The Truth about the Stages of Grief

Irene Rowland MS, NCC, LPC

A diagram showing the different stages of grief

There are many models for the stages of grief. The horseshoe shaped diagram is my favorite and I believe it to be the most realistic. Grief is not linear. People do not proceed through each stage in a neat, orderly fashion. Typically, stages are sometimes skipped and then returned to later, as well as stages being returned to multiple times. This can happen long after a person thought they had worked through that particular stage. Just as the traditional 5 stages of grief by Elizabeth Kubler Ross are not a simple progression through the steps, neither are the many steps in the horseshoe model. If you drew a continuous line of how the steps might go for an individual, you would see that with all the jumbled directions going across and up and down the graph, it would look like a bunch of tangled thread. For many, that’s what grief really looks like.


The Descent of Loss

It can be a slow descent or a rapid plunge to the depths of grief. As stated already, we may or may not experience all of these stages and not necessarily in the order shown in the diagram. The tumble down to loneliness, guilt and isolation can be quite rough which almost makes those lows look restful compared to what it took to get there.


Shock, Numbness, Denial

It’s typical to be in a bit of a fog after you get the news of a significant loss, whether that’s of a loved one’s death, a job loss, a serious health diagnosis or any other kind of change that could be considered life changing. Grief is a natural response to the loss of how you thought things would continue to be and the future you expected.


Emotional Outbursts, Anger, Fear

Grievers can be easily triggered. Some losses are traumatic. With trauma, often

there is hypervigilance. The fight or flight instinct is revved up, as though we must

be on the lookout for any impending dangers at all times. We have all experienced

reactions from people that seem disproportionate to a situation. These emotional

outbursts are sometimes due to grief. The increased levels of cortisol when a

person is in this escalated state of vigilance causes a lot of wear and tear on one’s

body and mind. As a result, anxious, angry, or fearful people are perpetually

emotionally and physically drained. This of course can lead to impaired judgement

and become a vicious cycle. When there’s an anger response to grief, it can be

directed toward others or oneself. Anger turned inward is one of the definitions of

depression. The anger is sometimes directed toward the person who died, the boss

who did the firing, the spouse who left or sometimes toward those who played

“supporting roles” because it’s too difficult to be angry with the source of our angst.

Fear drives the thoughts and beliefs of some of the irrational actions and behaviors of a person experiencing a significant loss. A typical piece of advice after a significant loss is to wait at least a year before implementing any big changes such as moving or a change in career. Part of the reasoning for waiting is that the individual will be further along the healing path which usually means that fear is not as much a part of one’s reasoning process.


Searchings, Disorganization, Panic 

Trying to make sense of our pain, of the unexpected tragedies, of man’s inhumanity to man, or any number of other baffling incidences in life, is also a natural reaction. We often feel we can bear a crisis more easily if we can find some purpose in the suffering. Of course, there can be redemption in suffering, miracles can occur in disastrous situations, good can triumph over evil and all of this can be appreciated in retrospect. It is often quite difficult to discern any of this in the midst of the difficulties. Further down the road of one’s healing journey, these treasures can be discovered. I have found that the person who grieves must discover these on their own, rather than having others point them out, because they only sound like empty platitudes coming from others.


Disorganization is part of the mental fog and lack of clarity during the depression of grief. Often a person in this state may be unsure of the day of the week or even unclear of the status of the basic things that they normally could keep track of, such as whether they remembered to take a shower or eat lunch. It can be very confusing to find oneself acting and thinking in ways that are so untypical of the usual way of doing things. Often the energy isn’t there to even be concerned about the discrepancy of who they knew themselves to be and who this stranger in the mirror is now. Panic can set in when this disconnect is truly realized. There can be a fear that the old familiar self may not reemerge. Panic can be the answer to all the unanswered questions of what the future might hold. There can be the fear that things will always be this disjointed and hard to understand, that life as one knew it, is gone.


