1 00:00:10,720 --> 00:00:14,360 Speaker 1: Welcome to the Therapy for Black Girls Podcast, a weekly 2 00:00:14,440 --> 00:00:19,200 Speaker 1: conversation about mental health, personal development, and all the small 3 00:00:19,239 --> 00:00:22,360 Speaker 1: decisions we can make to become the best possible versions 4 00:00:22,400 --> 00:00:26,480 Speaker 1: of ourselves. I'm your host, doctor Joy hard and Bradford, 5 00:00:26,880 --> 00:00:31,960 Speaker 1: a licensed psychologist in Atlanta, Georgia. For more information or 6 00:00:32,080 --> 00:00:35,480 Speaker 1: to find a therapist in your area, visit our website 7 00:00:35,600 --> 00:00:39,280 Speaker 1: at Therapy for Blackgirls dot com. While I hope you 8 00:00:39,360 --> 00:00:43,360 Speaker 1: love listening to and learning from the podcast, it is 9 00:00:43,400 --> 00:00:46,280 Speaker 1: not meant to be a substitute for a relationship with 10 00:00:46,360 --> 00:00:57,680 Speaker 1: a licensed mental health professional. Hey, y'all, thanks so much 11 00:00:57,720 --> 00:00:59,800 Speaker 1: for joining me for session three forty eight of the 12 00:01:00,000 --> 00:01:02,920 Speaker 1: Therapy for Black Girls Podcast. We'll get right into our 13 00:01:02,960 --> 00:01:15,000 Speaker 1: conversation after a word from our sponsors. The loss of 14 00:01:15,040 --> 00:01:18,800 Speaker 1: a child is often an unimaginable reality for parents everywhere. 15 00:01:19,280 --> 00:01:22,240 Speaker 1: For those who experience the sudden pain and grief, losing 16 00:01:22,280 --> 00:01:25,120 Speaker 1: a child can also cause feelings of shame and failure. 17 00:01:25,760 --> 00:01:28,360 Speaker 1: To shed light on this experience, as well as share 18 00:01:28,400 --> 00:01:32,080 Speaker 1: resources for bereaved parents, I'm joined today by grief and 19 00:01:32,120 --> 00:01:37,000 Speaker 1: clinical trauma professional doctor Niosha Graymon. Doctor Graymond has over 20 00:01:37,080 --> 00:01:40,480 Speaker 1: twenty years of clinical experience working with African Americans as 21 00:01:40,480 --> 00:01:45,080 Speaker 1: an independently licensed LCPC in the state of Maryland. In 22 00:01:45,120 --> 00:01:48,960 Speaker 1: twenty twenty, she founded a boutique traumatic grief counseling practice 23 00:01:48,960 --> 00:01:53,240 Speaker 1: specifically for Black women working through bereavement. In our conversation, 24 00:01:53,880 --> 00:01:56,919 Speaker 1: doctor Graymond shares ways for parents to honor their child 25 00:01:57,000 --> 00:02:00,640 Speaker 1: after their passing, strategies for community men members to show 26 00:02:00,720 --> 00:02:03,840 Speaker 1: up for berief parents other than the typical I'm here 27 00:02:03,840 --> 00:02:06,559 Speaker 1: for you if you need me, and how traumatic grief 28 00:02:06,600 --> 00:02:09,959 Speaker 1: symptoms can show up differently in Black women. If something 29 00:02:10,000 --> 00:02:13,520 Speaker 1: resonates with you while enjoying our conversation, please share with 30 00:02:13,600 --> 00:02:16,960 Speaker 1: us on social media using the hashtag TBG in session 31 00:02:17,840 --> 00:02:20,320 Speaker 1: or join us over in the sister Circle to talk 32 00:02:20,360 --> 00:02:23,480 Speaker 1: more about the episode. You can join us at community 33 00:02:23,560 --> 00:02:30,639 Speaker 1: dot therapy for Blackgirls dot com. Here's our conversation. Thank 34 00:02:30,680 --> 00:02:32,800 Speaker 1: you so much for joining me today, doctor Graeman. 35 00:02:33,440 --> 00:02:35,519 Speaker 2: No, thank you for having me, Doctor joy. I'm a 36 00:02:35,560 --> 00:02:37,720 Speaker 2: big fan of your work in the podcast. 37 00:02:37,960 --> 00:02:40,760 Speaker 1: Thank you so much, so I'm curious to hear a 38 00:02:40,800 --> 00:02:43,320 Speaker 1: little bit more about your practice. Can you tell me 39 00:02:43,560 --> 00:02:47,280 Speaker 1: what is traumatic grief and why you decided to send 40 00:02:47,320 --> 00:02:51,600 Speaker 1: you your practice in this HM. 41 00:02:50,480 --> 00:02:56,359 Speaker 2: So, traumatic grief is a response to losing someone. In 42 00:02:56,360 --> 00:02:58,840 Speaker 2: this sense, I'm thinking about death of a person. I 43 00:02:58,880 --> 00:03:01,560 Speaker 2: know there are many ways that people can experience grief, 44 00:03:01,600 --> 00:03:05,720 Speaker 2: but my practice focuses exclusively on death of an individual. 45 00:03:06,280 --> 00:03:10,960 Speaker 2: So it's a response to that permanent physical rupture that 46 00:03:11,120 --> 00:03:15,639 Speaker 2: maps on to what we know are symptoms of traumatic stress. 47 00:03:16,360 --> 00:03:22,680 Speaker 2: And those symptoms can manifest in multiple dimensions of our experience. 48 00:03:22,840 --> 00:03:30,680 Speaker 2: They can manifest in physical symptoms such as heart palpitations, difficulties, sleeping, nightmares. 49 00:03:30,800 --> 00:03:35,680 Speaker 2: They can manifest in perceptual disturbances like flashbacks. They can 50 00:03:35,720 --> 00:03:40,760 Speaker 2: manifest in cognitive disturbances like ruminating thoughts and thoughts of 51 00:03:40,880 --> 00:03:43,640 Speaker 2: not wanting to be here anymore, and self harm. And 52 00:03:43,720 --> 00:03:47,720 Speaker 2: so my practice focuses on working and companioning black women 53 00:03:48,040 --> 00:03:53,559 Speaker 2: who've experienced a loss and are exhibiting traumatic grief symptoms. 54 00:03:54,880 --> 00:03:57,960 Speaker 1: So I'm curious, actual agreement. Is there a difference between 55 00:03:58,200 --> 00:04:02,200 Speaker 1: traumatic grief symptoms. This is, I guess, the typical kind 56 00:04:02,240 --> 00:04:03,040 Speaker 1: of grief reaction. 57 00:04:03,880 --> 00:04:04,240 Speaker 3: I think. 58 00:04:04,320 --> 00:04:07,040 Speaker 2: So when I think about reactions to grief, I actually 59 00:04:07,680 --> 00:04:11,880 Speaker 2: liken them to different stages of hospitalization, if you will, 60 00:04:11,920 --> 00:04:14,960 Speaker 2: So you think about the highest level of care would 61 00:04:15,000 --> 00:04:19,000 Speaker 2: be an intensive care unit, and then below that would 62 00:04:19,040 --> 00:04:23,760 Speaker 2: be a regular inpatient unit, and then below that outpatient care. 63 00:04:23,839 --> 00:04:26,400 Speaker 2: When I think about traumatic grief, I think of someone 64 00:04:26,480 --> 00:04:29,880 Speaker 2: at the highest level of care. Their symptoms of distress 65 00:04:29,920 --> 00:04:33,360 Speaker 2: are really acute, and they're in need of a lot 66 00:04:33,400 --> 00:04:37,520 Speaker 2: of supportive services. Now that phase may last for a 67 00:04:37,560 --> 00:04:40,560 Speaker 2: short period of time, a few weeks, a few months, 68 00:04:41,040 --> 00:04:44,000 Speaker 2: up to a couple of years, and beyond that, some 69 00:04:44,040 --> 00:04:47,920 Speaker 2: people may say that you're then stepping into what is 70 00:04:47,960 --> 00:04:50,680 Speaker 2: called prolonged grief. I don't know how I feel about that, 71 00:04:51,120 --> 00:04:55,720 Speaker 2: but that's how I differentiate traumatic grief response from a 72 00:04:55,920 --> 00:05:00,680 Speaker 2: common grief response. Seventy percent of people with I'll not 73 00:05:00,920 --> 00:05:03,640 Speaker 2: experience a traumatic grief response, but about thirty percent of 74 00:05:03,680 --> 00:05:08,400 Speaker 2: the population will experience it. And that percentage increases when 75 00:05:08,400 --> 00:05:12,279 Speaker 2: the death is sudden, in particular, when it's violent, when 76 00:05:12,320 --> 00:05:15,919 Speaker 2: the grief is disenfranchised, maybe not acknowledged by the society. 77 00:05:15,960 --> 00:05:18,719 Speaker 2: These are all things that can increase the likelihood that 78 00:05:18,760 --> 00:05:20,680 Speaker 2: you're going to have a traumatic grief response. 79 00:05:21,160 --> 00:05:23,200 Speaker 1: Thank you so much for sharing that. Are there other 80 00:05:23,279 --> 00:05:26,039 Speaker 1: things that kind of would indicate a response that is 81 00:05:26,200 --> 00:05:27,440 Speaker 1: considered traumatic grief? 82 00:05:27,880 --> 00:05:28,080 Speaker 2: Oh? 83 00:05:28,200 --> 00:05:28,599 Speaker 3: Sure. 84 00:05:28,880 --> 00:05:33,200 Speaker 2: In addition to the flashbacks, nightmares, thoughts of not wanting 85 00:05:33,240 --> 00:05:40,599 Speaker 2: to be here, self harm, gastrointestinal issues, really heightened sense 86 00:05:40,720 --> 00:05:45,720 Speaker 2: of hypervigilance, increased sense of worry. So where your baseline 87 00:05:45,760 --> 00:05:50,040 Speaker 2: is this varies person to person, but thinking about your 88 00:05:50,080 --> 00:05:53,320 Speaker 2: baseline of worry and your baseline of vigilance, that that 89 00:05:53,480 --> 00:06:00,440 Speaker 2: is significantly increase, a substantial increase in clingingness, behaviors, wrong 90 00:06:01,120 --> 00:06:06,240 Speaker 2: impulse to discuss the loss in an indiscriminate way. So 91 00:06:07,080 --> 00:06:10,800 Speaker 2: just I'm at the car wash and I'm talking about 92 00:06:10,800 --> 00:06:14,080 Speaker 2: the loss with people I don't know, and also conversely 93 00:06:14,160 --> 00:06:18,239 Speaker 2: a really strong urge to avoid discussion of the loss, 94 00:06:18,279 --> 00:06:23,400 Speaker 2: or some additional indicators that someone might be experiencing traumatic grief. 