Is grief purposeful? Perhaps one’s stance is that grief is merely a notion – a label and description – referring to humans’ reaction and response to perceived loss. Perhaps one’s view is that grief is something that is just ‘laid upon’ a person or something the person just needs to ‘get over’ or ‘get through’ in time. If this is the extent to which the phenomenon of grief is made out to be, then it is understandable not to think of it as having any purposeful trait or utility.
As for known grief conceptualizations in culture, Kubler-Ross’ stagic model explains the purposefulness of grief is to eventually reach the point of loss ‘acceptance’ (Kessler & Kubler-Ross, 2005). Per Worden (tasks of mourning model; 2018), the purposiveness of grief is asserted as finding ways to remember the person who died while continuing on in the mourner’s remaining life. Or perhaps, as averred by Thomas Attig (1996), the purposefulness of grief is (or at least compels a mourner) to engage in relearning the world. As may be observed in subsequent sections, the picture of relearning the world may serve as a relevant entry into yet another (arguably more contemplative) landscape concerning the purposefulness of grief.
Now, the claim that grief is purposeful may be pointedly supported by considering what it can produce in some mourners. For instance, a survivor of the Sioux City, Iowa plane crash (on July 19, 1989) stated, “I decided to live with as few regrets as possible,” and that the frightening experience “was like being picked up by the scruff of the neck and shaken, and God says, ‘This is your only life. Just be grateful that you’ve got these days…these wonderful people in your life. Just be grateful for that.’” She concluded: “One of the things that has followed me…wrapped me…is that feeling of gratitude” (for more on this survivor’s account: https://www.npr.org/templates/story/story.php?storyId=18007783). No doubt that brushing up against one’s mortality via personal involvement in such a major devastation (where 111 of 296 passengers perished), and living through it, will stir a range of reactions, including grief (perhaps traumatic grief for others who died in the wreck, survivor guilt, etc.). Yet, the graphic and unforgettable experience also incited needful realizations in this particular survivor concerning the importance of minimizing regrets in life as well as embracing gratitude for what one does have (and, perhaps also, shunning envy and complaints about what one does not have). It is not difficult, then, to see how this sort of processing can hold immense instructional value, stemming from a grief-inducing incident, for future living. Thus, it is argued that grief is purposeful in potentially prompting existentialinstruction: that is to say, grief can hold instructive value for mourners willing to duly engage, explore, and mindfully wrestle with associated dynamics toward discerning the offered lessons.
Further evidence of grief’s existentially instructive value can be seen in the research concerning posttraumatic growth (PTG). Tedeschi and Calhoun are key scholars in this area, and they point to how bereaved adults who appear to have experienced PTG express the following kinds of development in themselves:
positive changes in relating to others (e.g., no longer taking others for granted; more deeply valuing kinship, friendship, etc.)
better understanding of self (e.g., realizing personal capabilities, strengths, etc.)
deeper appreciation of life (e.g., increased gratitude; shifting life priorities/goals due to altered values, etc.)
more focus on spirituality, religious beliefs (e.g., revisiting life philosophy one holds and how meaning is made of life circumstances, etc.) (Tedeschi et al., 2011)
What is of essence in PTG is how learned lessons seem to come through and due to encounters with significant losses. In other words, the very pathway of grieving purportedly uncovered in persons who evince PTG elements of particular discoveries and findings concerning themselves, relations with others, and various facets of reality that compelled them to look at life anew and with renewed (clarified) perspectives. Apart from, and in absence of, the traumatic hardships, it may be queried if the same sort of instructive lessons might have been learned.
Now, the idea of gaining existential discoveries and clarity can usher in a prized concept in the human experience: wisdom. In the long line of writings and musings about what wisdom is (and is not), one definition asserted in modern times is that wisdom is seeing through illusion (McKee & Barber, 1999). According to these authors, one way to think about the application of wisdom is to be able to decipher the central actuality of a given matter among a pool of mixed data. In other words, being wise is going beyond mere appearances in order to access the underpinning verities of an item of focus; wise persons can separate ‘wheat from chaff’ (as it were) and glean the core truth of a matter.
In context of the claim of purposeful grief, learning carefully from one’s grief journey may potentially help break through layers of illusions one had adopted previously concerning issues related to, for instance, own and others’ mortality (i.e., now better realizing the truth of how death cannot be avoided or averted, that it must be prepared for, that it can occur any time to anyone, etc.), trials and disappointments in life (i.e., now better realizing the truth of how such need not be merely perceived as pointless, useless, vacuous, but rather be so lived through towards growing in self-knowledge, knowledge of objective reality, etc.), and an assortment of other vital dynamics in this life. When rudimentary acknowledgements as these can be keenly ascertained and held – via grieving reflectively and with a deliberate eye towards learning from emergent ordeals – then it is not difficult to imagine how an enlightened mourner may be compelled to pursue life with an approach that is more intentional, perspicuous, and wise. Indeed, illusions abound in this life, and so anything that can assist in discarding as many of them as possible could be viewed as a help, even if it is one’s own grieving process and bereavement journey.
In sum, William Cowper’s thought may be fitting here: Grief is itself a medicine. Cowper (1731-1800) was an English Christian and noted hymn writer, and he grievously struggled with deep depression all his adult life, including multiple attempts to suicide. Amid his (lengthy) poem, Charity, the pithy phrase of insight (and wisdom) can be found…
Oh most degrading of all ills that wait
On man, a mourner in his best estate!
All other sorrows virtue may endure,
And find submission more than half a cure; Grief is itself a medicine, and bestow’d
To improve the fortitude that bears the load;
To teach the wanderer, as his woes increase,
The path of wisdom, all whose paths are peace;
Though space here does not permit an analysis of what Cowper might have intended in this small portion from the poem, the overall tone of ideas asserted in preceding sections may be captured in these few verses.
If grief itself can be received as medicine, then how purposeful it is indeed.
References
Attig, T. (1996). How we grieve: Relearning the world. Oxford University Press.
Kessler, D., & Kubler-Ross, E. (2005). On grief and grieving. Scribner.
McKee, P., & Barber, C. (1999). On defining wisdom. The International Journal of Aging and Human Development, 49(2), 149-164.
Tedeschi, R. G., Calhoun, L. G., & Addington, E. (2011). Positive transformations in response to the struggle with grief. In K. J. Doka & A. S. Tucci (Eds.), Beyond Kübler-Ross: New perspectives on death, dying and grief (pp. 61-75). Hospice Foundation of America.
Worden, J. W. (2018). Grief counseling and grief therapy: A handbook for the mental health practitioner (5th ed.). Springer.
One’s faith is a critical component to self identity. It is a world view that acts like a compass when times of trouble occur. It is an anchor that keeps the person in place as the various “isms” of the world alter society. Hence, when loss challenges world view or spiritual belief, the person can find him/herself in an existential crisis. Many with spiritual and religious background respond strong to loss with certainty and faith, but when faith is misplaced, or when the loss is traumatic, there can be mild, moderate or even severe faith challenges to the individual.
Christianity as a faith plays the same psychological basis as any faith for a person with a world view. A Muslim, Jew, or Hindu can weather the storm of loss and grief from a psychological standpoint if their faith plays a key role in identity of the person. Likewise, spiritual individuals who may have no religious affiliation can also have strong roots in facing adversity. In addition, even atheists or agnostics, although subject to possible turmoil more than spiritually based individuals, can also have world views that allow them to show resilience in loss. Obviously, family and communal support plays a key role as well, so to merely judge one’s resilience on faith alone without considering support can lead to disparities.
Faith is a powerful tool in helping grievers find peace and healing. Healthy faith gives connection to God, beliefs and others within the community and helps one readjust and find meaning in the loss
In conclusion, for most, faith and ritual play critical roles in helping individuals understand the loss and its suffering. Rituals help heal wounds and find closure but also understanding and hope. Religion offers hope and reunion beyond the temporal world. It gives a sense of meaning to why we suffer or what we must do. Faith also gives individuals the sense of being loved by a Divine Being who cares and hopes to heal them. These are critical aspects of resiliency due the connection with God, meaning and a community of believers. However, when spirituality is unhealthy, things can go drastically wrong.