Guilt, Loneliness, Isolation, Depression       

The situations and emotions that grief entails often bring a person to their knees. This is at the bottom of the diagram in the pits of despair. Guilt can color many of the questions we ask ourselves and sometimes there’s a continuation of attempting to blame others and to lay the guilt on their heads. We often have grandiose ideas of our own power to be able to cause certain situations that were actually out of our control. Likewise, we can also assign more power to others than they are capable of having and thereby believing they are at fault in some way in a loss situation. We have all heard absurd news claims that a particular person, country, gender or ethnicity is at fault for a situation when the truth is there are many factors that play into most situations. Loneliness and isolation can breed

depression. Sometimes we make matters worse by intentionally shutting out the rest of the world. Time alone and loneliness are not the same thing. We need solitude to think things through, regroup, reflect and recharge. I say that as an introvert. An extrovert gets their energy from those around them, so in that case they may regroup and recharge better with the support of others, talking through their concerns in their grief journey and thereby processing their thoughts aloud. Isolation during grief can also be a protective mechanism against having to put on a mask and acting as though you are doing better than you actually are. Isolation means not having to answer people’s questions of how you are doing or having to deal with all the things people say as an encouragement which turn out to be the opposite. This can put the griever in the awkward position of being cordial when they really want to scream.


Re-Entry Troubles     

If a person stays on the perimeter of life for too long when there’s been a big loss, it can make re-entry more difficult. It is almost as though time stands still for the griever, but the world has moved on and you don’t quite fit in now. Things that were once important to you may now seem trivial. The latest movie, fashion trends, and the current gossip are all pretty insignificant now as compared to whatever importance you may have placed on them at one time. It’s all temporal and often grievers become larger picture type thinkers. Much is trivial when you’ve experienced the degree of brokenness that you didn’t know was even possible prior to your loss.


New Relationships, Strengths, Patterns

After a major loss, there’s a lot of reevaluation that comes out of the experience. We think differently. We see differently. Often there’s a new thirst for life because we’ve developed a new appreciation for the gifts that still remain. New relationships may come from a support group that helped you weather the storms of your trial. You might decide to use the time you have ahead of you to learn new things, catch up on your bucket list, resurrect old hobbies or any number of ways we can regenerate ourselves. All of these options could involve new people in our life and new ways of doing things. Strengths can develop from weaknesses. Surely, the difficult stages preceding these more positive ones involved succumbing to weaknesses at times. If our faith is predominant in our lives, we undoubtedly experience that in our weakness, He is strong and carries us through.


Hope, Affirmation, Helping Others 

These last stages of grief are part of the adjustment to the “new normal”, the new life without the person, place, career, or situation in which we had such a connection. This is a connection so strong that the loss catapulted us into this grief journey which in many cases eventually ends up also being a growth journey. Most of us are familiar with Post Traumatic Stress Disorder (PTSD) which can certainly happen with a complicated grief situation. Some of the PTSD symptoms can occur with “regular” grief. Post Traumatic Growth (PTG) is also a possibility towards the end of the stages of grief. We can become more resilient, kinder, more attentive, more in tune with ourselves and others and generally living a life of more depth and meaning. Grievers typically don’t take things for granted as they may once have done. In the midst of the whirlwind of all these stages and conflicting emotions, God can bring beauty out of sorrow, restoration out of pain, and a peace that surpasses all understanding. This is hard to imagine during a time period when we could not envision there ever being anything positive coming out of loss. Often the magnitude of the loss experience feels like our solid ground is shaking and crumbling beneath our feet. We can find our way again and when we do, our losses become part of our life story. They may even be many chapters of our story, but it’s not the entire story. Our grief becomes part of us and can live side by side with life’s joys. There is life after grief and it can still be good.
 