95 00:06:23,520 --> 00:06:26,960 Speaker 2: But really what I would look for are those physiological 96 00:06:27,000 --> 00:06:32,640 Speaker 2: and those perceptual disturbances such as flashbacks and the ideas 97 00:06:32,680 --> 00:06:36,200 Speaker 2: of maybe like feeling dissociated from your body, like the 98 00:06:36,279 --> 00:06:39,640 Speaker 2: world is a fantasy kind of world, or like you're 99 00:06:39,640 --> 00:06:44,000 Speaker 2: detached and floating above yourself. And then the physiological symptoms 100 00:06:44,000 --> 00:06:47,000 Speaker 2: such as nightmares, disturbances, those are some of the key 101 00:06:47,040 --> 00:06:48,080 Speaker 2: things that I'm looking for. 102 00:06:49,240 --> 00:06:51,920 Speaker 1: And you mentioned that your practice is primarily with black 103 00:06:51,920 --> 00:06:55,039 Speaker 1: women who are experiencing traumatic grief in your work or 104 00:06:55,080 --> 00:06:57,440 Speaker 1: in the research. Is there anything that you can share 105 00:06:58,000 --> 00:07:01,039 Speaker 1: about how traumatic grief either looks different differently for Black 106 00:07:01,040 --> 00:07:05,359 Speaker 1: women or how we might be disproportionately impacted by traumatic grief. 107 00:07:05,680 --> 00:07:07,920 Speaker 2: Ah, that's a really good question. I don't know if 108 00:07:07,920 --> 00:07:12,200 Speaker 2: we're disproportionately impacted by traumatic grief, but I could hypothesize 109 00:07:12,200 --> 00:07:17,560 Speaker 2: that we might be because our exposure to trauma within 110 00:07:17,600 --> 00:07:21,239 Speaker 2: the general population tends to be high along the lines 111 00:07:21,280 --> 00:07:24,840 Speaker 2: of race. Some of the ways that I think intersects 112 00:07:24,880 --> 00:07:29,640 Speaker 2: with Black women's experience uniquely is that we're carrying this 113 00:07:29,920 --> 00:07:37,080 Speaker 2: superwoman complex of really being long suffering and holding things together. 114 00:07:38,120 --> 00:07:41,040 Speaker 2: And the idea that we could be impacted by traumatic grief, 115 00:07:41,080 --> 00:07:43,960 Speaker 2: I think is one that can be difficult for us 116 00:07:44,040 --> 00:07:47,800 Speaker 2: to accept and then related to that, difficult for us 117 00:07:47,880 --> 00:07:51,680 Speaker 2: to consider as an experience where we should reach out 118 00:07:51,720 --> 00:07:52,160 Speaker 2: for help. 119 00:07:52,560 --> 00:07:54,680 Speaker 1: Yeah, because that definitely is where my mind when you know, 120 00:07:54,760 --> 00:07:57,960 Speaker 1: I think Black women, because of this superwoman's syndrome and 121 00:07:58,000 --> 00:08:00,080 Speaker 1: lots of other reasons, I think, we often have a 122 00:08:00,200 --> 00:08:03,240 Speaker 1: time stopping to acknowledge anything difficult, and so we know 123 00:08:03,360 --> 00:08:06,560 Speaker 1: even typical grief can be hard I think for us 124 00:08:06,560 --> 00:08:09,840 Speaker 1: to access. So I'm thinking traumatic grief, like, Okay, what 125 00:08:09,880 --> 00:08:11,880 Speaker 1: does this even look like in black women? And it 126 00:08:11,880 --> 00:08:16,000 Speaker 1: sounds like it's some of the same kinds of concerns. Yeah, absolutely, 127 00:08:16,920 --> 00:08:18,840 Speaker 1: So what would you say are some of the most 128 00:08:18,880 --> 00:08:21,440 Speaker 1: common misconceptions about grief and grieving? 129 00:08:22,680 --> 00:08:25,440 Speaker 2: Probably most popular is the idea that there are five 130 00:08:25,520 --> 00:08:28,840 Speaker 2: stages of grief that gets brought up as a myth 131 00:08:29,360 --> 00:08:33,839 Speaker 2: that Koobler Ross developed the five stages through naturalistic observation 132 00:08:34,000 --> 00:08:37,480 Speaker 2: of people who were dying from a terminal illness, and 133 00:08:38,200 --> 00:08:42,560 Speaker 2: her theory was really designed to capture that phenomenological experience 134 00:08:43,120 --> 00:08:49,280 Speaker 2: of dying. I think related to that, another misperception about 135 00:08:49,640 --> 00:08:55,240 Speaker 2: grief is that Koobler Ross's stages have no validity. So 136 00:08:55,520 --> 00:09:00,560 Speaker 2: those experiences that she captures, they are real, it's just 137 00:09:00,640 --> 00:09:05,440 Speaker 2: that they don't emerge in a linear, stage wise fashion. 138 00:09:06,080 --> 00:09:08,400 Speaker 2: They may come up all at the same time, there 139 00:09:08,440 --> 00:09:12,480 Speaker 2: may be a regression, you may not experience some of 140 00:09:12,520 --> 00:09:17,280 Speaker 2: those symptoms. So I think that in our effort to 141 00:09:18,480 --> 00:09:21,920 Speaker 2: bust the myth that grief follows a linear stage, we've 142 00:09:21,960 --> 00:09:26,679 Speaker 2: thrown out the good with kind of like the perfect, 143 00:09:27,280 --> 00:09:30,600 Speaker 2: and that there is utility and thinking about these different 144 00:09:30,640 --> 00:09:33,200 Speaker 2: types of experiences. I do think that most of the 145 00:09:33,200 --> 00:09:37,480 Speaker 2: people I work with have experiences of denial and experiences 146 00:09:37,520 --> 00:09:42,120 Speaker 2: of shock and bargaining and some kind of acceptance and 147 00:09:42,200 --> 00:09:44,880 Speaker 2: integration at some point. They just I don't think they 148 00:09:44,920 --> 00:09:46,920 Speaker 2: follow into a neat stage pattern. 149 00:09:47,280 --> 00:09:49,520 Speaker 1: Yeah, and I think, you know, especially when people are grieving, 150 00:09:49,600 --> 00:09:52,520 Speaker 1: Like I think why those stages have become so popular 151 00:09:52,640 --> 00:09:54,520 Speaker 1: is that it offers a little bit of structure to 152 00:09:54,600 --> 00:09:58,120 Speaker 1: what feels like chaos, right and absolutely, but I wonder 153 00:09:58,240 --> 00:10:01,560 Speaker 1: what it's then like talking with it's about the phases 154 00:10:01,559 --> 00:10:05,360 Speaker 1: they'll go through and this idea that eventually grief will 155 00:10:05,400 --> 00:10:07,240 Speaker 1: go away, because I think people think, like once you 156 00:10:07,320 --> 00:10:09,559 Speaker 1: hit stage five, like okay, I'm kind of in the clear, 157 00:10:10,040 --> 00:10:12,160 Speaker 1: but you're saying that it is much more kind of 158 00:10:12,280 --> 00:10:13,840 Speaker 1: in and out and it abbs and flows. 159 00:10:14,400 --> 00:10:15,280 Speaker 3: Yeah. Yeah. 160 00:10:15,360 --> 00:10:18,080 Speaker 2: An activity that I typically do with clients is the 161 00:10:18,440 --> 00:10:21,360 Speaker 2: Big Knot of Grief activity. And if you google this, 162 00:10:21,440 --> 00:10:23,960 Speaker 2: you'll find it like a ball of grief and it 163 00:10:24,000 --> 00:10:26,200 Speaker 2: looks like a ball of rubber bands and it has 164 00:10:26,559 --> 00:10:29,280 Speaker 2: all of those so called stages that google rolls talks 165 00:10:29,280 --> 00:10:32,240 Speaker 2: about in addition to other experiences that are common with grief, 166 00:10:32,520 --> 00:10:34,600 Speaker 2: and it shows that they're all tangled together, and so 167 00:10:34,640 --> 00:10:37,679 Speaker 2: I might ask a client to identify which of these 168 00:10:37,720 --> 00:10:40,280 Speaker 2: experiences they're having now and do that at different points 169 00:10:40,320 --> 00:10:42,880 Speaker 2: in time during our work together, so that they have 170 00:10:42,920 --> 00:10:46,880 Speaker 2: a visual representation of the ways in which their symptoms 171 00:10:46,880 --> 00:10:50,280 Speaker 2: and their experience have been flow, and appreciation for the 172 00:10:50,320 --> 00:10:54,440 Speaker 2: messiness of grief and that that is normalized, and that 173 00:10:54,440 --> 00:10:57,240 Speaker 2: they shouldn't feel that they do need to follow these 174 00:10:57,280 --> 00:10:59,720 Speaker 2: steps in that there is a right way to do grief. 175 00:11:00,040 --> 00:11:01,840 Speaker 3: They are either on the right track or on the 176 00:11:01,840 --> 00:11:02,480 Speaker 3: wrong track. 177 00:11:03,160 --> 00:11:05,920 Speaker 1: Are there any other activities that you find yourself doing 178 00:11:05,960 --> 00:11:08,319 Speaker 1: pretty often with clients, Oh. 179 00:11:08,200 --> 00:11:09,040 Speaker 3: Sure, plenty. 180 00:11:09,240 --> 00:11:11,760 Speaker 2: Another is that I have a card deck that I 181 00:11:11,880 --> 00:11:16,680 Speaker 2: created of scripture broken down into scriptures focusing on hope 182 00:11:17,080 --> 00:11:19,920 Speaker 2: and scriptures that focus on limitation. A lot of the 183 00:11:19,920 --> 00:11:23,240 Speaker 2: women that I work with are practicing Christians and their 184 00:11:23,320 --> 00:11:26,760 Speaker 2: women of faith, and I think one of the liabilities 185 00:11:26,960 --> 00:11:29,960 Speaker 2: in our experience this actually maps on to your question 186 00:11:30,040 --> 00:11:33,040 Speaker 2: about the ways in which the experience of grief can 187 00:11:33,040 --> 00:11:36,520 Speaker 2: be unique for black women. The majority of us still 188 00:11:36,559 --> 00:11:40,880 Speaker 2: in this country identify as Christian and identify as religious, 189 00:11:41,040 --> 00:11:43,400 Speaker 2: and I think that within our religious community there can 190 00:11:43,440 --> 00:11:48,240 Speaker 2: be a lot of pressure to focus on and optimism 191 00:11:48,600 --> 00:11:53,160 Speaker 2: and everything happens for a reason, and kind of things 192 00:11:53,160 --> 00:11:55,840 Speaker 2: that people in a cliche way say map onto a 193 00:11:55,880 --> 00:12:01,960 Speaker 2: spiritual bypass approach. And it is valuable to introduce or 194 00:12:02,040 --> 00:12:05,880 Speaker 2: reintroduce or reinforce for clients that a lot of our 195 00:12:05,960 --> 00:12:10,280 Speaker 2: sacred writings actually speak to suffering within the human condition. 