Grief and Medication

I generally stay away from talking about medication when it comes to grief because it is a sensitive — and personal — topic. I have a firm belief that grief is not a medical condition that needs to or can be treated by drugs, and though this belief extends only to myself and not to others, I worry that my talking about the subject will make people think I am being judgmental of those who need medical help, and I am not. We all deal with grief the best we can, however we can.

Still, medication is a topic that needs to be addressed because many people don’t realize there is an alternative. Not an alternative to the pain, of course, because that comes with the territory of grief, but an alternative to drugs.

Learning the truth about grief — that we are not crazy; that no matter what we are feeling, it’s natural; that others have felt what we have felt; that grief, no matter how painful, is a process that will help us become a person who can survive the loss — goes a long way to weaning ourselves from a dependency on drugs.

Alice, an older woman I met in an online grief forum, took anti-depressants after the death of her husband because she thought her emotions, the physical reactions, the endless tears were abnormal, and no one told her otherwise. What she really wanted and needed was the reassurance that her grief was a normal reaction to an abnormal situation. We expect to be able to slide comfortably into old age with that one person we love more than anything, and when that person dies, excruciating pain and angst are normal reactions.

There’s no way we can learn about the normality of such grief except from people like me who are willing to talk about their experiences because the medical establishment has decided that anything but a mild grief is an abnormal condition, and the things we see in movies (and don’t see) seem to agree with that opinion. How many movies have you seen where a woman (always a woman!) is told about the death of her husband, and when she starts crying and screaming, a doctor is there to jam a hypodermic into her arm? A lot. On the other hand, the complex and painful experience of grief for a spouse is not something we see on television shows, in movies, or read about in novels. Fictional folks (when they are not being drugged into oblivion) shed a fictional tear or two, perhaps go on a fictional spree of vengeance, then continue with their fictional lives unchanged.

It seems as if this current reliance on drugs to “treat” grief is more about hiding than helping. In today’s world, grief needs to be hidden almost from the beginning so that it doesn’t offend other people’s sensibilities, so that it doesn’t bring the specter of negativity into other people’s lives. Drugs also hide your grief from yourself so you don’t have to face the raw reality of death. Drugs are good for that. They can hide your grief to a certain extent, but that’s all they can do. They cannot bring the deceased loved one back.

Some people do need medical help, of course, and they should get it. As Leesa Healy (RN, Emotional/Mental Health Therapist & Educator) wrote: “There are absolutely times when a therapist is required to nudge a person from being stuck, but the fact of the matter is that psychiatry since 2000 has become completely dependent upon what I call the drug/work model . . . i.e. create a diagnosis . . . create a drug . . . back to work for you. At least this is true in Australia and yes I’m qualified to say so (in case anyone wonders). Western psychiatry is leading us down a road of becoming the living dead and the risk is many folk are walking this journey willingly, unaware of the consequences so focused are they on the short-term fix. And who can blame them. It is not only our habit to avoid pain, but also, the very structure of any capitalist society is allowing us less and less time to be ‘truly human’.”

There were times I wanted the pain of being “truly human” gone since my grief was almost more than I could handle, but I wanted even more to feel sorrow that Jeff was dead. Well, actually what I wanted was him here, alive and healthy, but since I couldn’t have what I really wanted, I owed him my sorrow. I owed “us” my sorrow. He deserved to have someone grieve for him, to have someone feel the imbalance of the world without him in it. For me to have gone seamlessly from a shared life to a solitary life without a backward glance or a tinge of pain would have dishonored him. To not feel at all would have been way more of a medical problem than feeling too much.

Although medicine and psychology are the branches of science that have taken charge of grief and how it is described and understood, an anthropological approach — listening and observing — better captures the truth of the situation. Anthropology is the science that deals with the origins, biological characteristics, and social customs and beliefs of humankind, all of which pertain to grief. Few people listen to us bereaved; instead, they try to tell us how we feel. That is why support groups work. If the medical and scientific establishment won’t listen to us, we need to listen to each other, to observe how others are dealing with their grief, to talk about our own situation.

That’s the approach I took — listening, talking, writing, explaining what I learned about grief. I also walked. I was too restless to do much else (except cry) and as it turns out, walking is a good way to deal with grief, not just because of the sedative nature of walking but because it quiets the brain and lets the brain do the work of grief. When we’ve lost a person intrinsic to our lives, our brain goes into overdrive. So much of daily life is habit, and when that habit is suddenly disrupted, the brain tries desperately to identify new patterns and to find alternatives. Adding to the overdrive (and to the brain fog that is normal the first year of grief) is our need, however futile, to try to think our way out of grief. Walking helps put the brain back in its default mode — stream of consciousness. By simply feeling and not trying to make sense of grief, by letting thoughts drift through without trying to catch hold of any one of them, we can rest our brain and perhaps even open ourselves to new insights.