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When and How to Make Amends: Discernment, Boundaries, and the Catholic Call to Healing

By Peter Attridge, PhD • November 11, 2025
As a Catholic therapist, I often sit with clients who are wrestling with a deeply human question: When is it the right time to make amends ? Whether it’s reaching out to someone who has hurt them, or considering their own responsibility in a fractured relationship, the process of healing often leads us into the tender territory of reconciliation. But forgiveness and reconciliation aren’t the same thing. Forgiveness is something we’re called to offer freely—an act of the will that releases resentment and gives us peace, even when the other person hasn’t apologized. Reconciliation, on the other hand, is a step that involves two people. And discerning when—or even if—that step should be taken requires wisdom, prayer, and often, boundaries. Let’s explore how we can approach this process with care and courage, supported by both therapeutic tools and the richness of our Catholic faith. Discerning the Right Time to Make Amends Discernment is a familiar concept in Catholic life. We use it to seek God's will in big decisions—vocations, careers, relationships. But it’s just as important in the smaller, more personal moments too, like choosing when to reach out to someone who has hurt us, or someone we may have hurt. Therapy can be a valuable space for this kind of discernment. Sometimes the desire to make amends comes from a sincere place of healing and readiness. Other times, it may be driven by guilt, pressure, or a longing for closure that the other person may not be able to give. In our sessions, I often help clients explore their motivations. Are you seeking peace, or permission? Healing, or validation? Discernment is about honesty—with yourself, with God, and with your emotional limits. St. Ignatius of Loyola offers a helpful framework for discernment rooted in prayerful reflection, noticing the movements of the heart. If the thought of reconciliation brings a sense of peace, courage, and compassion, it may be time. If it stirs anxiety, dread, or a sense of obligation, it may be wise to wait, or to approach things differently. The Role of Boundaries in Forgiveness and Healing One of the most common misconceptions I hear, especially among people of faith, is that setting boundaries is somehow un-Christian. But in truth, boundaries are acts of love —toward ourselves and others. They help define what is safe, respectful, and life-giving in a relationship. Forgiveness does not mean allowing someone to continue harming us. Christ calls us to forgive, yes, even “seventy times seven” times (Matthew 18:22), but He does not call us to abandon prudence or endure abuse. Remember, even Jesus withdrew from hostile crowds at times (John 10:39), and He taught that reconciliation involves both repentance and change (Luke 17:3-4). In therapy, we often work on developing “healthy boundaries” that allow us to engage with others from a place of strength and safety. For example, it’s okay to forgive a parent for past wounds without allowing them to manipulate your present life. It’s okay to love a sibling from a distance if closeness continues to result in harm. And it’s okay to hope for reconciliation without forcing it to happen. Boundaries are not walls; they are gates. They give us the freedom to let people in—but only when it is healthy and appropriate to do so. Making Amends with Compassion and Clarity If and when the time does come to make amends, whether as the person extending forgiveness or the one asking for it, approaching the conversation with humility and clarity is essential. We can take inspiration from the Sacrament of Reconciliation, where the process of confession involves examining our conscience, naming our sins, expressing true contrition, and receiving both forgiveness and guidance. Similarly, when making amends in our personal lives, we begin by acknowledging what happened—not defensively, but honestly. We share how the situation has affected us. We listen. We don’t demand immediate restoration, but we open the door to it. And sometimes, we might take that step and find that the other person isn’t ready. Or they respond with defensiveness, denial, or more harm. That’s when we return to our boundaries. Forgiveness is still possible, but reconciliation may need to remain a hope rather than a present reality. Spiritual Guidance Along the Way Throughout this process, our faith can be an anchor. Prayer becomes a conversation with the God who knows every wound and walks with us through every step of healing. The saints offer examples of both radical forgiveness and wise discernment. St. Monica, for instance, teaches us about perseverance in love and prayer without enabling harmful behavior. St. Maria Goretti’s story is often cited for her forgiveness, but we also remember her clarity in saying no to harm. And of course, the Sacraments nourish us. Receiving the Eucharist strengthens us to love like Christ. Confession helps us experience God’s mercy, so we can extend it more freely to others. Spiritual direction can also be helpful when navigating complex relationships and emotional burdens through a faith-based lens. Trusting the Slow Work of Healing Making amends and setting boundaries aren’t one-time decisions. They are part of an ongoing, unfolding process of healing. We may feel ready one day and hesitant the next. That’s okay. Forgiveness is not linear, and relationships—especially broken ones—rarely heal overnight. But I’ve seen firsthand the beauty that emerges when people engage in this work with courage. When they honor both their pain and their desire for peace. When they protect their hearts with boundaries, but still remain open to love. And when they trust that, even if reconciliation is not possible now, it may one day be—with God’s grace. In Conclusion If you’re in the midst of wrestling with whether to make amends, take heart. It’s not an easy decision, and it doesn’t have to be rushed. Therapy can offer tools and support. Your faith can offer wisdom and hope. And both can help you move forward with peace. Forgiveness will always be a part of the journey. But reconciliation? That’s something we discern, with prayer and prudence. And no matter where you land—whether you reach out, stay silent, or hold space from afar—you are not alone in the journey. If you haven’t yet read Part One of this series, I encourage you to explore the foundations of forgiveness and healing in both therapy and Catholic tradition. That post dives into the inner process of releasing pain and embracing God’s mercy—a powerful first step before considering reconciliation. May you be filled with gentleness, wisdom, and the peace that comes from the One who forgave us first. Forgiveness can feel impossible at times—but it’s also one of the most healing gifts we can give ourselves. If you're carrying the weight of resentment or hurt and feel ready to explore a path toward release and peace, therapy can help. At Holy Family Counseling Center , we create a safe space to process the past, understand your emotions, and move forward with intention. Connect with us when you're ready—we’re here to walk that path with you.