196 00:12:10,440 --> 00:12:13,280 Speaker 2: So an activity that I might do with a client 197 00:12:13,440 --> 00:12:16,160 Speaker 2: is have them go through the card deck and separate 198 00:12:16,200 --> 00:12:20,679 Speaker 2: the deck into scriptures related to hope, scriptures related to limitation, 199 00:12:21,040 --> 00:12:24,120 Speaker 2: especially at the beginning of our work together, when stress 200 00:12:24,160 --> 00:12:27,160 Speaker 2: tends to be most acute, ask a client to draw 201 00:12:27,240 --> 00:12:30,920 Speaker 2: a card from the lamentation deck, or I may ask 202 00:12:30,960 --> 00:12:35,120 Speaker 2: them to split the deck into familiar scripture and unfamiliar scripture, 203 00:12:35,200 --> 00:12:38,080 Speaker 2: because another thing that happens is that some of the 204 00:12:38,280 --> 00:12:42,600 Speaker 2: scriptures become so wrote in terms of our memory, we're 205 00:12:42,640 --> 00:12:46,360 Speaker 2: not really taking it in, We're not really sitting with 206 00:12:46,640 --> 00:12:50,280 Speaker 2: that word, and so it can be helpful to focus 207 00:12:50,320 --> 00:12:53,320 Speaker 2: on a fresh word that is less familiar. And so 208 00:12:53,320 --> 00:12:55,120 Speaker 2: that's another way that I might use a card deck, 209 00:12:55,160 --> 00:12:57,400 Speaker 2: and that's something that I typically do. 210 00:12:58,040 --> 00:13:01,120 Speaker 1: Thank you for that, so you. Mention and traumetic grief 211 00:13:01,120 --> 00:13:03,880 Speaker 1: can often happen as it relates to like a sudden 212 00:13:03,920 --> 00:13:06,640 Speaker 1: death or a death that has been violent. And I 213 00:13:06,679 --> 00:13:09,120 Speaker 1: know we want to talk today a little bit about 214 00:13:09,200 --> 00:13:12,120 Speaker 1: losing a child, which I think is often sudden, one 215 00:13:12,160 --> 00:13:15,920 Speaker 1: of the most unimaginable things I think we experience as parents. 216 00:13:16,200 --> 00:13:18,640 Speaker 1: Can you talk a little bit about what that process 217 00:13:18,679 --> 00:13:20,679 Speaker 1: looks like when you're working with a client who has 218 00:13:20,760 --> 00:13:21,560 Speaker 1: lost a child. 219 00:13:22,320 --> 00:13:26,439 Speaker 2: Yeah, So first I'll share that I'm coming to that 220 00:13:26,600 --> 00:13:30,760 Speaker 2: work both as a trained clinician and also as a 221 00:13:30,800 --> 00:13:35,400 Speaker 2: bereaved mother. I myself lost an infant after three weeks, 222 00:13:35,440 --> 00:13:37,360 Speaker 2: and I won't tell the whole story of that, but 223 00:13:37,600 --> 00:13:42,719 Speaker 2: just want your listeners to know that. So, in my experience, 224 00:13:43,160 --> 00:13:49,280 Speaker 2: the first thing that we're working on together is calming 225 00:13:50,000 --> 00:13:55,120 Speaker 2: the sympathetic nervous system that in my experience, the black 226 00:13:55,160 --> 00:13:59,480 Speaker 2: women who come to see me are highly distressed, highly 227 00:13:59,600 --> 00:14:03,440 Speaker 2: emotion we disregulated, and are exhibiting a number of the 228 00:14:03,480 --> 00:14:08,880 Speaker 2: symptoms that I described as being symptoms of traumatic stress. 229 00:14:08,920 --> 00:14:12,720 Speaker 3: So sleep disturbances, nightmares. 230 00:14:12,400 --> 00:14:18,920 Speaker 2: Flashbacks, very high levels of anxiety, feelings of being outside 231 00:14:18,960 --> 00:14:26,400 Speaker 2: of the body. And so the first concern is regulation 232 00:14:27,080 --> 00:14:31,000 Speaker 2: and trying to help clients to ground and then that sense, 233 00:14:31,160 --> 00:14:38,640 Speaker 2: we're doing what most best practices for trauma treatment would recommend. 234 00:14:38,880 --> 00:14:44,720 Speaker 2: We are working on breath work and paste breathing and 235 00:14:45,200 --> 00:14:50,400 Speaker 2: alternate nostril breathing, and I'm teaching clients those different activities 236 00:14:50,720 --> 00:14:53,960 Speaker 2: in the session and then asking them to practice it 237 00:14:54,160 --> 00:14:59,680 Speaker 2: outside of the session. In an effort to regulate the system, 238 00:15:00,400 --> 00:15:07,040 Speaker 2: I'm likely to recommend a number of nature therapeutic interventions. 239 00:15:07,160 --> 00:15:10,120 Speaker 2: I also have a nature journal that I give to 240 00:15:10,200 --> 00:15:13,520 Speaker 2: all of my clients, and they have different exercises to 241 00:15:13,600 --> 00:15:19,359 Speaker 2: do in nature that facilitate mindfulness and a sense of grounding, 242 00:15:19,920 --> 00:15:22,680 Speaker 2: and we might introduce that in the session as well. 243 00:15:22,840 --> 00:15:25,920 Speaker 2: So I may be working with the client virtually. My 244 00:15:26,000 --> 00:15:29,080 Speaker 2: practice is completely virtual, and I may be here in 245 00:15:29,080 --> 00:15:32,200 Speaker 2: this office as I am with you now and have 246 00:15:32,240 --> 00:15:35,800 Speaker 2: an assigned outdoor space for the client to go to 247 00:15:36,000 --> 00:15:39,720 Speaker 2: for the session. The entire session may take place at 248 00:15:39,760 --> 00:15:44,480 Speaker 2: that location. So, for example, I'm physically located in the 249 00:15:44,480 --> 00:15:48,760 Speaker 2: Baltimore metropolitan area, we have a place called Lake Roland 250 00:15:49,360 --> 00:15:52,120 Speaker 2: that might be familiar to my clients, or depending where 251 00:15:52,120 --> 00:15:54,880 Speaker 2: they are in the state, I'm going to identify outdoor 252 00:15:54,920 --> 00:15:57,960 Speaker 2: spaces that are within the vicinity of where they live. 253 00:15:58,080 --> 00:16:00,240 Speaker 2: Or work, and I may assign them to go to 254 00:16:00,280 --> 00:16:03,240 Speaker 2: that space for the session, and we might select one 255 00:16:03,280 --> 00:16:08,320 Speaker 2: of the activities, a mindfulness activity relating to noticing all 256 00:16:08,480 --> 00:16:11,360 Speaker 2: of one primary color that you see in nature and 257 00:16:11,440 --> 00:16:14,120 Speaker 2: count the number of times that you see it, just 258 00:16:14,160 --> 00:16:18,119 Speaker 2: to kind of focus that monkey mind that can emerge 259 00:16:18,160 --> 00:16:23,360 Speaker 2: when you're highly distressed. So it's a concentration exercise. You're 260 00:16:23,400 --> 00:16:27,800 Speaker 2: getting into the fresh air, which can be energizing. It's 261 00:16:27,880 --> 00:16:32,560 Speaker 2: known to reduce anxiety and symptoms of depression. So that's 262 00:16:32,600 --> 00:16:36,280 Speaker 2: what we're working on first, and then thinking about the 263 00:16:36,400 --> 00:16:39,920 Speaker 2: different types of symptoms that come up with traumatic grief. 264 00:16:40,360 --> 00:16:43,640 Speaker 2: We're working our way down what I would consider kind 265 00:16:43,680 --> 00:16:45,640 Speaker 2: of like a scale. So at the top of that 266 00:16:45,680 --> 00:16:49,440 Speaker 2: would be the physiological symptoms, and we're concentrating on that. 267 00:16:49,840 --> 00:16:54,360 Speaker 2: Then we're concentrating on the perceptual symptoms, the emotional and 268 00:16:54,440 --> 00:16:59,360 Speaker 2: cognitive symptoms, and then also the social symptoms. But when 269 00:16:59,400 --> 00:17:03,040 Speaker 2: a client is coming in and sleep disturbance and nightmares 270 00:17:03,120 --> 00:17:06,560 Speaker 2: is part of their presentation, that's going to take priority, 271 00:17:06,800 --> 00:17:11,520 Speaker 2: and so things like the nature therapy interventions, the breath 272 00:17:11,520 --> 00:17:15,280 Speaker 2: work interventions, those are all actually designed to work to 273 00:17:15,359 --> 00:17:18,119 Speaker 2: facilitate stabilizing sleep hygiene. 274 00:17:18,720 --> 00:17:21,520 Speaker 1: Yeah, because we know you can't do very many of 275 00:17:21,560 --> 00:17:23,720 Speaker 1: the other things that you're talking about if you're too 276 00:17:23,760 --> 00:17:27,080 Speaker 1: exhausted or not sleeping will exactly you know, And I 277 00:17:27,119 --> 00:17:29,359 Speaker 1: would imagine that one of the things that will often 278 00:17:29,400 --> 00:17:32,520 Speaker 1: come up with clients, especially if a child has died 279 00:17:32,560 --> 00:17:35,080 Speaker 1: in like an accident or like a sid's death, or 280 00:17:35,560 --> 00:17:38,520 Speaker 1: is the experience of feeling guilty. Can you talk a 281 00:17:38,560 --> 00:17:40,600 Speaker 1: little bit about how you might work with a client 282 00:17:40,680 --> 00:17:42,440 Speaker 1: to manage some of those symptoms. 