A Healthy Faith and Loss
There is also discussion in loss how much a role spirituality plays versus religious. This stems from healthy versus sick faith. A devout religious person or a devout spiritual person both have strong views that can help them through loss but also those views can become more adversely challenged when bad things happen. We hear many definitions of individuals who are spiritual but not religious, or we see on the other hand, individuals who are only outwardly religious but have no spiritual personal life. I find both imbalances unhealthy and more open to potential pitfalls during loss (if looking at faith and loss alone without any other factors).
The spiritual but religious motif is usually a response to anger towards organized religion. One is suspect to it or has had a unhealthy encounter with it. This prevents communal, ritualistic and dogmatic tenets to emerge in the person’s world view. The person becomes his/her own existential religious guide in determining faith world views. The person is deeply committed but not held to an objective standard in many cases. The person is usually also more isolated from communal religious bonds.
The purely overt religious but lacking spirituality is an equally dangerous road. The person is more concerned with show and communal approval. The dogmas are more about identity than true motivating source to act. It creates a proudful and pharisaical image that dominates unfortunately American politics and Christian nationalism. It is faith without love, but also faith without true foundation.
The proper balance is the personal and communal that incorporates the individual’s piety with the collective dogmatic creed and ritual of the religion. It balances the arrogance of religious identity but also prevents the subjectivity of wandering spirituality that self serves one’s own desires. It is religion in public and private worship perfectly balanced. An individual who preaches and who also practices one’s faith is a far more healthy spiritual person and one more adept at handling loss and grief. They have identity, ritual and communal support but also deep spiritual understanding of the ritual and faith and it nourishes the soul. It is not a subjective self chosen diet of faith but one that rests upon the tenets of a faith handed down for generations.
Hence healthy faith is critical in responding to loss. Religious and spiritual individuals may respond to loss in very positive ways due to their faith but when faith is not healthy, it can derail the grieving process in mild, moderate or more serious ways.
Issues in Faith and Loss
Christian Counselors, Pastoral Counselors or Grief Counselors when dealing with faith based individuals and loss should always tread easy when first discussing God and loss with a distressed individual. Individuals experiencing loss are no longer intellectual at first. They are in a state of shock and numbness. This follows with denial and an array of emotions, which include sadness, anger and even guilt. Incorporating a comment as “Your child is now with God” or “Your husband is now in Heaven” can cause a very angry reaction towards God. This is not unnatural to have anger towards God. It is not unnatural to doubt God or question God even. Within the first days of emotional distress, this mild adverse reaction which occurs with some believers, even with the most profound faith is not something to be overtly concerned with.
Individuals may only briefly question, or this questioning may persist through the depressive stage of grief as one tries to understand loss and organize it with life’s narrative. This is especially true in more traumatic incidents, when a parent loses a child, or an entire town is destroyed by a tornado. It becomes quite difficult through the depressive and mourning stage to understand God’s presence. Not everyone can show patience like Job and that is OK.
When the loss challenges the faith and doubt emerges, complications within the grieving process can occur. Usually unhealthy faith is more vulnerable to spiritual complications in grieving but it can occur to anyone
Obviously as pointed out, those with an imbalanced faith, poor foundation of faith, or no faith are more subject to negative spiritual reactions about God and the loss. Obviously, one has to take into account support systems and the level of the loss in regards to reactions that are mild, moderate or severe but for most part, those with kinks in the armor of faith are more subject to moderate or severe negative spiritual reactions when dealing with a loss.
In addition to imbalance of spirituality and religious, a lack of understanding of faith can play a key role in negative experiences. Individuals who see prayer as a magic bean and God as a genie willing to grant wishes face a far more difficult grief reaction that an individual who recognizes prayer as communion with God. Likewise, individuals who consider their power of prayer as a sign of their faith and a correlation of their relationship with God are also more subject to negative spiritual reactions in loss. Prayer when it is seen as a contract and not a covenant with God creates a distortion of faith. Instead of seeing God as a genie that grants or does not grant, individuals need to see God as a Father who walks and comforts us. Can God grant our prayers? Yes, but does He always, no!.
Faith that has a strong understanding of the human condition and suffering is key. Within Christianity especially, suffering is seen as part of a fallen existence due to sin. In Christianity, God becomes human and suffers with humanity. Jesus Christ shows individuals that God’s will is not always the easiest or least painful but one that is necessary. If Christ Himself suffered, what can we expect? In the Christian faith, Christian Counselors can utilize the motif of Christ as “Suffering Servant” who suffered first as an excellent coping example when loss and grief occur. Christ suffered first. However, with that suffering and death came also victory. Christ conquered death and rose. So shall all who suffer in Christ, shall rise in Christ.
So while many individuals may feel abandoned or betrayed by God, like Job, like Christ, one can find light at the end of the tunnel. Even Christ, felt abandoned on the cross. It is OK to feel this and important to express it, as Christ Himself expressed. In the Garden and on the cross, Christ felt completely alone and abandoned, but pushed forward in faith. Hence, when we feel alone or abandoned in loss, we must realize that Christ is with us and it is important to emphasize this in Christian Counseling when dealing with loss. Christ is not always here to take away the cross, but He is definitely here to help one carry it.
Finally, in addition to misunderstanding of suffering, those with an unhealthy faith have key misunderstandings of the essence of God Himself. They can easily fall prey to the philosophical traps of the atheistic world which challenges God. The famous query, “How can a Good and All Powerful God permit suffering?” is all too used in atheistic and agnostic circles without rebuttal. If God is good then suffering should not exist, but if suffering exists, then He must not be all powerful, for a good being would never permit suffering. So the atheist or agnostic leaves the suffering individual with only two false options. Either God is not all good and a sadist being, or He is not God and not powerful enough to stop evil and suffering. This two answer only option is the trap. The fact remains, God is both good and all-powerful, but suffering and evil exists because He created intelligent beings in His image with the ability to do good or evil. Evil and suffering is a result of free choice not God. God does not wish to prevent freedom to love or hate because that would be the ultimate rejection of human and angelic freedom. The source of evil is choice, not a good God and God’s power is not in question as He permits the consequences to carry out in a fallen world.
Interventions in Spiritual Complications with Grief
The stages of grief are outlines of human experience with the grieving process. They obviously are not always linear. They can skip steps, revert back to former steps and oscillate between each other in intensity. Different individuals, depending on a variety of subjective circumstances react differently to different losses, but we can form a basis for understanding of the universal reaction to grief and draw a blue print of what is healthy and what is not healthy. When spiritual complications arise, it can derail the grieving process. Spirituality as something that is usually a anchor and help in healing can, as stated, create mild, moderate or even severe complicated grief reactions.
In the first stage, individuals respond with shock, disbelief and denial. Even the most devout and spiritual person will feel the shock and pain of the loss. How could this happen? With emotion swirling, intellect and what one consciously believes can sometimes be swept to the side. The individual may question God, or become angry with God.
For many, mild complications of grief and spirituality can lead the person back to God with more strength realizing their dependence upon God
As grief and the reality of the loss sets in, the individual enters into the dark night of sadness and pain. Some will find consolation in faith, while others may feel a desolation. Some may feel abandoned by God. This is not necessarily a complication but a natural reaction to loss. In this desolation, is there a merely a feeling of “Where are you God”, or is a more intense belief that God does not exist at all, or even a reaction of hatred towards God. While it is still too early, especially considering the varying natures of loss to consider anger towards God or disbelief in God as a severe reaction, it still nonetheless a mild reaction that could complicate spiritual readjustment later. It should be closely monitored to see how it develops in the spiritual life of the person.
In the despair and pain of loss, individuals go through three phases of spiritual reconnection. McCall, in her text, “Bereavement Counseling: Pastoral Care for Complicated Grieving” points out the trials of despair, discernment and conversion during the process of mild, moderate or severe estrangement from God. She mentions that during the despair moment, some individuals never reclaim the peace and joy of God, but instead remain haunted by the loss and a emptiness with God. They are unable to reconcile from the depression and pain, a logical bridge between the loss and their worldview.
