Navigating Grief

Overview

UCSF palliative care physicians B.J. Miller, MD, and Mike Rabow, MD, share guidance for those suffering from grief, including a chapter on grief from Miller's 2019 ”The Beginner’s Guide to the End.” Words are not enough—they never are. Still, here are a few thoughts to help us find a way through the terrible pain of grief. 

About grief

A person shows compassion by holding another person's hands in their own

 

Grief is the pain of loss: Losses can occur in multiple ways and can feel nearly overwhelming. We all know what it is like to lose something. We all know the ache of being at odds with our own lives. We all know vulnerability. We all know loss. Some losses are of people: family, lovers, friends, neighbors. But losses can be other important things too: loss of connection, certainty, predictability, blissful ignorance, or normalcy. Some losses are for a certain amount of time, some are gone forever. Each person’s grief is personal, true, and incomparable to another’s. There is no ranking of loss, just what it means to each of us to go without, to miss, be separated, be disappointed, and to feel alone and bereft. 

Grief has to be, because we love: Grief is normal. We grieve the loss of what we care about. If you are hoping to avoid grief, then you’d have to avoid love. Noting this connection can help soften the sting of these hard feelings. In this way, grief is something of value and is worth protecting. Hence, many cultures and societies have long ritualized the mourning period. Ritual reminds us that we have lost what we love and points us to the comfort of community, honor, and meaning. 

Grief is how loss heals: Grief is necessary. Grief is a powerful, painful, and deep experience of how we deal with loss. Understanding what you’re feeling is itself therapeutic, even though it means sitting with the discomfort and pain we all inevitably feel. There is no right way to grieve, there is just the process that each of us must go through to integrate our losses into our lives. Grief is the human process of metabolizing and accommodating loss. 

There are a few things to know about grief: 

First, grief is an amalgam of emotions. Grief can feel like impossible sadness, but it can also be expressed as anger, numbness, or discombobulation. Even odd giddiness can be grief “talking.” Grief rarely presents itself as any single emotion for very long. 

Second, grief is dynamic. That means that grief comes and it also goes. It’s important to note that whatever you are feeling will not last forever in the same way or at the same intensity. Furthermore, a hallmark of emotion is that it cannot be easily controlled. We’ve met many mourners ashamed of unwanted feelings (guilt, anger, relief, indifference), even though such feelings are normal. Our advice is to ride grief’s waves rather than try to command them. It can be helpful to cultivate positive states during this time as well. 

Third, there is no particular timing to grief. In fact, grief can begin even in anticipation of loss (anticipatory grief), or it might be delayed for some time. When taking into account how grief shifts shape over time, it is important to recognize that we are never “done” with it, just as we are not done with whomever or whatever we have lost. 

Even so, grief can trip into depression. We tend to distinguish the two based on severity and time since the loss was incurred. We strongly recommend you seek professional counseling if you simply want help or are struggling for long periods of time. There is nothing pathological about wanting help, and therapy—whether individual or group sessions, online or from six feet away—can be helpful along the way. 

Finally, even the words of a great poet pale in the profound pain and the fundamental diminishment of our losses. But, perhaps, simple words can offer some small solace in our new lives. 

Grief and the workplace

Silhouette of a person in the fog

Work is a place where we spend a considerable amount of time. Navigating the workplace and grief can be complex, as we manage our own personal grieving process and emotions while also adjusting to working or returning to work after a loss. The early weeks, or months, may be especially difficult. Here are some suggestions to help you through this transition.

Coping Strategies

Take Time to Grieve

If you can, try to set aside time during the day or create ways to honor your grief. Let people know if you need moments of more privacy or need a place to cry or compose yourself while at work. 

Be Gentle with Yourself

You may feel more distracted or less productive than before the loss. You may be feeling overwhelmed, and your mind or reflexes may not respond as quickly in the beginning. Be kind to yourself during this time.