Not everyone is able to deal with grief in its raw state; in fact, many people are so traumatized they need extra help. As always, my mission, to the extent I have a mission, is to help people understand the nature of grief so they can deal with that cold, lonely road as best as they can — with or without medication.

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Pat Bertram is the author of Grief: The Inside Story – A Guide to Surviving the Loss of a Loved One. “Grief: The Inside Story is perfect and that is not hyperbole! It is exactly what folk who are grieving need to read.” –Leesa Healy, RN, GDAS GDAT, Emotional/Mental Health Therapist & Educator

Getting Over Grief

People often ask me how to get over grief, but the truth is (despite the title of this piece), we never get over grief for the simple reason that the person being mourned is gone for the rest of our life on Earth. Still, over time, the focus does change from the past and from our lost love to the future and perhaps a new love.

At the beginning, our focus — when it’s not on what we have lost — is about breathing. Taking one breath after another. Generally, breathing is simple. It’s something we do without thinking. But after the death of a person intrinsic to our life, such as a spouse or soul mate, it’s as if they took our breath with them when they left us, and breathing becomes something we need to focus on. A breath in, a breath out. Such a painful thing, those breaths! Adding to the complication is that so often we don’t want to breathe. We’d just as soon it was all over for us, too, and yet, we are compelled to continue taking those breaths.

As the years pass and the pain begins to subside, we hold on even tighter to our pain because grief is all that connects us to our lost love. During all those months and years, grief does its job, changing us into a person who can survive without the person we most loved. And gradually, a new love creeps into our life. Actually, I should say, a new focus comes into our life. Whatever it is that we find to focus on, it’s compelling enough to take our mind off our pain and sorrow and loneliness for a short time. And over the next months and years, all those “short times” add up. New memories are made. The past lessens its demands. The future becomes more compelling. And life goes on.

This new love or focus doesn’t have to be a person. It can be almost anything. Visiting museums. Hiking. Planning epic adventures. Yoga. Dance classes. Traveling. A new home. Gardening. For me, it was all of those things.

I tried so many things at the beginning. I wrote about my grief. I walked for hours. I visited museums. I went on day trips with people from my grief group. I took yoga classes. Sometimes, I could forget myself and my pain for minutes at a time, but nothing held. When the moment passed, I was right back where I started, in full grief mode.

It wasn’t until I started learning to dance that the focus lasted more than the moment. I started thinking about dancing, started practicing at home. Although grief didn’t leave me alone for long, it did start to lose its intense hold on me, and I could finally focus on something other than my loss and my pain.

As grief further eased its grip on me and I could sometimes imagine a future, I dreamed of — and planned — epic adventures. I was going to visit independent bookstores all over the country to see if they would sell my books. I was going to walk up the coast to Seattle. I was going to hike the Pacific Crest Trail. I was going to take a freighter to New Zealand. I was going to go on a year-long camping trip. I was going to drive cross-country in my vintage VW. I still have the research I did for all these adventures, but in the end, the only one I followed through with was my 12,500 cross-country road trip as well as a north/south trip along the western coast and several trips from California to Colorado.

A couple of years ago, I changed my focus yet again when I bought a house and found a place to call home.

And now, what I find compelling enough to propel me into the future is gardening.

I’m far enough away from my focus on grief that I seldom get snapped back to those early months, but for the first seven years, no matter how compelling my current focus was, I often found myself blindsided by grief.

I’m not sure how a person goes about finding a new focus. I tend to think that when a griever is ready, a new focus — a new love — appears, rather than needing to search for it, but however it happens, the readiness and the new focus are part of this process of change we call grief.

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Pat Bertram is the author of Grief: The Inside Story – A Guide to Surviving the Loss of a Loved One. “Grief: The Inside Story is perfect and that is not hyperbole! It is exactly what folk who are grieving need to read.” –Leesa Healy, RN, GDAS GDAT, Emotional/Mental Health Therapist & Educator

Doing the Best We Can

Yesterday was the third anniversary of my older brother’s death. He’d been homeless, possibly bipolar, and driven by rage. As another sibling said, “I will probably always be tormented by thoughts of the torture his demons inflicted upon him.”

We are a myth-making species, and the myth another sibling has adopted is that our homeless brother took upon himself the demons that haunted our family so the rest of us could be free. It’s a pretty myth that allows her to make sense of his life, and for all I know, it could be true, but I can’t shrug off his problems that easily.

