trauma

The Right Kind of Grief and Trauma Support

June 20, 2022 By Nathalie Himmelrich Leave a Comment

What is the right kind of grief support and how can I find it? This is the question that each and every one of you reading this will have asked yourself.

Where to find support?

I did too when I was freshly bereaved. Luckily I had a wonderful General Practitioner who referred me to a therapist who I, being a therapist, didn’t have to coach on how to be with me, talk to me, and treat me.

Looking back, she was very supportive and, as I later found out, was also pregnant at the time. I don’t know where I would have been without seeing her and being able to have a sounding board checking on my mental health. She made me feel normal in a situation where I felt as if I was going crazy. She helped me gain perspective and start my journey of dealing with grief before my subsequent and traumatic loss of my mother through suicide.

Am I doing grief ‘right’?

My request for my therapist was to help me gain an understanding of grief and loss. I need to know if I was doing it ‘right’. Even though I understood it from a therapist’s point of view and worked with clients facing grief, I was well aware that going through the experience myself was a completely different pair of shoes.

As a couple, we also went to a grief support group led by the hospital at which I had given birth. This was very helpful for both of us. We got to meet other mothers and fathers, who had also lost a child. We could benefit from listening to their situations and their way of dealing with them.

So how can you find suitable support for yourself?

First of all, you need to decide and find out what it is that you need. The following questions can help you:

Do I need or prefer one on one support or group support or anything else that might support me?
If therapy, do I prefer face-to-face, or am I okay with online therapy?
If therapy, would I be better at seeing a male or a female therapist?
If group support, do I prefer face-to-face or an online group?
If group support, do I want to participate or prefer to be in the background?
If neither therapy nor group supports me, what else supports me? Reading, writing, gardening…?
What would you need to be able to incorporate the support that would be best?

Grief and trauma-informed therapy

If you are looking for a therapist and have experienced loss and or trauma, make absolutely sure that your therapist is grief and trauma-informed. What does that mean? Find out whether they have specific training in grief and trauma. You can either check their website on the about us page or ask them when you talk to them. There are multiple different forms of training for trauma some of the ones that I would recommend are Somatic Experience (SE) developed by Peter Levine and the Neuro Affective Relational Model (NARM) developed by Lawrence Heller. you can find practitioners around the world on their practitioners’ websites.

Finding the right therapist

Like any relationship, the therapist-client relationship needs to feel suitable to you personally. You might like to ask a friend for some recommendations. You could also ask for a referral from your doctor, midwife, nurse, or other healthcare providers.

In both of those situations, you still need to try them out to find out whether the two of you are a good fit.

Find out what the therapist offers in a free introductory session or give them a call and ask for 10 minutes of their time to get to know them. (Book a FREE 30 min introductory session with me here.)

Then make an appointment. When you are there sense how this therapist fits you:

Does the therapist’s room make me feel at ease?
Do I get a feeling of being supported when I speak to them?
Do they listen to me, and do I feel validated and understood?
Do I feel at ease being there?
Do I feel like making another appointment?
Does the therapist ask me about my wishes, aspirations, reasons for therapy, and what I would like to achieve through being here?

These questions should be giving her enough information on whether you want to continue therapy with a specific person or try another one.

Grief group support

There are many different grief support groups out there and through the years of COVID people have become used to meeting online if in-person isn’t possible. On the support page, you can find different suggested groups or you can simply search them yourself based on the specific topic that you need support with, for example, pregnancy loss, child loss, loss through suicide, homicide loss, loss of a grandparent, loss of partner loss of a mother, loss of a father, etc.

Finding the right group

In the same way, as therapists need to fit your needs so does a group. If you like to participate in a group, it is good to choose a group that meets regularly either in person or online. If you prefer to stay in the background, there are grief groups, for example on Facebook, where you can read and comment if you like to.

Make sure that the general theme of the group is a fit for you. I personally have noticed that there are some groups who did not fit with me early on because they were too focused on religion. I needed a group that was filled with hope and showed me the potential for healing and integration.

