Understanding the 5 Stages of Grief of Elisabeth Kübler-Ross

 5 Stages of Grief

Elisabeth Kübler-Ross

5 STAGES OF GRIEF
Stages of grief

Grief is a universal human experience that touches every life. Whether facing the death of a loved one, the end of a relationship, job loss, or any significant change, understanding the grieving process can provide comfort and guidance during difficult times. The five stages of grief, developed by psychiatrist Elisabeth Kübler-Ross in 1969, offer a framework for understanding the complex emotional journey that follows loss.

What Are the 5 Stages of Grief?

The Kübler-Ross model identifies five distinct stages that people may experience when processing loss:

1.      Denial

2.      Anger

3.      Bargaining

4.      Depression

5.      Acceptance

Important to remember: These stages are not linear or mandatory. People may experience them in different orders, skip stages entirely, or revisit previous stages multiple times. The grieving process is highly individual and personal.

 Stage 1: Denial

What it looks like: Denial serves as an emotional buffer, helping protect us from overwhelming pain. During this stage, people may refuse to accept the reality of their loss or minimize its impact.

Common reactions include:

  •  Saying "This can't be happening to me"
  • Feeling numb or disconnected from reality
  • Avoiding conversations about the loss
  • Continuing routines as if nothing has changed
  • Isolating from others who acknowledge the loss

Example: After receiving a cancer diagnosis, a person might insist the doctors made a mistake or seek multiple second opinions, refusing to believe the diagnosis is correct.

How to cope:

  • Allow yourself time to process gradually
  • Talk to trusted friends or family members
  • Acknowledge that denial is a normal protective mechanism
  • Don't rush yourself through this stage

 Stage 2: Anger

What it looks like: As denial fades, suppressed emotions often emerge as anger. This anger may be directed at various targets - the deceased, medical professionals, family members, yourself, or even inanimate objects.

Common reactions include:

  • Feeling frustrated and asking "Why me?"
  • Blaming others for the loss
  • Experiencing irritability and short temper
  • Feeling bitter or resentful
  • Lashing out at loved ones

Example: Someone who lost their job might become angry at their former boss, the company, the economy, or themselves, saying things like "This is so unfair" or "They had no right to do this to me."

How to cope:

  • Express anger in healthy ways (exercise, journaling, talking)
  • Recognize that anger often masks deeper pain
  • Avoid making major decisions while angry
  • Seek support from understanding friends or counselors

Stage 3: Bargaining

What it looks like: During bargaining, people attempt to negotiate their way out of the loss or pain. This stage often involves "what if" and "if only" statements and may include promises to a higher power.

Common reactions include:

  • Making deals with God or the universe
  • Obsessing over what could have been done differently
  • Feeling guilty about past actions or decisions
  • Desperately seeking solutions to reverse the loss
  • Creating elaborate "if only" scenarios

Example: A parent whose child was in an accident might think, "If only I had insisted they stay home that day" or make promises like "I'll donate to charity every month if you just make them okay."

How to cope:

  • Write down your thoughts and feelings
  • Practice self-compassion and avoid self-blame
  • Seek counseling to work through guilt
  • Remember that some things are beyond your control

Stage 4: Depression

What it looks like: As the reality of the loss settles in, deep sadness and despair often follow. This stage can feel overwhelming but is a necessary part of processing grief.

Common reactions include:

  • Profound sadness and crying
  • Feeling empty or hopeless
  • Withdrawing from social activities
  • Changes in sleep and appetite
  • Loss of interest in previously enjoyed activities
  • Feeling overwhelmed by daily tasks

Example: After a divorce, someone might spend weeks in bed, unable to motivate themselves to go to work or see friends, feeling like their life has no meaning without their partner.

How to cope:

  • Allow yourself to feel the sadness without judgment
  • Maintain basic self-care routines
  • Seek support from friends, family, or support groups
  • Consider professional help if depression feels overwhelming
  • Engage in gentle activities that bring small moments of comfort

Stage 5: Acceptance

What it looks like: Acceptance doesn't mean you're "okay" with the loss or that you've "moved on". Instead, it means you've acknowledged the reality of your situation and are learning to live with it.

Common reactions include:

  • Finding moments of peace amid the pain
  • Beginning to rebuild your life around the loss
  • Developing new relationships or interests
  • Creating meaningful ways to honor what was lost
  • Feeling hope about the future, even if different than planned

Real-life example: Someone who lost a spouse might begin dating again not because they've forgotten their partner, but because they've accepted that their partner would want them to find happiness again.