My brother hated Jeff, partly, I think, because my brother felt abandoned when he discovered he and I weren’t in the same boat — loners with never a chance at a real relationship. He also felt he should be the one to look after me, though he couldn’t even look after himself.

Back when his problems started showing up, no one even considered the possibility of mental illness; they just thought he was a troublemaker. He and my father were so much alike. They both thought they knew the right of things, and they often fought. For most of my life, they used me as the rope in their game of tug-of-war, and I wasn’t smart enough or hard enough to discover a way out. I remember as a young woman thinking I’d never have any peace until they were both dead, and that the depressed me to no end, not only that I would think such a thought, but that it might be true.

For many years with Jeff, I did managed to evade much of their conflicts and the despair those conflicts (and my divided loyalties) engendered in me. After Jeff, died I went to look after my then ninety-three-year-old father, and when my brother showed up shortly afterward, the fighting escalated. And again, I was caught between the two of them. This lasted until my father’s death.

Oddly, although I often think of my brother, I don’t usually think of the horror those demons put us through. I think of the irony that because of his homelessness and his demons, I have a home. It was his death that started a whole cascade of events that led me here, to this house. In a way, I benefitted from his demons, though I don’t feel guilty. It’s just something I ponder.

We can never know the truth of someone else’s life. I learned this after Jeff died. I was wailing to a hospice social worker that he hadn’t had much of a life since he was so often sick, and she told me that he did have a life. It might not have been a happy life, but it was his life. It took years for that particular lesson to soak in because our lives had been so entwined and we thought so much alike that it was often hard to tell who had what thought first, but the truth is, it was his life. I might have been a part of his life, but I wasn’t the whole of it.

It’s the same with my brother. Whatever I think of his life, the choices he made and those that were thrust on him, I try to allow him the dignity of owning his own life.

One other thing I’ve learned from all of this — the conflicts, the deaths, and especially my grief — is that we all do the best we can with what we are given. It’s hard sometimes to separate out the unfairness of life, since some people are given so much — good physical health, good mental health, wealth, joy, companionship — while others get by on a paucity of such gifts.

And even when we, in hindsight, think that others could have, should have done better with their meager gifts, if we’d been inside their heads, with their demons poking at us, we might realize that yes, they did the best they could.

If there is anything I do feel guilty about, or at least unsettled by, it’s that I was right all those decades ago. It’s only now that both my father and my brother are gone that I’ve truly found peace. It’s a horrible thought, made even worse by the truth of it. The one mitigating factor is that if my belief is true — that we all do the best we can — then not only did they do the best they could, but so did I. It’s not as if I wished them dead. I didn’t. I simply wished for peace, not just for me, but for them, too.

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Pat Bertram is the author of Grief: The Inside Story – A Guide to Surviving the Loss of a Loved One. “Grief: The Inside Story is perfect and that is not hyperbole! It is exactly what folk who are grieving need to read.” –Leesa Healy, RN, GDAS GDAT, Emotional/Mental Health Therapist & Educator

Sociological Aspects of Grief

Ours is not a culture that values emotions except for those we label positive, such as love and joy and happiness. We are taught that being emotionally stable means to show a determinedly happy face, to hide our sorrows, to show public anger only in matters of what we deem to be injustices. Because of this cultural conditioning — and the lack of any enlightenment on the subjects of death and grief — the wild grief at the loss of a life mate shocks us, terrifies us, and angers us. It also tears the fabric of society, leaving us isolated, living a lie, and being manipulated by other people’s feeling about our grief.

Although we all pride ourselves on being independent individuals, we are, at bottom, herd animals. Society functions to keep each of us in our place. If we need space to be our own person, to feel what we feel or to think our own thoughts, we either have to fight for the right (hence all the vituperative political discussions we are subjected to during an election year) or we have to keep our thoughts and feelings to ourselves. Big brother and sister are watching us, but it’s not the “authorities” who are doing the watching; it’s our friends and neighbors and family. For example, I know several women who did not want to get the “Bob” vaccine for various reasons, but their families more or less blackmailed them into getting it. (“We won’t come to visit you unless you’re vaccinated.”)

If we are grieving, those same sociological effects are at work. People try to chivvy us out of our grief with blatant platitudes. They try to cheer us up because society needs us to be happy and productive, not morose and sad and grieving. They urge us to move on because they need us to move on, not because we need to.

The more they try to bring us back to the fold (yes, the sheep metaphor was chosen on purpose), the more it isolates us, and so the more we withdraw. We stop talking about our grief. We try to act “normal” around others so they don’t know how we are still suffering. For the most part, the only way to deal with our pain is to keep it to ourselves.