283 00:17:43,080 --> 00:17:46,679 Speaker 2: Yeah, So I think one thing that's unique about the 284 00:17:46,760 --> 00:17:49,280 Speaker 2: loss of an infant or a child. It will bring 285 00:17:49,359 --> 00:17:53,520 Speaker 2: up the same reactions as any sudden loss. But I 286 00:17:53,600 --> 00:17:56,959 Speaker 2: think with the loss of a child, what becomes unique 287 00:17:56,960 --> 00:18:02,439 Speaker 2: and nuanced, especially for a parent, is the idea that 288 00:18:02,520 --> 00:18:07,720 Speaker 2: somehow you failed in your role, your primary role of 289 00:18:07,800 --> 00:18:12,040 Speaker 2: protecting the child. Thinking about Maslow's hierarchy needs, the very 290 00:18:12,080 --> 00:18:16,640 Speaker 2: lowest level is the idea of safety and security and 291 00:18:16,840 --> 00:18:21,600 Speaker 2: meeting someone's physiological needs. Well, if your child dies, you 292 00:18:21,680 --> 00:18:24,600 Speaker 2: can internalize a sense of failure to have met that 293 00:18:24,760 --> 00:18:29,119 Speaker 2: basic need, and so that becomes I think long term work, 294 00:18:29,200 --> 00:18:34,800 Speaker 2: and while I offer short term experience about eighteen sessions 295 00:18:34,920 --> 00:18:40,120 Speaker 2: that are designed to stabilize the nervous system. That identity 296 00:18:40,280 --> 00:18:44,800 Speaker 2: work really ends up being a long term project, possibly 297 00:18:44,880 --> 00:18:45,760 Speaker 2: multi years. 298 00:18:45,840 --> 00:18:46,840 Speaker 3: It could go on and on. 299 00:18:46,880 --> 00:18:50,439 Speaker 2: It's open ended because you're really then talking about a 300 00:18:50,480 --> 00:18:55,080 Speaker 2: renegotiation of an identity and a processing of an important 301 00:18:55,200 --> 00:18:58,000 Speaker 2: role that you feel you did not live up to. 302 00:18:58,960 --> 00:19:01,680 Speaker 1: I appreciate you shanting that. It sounds like it's much 303 00:19:01,680 --> 00:19:04,640 Speaker 1: more long term work. That's nothing you're really gonna address 304 00:19:04,760 --> 00:19:09,119 Speaker 1: in successions, so to speak, more from our conversation after 305 00:19:09,160 --> 00:19:23,760 Speaker 1: the break. So, something else that I think can complicate 306 00:19:23,800 --> 00:19:27,000 Speaker 1: this picture is if there are other siblings in the home, right, 307 00:19:27,040 --> 00:19:29,040 Speaker 1: so then you may be grieving as a parent, but 308 00:19:29,119 --> 00:19:33,040 Speaker 1: also tending to your other kids who may also be grieving. 309 00:19:33,359 --> 00:19:35,520 Speaker 1: Can you talk a little bit about any advice or 310 00:19:35,600 --> 00:19:38,520 Speaker 1: suggestions you'd have for parents who might be navigating that 311 00:19:38,600 --> 00:19:39,480 Speaker 1: kind of a dynamic. 312 00:19:40,320 --> 00:19:41,600 Speaker 3: Yes. Absolutely. 313 00:19:41,840 --> 00:19:45,320 Speaker 2: I think it's important to remember that the surviving children 314 00:19:45,359 --> 00:19:49,119 Speaker 2: will process grief in different ways at different stages of development, 315 00:19:49,320 --> 00:19:51,679 Speaker 2: and so you should not think of this as a 316 00:19:51,720 --> 00:19:54,520 Speaker 2: one and done kind of experience, even for a child. 317 00:19:54,560 --> 00:19:57,679 Speaker 2: So in the same way that successions probably aren't going 318 00:19:57,720 --> 00:19:59,879 Speaker 2: to do it for someone experiencing traumatic grief and reno 319 00:19:59,880 --> 00:20:02,600 Speaker 2: goo ciating an identity. In that sense, the same is 320 00:20:02,800 --> 00:20:06,040 Speaker 2: true for a child, but my recommendation would be to 321 00:20:06,040 --> 00:20:10,440 Speaker 2: look for resources that are specifically targeting children. There are 322 00:20:10,600 --> 00:20:16,320 Speaker 2: a number of counseling centers that specifically offer grief camps 323 00:20:16,440 --> 00:20:19,919 Speaker 2: for children, and that may be a one day grief 324 00:20:19,960 --> 00:20:25,879 Speaker 2: camp experience, some have overnight camps, some may have programs 325 00:20:25,920 --> 00:20:31,000 Speaker 2: that exist over multiple months. And so looking at developmental 326 00:20:31,000 --> 00:20:34,439 Speaker 2: supports that you can marshal together for your child I 327 00:20:34,440 --> 00:20:38,960 Speaker 2: think is really important as you continue to navigate your 328 00:20:38,960 --> 00:20:42,640 Speaker 2: own grief, and that may be in an individual kind 329 00:20:42,640 --> 00:20:46,720 Speaker 2: of capacity with a therapist. There are family therapists who 330 00:20:47,119 --> 00:20:50,440 Speaker 2: can work with the whole family and have that expertise 331 00:20:50,560 --> 00:20:55,159 Speaker 2: where everybody is navigating grief together as a unit. A 332 00:20:55,560 --> 00:20:58,199 Speaker 2: family may prefer to separate out or may prefer to 333 00:20:58,200 --> 00:21:00,400 Speaker 2: do a combination of both. That I I think it's 334 00:21:00,440 --> 00:21:03,719 Speaker 2: really important to keep in mind that again, what your 335 00:21:03,800 --> 00:21:06,720 Speaker 2: child needs is going to vary at different stages, and 336 00:21:06,800 --> 00:21:10,439 Speaker 2: the way that they process and metabolize their experiences of 337 00:21:10,480 --> 00:21:13,320 Speaker 2: grief are going to be different at different stages, and 338 00:21:13,600 --> 00:21:16,199 Speaker 2: so one thing I would recommend is not as a 339 00:21:16,240 --> 00:21:20,000 Speaker 2: parent not overreacting to any one way the grief is 340 00:21:20,040 --> 00:21:26,159 Speaker 2: man sifesting in the child, but reinforcing the normalization of 341 00:21:26,200 --> 00:21:29,439 Speaker 2: the experience, and then also having them get support with 342 00:21:29,560 --> 00:21:33,080 Speaker 2: peers and professionals who are specifically trained to work with 343 00:21:33,200 --> 00:21:36,440 Speaker 2: children and grief. I am not one, but I would 344 00:21:36,600 --> 00:21:38,280 Speaker 2: recommend connecting with. 345 00:21:38,280 --> 00:21:40,280 Speaker 3: One doctor Greeman. 346 00:21:40,320 --> 00:21:44,399 Speaker 1: You mentioned normalizing that grief can look lots of different ways, 347 00:21:44,880 --> 00:21:47,240 Speaker 1: and I think we hear that often. But is there 348 00:21:47,320 --> 00:21:50,960 Speaker 1: anything that would be more of a concern, either as 349 00:21:50,960 --> 00:21:54,040 Speaker 1: a parent of other siblings or for your own experience 350 00:21:54,119 --> 00:21:57,720 Speaker 1: right as a person who's grieving, Any symptoms or things 351 00:21:57,720 --> 00:22:01,760 Speaker 1: that might be a heightened in terms of a grief reaction. 352 00:22:02,160 --> 00:22:06,000 Speaker 2: I think again those trauma reactions for an adult, for sure. 353 00:22:06,680 --> 00:22:11,959 Speaker 2: With a child, I would think about increased manifestations of anxiety, 354 00:22:12,119 --> 00:22:16,800 Speaker 2: some of the same reactions nightmares would be concerning. Talk 355 00:22:16,960 --> 00:22:22,440 Speaker 2: of not wanting to be here anymore. Talk of suicide 356 00:22:22,600 --> 00:22:27,960 Speaker 2: obviously is always concerning both for the child and for 357 00:22:28,119 --> 00:22:31,240 Speaker 2: the parents. And at the same time, my approach is 358 00:22:31,760 --> 00:22:35,280 Speaker 2: minimal institutionalization, and I think a lot of therapists as 359 00:22:35,280 --> 00:22:39,439 Speaker 2: soon as they catch wind of any sense or thought 360 00:22:39,640 --> 00:22:43,000 Speaker 2: of self harm or not wanting to be here, their 361 00:22:43,040 --> 00:22:46,159 Speaker 2: own anxiety kicks in, and there can be kind of 362 00:22:46,200 --> 00:22:51,000 Speaker 2: a heightened like the highest level of intervention that I 363 00:22:51,080 --> 00:22:54,960 Speaker 2: see you, intervention which may not be necessary, but again 364 00:22:55,000 --> 00:22:59,520 Speaker 2: that is dependent on the therapists and dependent on the 365 00:22:59,560 --> 00:23:04,200 Speaker 2: families comfort level. But I would recommend finding therapists who 366 00:23:04,640 --> 00:23:08,080 Speaker 2: have some comfort and experience and training in working with 367 00:23:08,200 --> 00:23:11,600 Speaker 2: people who are having thoughts of not wanting to be 368 00:23:11,680 --> 00:23:16,760 Speaker 2: here or self harm and not necessarily jump immediately to institutionalization. 369 00:23:17,960 --> 00:23:19,879 Speaker 1: You know something else I didn't answer you, doctor agreement 370 00:23:19,880 --> 00:23:22,480 Speaker 1: that I'm curious about you because this is your focus. 371 00:23:22,760 --> 00:23:25,679 Speaker 1: I would imagine that you are likely seeing clients on 372 00:23:25,760 --> 00:23:28,439 Speaker 1: a cadence that is not just week to week, right, 373 00:23:28,480 --> 00:23:30,760 Speaker 1: if you're kind of managing some of this distress. Can 374 00:23:30,800 --> 00:23:32,560 Speaker 1: you talk a little bit about how your practice might 375 00:23:32,600 --> 00:23:35,720 Speaker 1: look different than somebody who's not focused on traumatic grief. 