Overwhelm versus support

Remember: When you are in the early stages of grief, you need support. You might be able to find support among your friends or family members but chances are, they too are to some degree affected and overwhelmed and cannot give you the full support you need. Divide your support needs among different people and providers and don’t overload just any one friend. Talk to a therapist, take part in a support group, message a friend. You might find this article on ‘Circles of Support’ interesting to read.

What you need to be mindful of, is your own feeling of overwhelm: Clients have described to me that certain groups are ‘just too much’ for them, or ‘all the stories of other … losing … triggers me’. Again: You need support, so sense inside yourself to find out what truly supports you. You are also not there to support others – that might come later on. To become a skilled bereaved supporter, you might like to read this book.

Animal Phobias – What can be done?

June 9, 2022 By Nathalie Himmelrich Leave a Comment

Spiders, rats, mice, and snakes are just some of the common animals people are afraid of. But what if the fear gets in the way of life?

Phobia versus fear

Phobia is a response to something that is not a threat. This is why phobias are sometimes called irrational fears. The response is so intense it may interfere with your ability to function or perform daily tasks.

Many fears had been reasonable or useful in the past or are even useful nowadays. For example, certain snakes or spiders can be poisonous and therefore dangerous, while other animals might carry illnesses. The fear of certain animals might be genetic which is what professionals call ‘preparedness’. Even a few months old toddlers react with enlarged pupils when shown pictures of spiders whereas pictures of flowers in the same color do not have the same effect.

How do phobias develop?

Often, traumatic past experiences play a role. Many people with phobias describe a specific experience that has elicited the phobia. In addition, phobias can be transmitted through stories, films, and the behaviour of parents.

How many people do have phobias?

More than 10% suffer from phobias, according to studies significantly more women than men. Among the animal phobias, the fear of spiders is the most frequent, occurring in about 5.6% of women and 1.2% of men.

How do phobias affect everyday life?

People with phobias do their best to avoid the animal (or situation) they are phobic about. This can be quite significant and influence people’s lives to the point of, for example, not being able to go swimming for fear of water snakes lurking in the water. These behaviours of avoidance actually increase the intensity of the phobia.

Do phobias disappear with time?

No, they don’t. Even if the animal is avoided, the phobia often remains for a lifetime and determines the person’s experience of living.

What can be done about phobias?

There are different kinds of treatments that people suggest: from exposition therapy to psychotherapy using neurolinguistic programming.

What are the chances of a phobia getting healed?

It is important to differentiate between a natural fear and a phobic response. We want to remain responsible and prepared for the potential danger a poisonous snake might offer but the aim is to resolve the unrealistic fear or phobia that impedes the experience of life.

If you’d like to treat your phobia make an appointment today.

Image Credit: Photo by Flash Dantz on Unsplash

Best Questions to ask – Supporting Questions

August 9, 2021 By Nathalie Himmelrich 2 Comments

“The answers you get depend on the questions you ask.”
― Thomas S. Kuhn, Author of the book The Structure of Scientific Revolutions

Supporting yourself or someone else through the throws of grief and trauma really depends on the conversations that are happening, inside and outside. It is about the thoughts we have in our minds and the questions we ask those we are supporting.

In order to understand the power of questions in grief support, let’s look at the most important three different types, adapted to the situation of grief, loss, trauma, and the support with those situations.*

Closed questions

Closed questions often invite a one-word answer, such as ‘yes’ or ‘no’. For example, ‘did she die immediately?’ or, ‘did you feel numb?’ They could also include answers to factual or multiple-choice questions, such as ‘how old was he when he died’, or ‘does it hurt more in the morning or in the evening?’

These questions are easy to answer and don’t require much detail. They, however, don’t really invite the person asked to open up about how they feeling or to share what they would need to talk about.

Useful for: getting a quick answer, not overwhelming the other person

Be mindful that: these questions do not open up for a deep conversation

Open questions

Open-ended questions can’t be answered with a simple yes or no response. They require a little more thought and readiness from the questioner to the potential of emotionality this might bring up in the person asked. These kinds of questions however also encourage wider discussion and elaboration. For example: ‘what do you think of the doctor’s advice?’ Or ‘why did you choose that kind of treatment?’ Or ‘what does it bring up for you to be without your mother on Mother’s Day?