Oddly, while they are trying to pull us in, they themselves are pushing us away. Our grief triggers the survival mechanisms of those around us. To avoid facing the unfaceable (death), people close to us will indulge in self-protective behaviors that shut us out.

Sometimes old friends, especially couples, draw away from us. The death of our spouse and the demise of our couplehood change the dynamics of our friendships. People fear we will now be uncomfortable in the company of couples. At the same time, they are uncomfortable with us because all unwittingly, we are a reminder of how fragile life — and couplehood — really is.

A strange aspect of all this is that when we do start to “move on,” whatever that means, it’s also the wrong thing to do. Society, in the guise of friends and family, acts as if it has the right to say when it’s time. If we move on too soon (meaning finding someone else to keep company with or even marry) that’s every bit as bad as holding on to our grief too long.

I dislike the cliché that everyone’s grief is different because during the past eleven years of writing about grief and talking to people in person, in emails, or in the comment section of my blog, I have discovered that there are more similarities than differences in grief when it comes to the loss of a spouse. A new connection or even remarriage, however, is an area where the cliché is true: everyone is different. We will each of us find our way to a new relationship when (if) we feel the need, when the time is right, or when we meet the right person.

It’s no one’s business but our own if we struggle on alone or if we find comfort in the presence of another person, though often family and friends disagree.

I know someone who basically lost his children after he remarried. The teenagers would have nothing to do with him or his new wife, and chose to live with their mother’s sister. The preteen remained at home, but she made their life hell until he finally agreed to let her go, too. It’s only now that the children are on their own that a couple of them realize they made a mistake and are finally talking to him. (One still refuses to speak with him.)

Ironically, one woman’s daughter urged her into another marriage, then hated her mother for following through, perhaps because the daughter thought the new groom would not just be a replacement for her father but would be her father, and it came as a shock when the fantasy did not hold true.

As a blog reader pointed out, it’s possible his grown children’s lashing out over his new relationship might be their way of avoiding the painful process of coming to terms with the fact their mother is gone. I wonder if part of the lashing out is also resentment because of what they assume is his too easy acceptance of their mother’s death. And, of course, it’s that sheep herding thing in action: they need their remaining parent to be what they need him to be, not what he needs to be.

No matter what societal pressures are put on a bereaved person, the person’s grief is theirs alone. And how they deal with it going forward is also up to them.

When we are new to grief, so often we are told to look for support from our family and friends, and in an ideal world, this would be a good idea. But we don’t live in an ideal world — we live in a herd. It’s just another one of the ironies of grief that sometimes the very people who should be offering emotional support are the very people are adding to the whole quagmire of painful emotions we call grief.

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This post was written at the request of a fellow griever. If anyone wants me to write about a certain aspect of grief, feel free to leave a suggestion. Since little of grief is truly unique to any one of us, chances are I went through whatever you’re concerned about.

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Pat Bertram is the author of Grief: The Inside Story – A Guide to Surviving the Loss of a Loved One. “Grief: The Inside Story is perfect and that is not hyperbole! It is exactly what folk who are grieving need to read.” –Leesa Healy, RN, GDAS GDAT, Emotional/Mental Health Therapist & Educator

Letting Go

Jeff and I had such a deep almost cosmic connection that for many years, I thought I’d be pulled into death when he died. It didn’t really bother me; it just seemed as if that’s the way it would be. Later though, as he neared death, it began to seem unfair. Because he was five years older than I was, I felt that if I died when he did, I’d be cheated out of five years of my life.

About a year before he died, I hugged him and accidentally touched his left ear. I know now cancer had metastasized all the way up his left side and into his brain, but at the time, all I knew was that he pushed me away, wincing in agony. Some part of me closed down at that moment, and a voice deep inside me said, “He might be dying, but I have to live.” During that year, we went our separate ways, he to dying, me to living. Then, six weeks before he died, he made the connection with me again. He needed to talk about what was happening to him so he could gather courage to face what was coming, and during that daylong conversation, I remembered why I’d fallen in love with him all those years ago.

Because of the disconnect during our final year, a year where I felt dissociated from him and our life, I didn’t expect to grieve, so the depth of my pain stunned me. I struggled for many years to deal with the wreckage of our shared life. Although he did not pull all of me into death with him, apparently, he did pull part of me into the abyss, and that hole — that amputation — will always be a part of me.

Well, I’ve had those five years I was afraid I wouldn’t get, and six more besides, but mixed in with all the other chaotic feelings of grief were feelings of shame and guilt and betrayal that in the end, my love wasn’t strong enough to keep him here. And it wasn’t strong enough to take me where he had to go. I know he wouldn’t have wanted me to be dragged into death with him, which could be one of the reasons he dissociated from me during that last year. He wanted me to have a happy life after he was gone. In fact, almost the last thing he ever said was to assure me that things would work out for me.