Consider how much you want to share with others

For some people, sharing some of their grief and sorrow with their helps them cope; while for others solace and comfort work best for them. If you choose to share some of your grief, select people that you feel the most comfortable with and who appear to be open to listening to you. When you are grieving, it can be difficult to gauge when or how much to share with people. Be aware that if your feelings are particularly intense or emotional, some people may appear uncomfortable with your sharing. This may mean you need to find different people with whom to express your sadness. 

Be Aware and Thoughtful of Each Other

You may find others are uncertain about what to say, how to express care, or how to interact with you after you resume working. Many are well-meaning and want to be supportive but may feel unsure about what to do. You can let people know what level of interaction you'd like ("It's okay for you to ask how I'm doing..." or "I'd rather not discuss this right now; I'll let you know when I can..."). 

If it appears that a colleague is having a difficult time coping with a loss, it may be supportive to gently express concern or share information about resources and assistance listed further down on this page.

Resources for dealing with grief

  • Actively Moving Forward: A national network created in response to the needs of grieving young adults. Digital resources, including the AMF app, connect young adults to a variety of supports and resources.
  • The Dinner Party Group A U.S.-based nonprofit that offers peer-led grief support specifically for young adults, typically ages 21 to 40, who have experienced the death of a loved one; began with a backyard potluck where strangers-turned-fellow-grievers discovered that talking about loss over a shared meal could inspire connection, understanding, and healing.
  • Samaritans: Support for those impacted by suicide; offers suicide loss survivors nonjudgmental listening and peer support. They provide many programs to support survivors in their grieving.
  • Modern Loss: Candid conversations about grief, beginners welcome; offers relatable, candid articles, conversations, book recommendations, grief tools, and community – often with a conversational tone that resonates with younger adults.
  • Dougy Center: For grieving children 
  • Compassionate Friends: For grieving parents
  • Soaring Spirits International: For widows and widowers
  • Miscarriages/Pregnancy loss : UCSF ZOOM Support/Education: A group for women with first & second trimester pregnancy loss in the past year and additional resources. 
  • NorthBay Health: Adult and Youth Grief support group

  • All There Is With Anderson Cooper The podcast began after Cooper himself experienced profound losses—including his father, brother, and mother—and found healing in sharing stories and hearing from others. One of the best grief resources out there.
  • Where's the Grief? In this podcast, comedian Jordon Ferber helps shine some light into the darkest parts of our own existence and encourage a more open discussion about the effects of grief, and offers coping mechanisms to those suffering.
  • This American Life (episodes that feature stories about grief and loss) 
    • Episode 597: One Last Thing Before I Go – Features the story about a phone booth in Japan that attracts thousands of people who lost loved ones in the 2011 tsunami. People speak to loved ones in a phone booth whose phone is not connected to anything. 
      • Inspired the Wind Phone movement: https://www.mywindphone.com/ Instagram:@mywindphone A wind phone is a rotary or push-button phone located in a secluded spot in nature, usually within a booth-type structure and often next to a chair or bench.
    • Episode 738: Good Grief – Intense stories of people figuring out how they will grieve. Features a father whose 3-year-old son died, families who have lost loved ones to COVID, and mourners who visit a memorial to George Floyd.
    • Episode 765 – Off Course – Features the episode “The Year of Manic-al Thinking”. After the unexpected death of Casey Wilson’s mom, both Casey and her father felt devastated and unmoored. But their grief took them on two wildly different paths.
  • What's Your Grief?: Two mental health professionals with a ton of expertise in grief support. Each episode explores coping tools, emotional reactions, and myths about grief.
  • Lucy Kalanithi TED Talk: What Makes Life Worth Living in the Face of Death In this deeply moving talk, Lucy Kalanithi reflects on life and purpose, sharing the story of her late husband, Paul, a young neurosurgeon who turned to writing after his terminal cancer diagnosis. “Engaging in the full range of experience — living and dying, love and loss — is what we get to do,” Kalanithi says. “Being human doesn’t happen despite suffering — it happens within it.”
  • Grief Works: Hosted by a grief psychotherapist with over twenty-five years’ experience of working with the bereaved – we hear stories from those who have experienced great love and loss – and survived.
  • GeriPal Podcast: "What is Emotional PPE for Front-Line Providers?": Discussion talk with Dani about 3 broad buckets organized with the letter C: Connection, Culture, and Coping. Normalizing rather than stigmatizing clinicians seeking mental health support
  • “Guys and Grief”:  Geared toward fathers that have experienced pregnancy or infant loss. The Podcast is meant to provide a platform to talk about the under-resourced, and often undiscussed, perspective of men that have experienced child loss.
      