376 00:23:36,160 --> 00:23:38,920 Speaker 2: Yes, absolutely so, again, thinking about kind of those three 377 00:23:39,000 --> 00:23:43,040 Speaker 2: levels of intervention that icee you in patient and outpatient, 378 00:23:43,320 --> 00:23:46,000 Speaker 2: I consider my practice the entry point is that I 379 00:23:46,080 --> 00:23:47,240 Speaker 2: see you most intensive. 380 00:23:47,560 --> 00:23:48,240 Speaker 3: So when I'm. 381 00:23:48,040 --> 00:23:51,480 Speaker 2: First working with clients, we're working together every day during 382 00:23:51,480 --> 00:23:55,240 Speaker 2: the week, five days, and that again is in service 383 00:23:55,320 --> 00:23:59,280 Speaker 2: of trying to regulate that nervous system which has really 384 00:23:59,280 --> 00:24:02,320 Speaker 2: gone hey why, And so we're spending a lot of 385 00:24:02,359 --> 00:24:05,840 Speaker 2: intensive time together. And then we tie trait down to 386 00:24:06,080 --> 00:24:08,400 Speaker 2: four days a week and then three days a week, 387 00:24:08,400 --> 00:24:10,600 Speaker 2: and around the three days a week mark, we check 388 00:24:10,640 --> 00:24:13,199 Speaker 2: in and see if the client wants to stay at 389 00:24:13,200 --> 00:24:14,400 Speaker 2: three days a week, which some. 390 00:24:15,040 --> 00:24:17,400 Speaker 3: May for a little while, or if they. 391 00:24:17,359 --> 00:24:20,000 Speaker 2: Feel ready to even go down to two days a 392 00:24:20,000 --> 00:24:23,240 Speaker 2: week and then to traditional once a week therapy. But 393 00:24:23,400 --> 00:24:26,879 Speaker 2: I would say, in my experience, best practices of working 394 00:24:26,920 --> 00:24:30,879 Speaker 2: with someone who is experiencing a cute stress such as 395 00:24:30,960 --> 00:24:34,960 Speaker 2: that would be a more intense and more frequent kind 396 00:24:35,000 --> 00:24:36,159 Speaker 2: of relationship. 397 00:24:36,720 --> 00:24:39,440 Speaker 1: So is there a way that the grief looks different 398 00:24:39,600 --> 00:24:43,000 Speaker 1: if you lose a child as an infant versus losing 399 00:24:43,040 --> 00:24:44,359 Speaker 1: a thirteen year old child? 400 00:24:45,119 --> 00:24:49,600 Speaker 2: There is, I mean, grief reactions are as unique as 401 00:24:49,760 --> 00:24:54,640 Speaker 2: a fingerprint, and so what that looks like. I don't 402 00:24:54,640 --> 00:24:59,919 Speaker 2: think I could even generalize around differences of an infant 403 00:25:00,280 --> 00:25:04,200 Speaker 2: versus thirteen versus your twenty year old son who died 404 00:25:04,240 --> 00:25:09,720 Speaker 2: by suicide. They're all sudden and traumatic deaths, and in 405 00:25:09,760 --> 00:25:14,240 Speaker 2: some sense, they're all disenfranchised deaths, deaths that kind of 406 00:25:14,240 --> 00:25:19,840 Speaker 2: put you outside the social expectations of our communities. And 407 00:25:19,880 --> 00:25:24,240 Speaker 2: so at every stage it's a death that can increase 408 00:25:24,280 --> 00:25:30,200 Speaker 2: sense of isolation, which makes everything more difficult. And they 409 00:25:30,240 --> 00:25:34,359 Speaker 2: all also share that they're considered off time deaths, so 410 00:25:34,640 --> 00:25:38,080 Speaker 2: off time in terms of the natural life cycle. And 411 00:25:38,119 --> 00:25:42,000 Speaker 2: then beyond that, I think it's very unique. So the 412 00:25:42,119 --> 00:25:45,760 Speaker 2: idea of is it more difficult to experience the death 413 00:25:45,800 --> 00:25:51,800 Speaker 2: of a child who was never actually birthed into the world, 414 00:25:52,640 --> 00:25:55,720 Speaker 2: So a death of a child in uteral, the death 415 00:25:55,760 --> 00:25:59,560 Speaker 2: of a child who's born still, death to sids, death 416 00:25:59,600 --> 00:26:05,600 Speaker 2: to fatal illness, a cancer, a car accident at sixteen, 417 00:26:06,040 --> 00:26:10,040 Speaker 2: death by suicide. I don't think we can say, but 418 00:26:10,080 --> 00:26:16,119 Speaker 2: they're all off time, they're all sudden, and they all 419 00:26:16,240 --> 00:26:20,919 Speaker 2: tend to lead to a sense of disenfranchisement and a 420 00:26:20,960 --> 00:26:23,520 Speaker 2: heightened sense of isolation in the experience. 421 00:26:24,240 --> 00:26:26,919 Speaker 1: So something else we know that often happens after the 422 00:26:26,960 --> 00:26:29,600 Speaker 1: death of a chow is that this puts a significant 423 00:26:29,600 --> 00:26:33,280 Speaker 1: strain on the relationship between the parents. Can you talk 424 00:26:33,320 --> 00:26:35,960 Speaker 1: a little bit about how you work with clients in 425 00:26:36,000 --> 00:26:39,360 Speaker 1: your practice around navigating this as a couple or as 426 00:26:39,359 --> 00:26:39,920 Speaker 1: a family. 427 00:26:40,480 --> 00:26:45,720 Speaker 2: Yeah, so I work exclusively with Black women and individual therapy. 428 00:26:45,800 --> 00:26:47,639 Speaker 2: I do not work with couples. I don't work with 429 00:26:47,680 --> 00:26:51,320 Speaker 2: the partners, and I don't work with whole families. But 430 00:26:51,320 --> 00:26:54,159 Speaker 2: that doesn't mean that the whole family does not end 431 00:26:54,240 --> 00:26:57,280 Speaker 2: up being part of the treatment and the experience when 432 00:26:57,359 --> 00:27:00,560 Speaker 2: individual is a part of an entire family system, and 433 00:27:00,640 --> 00:27:06,959 Speaker 2: so that comes in. I think that my approach going 434 00:27:07,000 --> 00:27:10,639 Speaker 2: into my work with an individual who's part of a 435 00:27:10,720 --> 00:27:14,880 Speaker 2: couple is that this is going to be hard, and 436 00:27:15,000 --> 00:27:18,720 Speaker 2: I am going to help you to navigate this with 437 00:27:18,760 --> 00:27:23,760 Speaker 2: your partner. I definitely do not have separation of the 438 00:27:23,880 --> 00:27:28,080 Speaker 2: couple in mind at all, even as I know what 439 00:27:28,119 --> 00:27:31,919 Speaker 2: the literature says about how this kind of loss can 440 00:27:31,960 --> 00:27:36,639 Speaker 2: devastate a couple. I do not go in with that mindset. 441 00:27:37,280 --> 00:27:43,240 Speaker 2: But we're talking about what the woman in the partnership needs, 442 00:27:43,320 --> 00:27:47,040 Speaker 2: and we're focusing on getting her needs met and not 443 00:27:47,359 --> 00:27:51,679 Speaker 2: being responsible for getting her partners needs met. We do 444 00:27:51,840 --> 00:27:56,040 Speaker 2: talk about resources that may be useful to the partner. Again, 445 00:27:56,119 --> 00:28:00,159 Speaker 2: if they want couple's therapy, I can recommend a couple's therapists, 446 00:28:00,200 --> 00:28:03,440 Speaker 2: but very clear that I only work with the individual, 447 00:28:03,960 --> 00:28:07,680 Speaker 2: and so we're talking about ways to communicate with each 448 00:28:07,720 --> 00:28:13,239 Speaker 2: other to continue to try and spend quality time with 449 00:28:13,320 --> 00:28:16,840 Speaker 2: each other during what we would call like a grief break, 450 00:28:17,400 --> 00:28:21,159 Speaker 2: that we need to take breaks sometimes during this process, 451 00:28:21,480 --> 00:28:24,879 Speaker 2: and how they can do that together as a couple, 452 00:28:24,920 --> 00:28:29,000 Speaker 2: thinking of different ways. I'm a big proponent of psycho 453 00:28:29,119 --> 00:28:32,760 Speaker 2: education through podcasts such as Therapy for Black Girls along 454 00:28:32,800 --> 00:28:36,399 Speaker 2: with others. I may give that to a client to 455 00:28:36,520 --> 00:28:39,960 Speaker 2: share with their partner as a homework assignment and have 456 00:28:40,160 --> 00:28:43,600 Speaker 2: them have a discussion about that and see how they 457 00:28:43,680 --> 00:28:48,520 Speaker 2: receive that information. Some education if we're talking about cis 458 00:28:48,560 --> 00:28:54,600 Speaker 2: hetero couple, some psycho education about stereotypical ways in which 459 00:28:54,720 --> 00:28:59,760 Speaker 2: men may express their grief differently, which again stereotypically tends 460 00:28:59,800 --> 00:29:04,200 Speaker 2: to on to more action oriented, more doing less of 461 00:29:04,240 --> 00:29:08,240 Speaker 2: the talk, therapy, emotional processing, and when that does happen, 462 00:29:08,280 --> 00:29:11,920 Speaker 2: it tends to happen more. Through doing so, there is 463 00:29:11,960 --> 00:29:14,920 Speaker 2: a minimization of blaming each other and kind of like 464 00:29:14,960 --> 00:29:19,040 Speaker 2: a reality checking of expectations of the way someone should 465 00:29:19,040 --> 00:29:21,680 Speaker 2: and should not show up in the relationship. 466 00:29:23,320 --> 00:29:23,960 Speaker 3: Thank you for that. 467 00:29:24,600 --> 00:29:26,600 Speaker 1: So we know that one of the hard parts of 468 00:29:27,040 --> 00:29:30,320 Speaker 1: I think processing grief is the special moments, right, so 469 00:29:30,440 --> 00:29:34,040 Speaker 1: holidays and birthdays that come up after the loved one 470 00:29:34,160 --> 00:29:36,239 Speaker 1: is no longer there. Can you talk a little bit 471 00:29:36,240 --> 00:29:39,360 Speaker 1: about navigating that about the child's, Dick's birthday or the 472 00:29:39,400 --> 00:29:40,479 Speaker 1: next holiday season. 