This guilt wasn’t strictly survivor’s guilt because I realized neither of us had a choice. That voice inside me didn’t say “I want to live.” It said, “I have to live.”

And he had to die. With all that was wrong with him, he couldn’t have survived.

Still, whether this is a case of survivor’s guilt or not isn’t the issue. The issue is that many people have similar feelings of shame and guilt when they lose a mate. As if we somehow failed them. As if we failed the test of love. As if we don’t deserve to continue to live. As if our “letting” them die was a shameful act. (In fact, someone said that to me, “How could you have let him die?”)

We feel ashamed too of our feeling that all of this is unfair, but we have that sense of terrible unfairness for a good reason. It is unfair that they died. It is unfair that we have to live this half-life without our mates while others continue their shared lives.

And then, as our shared life begins to fade into the shadows of yesterday, we feel as if we’re doing something shameful when we forget them for a minute or two.

At some point, though, we learn to just let these feelings go. They are truly not important and perhaps don’t even reflect the truth. During their last days and even months, we didn’t always act in the saintliest manner. Even if we knew they were dying, we didn’t KNOW it. We thought it would always be the way it was — our struggling to live despite the death sentence hanging over us. I do know the truth, though. No matter how we now view our behavior both before and after they died, we did the best we could. If we could have done better, we would have, but it’s almost impossible to be our best, most loving selves when dealing with the chaos of end times.

And we’re still doing the best we can despite our mates not being here. Although we often think we have a choice, we don’t always. People don’t choose to have fatal accidents or die from terrible diseases. Those of us left behind didn’t choose our fate, either. It wasn’t a case where we had to decide which of us died and which lived. The choice was out of our control.

I can’t tell you not to feel guilt or shame that you are still living and your beloved is not because everything to do with death, dying, and grief defies logic. We feel what we feel. Still, if you sense that these feeling are getting the best of you, try to let them go. You don’t need to feel guilt or shame. There are enough torments with all the things that life throws at us during the long years of grief that we don’t need to torment ourselves.

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This post was written at the request of a fellow griever. If anyone wants me to write about a certain aspect of grief, feel free to leave a suggestion. Since little of grief is truly unique to any one of us, chances are I went through whatever you’re concerned about.

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Pat Bertram is the author of Grief: The Inside Story – A Guide to Surviving the Loss of a Loved One. “Grief: The Inside Story is perfect and that is not hyperbole! It is exactly what folk who are grieving need to read.” –Leesa Healy, RN, GDAS GDAT, Emotional/Mental Health Therapist & Educator

Grief and Gardening

When I was out weeding earlier, it dawned on me that grief and gardening have something in common. With gardening, you have to concentrate solely on what is within arm’s reach. If you think of the whole yard as a single entity, you’d never get anything done because the totality of the work involved is immense, more than one mind can hold. So the only way to get a yard or garden the way you want is to do what you can when you can and hope that someday the whole will be worth it.

That’s pretty much the same as grief, though with grief, you also have to deal with a whole lot of pain and trauma and sorrow. The totality of the loss and the pain is beyond the comprehension of most of us, so all we can do is concentrate on each day, each hour, sometimes even each minute. As with a garden, you can only hope that there is something at the end of all the grief work you’re doing that will be worth it.

Nothing, of course, will ever be commensurate with the death of that one person who was intrinsic to your life, but there needs to be the hope that someday, somehow, you will find a new way of being — of being you alone, not you as half of a couple.

It’s a long time coming, that hope. For years, most of us can’t even imagine having any sort of hope, and yet we get up each day, survive each minute the best we can, deal with all the tasks that can’t be put off. That all of this is accompanied by tears or anger or screaming or any of the other ways we have of dealing with the pain and stress of grief doesn’t mitigate the hope that getting up each day signifies. Even if we don’t feel hopeful, the mere act of living shows hope. A rather despairing sort of hope, to be sure, but hope nonetheless.

It’s only in retrospect that I can see the bigger picture of grief. For a very long time, all I had were the small increments, though over the years, the increments did expand from seconds and minutes to hours and days, and finally to years. And now I am in a place where I have a house and yard and garden and thoughts of bigger pictures.

I can’t say that that all the grief work was worth it to get me here because while the work of a garden might be worth it, “worth it” is meaningless when it comes to grief. Once I lived a shared life and now I don’t. In the end, after years of pain and sorrow and grief, that might be all it comes down to.

But I am here. And I am surviving on my own. That has to mean something.

