Types of Loss
Loss of a family member, friend, partner, pet, or other significant person (e.g., widow/widower)
What is death loss?
Fatigue, changes in sleep and/or appetite, restlessness, physical tension, feeling physically “heavy”
What is physical?
Additional losses that result from the original loss, such as changes in finances, routines, relationships, identity, or future plans.
What is secondary loss?
A natural, multidimensional response to loss which including emotions, thoughts, and behaviors.
What is grief?
When or why might we use "Name It, Notice It, Need It?
Bonus 100 points for an example
When we are feeling overwhelmed, stressed, or fearful; it can help us better understand ourselves and reduce impulsivity.
Divorce, separation, breakup, estrangement, or loss of a friendship.
What is relationship loss?
Sadness, anger, guilt, relief, anxiety, loneliness, numbness, and irritability
What is emotional?
A grief response that is postponed or becomes more noticeable later.
What is delayed grief?
What four areas can we look at for our support map? - Please define.
50 points each
1. Emotional - Who can I talk to?
2. Practical - Who can help me with tasks?
3. Social Support - Who helps me feel connected?
4. Community/Spiritual Support - Where do I feel a sense of belonging?
What skill utilizes our senses and when might we use it?
100 points each
5,4,3,2,1
Relationships, opportunities, health, trust, time, or aspects of identity that may have been affected by substance use.
What is loss associated with substance use?
Crying, withdrawing, avoiding reminders, looking at photographs, maintaining routines, and difficulty completing normal activities
What is behavioral?
The intense, often overwhelming period following a significant loss.
What is acute grief?
1. Give the person your attention without immediately preparing a response.
2. You can acknowledge the experience without agreeing with how someone feels.
3. Grief isn't a problem that needs to be solved.
100 points each
1. Listen
2. Validate
3. Don't Fix
Please define the three components of the circle of control.
Bonus 100 points for providing an example personal to you
1. Can Control - My choices, boundaries, how I communicate, whether I ask for help, how I care for myself, and some aspects of my routine.
2. Can Influence - My relationships, how I organize my environment, how much support I seek, how I respond to change, some future decisions.
3. What has already happened, other people’s choices, other people’s reactions, the past, how quickly grief changes, some circumstances surrounding the loss.
Changes in who we see ourselves as, such as becoming unable to work, losing a parenting role, or changes related to recovery.
What is role or identity loss?
Difficulty concentrating, forgetfulness, preoccupation with the deceased, “What if?” thoughts, difficulty making decisions, and questioning what happened (e.g., bargaining, denial)
What is cognitive?
Grief that remains persistent and significantly interferes with functioning. (The clinical terminology and criteria are more specific than simply “grieving for a long time.”)
What is complicated or prolonged grief?
Provide four common triggers for grief and loss and a possible reason for each.
100 points each
Examples may include birthdays, celebrations, the death/loss date, smells, songs/sounds, memories, milestones, important life events, seeing certain people.
Name four coping skills that you have been using since entering treatment and how they help you personally (they can include coping skills not discussed in this group specifically).
Answers will include internal and external skills (e.g., deep breathing, exercise, distraction, mindfulness).
A loss that doesn't have clear closure, such as estrangement, a loved one who is physically present but psychologically unavailable, or uncertain circumstances.
What is ambiguous loss?
Questioning beliefs, searching for meaning, anger towards God or a higher power, feeling spirituality disconnected, and increased spirituality
What is spiritual or existential?
Grief experienced by a group or community following a shared loss or traumatic event.
Bonus (50 pts): Provide an example
What is collective grief?
Examples: major disaster, loss of a public figure, mass violence
How might each emotion show up in our bodies and behavior?
1. Anxiety 2.Anger 3. Sadness 4. Fear 5. Overwhelm
100 points for each emotion
1. Body - tight chest, racing heart; Behavior - worrying, avoiding
2. Body - tension, heat; Behavior - irritability, snapping
3. Body - heavy/tired; Behavior - crying, withdrawing
4. Body - shaking, tense muscles; Behavior - avoiding, seeking reassurance
5. Body - fatigue, restlessness; Behavior - difficulty concentration, forgetfulness
What are your top five values and what is a small action you can take for each?
50 points for each part of the 5 answers
Answers will vary