It is following this phase, that discernment occurs. The individual either continues breaking down his/her worldview and its incompatibility with the loss, or finally finds guidance from grace or the aid of others to connect the loss with faith and the world view. This leads to renewed energy to seek forgiveness from God. Others discover how much they need God in the loss and despair. Sometimes in the darkest days, we discover how much we need God by our side. We realize that we cannot stand alone but need God. This recognition can lead to a deeper and stronger faith. However, sometimes, it can complicate things with guilt for how one behaved or create a pseudo response where one accepts one’s world view but still nonetheless with less energy and commitment as before. If not, this continues to lead further breaking down of the worldview and faith. When answered it leads to the renewal of faith and rituals, but if does not occur, then the person is unable to reintegrate the faith into one’s life at this point.
These steps are clearly seen in C.S. Lewis’ “Grief Observed” where Lewis experiences the spiritual battle between his faith and the pain and loss of his wife. He writes about his despair and depression and journals his anger and sense of abandonment. (Clearly exhibiting a mild spiritual existential crisis in his life) He however in later chapters discerns the loss, reconnects it with God, and finds meaning. He then reintegrates his faith with the loss.
After suffering, individuals enter the final stages of grief which involve acceptance of the loss. McCall lists a two fold process that involves re-organization as well as recovery itself, albeit recovery is a false word in grieving. Adjustment seems to be a far better word in grieving because no person truly recovers from loss but only learns to adjust to it in healthy ways with meaning. In the case of spirituality, one is able to connect the meaning of loss with their faith and incorporate again a healthy relationship with God via former spiritual practices. However, complications in spiritual grief become severe when this stage is unattainable. The individual does not recover his/her faith in God but instead either hates God or completely denies His existence. In even more adverse reactions, removal of all memories of the faith before, including images or statues occur, as well as a bellicose attitude towards religion or anyone who holds a religious view. The person refuses to attend rituals or pray and has completely removed their previous held worldview. The ability to tie the loss with their previous worldview is impossible. This causes a complication in the grieving process that prevents the person from finding peace or readjusting to the new narrative in a healthy fashion.
As the parable of Christ states, sometimes the seed of faith falls in fertile ground and can overcome all adversity while seeds that fall in thorny ground are never able to produce fruit. This is sometimes the sad reality but as Grief and Christian Counselors, we can try to help individuals in the infant stages of loss with support and love. During the later phases of searching and yearning, we can emphasize the true nature of suffering, its meaning, and how Christ suffers with us. It is important to help and encourage healthy grieving practices that are adaptive and not maladaptive. Support and care can prevent further despair and help the person find gratitude and hope in others and again in God. It can help individuals realize that God is still present despite the loss.
Conclusion
Faith is usually an important anchor in grief adjustment but sometimes due to a variety of reasons it can complicate the grieving process. Faith that is healthy gives connection and meaning to the grieving person to a Deity or Higher Power, as well as worldviews and a communal support system. However, sometimes faith and the loss cannot find meaning and when this occurs an existential crisis can complicate grieving. When previous held beliefs are no longer integrated and tied to the loss, then readjustment into life can become difficult and complications in grief can arise. It is important to identify issues that may arise in spiritual and religious people at the earliest phases and help not only counsel and educate but give them hope that life continues. Christian and pastoral counselors as well as grief counselors can help spiritual individuals find hope in loss.
Christ is the ultimate examples for Christians when dealing with loss and pain. Please also review AIHCP’s Christian Counseling Certification
Please also review AIHCP’s Christian Counseling Certification and see if it meets your academic and professional goals. The program is online and independent study and open to qualified professionals seeking a four year certification in Christian Counseling.
For certified grief counselors, please also review AIHCP’s Christian Grief Counselor Program. The program explores grief, loss and suffering from a Christian perspective.
References
C.S Lewis. (1961). “Grief Observed”
McCall, Junietta. (2012). “Bereavement Counseling: Pastoral Care for Complicated Grieving”. Routledge
Additional Resources
Mendoza, M. (2020). “Complicated Spiritual Grief”. Psychology Today. Access here
Williams. L. (2022). “The Missing Link: Spirituality and Grief”. What’s Your Grief. Access here
Feldman, D. (2019). “The Power of Rituals to Heal Grief”. Psychology Today. Access here
“Easing grief through religion and spirituality”. (2015). Harvard Health Publishing. Access here
For many experiencing complications with emotion, notably grief or anxiety, individuals turn to therapy. Not all loss is simple and sometimes emotion itself is far from simple or easy to identify its source. Anxiety and depression plague individuals and can have crippling effects on their mental health and social interaction. Therapists and licensed counselors usually turn to some type of medication to help balance the neurotransmitters in the brain or hormones in the body. Others will also look to cognitive behavioral therapy to help articulate the issue from a rational way, introducing adaptive coping strategies, better responses and overall reframing.
Psychodynamic therapy looks at the subconscious root of depression and how to unblock the healing for better relationships with others.
Psychodynamic Therapy
Professionals from the Freudian school also can utilize Psychodynamic therapy which can also have equal benefits in helping individuals not only with deeper pathologies but also depression and anxiety. Psychodynamic Therapy looks within the person’s emotions and past to help decipher the reasons for depression, anxiety or emotion. Stemming from Freud, the idea suggests that all emotion or behavior stems from one’s subconscious and also partly early childhood experiences. Through various internal mechanisms both inherited biological and learned through experience, one learns to balance these emotions and feelings but when imbalance occurs, anxiety can result, which can also lead to subconscious repression. Psychodynamic therapy looks to the unconscious to find these events that has caused these unconscious feelings that are now manifesting in one’s life.
Through this process, the therapist hopes to discover the root of the issue, identify it and help the person learn from it. The person then is guided to the root cause of his/her issue and learns how this unconscious feeling is causing havoc in one’s life and how to better regulate it. This involves a type of talk therapy where the patient discusses their feelings and the therapist attempts to discover the source of the emotional imbalance. Erick Erickson, a disciple of Freud, introduced how emotional issues can arise when individuals do no meet certain eight stages. His psychosocial approach identified 8 stages of development within human life from infancy to old age and how two opposite outcomes can occur when needs and goals are not met. Individuals who do not successfully meet certain needs or goals experience regression or incompleteness manifesting in depression or anxiety. Therapists with psychodynamic therapy can help guide individuals discover unconscious feelings about certain events that can lead to deeper reasons why someone feels depressed, angry or anxious. Sometimes, individuals may not be able to form relationship bonds, or have trust issues. These issues usually are a result of some earlier childhood experience that once identified and discussed can find ways to better resolve it.
These types of talk therapies usually last anywhere from 40 to 45 minutes once a week and can continue for a few months or up to a year. The key within the process is to uncover the root cause for the emotional balance within the subconscious mind and help identify it. This allows the person to recognize the issues and its root and better move forward without repeating the same mistakes. With understanding of the source, better ways to respond to it, and coping mechanisms, one can better find balance and move forward. In essence, one can understand the emotion, recognize patterns caused by it and form better relationships from this enlightenment. The therapy looks to unblock one from the past and allow one to move forward.
Comparisons and Differences Between CBT and Psychodynamic Therapies
While looking more at emotion, this therapy differs from CBT which obviously looks at unhealthy ways of thinking and how one can reframe and better oneself. Both CBT and Psychodynamic therapy can look at better ways to manage how we react to things, but they have different starting points. Both are considered effective methods, but it ultimately it depends upon the person. It also can depend upon the type of trauma. Proponents against Psychodynamic theory may contend it takes away free will due to the unconscious drive, but one can modify the strict Freudian values and say emotional trauma at early age can greatly affect a person decision making but not necessarily strip one of conscious decisions.
CBT offers reframing solutions to perceptions and ideas one faces. It looks to remove distortions of reality and how to better reframe it and respond. Psychodynamic may be better at explaining the deeper cause of it but both methods look to understand the emotion and find better ways of dealing with it. In essence, Psychodynamic looks to find what is blocking a person from proceeding forward and ends, while CBT looks at how to cope with the issue through a variety of adaptive coping methodologies. Some therapists may only use one pure form, or combine the two, with one helping the person cope and then later delving into the source of the issue.
A good example of someone facing deeper pathological issues with depression and self image would to be utilize CBT and Psychodynamic therapies. With CBT, the therapist would set out to dismiss from an intellectual standpoint the false image of self that is destructive. Therapy would look to help the individual realize the distorted self view and then offer ways to think differently when low self esteem emerges. It would point out that low ideals of self are not true and how to better deal with these thoughts through meditation, journaling or other self affirmative practices. It would teach one to better reframe these distortions. The Psychodynamic portion would investigate the source of the low self esteem in earlier life, the emotion itself, how to manage the emotion, and proceed in relationships. Once the unconscious source is identified, the individual could better understand why one feels a certain way, recognize patterns and triggers for the emotion and form healthier bonds. In this example, while not purely one therapy, one can see the benefit of both schools of thought being utilized.