Useful for: critical or creative discussion, finding out more information about a person or subject

Be mindful that: open questions can elicit emotions but also really allow the person to share from their heart, which is important

Probing questions

These questions are useful for gaining clarification and encouraging others to tell you more information about a subject. Probing questions are usually a series of questions that dig deeper and provide a fuller picture. For example: ‘when would you like me to come over, or would you like to give me a call when you are ready?’

Useful for: seeing the bigger picture, encouraging a reluctant speaker to tell you more information, and avoiding misunderstandings

Be mindful that: they need to be asked with sensitivity as the griever or traumatized might easily feel criticized or attacked for their way of dealing with their situation

A word on tone

Did you know that we take more than half of the meaning of a conversation out of body language? In addition, tone, context, and intonation, all help us make sense of what is being asked of us. But what happens when you throw technology into the mix and place a digital screen between the interlocutors? All those over 50% of the message carried by body language, tone, and intonation gets lost in translation.

Emojis and gifs have made their way into conversations everywhere. They can be useful but also lead to misunderstandings. Generally, I would always, if possible, prefer talking face-to-face with someone in distress over the phone or by text.

With a certain level of carefulness towards tone and a knowledge of how to ask questions in the right way, you can get a lot more out of your conversation.

Best supporting questions for the bereaved or traumatized

Choosing the best and most supportive questions to ask really depend on the circumstances and on the relationship between the people in conversation.

Here are some of those that I have found work really well to get a conversation going:

How are you doing today?
Based on what you know and what works best for you, what would help you the most? (you might like to follow up with 3-5 suggestions, if the person doesn’t come up with an answer themselves)
What has supported or helped you cope in the last few hours/days/weeks/months?

When working with people I found that when I have established a deeply trusting and supportive relationship with the client I can ask almost any question. This naturally is based on my lengthy experience and my sensitivity to the topic of grief, loss, and trauma.

👉🏼 Griever Input

Letting the people surrounding you know what is helpful and what is not is your right. They don’t know better, what you need, than YOU.

👉🏼 Supporter Input

Experience has shown that grieving or traumatized people appreciate being asked with sincerity and the intent of support. They do tell you when they don’t want to talk about certain things. They generally react well to being asked what they need, rather than being told.

*The types of questions are from the article ‘The 8 essential questioning techniques you need to know’ adapted to grief, loss, trauma.

Healing After Child Loss? Possible Or Impossible?

June 2, 2020 By Nathalie Himmelrich Leave a Comment

After the death of my daughter six and a half years ago I wrote: “I will never get over this.” This still holds true to some extent. However, I’m no longer in the despair that led me to make over-generalized statements about healing and sentences that implied I had the power of premonition.

Healing – no way!

The topic of healing after child loss is loaded. Loaded with personal definitions, ideas, and expectations from self and others. It is also emotionally loaded with the intensity of the traumatic life-changing event of the death of your child. A father in my first grief support group said: “I don’t want to heal because the pain is my only connection to my daughter”.

Healing – at least in my view and experience – is possible. Before jumping to conclusions or entering into an argument, you would need to ask me: What do you mean by ‘healing is possible?’

Ask yourself: What do you believe about healing? What is healing? What does it mean when used as a noun (the healing), as a verb (I heal) or in its progressive form (I am healing)? Definitions are personal and are based on what we’ve learnt, been influenced by and the myths we’ve been fed.

The most suitable definition I found is: “healing means to alleviate a person’s distress or anguish”.

Healing is personal

In the same way we individually define healing, we also heal in our very own personal way. What is supportive and helpful to me, might not be for my partner.

I processed the loss of my daughter a lot through my writing. First, it was by writing personal emails and notes on Facebook. I just needed to find words and express myself, initially not with the purpose of letting people know but to clarify things for myself. In the beginning, it was a safe way to talk to people without having to reply to their responses. The distance between the writer and the reader was my safe place.