473 00:29:41,240 --> 00:29:44,200 Speaker 2: Yeah, I take that on a case by case basis 474 00:29:44,280 --> 00:29:50,000 Speaker 2: that I approach that individually because everyone has a different reaction. Oftentimes, 475 00:29:50,240 --> 00:29:54,720 Speaker 2: the anticipation leading up to the actual day is more 476 00:29:54,720 --> 00:29:59,280 Speaker 2: anxiety provoking than the actual day, is what clients report back. 477 00:30:00,000 --> 00:30:02,080 Speaker 2: So you know, when we know that something is coming up, 478 00:30:02,120 --> 00:30:04,920 Speaker 2: we will bring that up and start to explore how 479 00:30:04,920 --> 00:30:07,240 Speaker 2: you're feeling about it. Are there any special things you 480 00:30:07,280 --> 00:30:10,280 Speaker 2: want to do, ways that you want to engage in 481 00:30:10,440 --> 00:30:14,400 Speaker 2: ritual remembrance. I do talk about the value of ritual 482 00:30:14,600 --> 00:30:17,560 Speaker 2: that it's a way to make meaning, it's a way 483 00:30:17,560 --> 00:30:21,120 Speaker 2: to focus our attention. It serves as a container for 484 00:30:21,200 --> 00:30:24,320 Speaker 2: a therapeutic process. But maybe the client is not interested 485 00:30:24,360 --> 00:30:26,320 Speaker 2: in that, and that's okay. 486 00:30:26,440 --> 00:30:26,920 Speaker 3: As well. 487 00:30:27,040 --> 00:30:32,360 Speaker 2: A parallel goal of traumatic grief therapy or grief therapy 488 00:30:32,520 --> 00:30:39,280 Speaker 2: that's not traumatic, is this reinvestigation and reconsolidation of who 489 00:30:39,400 --> 00:30:42,120 Speaker 2: you are in the world and how you are going 490 00:30:42,200 --> 00:30:44,880 Speaker 2: to move through the world. There's also always like a 491 00:30:44,920 --> 00:30:50,240 Speaker 2: parallel existential project that's happening with the therapy. So, how 492 00:30:50,280 --> 00:30:54,040 Speaker 2: do you feel about holidays now? Maybe that's changed altogether. 493 00:30:54,160 --> 00:30:57,080 Speaker 2: Maybe you want to do something completely different, create a 494 00:30:57,120 --> 00:31:00,480 Speaker 2: new type of holiday, do something special at the holiday, 495 00:31:00,520 --> 00:31:04,840 Speaker 2: have an empty chair. If a client is looking for ideas, 496 00:31:04,960 --> 00:31:07,440 Speaker 2: I have plenty of ideas of things that they could try, 497 00:31:07,640 --> 00:31:10,880 Speaker 2: and may ask if any of them feel like they 498 00:31:10,960 --> 00:31:13,120 Speaker 2: resonate with you, they feel like something you would do 499 00:31:13,280 --> 00:31:16,080 Speaker 2: organically or feel true to you. Do you want to 500 00:31:16,240 --> 00:31:18,960 Speaker 2: just go in the room that day and hide under 501 00:31:19,040 --> 00:31:19,720 Speaker 2: the covers. 502 00:31:20,200 --> 00:31:21,080 Speaker 3: That's okay too. 503 00:31:21,480 --> 00:31:25,240 Speaker 2: Just letting people know that there's no one right way 504 00:31:25,360 --> 00:31:28,160 Speaker 2: to do this. We can explore different ways that people 505 00:31:28,520 --> 00:31:31,320 Speaker 2: have done it and have said that it's been helpful, 506 00:31:31,520 --> 00:31:35,480 Speaker 2: and ultimately you are the driver. You're in charge of 507 00:31:35,880 --> 00:31:39,280 Speaker 2: this journey. I may recommend if people are going to 508 00:31:39,360 --> 00:31:42,880 Speaker 2: someone else's home, take separate cars so that if you 509 00:31:42,960 --> 00:31:45,840 Speaker 2: feel like you want to leave early, you can leave 510 00:31:45,920 --> 00:31:47,960 Speaker 2: and not feel like you're trapped at the home. If 511 00:31:47,960 --> 00:31:50,479 Speaker 2: you're talking about going with your partner, have a signal 512 00:31:50,520 --> 00:31:53,160 Speaker 2: you guys have come up with that they know, okay, 513 00:31:53,240 --> 00:31:56,080 Speaker 2: it's time for us to go. But just thinking about 514 00:31:56,080 --> 00:31:58,040 Speaker 2: different ways to take care of yourself and what that 515 00:31:58,080 --> 00:32:01,640 Speaker 2: could look like, because one artifact of grief is that 516 00:32:01,960 --> 00:32:05,000 Speaker 2: we have a lot of cognitive fog. So some of 517 00:32:05,040 --> 00:32:08,520 Speaker 2: these things seem very obvious to us even as we're talking, 518 00:32:08,520 --> 00:32:10,920 Speaker 2: and they may seem obvious to listeners who are not 519 00:32:11,000 --> 00:32:11,280 Speaker 2: in the. 520 00:32:11,240 --> 00:32:13,000 Speaker 3: Throes of acute grief. 521 00:32:13,280 --> 00:32:15,160 Speaker 2: But when you're in the throes of it, things that 522 00:32:15,280 --> 00:32:18,959 Speaker 2: are very obvious when your mind is clear, are completely 523 00:32:19,040 --> 00:32:21,760 Speaker 2: not on your radar. So it can be as simple 524 00:32:21,800 --> 00:32:25,080 Speaker 2: as just bringing up possibilities that someone is just not 525 00:32:25,160 --> 00:32:27,960 Speaker 2: able to generate on their own in that particular moment 526 00:32:28,000 --> 00:32:28,360 Speaker 2: in time. 527 00:32:30,040 --> 00:32:33,880 Speaker 1: You know, you mentioned the word disenfranchised several times act agreement, 528 00:32:33,920 --> 00:32:37,120 Speaker 1: and I'm wondering what suggestions you would have for support 529 00:32:37,200 --> 00:32:39,880 Speaker 1: people outside of the family who has lost a loved 530 00:32:39,880 --> 00:32:42,960 Speaker 1: one to make a less disenfranchised. Right, So, how can 531 00:32:43,000 --> 00:32:45,640 Speaker 1: we kind of remove some of the shame or stigma 532 00:32:45,800 --> 00:32:47,760 Speaker 1: related to like the loss of a child and really 533 00:32:47,800 --> 00:32:49,280 Speaker 1: support a family that's struggling. 534 00:32:50,000 --> 00:32:51,800 Speaker 2: Yeah, I think we've come such a long way from 535 00:32:51,840 --> 00:32:54,400 Speaker 2: when I went through my own traumatic loss experience, and 536 00:32:54,560 --> 00:32:57,600 Speaker 2: social media has been a saving grace in this sense. 537 00:32:57,640 --> 00:33:01,280 Speaker 2: So on Instagram, there are a number of accounts that 538 00:33:01,320 --> 00:33:05,640 Speaker 2: are specifically dedicated to all manners of laws and grief, 539 00:33:05,680 --> 00:33:07,920 Speaker 2: and those are ways that you can feel less isolated 540 00:33:08,240 --> 00:33:11,680 Speaker 2: following those accounts. This didn't exist when I was going 541 00:33:11,720 --> 00:33:14,920 Speaker 2: through my experience, but now we have help texts, which 542 00:33:14,960 --> 00:33:18,960 Speaker 2: started out as grief texts, and that is incredibly valuable. 543 00:33:19,440 --> 00:33:22,600 Speaker 2: I buy that for all of my own loved ones 544 00:33:23,000 --> 00:33:26,120 Speaker 2: in my community who are experiencing a loss, and I 545 00:33:26,160 --> 00:33:29,320 Speaker 2: also recommend it for my clients because one benefit of 546 00:33:29,360 --> 00:33:34,000 Speaker 2: the help text subscription is that you can send the 547 00:33:34,360 --> 00:33:38,320 Speaker 2: link to two to four people within your network and 548 00:33:38,440 --> 00:33:42,800 Speaker 2: help text will give them recommendations on how to support you, 549 00:33:43,080 --> 00:33:46,920 Speaker 2: which is amazing because one thing that people always say 550 00:33:47,520 --> 00:33:50,880 Speaker 2: when they are witnessing a loved one going through the 551 00:33:50,920 --> 00:33:52,840 Speaker 2: stress of grief is I don't know what to say, 552 00:33:52,880 --> 00:33:54,960 Speaker 2: I don't know what to do, and that can be 553 00:33:55,000 --> 00:33:56,600 Speaker 2: true for someone who even. 554 00:33:56,440 --> 00:33:58,200 Speaker 3: Does his work. This is true for myself. 555 00:33:58,520 --> 00:34:01,040 Speaker 2: When the person is close to to you, it is 556 00:34:01,160 --> 00:34:04,760 Speaker 2: a different situation from when you're working with someone who 557 00:34:04,840 --> 00:34:05,680 Speaker 2: has one. 558 00:34:05,480 --> 00:34:06,600 Speaker 3: Degree of separation. 559 00:34:07,160 --> 00:34:09,200 Speaker 2: So I use that for myself as well as a 560 00:34:09,200 --> 00:34:12,040 Speaker 2: reminder of ways to show up for my loved ones, 561 00:34:12,120 --> 00:34:15,840 Speaker 2: and that is incredibly helpful. Every single person I have 562 00:34:16,000 --> 00:34:19,320 Speaker 2: given that to or recommended that too said they loved 563 00:34:19,920 --> 00:34:24,920 Speaker 2: help text, so I highly highly recommend that we have Reimagined, 564 00:34:25,000 --> 00:34:30,280 Speaker 2: which is an online series that offers webinars and different 565 00:34:30,360 --> 00:34:35,920 Speaker 2: kinds of virtual gatherings. RTZ Hope Return to Zero Hope 566 00:34:36,000 --> 00:34:40,359 Speaker 2: is another organization that focus specifically on perinatal loss. They 567 00:34:40,600 --> 00:34:45,600 Speaker 2: offer a number of free support groups for individuals and 568 00:34:45,680 --> 00:34:50,319 Speaker 2: for couples and for families. Another fantastic resource. There really 569 00:34:50,400 --> 00:34:53,680 Speaker 2: is a lot out there now. It's not that difficult 570 00:34:53,760 --> 00:34:56,080 Speaker 2: to find, you know, maybe a one or two day 571 00:34:56,120 --> 00:35:00,960 Speaker 2: conference or a retreat that is a gathering of parents 572 00:35:00,960 --> 00:35:05,319 Speaker 2: who have lost children at different stages. We have a 573 00:35:05,400 --> 00:35:08,520 Speaker 2: lot of options, and those are absolutely things that I 574 00:35:08,560 --> 00:35:12,200 Speaker 2: share with clients as well. In addition to online forums 575 00:35:12,760 --> 00:35:15,120 Speaker 2: support groups, you can have in person groups. But some 576 00:35:15,160 --> 00:35:18,359 Speaker 2: people may be in a position actually where maybe their 577 00:35:18,400 --> 00:35:23,680 Speaker 2: career or just the nature of their particular circumstances, they're 578 00:35:23,760 --> 00:35:27,480 Speaker 2: unable to go to a support group in person, and 579 00:35:27,560 --> 00:35:32,280 Speaker 2: so these other things that are both virtual and sometimes anonymous, 580 00:35:32,360 --> 00:35:35,000 Speaker 2: can be additional sources of support. 