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Pat Bertram is the author of Grief: The Inside Story – A Guide to Surviving the Loss of a Loved One. “Grief: The Inside Story is perfect and that is not hyperbole! It is exactly what folk who are grieving need to read.” –Leesa Healy, RN, GDAS GDAT, Emotional/Mental Health Therapist & Educator

Fearfulness and Grief

There are many changes that come with the death of a spouse or life mate. The abrupt change in circumstances, of course. The emotional and physical changes that grief and stress bring. A change in identity, both in how we see ourselves and how others see us. And a change in how we interact with the world.

After such a death, many of us left behind find ourselves unable to do the things we did with our mates. One woman I know had to change grocery stores and the brands she used because it was too painful going to “their” store. Some people change their eating habits because they can’t bear to eat the same foods or drink the same beverages. It took me years before I was able to make some of our favorite dishes, and even then, I mostly did it to prove to myself how far I’ve come because none of those foods are currently part of my diet.

Something else I’d forgotten about until an email discussion today with a person who’s dealing with the changes that death and grief bring to us, was how truly hard some things were, such as getting new glasses.

For decades, Jeff had gone to the eye doctor with me and helped me pick out new frames. After he died, even though I could tell my eyesight was changing, I didn’t go until I was forced to get new glasses so I could renew my driver’s license. The mere thought of going through the experience alone was simply too intimidating.

Now that I think about it, it’s such an odd thing — grown-up, independent people being intimidated by such simple chores. Admittedly, Jeff and I had done almost everything together for many years, and it did take a bit of adjustment to do those things on my own, sort of like the first time you step onto an escalator. But to be so intimidated by doing things like getting new glasses? Yes, definitely odd, at least in a non-griever’s world.

But grief changes things around you. And grief changes you. There is so much thrown at you all at once, from the horrendous pain as well as the hormone and brain chemistry changes to the way we do . . . everything. Much of life is habit. When we do the same things with the same person all the time, and suddenly that person is gone, we are suddenly thrust into a world where nothing is solid.

And in the fluid world of grief, we are easily overwhelmed and intimidated and fearful. I remember trying to find “rock bottom,” a place where I could stand to get my bearings, and there never was such a place. Well, not never. As much as anyone can find a footing, I have found mine now, though because of my years of grief, I am aware of how uncertain such a footing actually is. There is no certainty in this world, but there is definitely more certainty now in my life than there was after Jeff died.

All of that contributes to the feelings of being so intimidated by the new world we have to deal with that even something relatively common as a trip to the grocery store or an appointment to get new glasses becomes all but undoable.

The only other time as an adult that I felt so intimidated by life was when I destroyed my arm. My balance was off, my thinking was off, I couldn’t do anything the way I once had, and so I was easily intimidated. And fearful of people who came too close. (And angry at those who didn’t respect my new boundaries even when I asked them to.)

I sense this same feeling of fearfulness and being intimidated in old-elderly people for the same reasons — so much of what they knew — or thought they knew — is gone. Their sense of self and their physical abilities have changed. Their interaction with the world is different from what it once was.

I understand that if I wait long enough the same thing will happen to me when I get older, but it won’t be an unfamiliar sensation. (Unless, of course, I’d forgotten what grief felt like.)

I don’t know if this feeling of being intimidated as part of grief is something I ever wrote about before. Because I don’t like thinking of myself as a fearful person, it’s possible only the distance of all these years enables me to accept how intimidated I felt back then by something as simple as getting new glasses, though I do remember forcing myself to do new things so that I wouldn’t become paralyzed by the fear.

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Pat Bertram is the author of Grief: The Inside Story – A Guide to Surviving the Loss of a Loved One. “Grief: The Inside Story is perfect and that is not hyperbole! It is exactly what folk who are grieving need to read.” –Leesa Healy, RN, GDAS GDAT, Emotional/Mental Health Therapist & Educator

Sweating the Small Stuff

I try to live by the saying, “Don’t sweat the small stuff, and it’s all small stuff,” but sometimes it is impossible to do especially since some of the really small stuff seems to be the biggest stuff.

Some of the small things I am currently sweating are mosquitoes, gnats, and other insects. They wouldn’t be a problem if they left me alone, but already, so early in the season, I am dealing with mosquito bites, gnats up my nose, grasshoppers eating my petunias. (Luckily, so far the petunias are all the hoppers seem to like, though they have nibbled on other plants to see if that foliage were to their liking.) There’s not much I can do about the gnats or the grasshoppers, but I have sprayed permethrin on my gardening clothes (khaki pants rather than my usual black because mosquitoes love black) and I use eucalyptus lemon oil on my face and hands, but they still manage to get me despite those precautions. It’s possible they get into the house at night and feast on me then, but I’ve only seen one mosquito in the house so far. (Although I would never hurt a fly, I have no compunction about offing critters that drink my blood.)