With my mother’s suicide, I chose a completely different path: I joined a group of family survivors of suicide victims for a year-long group. It was intense, intimate, deep and very much worth every minute we spent together. I had also spent a few hours in grief group sessions after the loss of my daughter, but this was a different experience.

Healing expectations

In many cases, those who have expectations (or wishes) about our healing have not experienced the loss of a child. Even our own expectations, which we can hear in statements like “will this ever get better” or “when will I be better”, are based on an experience (pre-child loss) that is not comparable to the one we are having right now (post child loss).

Far too often the emotional healing after child loss is compared to physical healing from a wound or illness. This is so vastly different, there should be different words!

Healing is an activity

Writing, finding words for my experience, and especially the time it took to go through the memories, talking to other parents, was what helped me most.

The second most helpful was when I translated my first book Grieving Parents: Surviving Loss as a Couple from English into German and the realization that came from the changes that had already happened within that year since writing it.

And of course, being a beacon of light for others through my heart-work with events such as May We All Heal as part of the Grieving Parents Support Network.

What is helping you alleviate your distress and anguish?

Time To Grieve – How Long Will My Grief Last?

January 31, 2020 By Nathalie Himmelrich Leave a Comment

How long will I be grieving the death of my child? How long will my grief last? When will I feel better? Is there a time to grieve? Is it true that I need to ‘move on’ or ‘get over it’? What does ‘moving on’ look like?

How much time to grieve do I have?

I have been asked these and similar questions for years. Just last week, a member of the Grieving Parents Support Network asked:

“Hi. Do you know of any articles about ‘how long the grieving process is for losing a child’? I was told ‘fresh grief’ takes about 2 years and another said it takes 5 years. My adult daughter passed away 6.5 months ago.

When I post something about her on Facebook one was telling me I need to move on – that’s what my daughter would want me to do. Others haven’t been quite so blunt, but the message is still clear.

These comments hurt and make me angry. What shall I do? Ignore them or try to respond with a message about how hard it is to lose a child and that it takes a long time? I don’t know what to do.”

The question showed me a couple of things:

[Read more…]

Comparing Grief – Can It Be Helpful?

December 19, 2019 By Nathalie Himmelrich Leave a Comment

Comparing grief is something we all have done at some point.

“But you’ve only had a miscarriage.”
“I experienced the same when my grandpa died.”
“My stillbirth was … in comparison to my miscarriages.”
“I cannot imagine losing a teenager.”

All these are comparisons: a miscarriage versus a stillbirth or neonatal death, the experience of the death of a child versus the death of grandpa, my stillbirth versus my miscarriages, the loss of a teenager versus another loss (or no loss).

Invalidating

Statements that include a comparison are often uttered without any bad intention. They are often an opinion of someone from what they understand or not understand from their vantage point in life.

In many cases, they are helpless attempts at dealing with the unimaginable grief that follows a loss, your own or someone else’s.

In many cases, however, a comparison is invalidating someone’s experience and feelings. No matter the kind of loss, it involves grief and pain.

We cannot truly know what someone else is going through, even if our losses involve the same person or the person in the same relationship (for example grandpa).

Even after an extensive exchange with our partner in regard to the loss of our child we only know what they have shared. And even then, we only have ‘what we understood’ and not ‘what they truly meant’.

Gaining perspective

If the comparison helps you to see something good and helpful for yourself, then it can be helpful – but only to yourself.

For example, Katja, one of the contributors of the book ‘Surviving My First Year of Child Loss’ said in an interview: “I know the murderer of my child, I know he’s in jail and I’ve got a trial coming up. Some other parents don’t have that option.”

Another example is comparing your own losses. I know that my daughter’s neonatal loss has impacted me in a completely and utterly different way to my miscarriages and my mother’s suicide.

Even the different miscarriages have not caused the same pain, physical as well as emotional.

Does it support your healing?

Comparing your grief experience within the different losses you have experienced can help you gain perspective and understand your varied responses given the different losses.

Comparing your grief to someone else’s grief is only helpful for you if it supports your healing.

It’s not something you need to share with that someone as that again would potentially invalidate their experience.

In my work as a grief psychotherapist, the most important question I ask is: Does it support your healing?

That’s when you know.