The Gift of Forgiveness: Healing Relationships Through Therapy and God's Mercy

By Peter Attridge, PhD • October 27, 2025
Forgiveness & Healing: Therapy and Catholic Perspectives on Reconciliation

Your Thoughts Lead the Way

By Irene Rowland, MS, LPC • September 16, 2025
We often have more control than we realize. I’m going to lead you through an exercise in order to illustrate this point. Visualize a tree with deep roots and a strong trunk leading up into beautiful branches and leaves. Oftentimes, we retain concepts better if we can see it mapped out. To that end, let’s do a little art therapy together and when you have completed your masterpiece, you can put it on your refrigerator or somewhere that you’ll notice it often: First draw a tree trunk with the roots showing. Under half of the roots write the word FEAR in dark, shaky, ominous looking letters. Under the other half of the roots write LOVE in happy looking handwriting (maybe pretty cursive if you dare). Vertically up the tree trunk write “thoughts/beliefs”. Now it’s time to add lots of branches, twigs, and leaves. Among these branches, add the wording “actions/behaviors” throughout the branches. If you are looking for extra credit, add a variety of nice healthy looking fruit and some rotting fruit with flies. Proverbs 4:23 states “Above all else, guard your heart, for everything you do flows from it.” In most circumstances, at the root of our thoughts is either fear or love. These thoughts then drive our actions and behaviors. Sometimes we are coming from a solid, healthy place and other times from a shaky, fear based place. This is worth looking at in order to grow more and more into the emotionally healthy individual we have the potential to become. All fear based thinking is not detrimental obviously. God created us with healthy fight or flight instincts for when we are in actual danger. This is of course a good thing. For purposes of learning how to live a more emotionally balanced life, we’re looking at thoughts that come from an unhealthy fear which could potentially drive behaviors and actions that don’t serve us well. Thoughts Drive Behavior There are ten top cognitive distortions. Let’s break this down a little. Cognitive means having to do with the brain. Distortions are things that are twisted, so basically cognitive distortions are twisted, unhealthy or irrational thoughts. We have more control over our lives if we operate from a place of clear, healthy, rational thoughts. Everyone experiences some of these types of thoughts so it’s good to know that it’s “normal”. It’s what we do with these thoughts that matters. Do we buy into the lie that we’ve told ourselves or do we remind ourselves of the truth? If you tracked these negative thoughts throughout the week, it would be surprising to see how often this happens. Let’s look at the top 10 cognitive distortions. They’re not in any particular order but we each have a pattern of our “favorites” that we default to when we engage in what some call “stinking thinking”. All or Nothing Thinking - also known as black and white thinking. Usually things in life aren’t 100% one way or the other and the truth is somewhere in between in the gray area. Words such as never and always fall into this category. The words usually, often and sometimes are probably more truthful in most circumstances. Overgeneralizing - an example would be seeing an event as a never-ending pattern. A student with good grades being concerned that they’re going to flunk a course because of one failing quiz grade is a good example of this. Mental Filter - dwelling on the negatives and ignoring the positives. When this happens, the mind dwells on the glass being half empty. This is not only discouraging