Conclusion
Human beings are complex emotional beings. We have a intellect and will. We are rational and emotional. According to Freud, we are torn between internal impulses and external systems. Subconscious and conscious events can occur which create a variety of imbalances. How we find balance depends on what therapy is best for us. Talking therapies, like CBT and Psychodynamic are useful therapies to help from emotional or rational standpoints. Sometimes, talk therapies are also supplemented with medications to help any neural or hormonal imbalances as well. Ultimately, Psychodynamic therapy is a an excellent option for some.
Psychodynamic therapy has Freudian roots. Please also review AIHCP’s Grief Counseling Certification
Please also review AIHCP’s behavioral certifications, especially its Grief Counseling Certification. While grief counseling is clearly not a pathological type of counseling because it deals with a direct loss, it can sometimes turn pathological and require a licensed professional. AIHCP certifies both licensed and unlicensed human service professionals who offer different level of services within grief.
Additional Resources
“CBT vs. Psychodynamic Therapy: What’s the Difference?” Zencare. Access here
Mcleod, S. (2024). “Psychodynamic Approach In Psychology”. Simply Psychology. Access here
Davis, K. (2023). “How does cognitive behavioral therapy work?”. MedicalNewsToday. Access here
Dresden, D. (2020). “What is psychodynamic therapy?”. MedicalNewsToday. Access here
Cherry, K. (2023). “What Is Psychodynamic Therapy?”. VeryWellMind. Access here
The digital transformation of therapeutic practices necessitates a skillset tailored to the nuances of virtual environments. As you transcend the traditional office setting, your adeptness in specific competencies becomes critical for maintaining efficacy and client rapport. This involves not only an understanding of online platforms but also a mastery over certain skills that are unique to the delivery of therapy in a digital realm.
As health care professionals venturing into teletherapy, it is imperative to enrich your repertoire with qualifications that facilitate robust and secure virtual patient interactions. The shift from face-to-face consultation to screen-based communication introduces novel dynamics, where proficiency must extend beyond core clinical expertise to encompass areas such as technology management and digital ethics.
With all that in mind, let’s draw back the curtain on some of the lynchpin skills and qualifications that are part and parcel of flourishing in this brave new era for therapy.
Digital Therapy Basics: Essential Technical Proficiencies
Delivering therapy online introduces a distinct set of technical demands that clinicians must confidently manage. Grasping these proficiencies ensures seamless virtual sessions, so don’t skimp on any of the following:
Digital Literacy
A robust understanding of various telehealth platforms is non-negotiable. Familiarity with their features, troubleshooting common issues, and guiding clients through setup are all critical for smooth operation.
For example, the likes of SimplePractice or Doxy.me, which specialize in compliant healthcare communication, need to be in your wheelhouse. Understanding their interfaces, optimizing video and audio settings, and navigating in-built practice management tools is a must.
Cybersecurity Acumen
Safeguarding client confidentiality online requires stringent security protocols. This encompasses encryption methods, secure data storage solutions, and vigilant practice to protect sensitive information from breaches or unauthorized access.
Adopt encryption services like Advanced Encryption Standard (AES) for information transmission, and utilize secure client portals offered by services like Theranest or VSee that adhere to HIPAA standards. Also, continual updating of passwords and awareness of the latest data protection protocols is crucial to deter security threats, and to ensure patient trust.
Hardware Competency
Having the right tools — such as high-quality webcams, microphones, and a stable internet connection — is fundamental to providing an uninterrupted therapeutic experience.
Premium hardware choices include Logitech webcams, known for high-definition video quality, and Blue Yeti microphones whose superior sound pickup capabilities enhance verbal communication clarity. Meanwhile, dependable high-speed internet access minimizes session disruptions – a key factor that’s often overlooked until it becomes problematic.
Mastering these competencies means licensed healthcare professionals can ensure that technology enhances rather than hinders therapeutic outcomes.
Cultivating Online Rapport: Interpersonal Skills in a Virtual Context
Transitioning to online therapy not only requires technical adjustments but also demands an evolution of interpersonal skills. The challenge lies in establishing and nurturing the same depth of therapeutic connection through a screen.
Enhanced Communication Techniques
Adept use of verbal cues, deliberate tone modulation, and strategic pausing can compensate for the absence of physical presence. Additionally, effectively translating non-verbal gestures into words becomes more salient in virtual sessions.
Attunement to Visual and Auditory Subtleties
Acquiring sensitivity to changes in client’s facial expressions or vocal inflections is paramount, as these may be indicative of emotional states that are less discernible online.
Developing a Presence on Screen
Crafting a professional yet comforting digital persona involves considered frame composition during video calls; this includes mindful positioning, appropriate lighting, and an uncluttered background which can foster a contained therapeutic space analogous to an actual clinic room.
Enhancing these relational competencies for the digital domain lets therapists reaffirm their commitment to delivering empathetic care regardless of medium. Advanced adaptability in communication honed through continued practice underpins the effectiveness of online therapy just as much as face-to-face interventions.
What Type of Therapy Might You Specialize In?
Diversifying your practice through specialized online therapy options can significantly enhance the services offered to clients. With a multitude of therapeutic approaches available, obtaining additional certifications and training in specific methodologies allows for tailored online interventions that cater to varied client needs.
Cognitive Behavioral Therapy (CBT)
A certification in CBT equips you to conduct structured, goal-oriented sessions virtually. This modality is well-suited for an online format given its emphasis on didactic elements and active tasks.
Dialectical Behavior Therapy (DBT)
Obtaining specialized training in DBT can be beneficial for managing clients with borderline personality disorder or self-harm behaviors via teletherapy platforms that support secure sharing of worksheets and homework assignments.
Mindfulness-Based Stress Reduction (MBSR)
MBSR qualifications allow therapists to guide clients through mindfulness practices during video sessions, which can be as effective as face-to-face mindfulness training.
Family and Couples Therapy
Postgraduate certificates or diplomas in family and systemic therapy enable clinicians to facilitate relationship-focused therapies online, overcoming geographical barriers between family members.
Investing in continuing education relevant to these focus areas allows you to position yourself competitively within the expanding landscape of remote mental health professionals.
Mastering the Ethical and Legal Landscape of Teletherapy
With teletherapy’s ascent, practitioners must be vigilant in aligning with the intricate ethical and legal tapestries that govern digital therapeutic services. Mastery over these regulatory frameworks is essential for ensuring client welfare, maintaining professional credibility, and upholding the integrity of online practices.
Rigorous Knowledge of Health Privacy Laws
A practitioner should be conversant with laws such as the U.S. Health Insurance Portability and Accountability Act (HIPAA), Canada’s Personal Information Protection and Electronic Documents Act (PIPEDA), or the EU’s General Data Protection Regulation (GDPR). These regulations dictate stringent standards for transmitting health information digitally.
Licensure Across Jurisdictions
Varied state licensure requirements necessitate a clear understanding of rules for providing telehealth across state lines or international boundaries. This may entail obtaining licensure in multiple states or becoming familiar with specific provisions such as PSYPACT—an interstate compact allowing psychologists to practice telepsychology or conduct temporary in-person, face-to-face practice across member states without obtaining additional licenses.
Informed Consent Adaptations
Adapting consent processes to meet telehealth needs involves not only securing agreement on treatment but also educating clients about technology considerations unique to online services. This includes explaining the potential risks and limitations of teletherapy, such as privacy concerns or technical disruptions, and ensuring documentation captures this consent appropriately.
Ethical Boundaries and Best Practices
Teletherapists should be well-versed in guidelines provided by professional bodies such as the American Psychological Association (APA) or National Board for Certified Counselors (NBCC), which offer directives on how to maintain ethical boundaries and therapeutic best practices in a virtual setting.
Continuing Education on Relevant Legislation
Staying abreast of evolving standards requires commitment to continued education focused on legal trends in telehealth. Workshops, certification programs, and professional courses can provide essential updates that inform practice.
