense of joy. This is even possible in cases of dementia or unconsciousness.

What if your loved one has already died? Death ends a life, but it does not end a relationship. Dr. Byock says there is still a therapeutic benefit in using "the four things” for healing. A skilled grief counselor can help in navigating through that process.

The more you talk and think about dying, the better you tend to live. Do not be fearful of saying the four things that matter most. Be authentic and say them with good intentions. Do it without an expectation that you will receive anything in return. And by the way, the life changing benefits of saying the four things that matter most do not need wait until the end of life; say them now to your loved ones!

“Our mortality will teach us a lot about life if we let it.”
~ Ira Byock, MD

For more information regarding Dr. Ira Byock and his inspirational book, please visit:
http://www.irabyock.org
https://irabyock.org/books/the-four-things-that-matter-most

Grief's Unfinished Business: Secondary Losses

4/6/2021

by Tonya Ratliff, LPC, NCC, ACS

Tonya Ratliff is the Owner and Director of Counseling Services for Trinity Family Counseling Center. In addition to her individual, couple, and family clients, Tonya is also the lead facilitator of the Walk With Me® Grief Support Group, an aftercare program sponsored by Wm. Sullivan and Son Funeral Home in Utica, MI.

The death of a loved one is often the most anguishing event of any individual’s life experience.

A sudden and unexpected death is often described to me as “…a gut punch… unbelievable… the bottom has fallen out of my world…” Even if the death is expected or had been long anticipated, the actual moment that we learn of the death can only be described as shocking, devastating, and often times surreal. We are immediately plunged into the tasks of mourning which involve notifying others, funeral planning, and managing others’ reactions and expressions of sympathy, which often feel shallow amidst our anguishing despair.

Our loved one’s physical absence is the first and most significant loss we have to navigate. His slippers are still by his chair, her coffee mug sits by the sink, or their last message to us is still in our voicemail box—but they’re not here… and never will be again. It is this unending absence that preoccupies our every moment in the immediate aftermath of their death.

In time, though, other equally profound losses begin to surface, and we become aware of the many additional layers of grief yet to come.

…that dreamed of vacation to Europe will never happen…
…he won’t walk me down the aisle on my wedding day…
…she’ll never meet my future children…
…I have to sell our home because I can’t afford to stay here alone…
…she managed all the finances… I don’t know where to begin…

This list—known as ‘secondary losses’—is long, and each of these losses can bring just as much sorrow as our loved one’s physical absence. What’s worse, these losses are not all apparent right away. They emerge slowly, over the course of the rest of our lives, and bring with them a fresh resurgence of despair and the need for continued grief work, often at a time when we may have thought we had gotten through the worst of it.

The most important feature of coping with all these secondary losses is simply acknowledging them as they come up. Reaching back out to those support people who have been with us from the beginning can provide comfort, as we feel the need to talk about and process new and unexpected aspects of our loss experience.

Planning for and allowing ourselves to feel all the feelings as they arise is a healthy response to the experience of secondary losses. Acknowledging that our grief will continue to surge long after the actual death is a large part of the task of grief work. After all, there is no way of knowing in advance what can happen to take us ‘down to our knees’ again. Tolerating this renewed pain as we continue to take those small steps forward into the rest of our own lives is part of the anguishing process of healing from loss.

Some of these steps could include:

…beginning to consider some type of vacation for yourself—maybe with others—in the future…
…determining how best to honor his memory at your wedding…
…journaling about your loved one’s life, loves, and accomplishments for future generations to read…
…seeking help from others in determining how and when to downsize…
…hiring a financial consultant to help organize and prioritize the management of your finances…

The reality of the loss of a loved one is that our lives will never be the same as before. Recognizing and accepting grief’s unfinished business of ongoing secondary losses is a tall task of grief work. A task that requires self-compassion and humility as we come to terms with aspects of our grief experience that we couldn’t have imagined in the early days after their death.

Grief is a lonely journey; but you need not go it alone. There IS a difference between feeling lonely and being alone. The help of a professional grief counselor can be a healthy act of self-care as the enormity of grief’s unfinished business becomes apparent over the passage of time.

"Life Has Changed Without My Permission"

3/15/2015

by Tonya Ratliff, LPC, NCC, ACS

My journey to the field of professional counseling–more specifically grief counseling – began with this profound realization. My own mother died when I was a young mother myself, and as a result of her death, I suddenly realized how little control I had over anything at all. A few years later, as I began my graduate studies in the counseling field, I was immediately drawn to grief work.

Those who are grieving the loss of someone they love are truly suffering through no fault of their own. The emotional, spiritual, psychological, and physical assault of loss is profoundly overwhelming and life-changing.

The ability to successfully navigate your grief work involves tolerating [rather than avoiding] the emotional pain, and recognizing that your unique and very personal grief experience will be a very lonely place for an undetermined period of time. These insights, forced upon us in our darkest moments, can help us reconcile the fact that life has indeed, changed forever, without our permission.

Our task, when working through our grief, becomes figuring out how to take this experience–as part of what now defines us–and move forward in our own life.