for the person who chooses to live this way, but also makes it difficult for others to be around them often. Discounting Positives - an example is not giving any credit for that which is good in a person and only paying attention to what needs improvement. Jumping to Conclusions- the thoughts don’t always match the facts. There are subsets of this type of distorted thinking. One is Mind Reading when we assume we know what the other person is thinking for instance. This is a common relationship issue. We need to state what we have to say instead of believing the other person already knows. Fortune Telling also is a way that we oftentimes falsely decide that we know how something is going to happen. We all know those who have had something negative happen in the morning and then decide that this is going to be a bad day. Their negative thinking is usually what propels the rest of the day to be less than desirable. Their self-fulfilling prophesy informs how they choose to handle the rest of the day. Magnification and Minimization - making things larger or smaller than they actually are. We’ve all seen a mountain made out of a molehill or something huge being discounted as being trivial. Emotional Reasoning - letting feelings be regarded as truth such as I feel unworthy therefore I am. Should Statements - when we use should/should not, must, have to or similar language about ourselves or others, we are self-bullying or other bullying. An example would be if a person thought that as a good parent they have to read a bedtime story every night to their child. The truth is that as a good parent, they get to/are happy to read a story nightly but they could still be a good parent without imposing this on themselves. A parent with a migraine could let their child know that they’re not feeling well and will read two stories the next night and still fulfill their idea of being a good parent. Labeling -calling oneself a loser for instance because you made mistakes, instead of stating the truth that you made a mistake. Self-Blame and Other-Blame -taking on blame that isn’t rightfully all yours or blaming others when the fault lies partially with you also. All of these unhealthy ways of thinking can cause us to have inappropriate responses to life’s situations. When we have a negative thought, we need to slow down and ask ourselves if it’s legitimately true or have we exaggerated or added incorrect meaning to a situation. When we operate from a place of truth, our behaviors are going to be more sane, more productive, life-giving and fruitful. Knowledge is power. Now that you know, practice paying attention to your thoughts. If they are true, operate from that place for the best outcomes. If the thoughts are not truthful and therefore won’t serve you well, it’s time to regroup and remind yourself of what the actual truth is. It’s ok to have your initial thought be an unlovely, negative thought that’s untrue. What matters is what you do with it. Hopefully your response is to turn it around into the truth and proceed from there. Looking for cognitive distortions can be like a treasure hunt. Your response of countering with the truth is pure gold. If this exercise resonated with you, try repeating the “Thought Tree” once a day for a week and notice one cognitive distortion you catch—then practice swapping it for a truer, kinder thought. If you'd like help applying these tools in therapy, please contact contact us at 678-993-8494 or visit Holy Family Counseling Center . If you ever feel overwhelmed or have thoughts of harming yourself, contact local emergency services or the 988 Lifeline immediately. Small shifts in how we think add up—you're not alone on this path to greater emotional health.