Through diligent attention to these comprehensive legal elements, clinicians not only protect their clients but also safeguard their own practice against potential liabilities. Active engagement with ongoing legislative changes further demonstrates a clinician’s dedication to excellence within the digital therapy domain.
Wrapping Up
As we’ve discussed, online therapy demands a sophisticated integration of technical skills, ethical diligence, and specialized knowledge. As clinicians invest in expanding their competencies to meet these criteria, they can deliver high-quality virtual care that resonates with professionalism and upholds the standards of modern telehealth practices.
Author Bio: Veronica Turner is a health and lifestyle writer with over 10 years of experience. She creates compelling content on nutrition, fitness, mental health, and overall wellness.
Please also review AIHCP’s Health Care Certification programs and see if it meets your academic and professional goals. These programs are online and independent study and open to qualified professionals seeking a four year certification.
Journaling in grief and bereavement offers a personal and reflective way to navigate the complex emotions and experiences that accompany loss. It provides a therapeutic outlet for expressing thoughts and feelings, preserving memories of loved ones, and finding solace through the written word. As we explore the multifaceted aspects of grief journaling, from its theoretical foundations to its practical applications, we uncover how this simple yet profound practice can support individuals during one of life’s most challenging times
Journaling about loss is a creative and expressive way to cope with grief and has multiple benefits long term. Please also review AIHCP’s Grief Counseling Certification
Certified Grief Counselors can also guide individuals in utilizing journaling as complimentary device for healing and finding solace and peace after a loss. Please also review AIHCP’s Grief Counseling Certification.
Key Takeaways
Journaling serves as a safe and private medium for expressing grief-related thoughts and emotions, aiding in the healing process.
The act of writing can help in preserving memories and maintaining a continuing bond with the deceased, contributing to legacy building.
Grief journaling is not only accessible and adaptable to individual needs but also beneficial in managing stress and regulating emotions.
Incorporating journaling into professional grief counseling can enhance therapeutic outcomes through structured writing exercises.
Future research and innovation in grief journaling promise to expand its accessibility and effectiveness as a bereavement support tool.
Theoretical Foundations of Journaling in Grief Work
Putting things into words are powerful ways to cope with loss
Historical Perspectives on Bereavement and Writing
The practice of journaling during times of grief is not a modern invention but has deep historical roots. Throughout history, individuals have turned to writing as a means to process loss and articulate their mourning. This tradition spans across various cultures and epochs, reflecting the universal need to capture and make sense of the emotional turmoil caused by bereavement.
The act of writing in response to grief serves multiple purposes. It can be a private refuge for the bereaved to express feelings that might be difficult to communicate verbally. It also stands as a historical record, offering insights into personal and collective experiences of loss. The following list highlights some of the ways in which journaling has been utilized in the context of grief:
As a therapeutic tool for emotional release
To preserve memories of the deceased
As a means to share one’s grief journey with others
To explore and make meaning of the loss
The intimate relationship between writing and grieving underscores the enduring significance of journaling as a coping mechanism. It is a testament to the power of words to comfort, heal, and connect us across time.
The conference titled ‘Death, Grief and Mourning in the Long Eighteenth Century’ revisits established narratives surrounding these themes, indicating a scholarly interest in understanding the historical dimensions of grief journaling. Such academic inquiries not only enrich our knowledge but also validate the contemporary use of journaling as a beneficial practice in grief work.
Psychological Mechanisms of Expressive Writing
Expressive writing, particularly within the context of grief and bereavement, serves as a powerful tool for emotional processing and healing. The act of translating complex emotions into language can significantly alter an individual’s approach to their grief, facilitating a form of meaning reconstruction. This process is not only cathartic but also instrumental in enabling individuals to navigate their emotional landscape more effectively.
Grief journaling is one way of allowing yourself the space for genuine healing to take place, whether or not you are ready and willing to express yourself to others.
Journaling can decrease stress, help to level out emotions, and foster a sense of gratitude and optimism. It is a personal journey, one that does not require special skills or tools. Any notebook will suffice, and the writing is for the individual’s eyes only. Here are a few journal writing prompts to guide this introspective process:
The hardest time of day is…
I find it helpful when…
My favorite memory of my loved one is…
The things I miss most…
These prompts can help individuals get in touch with what might be showing up for them so they can better show up for their healing. It is important to note that if thoughts or memories become deeply troubling, some situations are best explored with the help of a professional grief counselor.
Comparative Analysis of Journaling and Traditional Grief Therapies
Journaling offers a unique approach to grief work that differs from traditional therapies in several key aspects. Journaling provides a private, flexible space for self-expression, allowing individuals to explore their grief at their own pace. Unlike structured therapy sessions, journaling does not require appointments or adherence to a specific therapeutic model. This autonomy can be particularly empowering for those who may feel constrained by the formalities of traditional counseling.
Journaling about grief facilitates a personal dialogue with one’s emotions and memories, which can lead to profound insights and a deeper understanding of the grieving process.
Traditional grief therapies often involve interpersonal interactions with a therapist or support group, which can be invaluable for many. However, some individuals may find solace in the solitary reflection that journaling affords. The table below contrasts the key features of journaling with those of traditional grief therapies:
Feature
Journaling
Traditional Grief Therapies
Privacy
High
Variable
Flexibility
High
Moderate
Cost
Low
Higher
Personal Pace
Self-determined
Structured
Expression
Unfiltered
Guided
While journaling is a low-cost and easily accessible form of grief work, it is important to recognize that it may not be suitable for everyone. In cases where thoughts or memories become deeply troubling, professional guidance should be sought. The integration of journaling into a comprehensive care plan can offer a balanced approach to healing.
Methodological Approaches to Grief Journaling
Structured Prompts and Unstructured Reflections
Journaling in the context of grief and bereavement can take many forms, ranging from structured prompts that guide the writer through specific memories and emotions, to unstructured reflections that allow for free expression. Structured prompts are designed to be simple yet meaningful, providing a scaffold for individuals to explore their feelings without becoming overwhelmed.
Structured prompts may include questions about shared stories, feelings during the farewell, or music played at memorial services.
Unstructured reflections offer space for additional thoughts, memories, or feelings that arise spontaneously.
The balance between structured and unstructured journaling is crucial, as it accommodates both the need for guidance and the freedom for personal exploration.
While structured prompts ensure that key aspects of the bereavement process are addressed, unstructured journaling honors the unique and evolving nature of individual grief. The integration of both approaches can facilitate a comprehensive and therapeutic journaling experience.
Quantitative and Qualitative Measures of Healing
Many grief counselors encourage their clients to write about their grief and document it
The assessment of healing in the context of grief journaling encompasses both quantitative and qualitative measures. Quantitative data often derive from standardized measurement tools, providing structured insights into the efficacy of journaling interventions. For instance, studies on self-healing practices for suicide loss survivors have utilized a range of grief measurement tools to quantify progress.
Qualitative measures, on the other hand, capture the nuanced, personal experiences of individuals as they navigate their grief journey. These can include narrative accounts, thematic analyses, and subjective reports that reflect the complex emotional landscape of bereavement.
The integration of both quantitative and qualitative methodologies is crucial for a comprehensive understanding of grief journaling’s impact.
Future research should aim to balance these approaches, ensuring that the depth of personal healing is not overshadowed by numerical data alone.
Ethical Considerations in Guided Grief Journaling
Guided grief journaling offers a private space for individuals to express and process their emotions. However, ethical considerations must be taken into account to ensure that this practice is conducted with sensitivity and respect for the bereaved. Journaling should empower individuals to confront their grief without fear of judgment or exposure.
When facilitating grief journaling, it is crucial to maintain confidentiality and provide clear guidelines on how personal reflections will be handled. Participants should be informed about the potential emotional impact of journaling and the availability of professional support if needed.
The act of journaling should not replace professional therapy but can serve as a complementary tool for those navigating the complexities of bereavement.
Ethical considerations also extend to the creation and use of grief journals. Thoughtful design and prompts should encourage reflection without leading the writer to distressing or traumatic memories without adequate support. Here are some key points to consider:
Respect for the individual’s pace and readiness to engage in journaling
Sensitivity to the diverse ways individuals experience and express grief
Awareness of the potential for re-traumatization and the need for professional guidance
Ensuring that the journaling process is voluntary and free from coercion
The Role of Journaling in Memory Preservation and Legacy Building
Journals also serve as ways to preserve legacies and are creative ways of remembering the deceased
Creating Tangible Memories Through Written Narratives
The act of journaling transcends mere record-keeping; it serves as a bridge connecting the past, present, and future. By crafting written narratives, individuals immortalize the essence of their loved ones, creating a legacy that can be revisited and cherished. This process not only aids in the preservation of memories but also in the emotional healing journey of the bereaved.