  • The Year of Magical Thinking, written by Joan Didion (2007) 
    • Written after the sudden death of her husband, and during her daughter’s severe illness, Didion reflects on love, loss, and the disorienting nature of mourning. Didion captures the “magical thinking” that accompanies grief—the irrational hope that the impossible might still be undone.
  • "On Grief and Grieving: Finding the Meaning of Grief Through the Five Stages of Loss" by Elisabeth Kubler-Ross and David Kessler 
    • A modern classic text on the crucial role of grieving in dealing with loss, by the author who first explored the now famous five stages of grief—On Grief and Grieving is an invaluable blend of Kubler-Ross’s practical wisdom, case studies, and her own experiences and spiritual insight.
  • Welcome to the Grief Club, written by Janine Kwoh (2021) 
    • This book is an illustrated guide to navigating loss that combines empathy, honesty, and gentle humor. The book reassures readers that there is no “right” way to grieve and that all experiences of loss are worthy of compassion.
  • "Bearing the Unbearable: Love, Loss, and the Heartbreaking Path of Grief" by Joanne Cacciatore
    • Through moving stories of her encounters with grief over decades of supporting individuals, families, and communities—as well as her own experience with loss—Cacciatore opens a space to process, integrate, and deeply honor our grief.
  • Grief is Love, written by Marisa Renee Lee (2022) 
    • A compassionate and insightful exploration of how grief reshapes, rather than ends, our relationships with those we’ve lost. Drawing from her own experiences after the death of her mother, Lee challenges the idea that grief is something to “get over,” instead framing it as a lifelong expression of love.
  • Renegade Grief: A Guide to the Wild Ride of Life After Loss, written by Carla Fernandez 
    • The author reimagines how we face loss, encouraging us to lean into grief with creativity, community, and intention. Drawing from her own experience and her work with The Dinner Party – a peer support network for young adults – she offers practices like altar-making, dinner gatherings, and storytelling to transform grief into a source of connection, resilience, and meaning.
  • Grief Is The Thing With Feathers – a novel, written by Max Porter (2015) 
    • A poetic novel that explores the rawness of loss through the story of a widowed father and his two young sons. In their darkest moments, they are visited by a shape-shifting, chaotic crow—part trickster, part caretaker—who helps them navigate the overwhelming pain of grief. Blending prose and poetry, myth and reality, Porter captures the disorienting, unpredictable nature of mourning while also illuminating the resilience of love and family.
  • Finding Meaning and the companion Finding Meaning Workbook, written by David Kessler 
    • Finding Meaning explores grief as a journey that doesn’t end with acceptance, but can continue into a search for meaning after loss. Drawing from his personal experience and years of work with the grieving, Kessler offers compassionate insights and practical guidance for honoring loved ones, transforming pain, and discovering ways to live fully while carrying loss.
  • "Permission to Mourn: A New Way to Do Grief" by Tom Zuba
    • Once he gave himself permission to mourn, healing began. Along the way, Tom discovered that: * Grief is not the enemy. Grief can be one of our greatest teachers. * It's the stories we tell that determine whether or not we will heal. * We will always have a relationship with the people we love that have died. * We were not born to suffer. We were born to be radiant. There is a new way to do grief. Let Tom Zuba teach you how.
  • Continuing Bonds: New Understandings of Grief, written by Glass, Nickman & Silverman 
    • The book explores how maintaining an ongoing connection with a lost loved one can be a healthy and meaningful part of the grieving process. Drawing on research and clinical insights, it offers new perspectives on coping with loss, honoring memory, and integrating grief into daily life while sustaining love and connection.
  • When Breath Becomes Air, written by Paul Kalanithi 
    • A profound memoir written as Kalanithi faced terminal lung cancer at just 36 years old. A gifted neurosurgeon forced to confront his own mortality, he reflects on what gives life meaning, the pursuit of purpose, and the delicate balance between doctor and patient. With honesty and grace, he leaves behind a moving meditation on living fully, even in the face of death.
  • "It's OK That You're Not OK: Meeting Grief and Loss in a Culture That Doesn't Understand" by Megan Devine 
    • A compassionate guide for those navigating the deep pain of loss. Drawing from her own experience of loss and her work as a therapist, Devine challenges the idea that grief should be quickly fixed or overcome. Instead, she offers validation, understanding, and gentle support, reminding readers that grief is a natural expression of love and that healing comes not from “getting over it,” but from learning to live alongside it.
  • Grief Day by Day: Simple Practices & Daily Guidance, written by Jan Warner & Amanda Bearse 
    • Organized in short, manageable reflections, the book provides exercises, reminders, and compassionate guidance to help readers process emotions, honor their loved ones, and find small moments of peace. It’s a comforting companion for anyone seeking structure and encouragement while living through loss.
  • "Anxiety the Missing Stage of Grief" by Claire Bidwell Smith
    • Explores the little-known yet critical connections between anxiety and grief, with practical strategies for healing, following the renowned Kübler-Ross stages model
  • Wave, written by Sonali Deraniyagala 
    • The author has written a powerful memoir about losing her entire family—her parents, husband, and two young sons—in the 2004 Indian Ocean tsunami. She recounts the unimaginable devastation of that day and the painful years that followed, capturing the depths of grief, anger, and memory, while also tracing her gradual steps toward survival and carrying love forward.
  • Looking for Alaska – a novel, written by John Green (2006) 
    • A coming-of-age novel that follows Miles “Pudge” Halter as he leaves home for boarding school in search of a deeper, more meaningful life. There, he meets the enigmatic and unpredictable Alaska Young, whose presence changes him and his friends forever. When tragedy strikes, Miles is forced to confront questions of grief, love, and the search for meaning in the face of loss.
  • Talkspace: 17 Best Books About Grief 