Another small thing that I sweated was an eyelash that got caught in my eye. I couldn’t get it out last night, though after a while I couldn’t find it anymore, so I thought perhaps I’d removed it without knowing I’d done so. Today, however, I woke up with a sore eye. I finally found the lash masquerading as an inflamed blood vessel. I eventually managed to work it over to the corner of my eye where I was able to scrape it off. That is one “small stuff” I had to sweat because it’s not good to have something foreign in one’s eyes.

And yet another small thing that looms large is that each of the past few evenings, I’ve had tearful moments of missing Jeff. After eleven years, most people would think that missing him should no longer be an issue, especially since I’m doing okay, but occasionally it is. I’ve been trying to be upbeat, to see the good in my present life, to not look back but not look forward, either. Neither looking back nor forward does me any good. There is nothing I can do about the past because it’s done and there’s nothing I can do about the future because that is out of my control. Besides, aging is a factor in my future, though people often disagree and tell me that it isn’t. The truth is, looking to the future, I can see myself getting older and feebler and trying to do the best for myself with diminishing strength and energy, and that’s not something I want to dwell on now.

So I look to today, but sometimes, as it has the past few evenings, that concentration on today seems . . . phony. As if I’m trying to be someone I’m not.

Still, there’s nothing I can do about Jeff being gone, and all I can do about missing him is let myself feel bad for a few minutes then dissipate the sadness with some sort of activity. Last night I dissipated those sad energies with dusting the furniture and dry mopping the floors.

Nor can I do anything about the other small stuff I’m sweating, including literally sweating — it was already eighty degrees when I went out to water the garden this morning. (It’s now 95 degrees Faranheit, 35 Celcius.)

Although a more positive or upbeat attitude seems phony to me, as if I’m not being true to myself, I tend to think it’s not really phony but simply another way of dealing with whatever comes my way. And what’s coming my way, for the most part, are a few flowers here and there.

I am glad to have the flowers, and glad that the hoppers around here aren’t as voracious as they were where Jeff and I lived. I blamed myself for my inability to grow a garden back then, thinking it was due to a brown thumb, but it was actually due to the large, brown grasshoppers that ate everything down to the ground, even the three-foot trees we planted. (The only things they left alone were lilacs and Siberian elms.) So I am grateful that I’ve managed to grow anything!

See? Even in a post about my various “small stuff” troubles, I end up with a glad and grateful attitude, though that wasn’t my intention.

Phony or not, that seems to be the way I am now.

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Pat Bertram is the author of Grief: The Inside Story – A Guide to Surviving the Loss of a Loved One. “Grief: The Inside Story is perfect and that is not hyperbole! It is exactly what folk who are grieving need to read.” –Leesa Healy, RN, GDAS GDAT, Emotional/Mental Health Therapist & Educator

Remembering

During the past couple of years, I have tried to concentrate more on what I have gained rather than all that I have lost. The tally is still vastly weighted on the loss side, but good things have happened, such as finding a house and creating a home for myself.

The past few days, however, melancholy has gotten hold of me, and I remember the losses. I don’t know whether the plethora of dark clouds and rainy days are responsible or if it’s merely one of “those” times. That this is Memorial Day is entirely coincidental. In fact, I didn’t even remember it was Memorial Day until I went to the library and found it closed. Besides, although Memorial Day has become a day to remember all our dead, its original intent was a day for remembering those who died for their country in any of its various wars.

It’s true that most of my “losses” are loved ones who have died in the past decade or so — my parents, my brothers closest to me in age, and Jeff, of course — but there are other profound losses during those same years that still shape my life, such as the destruction of my arm (though I have become used to the deformity and the remnants of pain), the lack of dance classes, the inability to hike long distances, and losing my home not once but twice (once when Jeff died and once when my dad died). The home loss is especially poignant in an area where families have remained for generations. They might not have lived their whole lives in this very town; they might have come from a nearby town, but to someone who is new to the area, this seems inconsequential. It’s not as if they moved hundreds of miles. They are still within reach of where they grew up, within reach of family and memories.

But this isn’t about them. It’s about me feeling the losses and me feeling lost. Although I didn’t list it with my losses above, I think one of the greatest losses is of myself. Grief changes a person. Being semi-nomadic changes a person. Being isolated changes a person. Owning a home changes a person. I am getting used to who I have become and am still becoming, but it’s not the me I remember being all those years with Jeff. Somehow, our being together allowed me to be a truer version of me than I’d ever been before. I tend to think I am again living a true version of myself, but it’s a different version, one that sometimes strikes me as being . . . not me.

