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Therapy with Anjum

When someone you love dies, the world can feel both emptier and strangely unchanged. Other people still go to work, bills still arrive, yet inside, something fundamental has shifted. You may feel numb one moment, overwhelmed the next, and strangely calm the moment after that. Grief is the natural response to losing someone who mattered deeply to you.

This article explains what grief research shows about how people heal, why grief moves in waves rather than in a straight line, and what small, practical steps can help after a loss. There is no fixed timetable for grief, and no single “right” way to grieve. Healing does not mean forgetting the person who died. For many people, it means learning, slowly, to carry the loss differently: to remember with love, to rebuild a daily life that feels liveable, and to find moments of peace alongside the sadness.

Grief has no single shape

Grief can touch every part of life. Emotionally, you may feel sadness, anger, guilt, relief, anxiety or numbness — sometimes several of these in a single day. Physically, it can bring tiredness, poor sleep, a tight chest, or a loss of appetite. Mentally, it can make concentration difficult, so ordinary decisions feel exhausting.

Grief also affects relationships and routines. Some people want to talk about the person who died again and again; others need quiet and space. Some return to work quickly because routine helps; others find work impossible for a while. Friends may not know what to say, and may withdraw, which can add loneliness to loss. Cultural and faith practices can bring great comfort to some people, while others find comfort in private reflection, nature, music or memory rituals of their own choosing. Whatever brings you genuine comfort, without harming you or others, deserves respect.

What the research says

Grief research has moved away from the idea that people pass through neat, fixed stages in order. Instead, researchers describe grief as a process that changes over time, with room for both sorrow and rebuilding.

One influential account is the dual process model, developed by Margaret Stroebe and Henk Schut. It describes healthy grieving as moving back and forth between loss-oriented coping — facing the loss, feeling the sadness, remembering the person — and restoration-oriented coping — rebuilding everyday life, learning new tasks, managing practical matters, taking breaks from grief, and slowly forming a new routine. Both sides are normal and necessary. A person may cry in the morning, deal with paperwork in the afternoon, and laugh at a family memory in the evening, and all of that can be part of healing.

Grief researcher William Worden described mourning in terms of tasks, rather than stages to be waited out: accepting the reality of the loss, processing the pain of grief, adjusting to a changed life, and finding an enduring connection with the person who died while moving forward. “Tasks” does not mean grief is homework to be finished; it means healing involves active, personal work over time, often with support, at your own pace.

Modern grief research by Klass and colleagues also recognises “continuing bonds”: an ongoing inner connection with the person who died — through memories, stories, values, photographs, or quiet remembrance — can be healthy, rather than something to be cut off. When grief stays intense and disabling over a long period, and seriously disrupts daily functioning, professional support can help. Prolonged grief is recognised in modern diagnostic manuals as a distinct condition, separate from ordinary grieving, which does not mean long grief is always a disorder — only that help exists when grief feels stuck or overwhelming.

Five gentle steps through grief

These steps will not remove the pain of loss. They are small, practical ways to care for yourself while you grieve, one day at a time.

1. Keep the basics steady, in a small way

Choose the smallest version of care you can manage: a glass of water, a simple meal, a short walk, a regular bedtime. Ask a trusted person to help with cooking, shopping or errands. A simple rhythm — waking, eating, resting and sleeping at roughly the same times — can give the day structure when everything else feels uncertain.

2. Let grief come in doses, and take breaks from it too

Set aside a short, regular time to grieve on purpose: for example, twenty minutes to look at photographs, write a letter to the person who died, or simply sit with your feelings. Outside that time, if grief surges, acknowledge it kindly — “this is grief, and it makes sense” — then return gently to what you were doing.

3. Keep a connection that feels right for you

Choose one way of staying connected that brings comfort rather than distress: talking about the person with family, keeping a memory journal, cooking a favourite meal of theirs, planting something in their memory, or visiting a place that mattered to you both. If a ritual feels too painful at first, leave it for later.

4. Accept support, and be specific about what helps

Many people want to help but do not know how. Name one concrete need: “Could you sit with me this evening?”, “Could you bring food on Friday?”, or “Could you help me with these forms?” Accepting help is not weakness; it is part of restoration.

5. Rebuild one small part of daily life at a time

Rebuilding does not mean replacing the person or “moving on” from them. It means, slowly, learning the tasks of a changed life: managing a household job you did not do before, returning to a hobby, joining a community or faith gathering when you feel ready, or making a small plan for the week ahead. Start with one task, not ten.

When to seek professional help

Consider seeking professional help if grief remains intense and disabling over a long period, if you cannot eat, sleep or function for weeks, if you feel numb or detached most of the time, if guilt or anger feels overwhelming, or if you have thoughts of harming yourself. Seek help promptly if you feel unsafe, or if grief is mixed with depression, anxiety, panic or trauma symptoms.

Grief counselling can offer a safe, non-judgemental space to speak openly about the person who died, to make sense of complicated feelings, and to rebuild daily life at your own pace. You can learn more about support after trauma and loss through trauma and PTSD support.

Therapy with Anjum — by Anjum Mehmood Siddiqui, Consultant Clinical Psychologist, Personality Analyst and Psychotherapist. Therapy in Islamabad, Rawalpindi and online.

If you are grieving and would like gentle, professional support, you can book an appointment to talk through your loss at your own pace, without pressure or judgement.

Disclaimer: This article offers general information only. It is not a diagnosis and is not a substitute for professional care. If you are in immediate danger, or feel you may act on thoughts of harming yourself, please seek emergency help right away.

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