Journaling provides a structured approach to memory preservation, allowing for a reflective exploration of the life and impact of the deceased. It offers a space for the bereaved to articulate their thoughts and feelings, often leading to a deeper understanding and acceptance of their loss.
The following list outlines steps to effectively use journaling for creating tangible memories:
Collect stories and anecdotes that capture the essence of the loved one.
Reflect on significant life events and the emotions they evoke.
Use guided prompts to explore different facets of the loved one’s life and personality.
Share the written narratives with family and friends, fostering a collective remembrance.
Journaling not only honors the memory of the deceased but also provides a therapeutic outlet for the writer. It is a personalized process that can be adapted to fit the unique needs and preferences of each individual.
The Impact of Journaling on Continuing Bonds
The practice of journaling in the context of bereavement serves not only as a tool for emotional expression but also as a means to maintain and nurture the continuing bonds with the deceased. This concept, which emphasizes the ongoing relationship between the bereaved and their lost loved ones, can be profoundly therapeutic. Journaling allows for the preservation of memories and the expression of ongoing dialogues that might otherwise remain internalized.
Through the written word, individuals are able to articulate their evolving relationship with the person who has passed away, often finding solace in the act of writing itself. The process of journaling can transform the nature of grief, from one of loss to one of enduring connection. It is not merely about recording events or feelings; it is about exploring the deep-seated connections that continue to influence the bereaved’s dreams and aspirations.
The act of journaling can be a powerful catalyst for personal growth, providing clarity and understanding to the bereaved as they navigate their journey of loss.
While the benefits of journaling on continuing bonds are widely acknowledged, quantifying this impact can be challenging. However, some structured approaches have been developed to measure the therapeutic outcomes of journaling in this context:
Legacy Projects and Their Therapeutic Value
Legacy projects, as a component of grief journaling, offer a unique avenue for individuals to honor their loved ones while engaging in therapeutic activities. These projects can serve as a bridge between the past and the future, allowing for the preservation of memories and the expression of enduring love.
The therapeutic value of legacy projects is multifaceted, encompassing emotional, psychological, and sometimes even physical benefits. For instance, the act of creating a legacy item, such as a scrapbook or a digital memorial, can provide a sense of purpose and accomplishment during a time when feelings of helplessness are common.
Legacy projects are not just about remembering the deceased; they are about making meaning out of loss and finding a way to carry forward the essence of the loved one in everyday life.
The process of working on legacy projects can also foster a sense of community and support, as family members and friends often come together to contribute to the creation of these meaningful tributes. Below is a list of common types of legacy projects and their potential impacts:
Heartbeat songs: Integrating a loved one’s heartbeat into a piece of music, providing a unique and personal auditory memory.
Memory books: Compiling stories, photos, and mementos into a book that captures the essence of the loved one’s life.
Digital memorials: Creating online spaces for sharing memories and continuing bonds with the deceased.
Artistic expressions: Using art to convey emotions and memories, such as through paintings or sculptures.
Each of these projects can play a crucial role in the grieving process, helping individuals to navigate their emotions and find comfort in the continuation of their loved one’s legacy.
Journaling as a Tool for Emotional Regulation and Stress Reduction
Mechanisms of Emotional Catharsis in Writing
Journals and writing help express emotion and free it. It can be seen and read and better understood
The act of journaling during times of grief serves as a conduit for emotional catharsis. Writing allows for the articulation of sorrow and the beginning of the healing process. It is a private endeavor that does not require any special skills or tools; a simple notebook suffices. Through writing, individuals can express thoughts that may be uncomfortable to share aloud, thereby decreasing stress and helping to level out emotions.
Journaling is a personal journey of healing, where the pen’s power is unleashed, allowing for a deeper understanding of one’s emotions and experiences.
Journaling prompts can be particularly effective in guiding individuals to confront and articulate their grief. The process of writing can increase a sense of gratitude and optimism, even when the writer is not ready to express themselves to others. Below is a list of benefits that journaling can provide in the context of grief:
Expression of difficult emotions
Decrease in stress levels
Emotional leveling
Enhancement of gratitude and optimism
Journaling is fundamentally a solitary activity, yet it can profoundly impact the individual’s emotional landscape.
Journaling to Foster Mindfulness and Presence
In the midst of grief, journaling serves as a bridge to mindfulness, guiding individuals to anchor themselves in the present moment. Mindfulness can calm your grieving brain, promote neuroplasticity, and rewire neural pathways, offering a respite from the turbulence of loss. By focusing on the act of writing, one can engage in a form of meditative practice, which can help to level out emotions and foster a sense of gratitude and optimism.
Journaling about your grief is a safe way to express feelings, thoughts, and emotions. It encourages a closer examination of grief-related memories, facilitating a healing process that is both reflective and introspective.
Journal prompts are particularly effective in this context, as they can guide the bereaved through a structured path of self-discovery. The prompts can help individuals to connect with their inner experiences, which is crucial for healing and showing up for oneself. Below is a list of mindfulness practices that can be integrated into the journaling process:
Engaging in deep breathing exercises before writing
Writing with intention, focusing on the present moment
Reflecting on daily moments of gratitude
Describing sensory experiences to ground oneself
Practicing self-compassion through affirming writing exercises
Stress Biomarkers and Journaling Interventions
The intersection of journaling and its impact on stress biomarkers presents a compelling area of study, particularly in the context of bereavement. Journaling interventions have been shown to influence stress-related physiological measures, such as salivary cortisol levels, which are indicative of the body’s response to stress. This is particularly relevant in light of recent findings, such as the high level of psychological stress in COVID-19 recovered individuals, where stress biomarkers were assessed using validated questionnaires and biological indicators.
In the realm of grief journaling, the therapeutic prompts provided can serve as a catalyst for emotional processing and stress reduction. For instance, prompts that encourage reflection on gratitude and optimism can help to level out emotions during the grieving process. The table below summarizes common journaling prompts and their potential impact on stress reduction:
Prompt Type
Potential Impact on Stress
Reflection on hardest time of day
Aids in identifying stress patterns
Expressing gratitude
Enhances positive emotional states
Recalling favorite memories
Fosters a sense of connection and peace
Addressing missed aspects
Facilitates acceptance and coping
The act of journaling during grief is not just a method of coping, but a structured approach to navigating the complex emotions that accompany loss. It is a personal journey that can lead to a heightened sense of self-awareness and emotional resilience.
While journaling is a powerful tool for emotional regulation, it is important to recognize its role as a complement to professional therapy, rather than a standalone treatment. The personal narratives crafted through journaling can serve as a valuable adjunct to therapeutic interventions, offering a space for private reflection and personal growth.
Integrating Journaling into Professional Grief Counseling
Training Counselors in Expressive Writing Techniques
Certified grief counselors should encourage their clients to utilize grief journaling as a way to heal
The incorporation of expressive writing techniques into grief counseling requires a nuanced understanding of the grieving process and the therapeutic power of writing. Counselors are trained to guide clients through structured writing exercises that facilitate emotional expression and reflection. The goal is to equip counselors with the skills to help clients articulate their grief and embark on a healing journey.
Counselors learn to recognize when journaling can be most beneficial and how to introduce it to clients in a way that feels safe and supportive. They are taught to use prompts that resonate with the individual’s experience and to respect the unique pace at which each person processes grief. The training also emphasizes the importance of creating a non-judgmental space for clients to explore their feelings through writing.
Understanding the client’s grief narrative
Selecting appropriate writing prompts
Creating a supportive environment for self-expression
Encouraging regular writing as a tool for healing
The process of grief journaling is not about crafting a perfect narrative but about finding a personal voice in the midst of loss. It’s about making sense of the chaos of emotions and memories, and ultimately, forging a path forward.
Counselors are also introduced to various resources, such as the guidebook Techniques of Grief Therapy, which serves as a comprehensive reference for innovative interventions in grief counseling. This resource aids counselors in staying abreast of the latest developments and best practices in the field.