581 00:35:35,320 --> 00:35:37,200 Speaker 1: Thank you so much for then. I was not aware 582 00:35:37,280 --> 00:35:40,200 Speaker 1: of many of those resources, so I appreciate you sharing 583 00:35:40,239 --> 00:35:43,640 Speaker 1: that with us. So you already mentioned how one of 584 00:35:43,640 --> 00:35:47,239 Speaker 1: the primary symptoms related to grief is cognitive foul. Right, 585 00:35:47,560 --> 00:35:50,839 Speaker 1: And I'm curious to hear your thoughts around bereavement leave 586 00:35:51,200 --> 00:35:53,759 Speaker 1: at work. I feel like I've seen at most you 587 00:35:53,840 --> 00:35:56,520 Speaker 1: get a whole week off depending on like your relationship 588 00:35:56,600 --> 00:35:58,959 Speaker 1: to the lost loved one. Can you say a little 589 00:35:59,000 --> 00:36:02,360 Speaker 1: bit more about, like how workplaces can be more supportive 590 00:36:02,560 --> 00:36:03,759 Speaker 1: in terms of bereavement. 591 00:36:04,560 --> 00:36:07,839 Speaker 2: Yes, well, actually there is an organization I believe it's 592 00:36:07,880 --> 00:36:11,960 Speaker 2: called Evermore and they are lobbying for a minimum twenty 593 00:36:12,080 --> 00:36:15,799 Speaker 2: day bereavement leave at the workplace, So anyone who is 594 00:36:15,880 --> 00:36:18,480 Speaker 2: interested in that should follow Evermore. You can follow them 595 00:36:18,480 --> 00:36:21,799 Speaker 2: on Instagram and get more information on that. But with 596 00:36:21,880 --> 00:36:26,520 Speaker 2: respect to workplace, I think that the more flexible that 597 00:36:26,760 --> 00:36:31,320 Speaker 2: a supervisor can be, the better, and flexible with respect 598 00:36:31,400 --> 00:36:36,359 Speaker 2: to scheduling. Scheduling so that the person can go see 599 00:36:36,360 --> 00:36:40,759 Speaker 2: a therapist during the week and not necessarily have to 600 00:36:40,840 --> 00:36:46,080 Speaker 2: see someone at night or on the weekend. When I 601 00:36:46,160 --> 00:36:50,320 Speaker 2: experienced my own traumatic loss, I had amazingly supportive colleagues. 602 00:36:50,360 --> 00:36:54,160 Speaker 2: I'm also a professor of psychology and a department and 603 00:36:54,280 --> 00:36:57,120 Speaker 2: the thing that they gave me that was so helpful 604 00:36:57,239 --> 00:37:02,600 Speaker 2: were grocery cards, because again with that brain fog, the 605 00:37:02,719 --> 00:37:08,279 Speaker 2: idea of meal prep and grocery shopping, everything that we 606 00:37:08,440 --> 00:37:11,680 Speaker 2: do day to day and take for granted is a 607 00:37:11,960 --> 00:37:16,680 Speaker 2: big act of labor. So if you have that kind 608 00:37:16,680 --> 00:37:21,040 Speaker 2: of collegial relationship at your workplace, those kind of instrumental 609 00:37:21,080 --> 00:37:23,719 Speaker 2: supports can be really helpful. 610 00:37:24,080 --> 00:37:25,520 Speaker 3: And I think in addition to. 611 00:37:25,520 --> 00:37:29,040 Speaker 2: Providing structural leave, those are the kind of supports I 612 00:37:29,080 --> 00:37:32,759 Speaker 2: would probably most recommend for a workplace which is a 613 00:37:32,800 --> 00:37:37,400 Speaker 2: structured organizational institutional system. And so when I think about 614 00:37:37,400 --> 00:37:41,920 Speaker 2: supports at a workplace, I'm not necessarily looking for advocating 615 00:37:41,960 --> 00:37:46,040 Speaker 2: for my workplace to become a group therapy place or 616 00:37:46,120 --> 00:37:49,680 Speaker 2: you know, a place for emotional processing. But the workplace 617 00:37:49,760 --> 00:37:53,759 Speaker 2: can provide some of those instrumental supports that could make 618 00:37:53,800 --> 00:37:56,960 Speaker 2: my life easier and kind of soften this journey. And 619 00:37:57,040 --> 00:37:59,640 Speaker 2: it could be things like gift cards, it could be 620 00:37:59,719 --> 00:38:04,800 Speaker 2: liberal relieve, a flex schedule, maybe a hybrid schedule. I 621 00:38:04,840 --> 00:38:08,680 Speaker 2: would look and recommend that workplaces think in terms of 622 00:38:08,960 --> 00:38:12,680 Speaker 2: structural things that they can do for clients who are 623 00:38:12,680 --> 00:38:16,359 Speaker 2: experiencing berief, and especially if their official policy is the 624 00:38:16,360 --> 00:38:18,440 Speaker 2: prototypical three days off. 625 00:38:18,680 --> 00:38:21,720 Speaker 1: I'm wondering. You have other suggestions that you've heard from 626 00:38:21,840 --> 00:38:24,480 Speaker 1: your own experience or even from clients, of ways that 627 00:38:24,600 --> 00:38:27,160 Speaker 1: friends and family can offer, maybe some of those instrumental 628 00:38:27,160 --> 00:38:29,799 Speaker 1: supports that you don't even think that you might need, 629 00:38:29,840 --> 00:38:31,720 Speaker 1: but that actually become really helpful. 630 00:38:32,560 --> 00:38:37,239 Speaker 2: Sure people often talk about the uselessness of the I'm 631 00:38:37,239 --> 00:38:40,920 Speaker 2: here if you need me, girl, that does not work 632 00:38:41,320 --> 00:38:44,239 Speaker 2: during that time. I mean you're really again, think in 633 00:38:44,320 --> 00:38:48,920 Speaker 2: terms of intensive care, someone in intensive care cannot actually 634 00:38:49,120 --> 00:38:52,560 Speaker 2: tell you what they need. You need to show up 635 00:38:52,960 --> 00:38:56,680 Speaker 2: and meet the need. So the very basic needs of 636 00:38:56,840 --> 00:38:59,880 Speaker 2: coming by or you know, calling and saying I am 637 00:39:00,080 --> 00:39:03,080 Speaker 2: coming by and I am dropping off food, I am 638 00:39:03,120 --> 00:39:06,680 Speaker 2: coming by and I am picking up the kids and 639 00:39:06,719 --> 00:39:09,920 Speaker 2: taking them to a movie. I'm coming by and I 640 00:39:10,200 --> 00:39:13,360 Speaker 2: am cleaning. If you can't do that, so many of 641 00:39:13,400 --> 00:39:17,279 Speaker 2: our families are separated and dispersed across the country, in 642 00:39:17,320 --> 00:39:21,200 Speaker 2: different states and in different countries. You can call services 643 00:39:21,239 --> 00:39:24,560 Speaker 2: that can do that. I'm going to research a cleaning 644 00:39:24,640 --> 00:39:28,319 Speaker 2: service to have someone come in and clean. I'm going 645 00:39:28,360 --> 00:39:32,279 Speaker 2: to research a nanny service to have someone come, or 646 00:39:32,400 --> 00:39:36,560 Speaker 2: duel a service to have someone come and take care 647 00:39:36,640 --> 00:39:40,040 Speaker 2: of you for a little while. Something to give you 648 00:39:40,080 --> 00:39:41,839 Speaker 2: a break so that you can step out and get 649 00:39:41,880 --> 00:39:45,080 Speaker 2: some fresh air thinking about processing your own grief. That 650 00:39:45,120 --> 00:39:47,080 Speaker 2: could be so you can step out, go in your 651 00:39:47,080 --> 00:39:51,319 Speaker 2: car and park in an undisclosed location and scream your 652 00:39:51,440 --> 00:39:57,120 Speaker 2: lungs out without having the children witness. But taking initiative 653 00:39:57,480 --> 00:40:02,359 Speaker 2: is really what people who are acutely distressed need. They 654 00:40:02,440 --> 00:40:07,000 Speaker 2: don't have the wherewith all necessarily to express to you 655 00:40:07,040 --> 00:40:07,680 Speaker 2: what they need. 656 00:40:08,440 --> 00:40:10,480 Speaker 1: Yeah, I appreciate you offering that because I think, like 657 00:40:10,520 --> 00:40:12,360 Speaker 1: you mentioned earlier, people are offering like I don't know 658 00:40:12,360 --> 00:40:14,200 Speaker 1: what to say, I don't know what to do, and 659 00:40:14,239 --> 00:40:16,319 Speaker 1: some of those very tangible things I think can be 660 00:40:16,360 --> 00:40:28,480 Speaker 1: really helpful to people. More from our conversation after the break, 661 00:40:30,120 --> 00:40:31,960 Speaker 1: So can you say a little bit about how you 662 00:40:32,000 --> 00:40:35,600 Speaker 1: work with clients around honoring their child after their death, 663 00:40:35,680 --> 00:40:38,000 Speaker 1: Like what kinds of things could be helpful for them 664 00:40:38,040 --> 00:40:40,160 Speaker 1: to think about about how to honor the child's