  • GatheringUs: A Brooklyn-based startup that helps make virtual funerals simple and free for lasting communal space to celebrate the lives of ones you love. 
  • Tribute.Co: Makes it easy to create a collaborative video montage that you can share for virtual funerals or any important occasion. 
  • Handouts created by Kaethe Weingarten, PhD, offering guidance to help with workplace and general moral distress: 

Support for those bereaved by suicide: Grieving the loss of a loved one can be especially difficult. Explore supportive resources here:

  • Blog on Suicide Grief & Trauma : Workplaces Coping with the Trauma and Grief of Suicide
  • Blog on Losing a Client to Suicide : Navigating the Aftermath: A Therapist's Response to a Client's Suicide
  • Clinician Survivor Coalition : The Coalition of Clinician Survivors exists to provide support, education, resources and consultation to mental health professionals and other professional caregivers who have experienced suicide losses in personal and/or professional contexts.
  • Alliance of Hope : A place of healing & remembrance for suicide loss survivors 
  • AFSP’s Loss Survivor Resources : American Foundation for Suicide Prevention (AFSP) is dedicated to saving lives and bringing hope to those affected by suicide, including those who have experienced a loss. 
  • Dougy Center: Helping Kids Bereaved by Suicide : Dougy Center’s mission is to provide grief support in a safe place where children, teens, young adults, and their families can share their experiences before and after a death.