Client-Centered Approaches to Journaling
Client-centered approaches to journaling in grief counseling emphasize the unique experiences and needs of the individual. Journaling about your grief is a safe way to let out feelings, thoughts, and emotions, as well as to engage with grief-related memories in a reflective manner. This personalized method respects the client’s pace and comfort level, allowing them to explore their emotions without pressure.
Journaling can decrease stress, help to level out your emotions, and increase your sense of gratitude and optimism.
For those who find it challenging to start journaling, structured prompts can be particularly beneficial. They guide the reflection process and can make it easier to begin writing. Here is a list of potential benefits clients might experience through client-centered journaling:
Expression of uncomfortable thoughts
Stress reduction
Emotional leveling
Enhanced gratitude and optimism
It is important to note that while journaling is a powerful tool, it is not a replacement for professional therapy. It can, however, complement therapeutic sessions effectively.
Case Studies: Journaling in Clinical Settings
Journaling has a good record of helping individuals better cope with loss and grief
Clinical settings offer a unique environment where the structured use of grief journaling can be observed and analyzed. Case studies in these settings have provided valuable insights into the efficacy of journaling as a complementary therapy. For instance, patients who engage in journaling alongside professional therapy sessions often report a sense of relief and a clearer understanding of their emotional landscape.
Patient A reported a decrease in anxiety levels after 4 weeks of journaling.
Patient B found journaling helpful in organizing thoughts and memories.
Patient C experienced improved sleep patterns correlating with regular journaling practice.
Embracing grief journaling within clinical settings has shown to be a guide to healing and self-discovery for many individuals. It allows for a safe exploration of grief-related memories and experiences, which is crucial for emotional processing.
While some individuals may find selecting a single thought to journal about challenging, the use of prompts has been shown to be beneficial. These prompts guide the journaling process and can be particularly helpful for those who are new to the practice or find it difficult to articulate their grief.
Cultural and Individual Variations in Grief Journaling Practices
Cross-Cultural Perspectives on Bereavement and Writing
Grief journaling transcends cultural boundaries, offering a universal medium for expressing loss and mourning. Cultural norms and traditions significantly influence the grieving process, shaping how individuals use writing as a tool for healing. In some cultures, writing about grief is encouraged as a form of emotional release, while in others, it may be a private affair, rarely discussed or shared.
In Western societies, grief journaling often includes structured prompts and space for photos, creating a tangible connection to the bereaved.
Eastern traditions may emphasize collective mourning, with less focus on individual expression through writing.
Indigenous cultures might integrate storytelling and oral history into their grieving practices, which can be reflected in written narratives.
Grief is a normal reaction to losing someone, but everyone mourns in their own way. This diversity necessitates a flexible approach to grief journaling, one that respects and incorporates various cultural practices. Journaling can serve as a bridge between personal experience and communal support, allowing for a healing journey that is both introspective and connected to others.
Personalizing Journaling to Fit Individual Grief Journeys
Grief journaling is a deeply personal practice, and its efficacy is enhanced when tailored to the unique experiences and needs of the individual. Personalization of journaling approaches can significantly influence the healing process, allowing for a more intimate and relevant exploration of one’s emotions and memories.
Journaling need not be a one-size-fits-all activity; it can be adapted to fit various preferences and capacities. For some, structured prompts provide a guided pathway through the complexities of grief, while others may find solace in the freedom of unstructured reflections. The inclusion of photographs and tangible mementos can create a multisensory experience, anchoring the written word in the reality of cherished memories.
The transformative power of journaling lies in its flexibility to become what the griever needs it to be – a space for unfiltered expression, a repository for memories, or a tool for legacy building.
The table below outlines potential journaling elements that can be customized to support individual grief journeys:
Element
Description
Prompts
Guided questions to stimulate reflection
Free Writing
Unrestricted expression of thoughts and feelings
Photo Integration
Inclusion of images to accompany narratives
Legacy Sections
Dedicated areas for documenting legacy projects
By recognizing the diverse ways in which people experience and process grief, journaling can be a versatile companion on the path to healing. It is not about the act of writing itself, but about harnessing the therapeutic potential of storytelling in its many forms.
Journaling in Diverse Sociodemographic Groups
The practice of journaling during bereavement transcends cultural and socioeconomic boundaries, offering a versatile tool for processing grief. Journaling provides a voice to the unique experiences of diverse sociodemographic groups, allowing for the expression of grief in a manner that is both personal and culturally resonant. For instance, parents in low- or middle-income settings may find solace in journaling as a form of bereavement care, incorporating farewell rituals and letters of gratitude into their written reflections.
Journaling can be particularly empowering for those who may not have access to professional grief counseling. It serves as a safe space to explore troubling thoughts and memories, with the potential to complement therapy sessions rather than replace them. The prompts provided in various journals are tailored to assist individuals in focusing on what matters most, guiding them through life’s challenging questions and emotions.
The adaptability of journaling makes it an inclusive practice, capable of supporting individuals across different ages, cultural backgrounds, and life stages. It is a testament to the universal human need to find meaning and continuity in the face of loss.
The table below illustrates the range of journaling resources available, catering to specific needs within diverse sociodemographic groups:
Journal Title
Target Demographic
Therapeutic Focus
MY BIG FEELINGS JOURNAL
Children (5-18)
Emotional Processing
MY POSTPARTUM JOURNAL
New Parents
Postpartum Support
While journaling is a powerful tool for many, it is important to recognize and address the barriers that may prevent some individuals from engaging in this practice. These barriers can include resistance to writing about grief, limited literacy skills, or the absence of journaling traditions within certain cultures.
Digital and Multimedia Dimensions of Grief Journaling
Online Platforms and Virtual Memorialization
Journaling whether in a book or on an online blog has a benefit in remembering the deceased. There are many ways individuals can utilize online platforms to commemorate their deceased
In the digital age, the bereavement process has expanded into the virtual realm, where online platforms and virtual memorialization play a significant role. These platforms offer a space where the memories of loved ones can be preserved and accessed by friends and family from anywhere in the world. They serve as eternal places for communal sharing, where grief and support are omnipresent, reflecting the evolving nature of mourning practices.
Online memorials can range from simple digital guestbooks to elaborate multimedia tributes. They often include features such as:
Personal stories and anecdotes
Photographs and videos
Interactive elements like virtual candles or flowers
These features contribute to a rich tapestry of memory that can be continually woven by those who grieve. Virtual memorials are not only a repository of past memories but also a living space for ongoing remembrance and connection.
The shift towards digital memorialization represents a profound change in how we commemorate and connect over loss. It acknowledges the need for accessible, personalized spaces for grief in an increasingly digital world.
While the benefits of these platforms are manifold, they also raise questions about privacy and the digital legacy of the deceased. It is crucial to navigate these concerns with sensitivity and foresight, ensuring that the digital afterlife of our loved ones is treated with the same care and respect as their physical legacy.
Incorporating Visual and Audio Elements into Journals
The integration of visual and audio elements into grief journals represents a significant evolution in the practice of journaling. Visual components, such as photographs and mementos, can serve as powerful catalysts for memory and emotional expression. Similarly, audio recordings offer a unique dimension to the journaling experience, allowing individuals to capture the nuances of their voice and emotions.
In the context of bereavement, these multimedia elements can enhance the therapeutic process by providing a more holistic approach to capturing and preserving memories. For instance, Promptly Journals offer space for photos and archival paper to ensure longevity, while podcasts like Journal with Jenny provide guidance on writing and journaling strategies.
The convergence of written narratives with visual and audio memorabilia creates a rich tapestry of personal history, enabling a deeper connection with the loved one’s legacy.
While the benefits are clear, it is important to consider the individual’s comfort level with these mediums and to provide options that align with their preferences and technical abilities.
Privacy and Digital Legacy in the Age of Social Media
In the digital era, the concept of a legacy has evolved to include the vast array of information we leave online. A digital legacy is the digital information that remains after a person passes away. This can encompass a variety of elements such as social media profiles, blogs, photos, and videos. The management of this digital footprint is crucial, not only for preserving the memory of the deceased but also for ensuring privacy and respecting the wishes of the departed.
