Workbook
COPING
WITH GRIEF
AND LOSS
This workbook includes tools for exploring your experience with grief
and loss.
Scroll down to see the following resources, which can help you
understand how we are impacted by grief, how to name the emotions
we are feeling, how to calm ourselves when feeling overwhelmed by
those emotions, and how to support our well-being during any stage of
the grief cycle and beyond:
What is Grief 1.
The Stages of Grief 2.
The Grief Cycle3.
Grounding Exercise4.
Feelings Wheel5.
Relaxation Techniques 6.
Self-Care Plan7.
Physical symptoms may include:
Fatigue.
Headaches.
Nausea.
Restlessness.
Upset stomach.
Heart palpitations.
Weak muscles or joint pain.
Tightness in your chest or throat.
Having reduced or increased appetite.
Trouble sleeping (insomnia) or sleeping too much.
Behavioral changes may include:
Confusion.
Trouble thinking or making decisions.
Feeling as if you’ve lost a sense of hope or direction.
Difficulty focusing on anything other than your loss.
Difficulty remembering or keeping track of your responsibilities.
Grief is the experience of coping with loss and can be a result
of any change in our daily lives.
WHAT IS GRIEF?
The Stages of Grief
© 2013 Therapist Aid LLC Provided by TherapistAid.com
The Kübler-Ross model of grief (the five stages of grief) describes five primary responses to
loss. These stages are denial, anger, bargaining, depression, and acceptance. Someone who
is grieving may go through these stages in any order, and they may return to previous
stages.
Denial: “This can’t be happening.”
Individuals may refuse to accept the fact that a loss has occurred. They may minimize or
outright deny the situation. It is suggested that loved ones and professionals be forward
and honest about losses to not prolong the denial stage.
Anger: “Why is this happening to me?”
When an individual realizes that a loss has occurred, they may become angry at themselves
or others. They may argue that the situation is unfair and try to place blame.
Bargaining: “I will do anything to change this.”
In bargaining, the individual may try to change or delay their loss. For example, they may try
to convince a partner to return after a breakup, or search for unlikely cures in the case of a
terminal illness.
Depression: “What’s the point of going on after this loss?”
At the stage of depression the individual has come to recognize that a loss has occurred or
will occur. The individual may isolate themselves and spend time crying and grieving.
Depression is a precursor to acceptance because the individual has come to recognize their
loss.
Acceptance: “It’s going to be okay.”
Finally, the individual will come to accept their loss. They understand the situation logically,
and they have come to terms emotionally with the situation.
Denial: “This can’t be happening.”
Anger: “Why is this happening to me?”
Bargaining: “I will do anything to change this.”
Depression: “What is the point of going on after loss?”
Acceptance: “I know what happened. I can’t change it.
Now, I need to cope.”
Developed by Elisabeth Kübler-Ross, worksheet adapted from therapistaid.com
Use this worksheet to think about your own stages of grief. Have you had any
of these thoughts? Use the spaces below each thought to write down any
examples from your own experience.
THE GRIEF CYCLE
GROUNDING EXERCISE
Name 5 things you can see.
Name 2 things you can smell.
Name 3 things you can hear.
Name 4 things you can feel.
Name 1 thing you can taste.
When experiencing grief, our emotions can feel overwhelming at times.
During those moments, grounding techniques can help us to calm our
mind and our body. Here is one helpful practice.
A TOOL FOR UNDERSTANDING EMOTIONS
The Feelings Wheel can help people recognize and communicate what they are
feeling. The inner circle is labeled with names of primary feelings (mad, sad,
scared, joyful, powerful, and peaceful). The outer rings contain names of
secondary feelings related to the primary ones. Use the Feelings Wheel to
describe how you're feeling.
FEELINGS WHEEL
RELAXATION
TECHNIQUES
Deep Belly Breathing (Diaphragmatic Breathing):
Sit or lie down in a comfortable position.
Place one hand on your chest and the other on your abdomen.
Inhale deeply through your nose, expanding your diaphragm and feeling
your abdomen rise.
Exhale slowly and completely through your mouth, feeling your abdomen
fall.
Repeat for several breaths, focusing on the rhythmic rise and fall of your
abdomen.
4-7-8 Breathing (Relaxing Breath):
Sit or lie down comfortably.
Inhale quietly through your nose for a count of four.
Hold your breath for a count of seven.
Exhale completely and audibly through your mouth for a count of eight.
Repeat this cycle as many times as needed.
Box Breathing (Square Breathing):
Inhale through your nose for a count of four.
Hold your breath for a count of four.
Exhale completely through your mouth for a count of four.
Pause and hold your breath for a count of four before beginning the next
cycle.
Repeat the box breathing pattern for several rounds.
Area of self-care
Physical
Eat regular and healthy
meals, good sleep habits, regular
exercise, medical check-ups.
Emotional
Engage in positive
activities, acknowledge
accomplishments, express
emotions in a healthy way.
Spiritual
Read inspirational literature,
self-reflection, spend time
in nature, meditate, explore
spiritual connections.
Professional
Pursue meaningful work,
maintain work-life balance,
positive relationships with co-
workers, time management skills.
Social
Healthy relationships, make
time for family/friends, spend
time with partner/spouse, ask
for support from family and
friends.
Financial
Understand how finances
impact your quality of life,
create a budget or financial plan,
pay off debt.
Psychological
Take time for yourself,
disconnect from electronic
devices, learn new skills, engage
in psychotherapy, life coaching,
or counseling support.
Current practices Practices to try
When experiencing grief, it is more important than ever to take good care of
ourselves. This is also a time when it can be more difficult to do so. Using a plan
like the one below can help keep us on track.
SELF-CARE