October 2007

1) Fast Help: Grief and Loss
2) Therapist Q&A
3) Clinic Announcements

1) Fast Help: Grief and Loss
The loss of someone close is one of the most painful events that someone can endure. The death of a loved one is an experience that most people will encounter various times throughout their life. Death is one of those inevitable certainties that we will encounter. We often do not think about this issue until we are faced with the reality of death. This is due largely to the fact that death in our society has become institutionalized. This means that it often occurs in hospitals or nursing homes where most of us do not come into contact with it on a daily basis. In many cultures, death is considered a normal part of life and is accepted, and people of the culture are regularly exposed to it.

Many of us may picture how we would cope with another’s death. However, some people are forced to come to terms with their own deaths. For example, someone diagnosed with a terminal illness may experience many of the same emotions regarding their own death as someone else may when a loved one dies. Dr. Elisabeth Kubler-Ross was a psychiatrist whose pioneering work in the late 1960s brought light to the emotional reactions experienced by people affected by the death of a loved one or someone facing their own death. She defined the following stages as those ordinarily experienced by people suffering a loss:

1. Denial (shock, “this can’t be happening”)
2. Anger (blaming, “who is responsible for this?”)
3. Bargaining (pleading with God or higher power to bring the loved one back, or to grant more time to one who is dying)
4. Depression (sadness, withdrawal, hopelessness)
5. Acceptance (being at peace with the loss, ability to move on with life)

These stages are not meant to be prescriptive; that is, it is not expected that everyone experiencing a loss go through all stages or in the same order as someone else. One can also cycle back to a stage of grief that they once thought to have been resolved. What is most important is that support be available to those suffering a loss. With adequate support, the person will feel they are not alone in their struggles. It is important for social supports to remain in place beyond the initial days following the loss, as support often dwindles shortly after the memorial services.

In cases of complicated grief, additional support is available in the form of professional help. This can be offered through the use individual psychotherapy to help those persons understand their emotions and to help make sense of their experiences. Support groups can also be a great resource as the bereaved will find others who are experiencing a loss. Contacting a professional can be a good first step and will open the doors to resources available to those suffering a loss.

2) Therapist Q&A
I believe a family member of mine suffers from seasonal affective disorder. What information can you share about this?

This is a very real issue that affects many people during the winter months, especially those who live in regions that do not get much exposure to sunlight. For these people affected, the winter months can seem endless and feel as though spring is an eternity away.

A large contributing factor for those affected with Seasonal Affective Disorder (or SAD) is that there is an imbalance in the amount of melatonin their bodies produce. This imbalance contributes to the person feeling tired, lacking motivation, and losing interest in many aspects of their lives, which in turn can affect relationships.

SAD is a real disorder and should be treated as such. Friends and loved ones of sufferers of SAD often lose patience with them and wish for them to get over it. It’s not so easy, as depression is as real as physical pain. Persons affected by this disorder should be treated with patience and understanding. There are treatment options that can be of help to those suffering from SAD, aside from moving to an area prone to more sunlight. Exposure to indoor lighting that is similar to natural sunlight (light therapy) has been reported to help. Anti-depressants and herbal remedies can be used to combat feelings of depression. Psychotherapy can also help as a support mechanism for those affected.

Below is a brief self-test developed by Dr. Norman Rosenthal who originally brought attention to the disorder in the 1980s: self-test

If you or a family member may be struggling with SAD, know that there is support available. If we can be of assistance in offering therapy or any supportive guidance, please do not hesitate to contact our office for assistance.

If you have any questions you’d like us to answer in a subsequent newsletter, please reply to this email. Your confidentiality is assured.

3) Clinic News
We are accepting new clients at this time. If you know of anyone who you think would benefit from counseling or a consultation with us, please have him or her give us a call. We thank you in advance for any referrals you provide.