It might be that I spend too much time alone. Although I am comfortable living alone, I must admit I still miss having someone to do nothing with. Sometimes I have someone to something with, but those days of doing nothing in particular with someone are long gone. There are so many little nothings in a day — miniscule victories or insignificant happenings that aren’t worth talking about, but that we want to mention anyway. And there are times when we’re sad or lonely or restless, and just want a moment’s connection — perhaps nothing more than a shared look — before continuing our daily tasks. I can call people or text them, but it’s not the same thing. By the time I make the connection, the moment of nothing has become something.

I don’t mean to sound as if I feel sorry for myself. I don’t really, at least, not much. I just think it’s important to occasionally stop and remember what once was and is no longer.

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Pat Bertram is the author of Grief: The Inside Story – A Guide to Surviving the Loss of a Loved One. “Grief: The Inside Story is perfect and that is not hyperbole! It is exactly what folk who are grieving need to read.” –Leesa Healy, RN, GDAS GDAT, Emotional/Mental Health Therapist & Educator

Let Grief Be

Sometimes people ask me questions on a Q&A internet site about grief that I cannot answer because the question makes no sense. For example, one person asked if interrupting the grieving process makes it harder to complete the process. Someone else asked how people could start the grief process for the loss of a loved one when they still haven’t even been able to process that the loved one was gone. And of course, there is the ever-popular question about how to help a griever move on.

To me, questions like this are like asking “How do you peel an orange if you only have an apple?” Totally nonsensical. I suppose it’s a good sign that people are asking questions about grief since it’s a subject few people understand, and I suppose it’s good that they know grief is a process even though they haven’t a clue what that process is.

Processing the loss of a loved one, processing that they are gone, is the grief process. It is how we move on.

From what I understand about grief, there is no real volition to the matter. You don’t start the grief process and you can’t interrupt it. Grief is in control. Some people can bury their grief; others can simply decide not to grieve, others don’t feel grief at all. Generally, though, if the person who died was an intrinsic part of the survivor’s life, such as a spouse or a child, grief is not a process you can direct or an emotion you can redirect, but is a thing of the body, mind, soul. Such a profound death leaves behind a void that the survivor can never fill. It creates enormous stress (and is in fact the most stressful life event a person can experience, causing a 25% increase in the chance of the survivor dying, too). The death of a person deeply connected to you changes your brain chemistry, makes hormones (especially adrenaline) go out of whack, kills your sense of self, and plunges your life into chaos because what once was — the pair bonding, for lack of a better word — is no longer.

Oddly, the more you try to process your grief, the more chaotic it all becomes. So much of life is habit, and when one’s habits are obliterated, as so often happens after the death of a spouse, then the brain goes into overdrive because not only is it trying to process the meaning of the person’s absence and trying to understand death, which is something it cannot understand, the brain has to think about how to do things that you once did out of habit. And some of those habits die hard — for example, if you’re used to making coffee for two people in the morning, sometimes you forget that there is only you, and you inadvertently make a whole pot instead of half.

I’m not sure what it would even mean to “complete the process.” To a certain extent, we who have lost our mates are always somewhere in the process because the death affects us for the rest of our lives. We might not always be actively mourning, might even find happiness again, might find new habits and new loves, but still, the loved one is always gone so the void they left behind will always be there.

When it comes to grief, all you can really do is let grief take you where you need to go. You don’t try to start it, don’t try to stop it, don’t try to interrupt it. For some people, especially those with young children or aged parents to take care of, or if the survivor has a serious illness, grief bides its time. When they no longer have to focus on other needs, then grief comes and helps them move toward the next phase of their life. (I met several of these people at my grief support group; even though the death they mourned happened years previously, the grief was new.)

There are, of course, people who have the ability to bury their grief, but it still makes itself known in various ways — in illness, in mental issues, in emotional traumas — so my theory is always to let grief be; to let it do what it wants to do. As so often happens, if you do this, there is a good chance that years later you will end up in a completely different place — mentally, emotionally, or geographically — a place you could not even imagine but that brings you comfort and perhaps even joy.

I make grief sound like a good thing, don’t I? Perhaps it is. Although it is painful, grief is not the problem. The problem is that a person we loved more than life itself is dead. Grief is how we move from a shared life with that person to a new life that is ours alone.

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Pat Bertram is the author of Grief: The Inside Story – A Guide to Surviving the Loss of a Loved One. “Grief: The Inside Story is perfect and that is not hyperbole! It is exactly what folk who are grieving need to read.” –Leesa Healy, RN, GDAS GDAT, Emotional/Mental Health Therapist & Educator