life. 665 00:40:40,840 --> 00:40:44,080 Speaker 2: We do do a lot of work around legacy, leaving 666 00:40:44,320 --> 00:40:48,719 Speaker 2: and remembrance. Again, it becomes personalized. I'll offer a lot 667 00:40:48,760 --> 00:40:53,160 Speaker 2: of different selections. People who are nature lovers may want 668 00:40:53,200 --> 00:40:57,640 Speaker 2: to plant a tree or dedicate a tree in honor 669 00:40:57,880 --> 00:41:01,160 Speaker 2: of the loved one who is deceased. If you're talking 670 00:41:01,200 --> 00:41:05,200 Speaker 2: about an infant or a baby, or a child, oftentimes 671 00:41:05,239 --> 00:41:09,000 Speaker 2: like a children's museum will allow you to purchase a 672 00:41:09,040 --> 00:41:12,080 Speaker 2: brick at the museum and the memory of the child, 673 00:41:12,320 --> 00:41:15,600 Speaker 2: or a space within the museum that you can dedicate 674 00:41:15,719 --> 00:41:18,960 Speaker 2: to the child. The ritual of as I was saying 675 00:41:19,000 --> 00:41:22,960 Speaker 2: at a holiday of leaving an open chair for the 676 00:41:23,040 --> 00:41:27,359 Speaker 2: person who has departed, I do incorporate a lot of 677 00:41:27,840 --> 00:41:34,080 Speaker 2: expressive art, and so we may engage in painting. There's 678 00:41:34,160 --> 00:41:38,120 Speaker 2: so many resources again out there. I was introduced to 679 00:41:39,040 --> 00:41:46,000 Speaker 2: a virtual perinatal loss painting session that people could sign 680 00:41:46,120 --> 00:41:51,000 Speaker 2: up for and paint something that is remembrance of the child. 681 00:41:51,160 --> 00:41:56,239 Speaker 2: Jewelry making, making a craft's book, a scrap book. There 682 00:41:56,239 --> 00:42:01,360 Speaker 2: are so many ways, a scholarship, a donation in honor 683 00:42:01,400 --> 00:42:06,040 Speaker 2: of someone participating in March of times, many many ways, 684 00:42:06,360 --> 00:42:09,960 Speaker 2: and again my job as a therapist is to introduce 685 00:42:09,960 --> 00:42:12,960 Speaker 2: you to the world of those ways and see if 686 00:42:13,000 --> 00:42:15,719 Speaker 2: any of them feel like something that you would want 687 00:42:15,760 --> 00:42:20,000 Speaker 2: to do. It could be as seemingly simple as special walk, 688 00:42:20,040 --> 00:42:22,680 Speaker 2: a quiet walk you've taken us in a special location 689 00:42:23,239 --> 00:42:26,399 Speaker 2: that that's your place where you go and remember your 690 00:42:26,480 --> 00:42:27,040 Speaker 2: loved one. 691 00:42:28,440 --> 00:42:31,120 Speaker 1: You know, we know that there is no timeline for grief, 692 00:42:31,520 --> 00:42:33,000 Speaker 1: and I think that is a part of it that 693 00:42:33,160 --> 00:42:35,719 Speaker 1: people often struggle with, is like always been two years, 694 00:42:35,800 --> 00:42:38,480 Speaker 1: Like why don't I feel better? Can you offer any 695 00:42:38,520 --> 00:42:41,520 Speaker 1: suggestions for anybody who might be enjoying our conversation and 696 00:42:41,680 --> 00:42:44,400 Speaker 1: kind of feeling themselves still in the depths of grief, 697 00:42:44,520 --> 00:42:46,279 Speaker 1: like what kinds of things might they be able to 698 00:42:46,360 --> 00:42:49,600 Speaker 1: do to kind of wade through that wave so to speak. 699 00:42:50,320 --> 00:42:53,800 Speaker 2: Yeah, So, I mean I have to say, as a therapist, 700 00:42:53,920 --> 00:42:57,320 Speaker 2: do not be afraid to reach out for therapy and 701 00:42:57,440 --> 00:43:01,000 Speaker 2: consider investing in therapy. It can be really helpful to 702 00:43:01,200 --> 00:43:06,120 Speaker 2: have someone who is connected but not in mesh, companion 703 00:43:06,360 --> 00:43:10,560 Speaker 2: alongside you what you're experiencing, and even maybe to check 704 00:43:10,680 --> 00:43:13,759 Speaker 2: in with a therapist to ask if they feel that 705 00:43:14,400 --> 00:43:18,320 Speaker 2: what they're experiencing rises to the need or the benefit 706 00:43:18,360 --> 00:43:21,279 Speaker 2: of therapy, because again going back to black women, I 707 00:43:21,400 --> 00:43:25,960 Speaker 2: think that we're socialized to deny our needs and that 708 00:43:26,160 --> 00:43:29,840 Speaker 2: that's an expectation both within our families and the largest society, 709 00:43:30,280 --> 00:43:31,600 Speaker 2: and so we may have a little bit of a 710 00:43:31,680 --> 00:43:35,640 Speaker 2: blind spot there around that. But also again, if you 711 00:43:36,160 --> 00:43:40,960 Speaker 2: are really autonomous and really introverted in terms of your 712 00:43:41,040 --> 00:43:44,880 Speaker 2: processing and private I think an app like help text 713 00:43:45,080 --> 00:43:50,439 Speaker 2: is really helpful. If you are a year in, two 714 00:43:50,600 --> 00:43:54,839 Speaker 2: years in please please please know that that is well 715 00:43:55,000 --> 00:44:02,239 Speaker 2: within normal range of experiencing greed. If most grief therapists 716 00:44:02,360 --> 00:44:07,359 Speaker 2: grief counselors will say minimum two years. I have heard 717 00:44:07,960 --> 00:44:12,600 Speaker 2: someone who survived the death of a child by murder 718 00:44:13,280 --> 00:44:16,600 Speaker 2: that it took five years before they even started to 719 00:44:16,960 --> 00:44:21,840 Speaker 2: feel a little bit like themselves. And so give yourself 720 00:44:21,960 --> 00:44:24,839 Speaker 2: a lot of grace and reach out to people who 721 00:44:24,920 --> 00:44:27,239 Speaker 2: have been there and people who work with people who 722 00:44:27,320 --> 00:44:30,040 Speaker 2: have been there to kind of give yourself a reality 723 00:44:30,200 --> 00:44:34,560 Speaker 2: check on what you're experiencing. It's probably all within a 724 00:44:34,640 --> 00:44:35,320 Speaker 2: normal range. 725 00:44:35,960 --> 00:44:38,359 Speaker 1: Thank you so much, doctor Greeman. I really appreciate all 726 00:44:38,440 --> 00:44:41,319 Speaker 1: the insights that you've shared as well as the resources. 727 00:44:41,680 --> 00:44:43,840 Speaker 1: Can you share with us how we can stay connected 728 00:44:43,880 --> 00:44:45,719 Speaker 1: with you. What is your website as well as any 729 00:44:45,800 --> 00:44:47,520 Speaker 1: social media channels you'd like to share? 730 00:44:48,239 --> 00:44:53,360 Speaker 2: Sure, so, I am on Instagram at Baltimore Grief and 731 00:44:53,680 --> 00:44:59,120 Speaker 2: my website is Wisdom Counseling, Baltimore, LLC. And if you're 732 00:44:59,200 --> 00:45:02,680 Speaker 2: looking for a pair natal loss therapists, you can find 733 00:45:02,800 --> 00:45:06,360 Speaker 2: me of course or in Therapy for Black Girls directory 734 00:45:06,560 --> 00:45:14,960 Speaker 2: and also Postpartum Support International their therapist directory, which not 735 00:45:15,239 --> 00:45:19,239 Speaker 2: only includes therapists who specialize in postpartum depression or anxiety 736 00:45:19,400 --> 00:45:24,240 Speaker 2: or psychosis, but also clinicians who specialize in peri natal loss. 737 00:45:24,800 --> 00:45:28,399 Speaker 2: So if you are yourself looking for a therapist who 738 00:45:28,520 --> 00:45:32,280 Speaker 2: specializes in perynatal loss, I would recommend that site. 739 00:45:32,880 --> 00:45:34,719 Speaker 1: Thank you so much. We'll be shure to include all 740 00:45:34,800 --> 00:45:37,560 Speaker 1: of that in the show notes. We appreciate you, I 741 00:45:37,680 --> 00:45:44,200 Speaker 1: appreciate you, and I appreciate your work. Thank you. I'm 742 00:45:44,239 --> 00:45:46,640 Speaker 1: so glad doctor Graymond was able to join us today 743 00:45:46,680 --> 00:45:49,360 Speaker 1: for this episode. To learn more about her and the 744 00:45:49,400 --> 00:45:52,120 Speaker 1: work she's doing, visit the show notes at Therapy for 745 00:45:52,200 --> 00:45:56,080 Speaker 1: Blackgirls dot Com slash Session three four eight, and don't 746 00:45:56,120 --> 00:45:58,279 Speaker 1: forget to text two of your girls right now and 747 00:45:58,400 --> 00:46:01,640 Speaker 1: tell them to check out the episode. If you're looking 748 00:46:01,680 --> 00:46:05,040 Speaker 1: for a therapist in your area, visit our therapist directory 749 00:46:05,160 --> 00:46:09,080 Speaker 1: at Therapy for Blackgirls dot Com slash directory. And if 750 00:46:09,120 --> 00:46:11,440 Speaker 1: you want to continue digging into this topic or just 751 00:46:11,520 --> 00:46:14,320 Speaker 1: be in community with other sisters, come on over and 752 00:46:14,400 --> 00:46:17,200 Speaker 1: join us in the Sister Circle. It's our cozy corner 753 00:46:17,200 --> 00:46:20,200 Speaker 1: of the Internet. Designed just for black women. You can 754 00:46:20,280 --> 00:46:23,279 Speaker 1: join us at Community dot Therapy for blackgirls dot com. 755 00:46:24,760 --> 00:46:28,040 Speaker 1: This episode was produced by Frida Lucas, Elise Ellis, and 756 00:46:28,160 --> 00:46:33,359 Speaker 1: Zaria Taylor. Editing was done by Dennison Bradford. Thank y'all 757 00:46:33,440 --> 00:46:36,080 Speaker 1: so much for joining me again this week. I look 758 00:46:36,120 --> 00:46:38,240 Speaker 1: forward to continuing this conversation. 759 00:46:37,880 --> 00:46:45,120 Speaker 3: With you all real soon. Take good care. What's