How to cope:

  • Be patient with yourself - acceptance takes time
  • Create meaningful rituals or memorials
  • Allow yourself to experience joy without guilt
  • Build new routines and relationships
  • Consider how your loss has changed but not diminished you

Common Grief Reactions Beyond the Stages

Research shows that grief affects people in four main categories:

Physical reactions:

·        Fatigue and weakness

·        Changes in appetite and sleep

·        Tightness in chest or throat

·        Nausea or stomach pain

·        Muscle tension and headaches

Emotional reactions:

·        Sadness, loneliness, and yearning

·        Anxiety and fear about the future

·        Guilt and self-reproach

·        Relief (especially after prolonged illness)

·        Numbness or feeling disconnected

Mental reactions:

·        Difficulty concentrating

·        Forgetfulness and confusion

·        Obsessive thoughts about the loss

·        Sensing the presence of the deceased

·        Disbelief that the loss occurred

Behavioral reactions:

·        Social withdrawal and isolation

·        Crying or inability to cry

·        Restless overactivity or lethargy

·        Avoiding reminders of the loss

·        Searching for or calling out to the deceased

Practical Coping Strategies

Immediate coping techniques:

·        Acknowledge your grief as valid and normal

·        Maintain basic self-care (eating, sleeping, hygiene)

·        Stay connected with supportive people

·        Express emotions through writing, art, or talking

·        Create simple daily routines for structure

Long-term healing strategies:

·        Join a grief support group

·        Consider professional counseling or therapy

·        Find meaningful ways to honor your loss

·        Gradually re-engage with activities and relationships

·        Practice patience with your unique grieving timeline

·        Engage in activities that promote physical and mental health

When to seek professional help:

·        Grief interferes with daily functioning for extended periods

·        You have thoughts of harming yourself

·        You're unable to accept the reality of the loss after many months

·        You're experiencing complicated or prolonged grief symptoms

·        Substance use becomes a coping mechanism

Examples of Grief

Death of a loved one: A daughter whose mother dies suddenly might cycle through disbelief ("She was just here yesterday"), anger at the doctors, bargaining thoughts about medical treatments not tried, deep sadness about all the conversations they'll never have, and eventually accepting that while her mother is gone, the love and memories remain.

Job loss: An employee who gets laid off might deny the severity ("It's just temporary"), feel angry at management, bargain by promising to work harder if rehired, become depressed about their career prospects, and eventually accept the change as an opportunity for growth.

Relationship ending: Someone going through a breakup might refuse to believe it's really over, become angry at their ex-partner, try to bargain their way back into the relationship, feel depressed about being alone, and eventually accept that the relationship has ended while recognizing lessons learned.

Health diagnosis: A person diagnosed with a chronic illness might initially deny the diagnosis, become angry at their body or fate, bargain for a cure, feel depressed about their changed future, and gradually accept their new reality while adapting their life accordingly.

Supporting Someone Through Grief

What helps:

·        Listen without trying to "fix" their feelings

·        Offer specific help ("Can I bring dinner Tuesday?")

·        Remember important dates and check in regularly

·        Share positive memories of their loved one

·        Be patient with their grieving process

·        Avoid phrases like "They're in a better place" or "Everything happens for a reason"

Practical support:

·        Help with household tasks like cleaning or laundry

·        Bring prepared meals that can be easily reheated

·        Assist with errands or childcare

·        Offer to help with funeral or memorial arrangements

·        Provide transportation to appointments or support groups

                    Understanding the five stages of grief provides a helpful framework, but remember that grief is as unique as the person experiencing it. There's no right or wrong way to grieve, and there's no set timeline for healing. The goal isn't to "get over" the loss but to learn to carry it in a way that allows for continued living and eventual growth. With time, support, and often professional guidance, most people find ways to honor their losses while building meaningful lives around them





References

  1. https://www.healthline.com/health/stages-of-grief
  2. https://en.wikipedia.org/wiki/Five_stages_of_grief
  3. https://www.health.harvard.edu/mind-and-mood/5-stages-of-grief-coping-with-the-loss-of-a-loved-one
  4. https://www.medicalnewstoday.com/articles/grieving-process
  5. https://www.verywellmind.com/five-stages-of-grief-4175361
  6. https://resiliencyclinic.com/stages-of-grief-and-coping-strategies/
  7. https://www.va.gov/WHOLEHEALTHLIBRARY/tools/grief-reactions-duration-and-tasks-of-mourning.asp
  8. https://rootrisetherapyla.com/blog/2022/5-stages-of-grief
  9. https://www.pslpolice.com/files/sharedassets/public/v/1/police/documents/what-can-i-expect-the-grie.pdf
  10. https://www.wiu.edu/student_success/ucc/resources/pdfs/CommonGriefReactions.pdf
  11. https://www.ptsd.va.gov/understand/related/related_grief_reactions.asp
  12. https://www.chateaurecovery.com/managing-grief-practical-tips-for-healing-after-loss
  13. https://positivepsychology.com/grief-counseling/
  14. https://journals.sagepub.com/doi/10.1177/23743735241272267
  15. https://www.cambridge.org/core/product/identifier/S2056472423001217/type/journal_article
  16. https://hdsa.org/wp-content/uploads/2015/02/13080.pdf
  17. https://revistas.javerianacali.edu.co/index.php/pensamientopsicologico/article/view/498
  18. https://www.betterhealth.vic.gov.au/health/servicesandsupport/grief-how-to-support-the-bereaved
  19. https://ebooks.iospress.nl/doi/10.3233/SHTI250240
  20. https://jurnal.untidar.ac.id/index.php/metathesis/article/view/3700
  21. https://journals.lww.com/10.1097/NJH.0000000000000615
  22. https://www.semanticscholar.org/paper/20de22fb1b90e7268a89d0a7fc2847e9e5f299ab
  23. https://journal.unika.ac.id/index.php/celt/article/view/12595
  24. https://www.tandfonline.com/doi/full/10.1080/01596306.2017.1288084
  25. https://journals.sagepub.com/doi/10.1177/0030222819840476
  26. https://pmc.ncbi.nlm.nih.gov/articles/PMC5033290/
  27. https://www.ijtarp.org/article/download/18878/12226
  28. https://ejurnal.undana.ac.id/index.php/CJPS/article/download/4384/3282
  29. https://www.frontiersin.org/articles/10.3389/fpsyg.2021.772696/pdf
  30. https://pmc.ncbi.nlm.nih.gov/articles/PMC11662702/
  31. https://journals.sagepub.com/doi/pdf/10.1177/00380261241228412
  32. https://pmc.ncbi.nlm.nih.gov/articles/PMC2146191/
  33. https://www.ccsenet.org/journal/index.php/ijel/article/download/0/0/38085/38571
  34. https://pmc.ncbi.nlm.nih.gov/articles/PMC8675126/
  35. https://pmc.ncbi.nlm.nih.gov/articles/PMC3036353/
  36. https://positivepsychology.com/grief-stages/
  37. https://www.helpguide.org/mental-health/grief/coping-with-grief-and-loss
  38. https://www.apa.org/topics/grief
  39. https://kkjpsych.com/the-six-stages-of-grief-and-finding-meaning/
  40. https://my.clevelandclinic.org/health/diseases/24787-grief
  41. https://www.ekrfoundation.org/5-stages-of-grief/change-curve/
  42. https://mygriefandloss.org/grief-is-a-journey-not-5-stages
  43. https://www.psychologytoday.com/us/basics/grief
  44. https://www.cruse.org.uk/understanding-grief/effects-of-grief/five-stages-of-grief/
  45. https://www.reddit.com/r/askscience/comments/ylpbyw/how_accurate_are_the_5_stages_of_grief_to_model/
  46. https://www.healthcentral.com/condition/depression/stages-of-grief
  47. https://grief.com/the-five-stages-of-grief/
  48. https://www.verywellhealth.com/dabda-the-five-stages-of-coping-with-death-1132148
  49. https://smeor-journal.org/index.php/smeor/article/view/15
  50. https://journals.sagepub.com/doi/10.2466/PR0.104.1.339-362
  51. https://cosmosscholars.com/phms/index.php/ijmst/article/view/1498
  52. https://ieeexplore.ieee.org/document/10208625/
  53. http://link.springer.com/10.1007/s10758-017-9315-2
  54. https://www.semanticscholar.org/paper/76139546abad828d80d9864ae44f5934a371ede1
  55. https://ieeexplore.ieee.org/document/9766484/
  56. https://www.richtmann.org/journal/index.php/jesr/article/view/12782
  57. https://www.tandfonline.com/doi/full/10.1080/08974438.2022.2046671
  58. https://www.semanticscholar.org/paper/4621240ed38a7b42ad4fc77aa24d111c5d947934
  59. https://pmc.ncbi.nlm.nih.gov/articles/PMC6887826/
  60. https://pmc.ncbi.nlm.nih.gov/articles/PMC9705028/
  61. https://pmc.ncbi.nlm.nih.gov/articles/PMC11741375/
  62. https://pmc.ncbi.nlm.nih.gov/articles/PMC9120715/
  63. https://pmc.ncbi.nlm.nih.gov/articles/PMC11618990/
  64. https://hvlopen.brage.unit.no/hvlopen-xmlui/bitstream/11250/2716024/2/titlestad51487.pdf
  65. https://pmc.ncbi.nlm.nih.gov/articles/PMC9880143/
  66. https://www.resiliencelab.us/thought-lab/7-stages-of-grief
  67. https://www.ncbi.nlm.nih.gov/books/NBK507832/
  68. https://www.healthdirect.gov.au/grief-loss
  69. https://counseling.oxford.emory.edu/resources/grieving-reactions.html
Previous Post Next Post