The creation of online memorials and the maintenance of social media accounts posthumously have raised important questions about digital privacy and legacy. It is essential to balance the public’s desire to remember with the need for discretion and adherence to the individual’s privacy preferences.
The following table outlines common concerns and considerations regarding digital legacy management:
Concern
Consideration
Access Control
Who has the right to access and manage the digital assets?
Privacy Settings
How can privacy be maintained in online spaces?
Content Ownership
Who owns the content and can decide its fate?
Legacy Instructions
Are there clear instructions for handling digital assets?
As we navigate the complexities of digital legacies, it is imperative to develop guidelines that honor the individual’s memory while protecting their digital presence. The role of journaling in this context becomes a tool for individuals to express their wishes and provide instructions for their digital afterlife.
Overcoming Barriers to Journaling During Bereavement
Addressing Resistance to Writing About Grief
Resistance to journaling during bereavement is a common hurdle, often stemming from the raw intensity of grief-related emotions. Journaling provides a private, therapeutic outlet for these emotions, yet initiating the process can be daunting for many. To address this resistance, it is crucial to establish a non-judgmental space where individuals feel safe to express their sorrow and memories.
Acknowledge the difficulty of confronting painful emotions.
Offer simple prompts to ease into the writing process.
Encourage consistency with regular, focused writing sessions.
Emphasize the personal nature of the journal, assuring privacy.
Journaling about grief is not about creating a literary masterpiece; it’s about honoring one’s feelings and experiences in a tangible form. It is a step towards healing, providing a structured way to navigate the complexities of loss.
By incorporating these strategies, individuals may find it easier to begin journaling, allowing them to confront and overcome the resistance identified by Steven Pressfield in his concept of ‘Writing Wednesdays’.
Journaling for Individuals with Limited Literacy Skills
Journaling in the context of grief can present unique challenges for individuals with limited literacy skills. Adapting journaling practices to accommodate these individuals is crucial to ensure that the therapeutic benefits of journaling are accessible to all. Simplified prompts, the use of symbols, and the incorporation of visual storytelling can bridge the gap between the desire to express and the ability to articulate complex emotions in written form.
Simplified language in prompts
Use of symbols and pictograms
Visual storytelling techniques
Audio recordings as journal entries
The essence of journaling lies in the expression of personal experiences and emotions. For those with limited literacy, alternative forms of expression are not only valid but necessary to facilitate healing.
Furthermore, the design of grief journals should be mindful of the needs of those with visual impairments or other difficulties that may hinder reading and writing. Larger print, high-contrast colors, and tactile elements can make journaling more accessible. It is also beneficial to explore digital solutions that offer speech-to-text capabilities, allowing individuals to dictate their thoughts and memories. The table below summarizes potential adaptations for grief journals catering to individuals with limited literacy skills.
Adaptation Type
Description
Simplified Prompts
Use clear, concise language to guide reflection.
Visual Aids
Incorporate images, symbols, or colors to convey meaning.
Audio Options
Provide the ability to record thoughts verbally.
Tactile Features
Include raised lines or textures to assist with writing.
Adapting Journaling for Non-Traditional Grievers
Journaling as a grief tool is not a one-size-fits-all solution. Non-traditional grievers—those who may be experiencing loss outside the death of a loved one, such as the end of a relationship, job loss, or even the loss of a dream—can find solace in adapting journaling to their unique circumstances. Adapting journaling practices to fit these diverse experiences is crucial for providing effective support.
Identify the loss: Acknowledge the specific nature of the non-traditional grief.
Customize prompts: Develop journal prompts that resonate with the individual’s experience.
Encourage personalization: Allow space for photos, drawings, or other personal memorabilia.
Provide flexibility: Offer a mix of structured and unstructured journaling opportunities.
Journaling has been found to assist individuals in expressing certain emotions surrounding grief they may not feel comfortable talking about. This is particularly important for non-traditional grievers, who may lack other outlets for their unique form of bereavement.
While traditional grief journaling often focuses on the bereavement following a death, non-traditional grievers benefit from a broader approach. This includes creating spaces in journals for stories, adding photos, or including significant tokens of the past. The goal is to facilitate a process of healing that is as individual as the grief itself.
Evaluating the Efficacy of Grief Journaling
Long term results show positive effects from grief journaling. Please also review AIHCP’s Grief Counseling Certification
Longitudinal Studies on Journaling Outcomes
Longitudinal studies provide a window into the long-term bereavement outcomes for individuals who engage in grief journaling. These studies track changes over time, offering insights into the efficacy of journaling as a therapeutic intervention.
While severe grief is highly distressing and prevalent up to 1 year post-death, longitudinal research is crucial to understand the full spectrum of bereavement experiences.
Researchers have begun to quantify the benefits of journaling, with some studies indicating a decrease in symptoms of depression and an increase in coping skills among participants. However, the data is complex and often requires nuanced interpretation. Below is a table summarizing key findings from recent studies:
Study
Duration
Key Outcomes
A
6 months
Reduced depression
B
1 year
Increased coping skills
C
2 years
Sustained emotional well-being
These findings suggest that journaling can be a valuable tool in the grief process, but further research is needed to understand its long-term impact fully. Tailoring journaling interventions to individual needs and circumstances is likely to enhance their effectiveness.
Subjective Reports and Objective Assessments
The evaluation of grief journaling often hinges on a balance between subjective reports and objective assessments. Subjective reports provide personal insights into the therapeutic journey, capturing the nuanced emotions and personal growth experienced by individuals. These narratives are rich in detail and offer a deep understanding of the personal impact of journaling.
Objective assessments, on the other hand, aim to quantify the healing process through measurable outcomes. Researchers may use various scales and metrics to assess changes in grief intensity, psychological well-being, and stress levels. The table below presents a simplified view of common metrics used in objective assessments:
Metric
Description
Grief Intensity Scale
Measures the perceived severity of grief symptoms
Psychological Well-being Index
Evaluates overall mental health and happiness
Cortisol Levels
Indicates stress levels through biochemical analysis
While both approaches have their merits, the challenge lies in integrating these diverse data streams to form a comprehensive understanding of the efficacy of grief journaling. Practitioners often emphasize the importance of acceptance and commitment in the healing process, recognizing that grief is a natural response rather than a problem to be fixed.
Challenges in Measuring the Impact of Journaling
Assessing the efficacy of grief journaling presents unique challenges, as the experience of grief is highly individualized and subjective. Quantitative measures may not fully capture the nuanced changes that occur within a person’s emotional landscape. Moreover, the differentiation of normal grief reactions from pathological grief is complex, as highlighted in the literature review titled Clinical and research measures of grief: A reconsideration.
The impact of journaling on grief is not always linear or predictable, making it difficult to establish standardized metrics for success.
Researchers and clinicians often rely on a combination of self-reported data and observable behavioral changes to gauge the benefits of journaling. However, these methods can be influenced by a variety of factors, including the individual’s willingness to engage in the process and the presence of concurrent therapeutic interventions.
Self-reported mood and well-being
Frequency and content of journal entries
Changes in social and occupational functioning
Use of journaling prompts and their therapeutic value
Ultimately, the goal is to respect the personal nature of grief while seeking to understand the broader patterns and effects of journaling as a therapeutic tool.
Future Directions in Grief Journaling Research and Practice
Innovative Journaling Methods and Emerging Technologies
The advent of digital technology has revolutionized the way we approach journaling in the context of grief and bereavement. Emerging technologies offer new platforms and methods for individuals to express and process their emotions. These innovations range from simple web-based applications to more complex virtual reality environments that simulate physical spaces for memorialization.
Web-based journaling platforms provide accessibility and convenience, allowing users to document their grief journey from anywhere.
Virtual reality experiences can create immersive environments for reflection and memory sharing.
Mobile apps with prompts and reminders encourage regular writing habits and emotional processing.
The integration of multimedia elements such as audio recordings and videos has enriched the journaling experience, offering a multi-sensory approach to grief work.
While these technologies present exciting opportunities, it is crucial to evaluate their effectiveness and ensure they are used ethically and sensitively. The personal nature of grief requires that digital journaling tools are designed with privacy and security in mind, to protect the intimate details shared by users.
Training and Resources for Grief Journal Facilitators
The provision of adequate training and resources for grief journal facilitators is paramount to ensure that they are equipped to guide individuals through the complexities of bereavement. Facilitators must be well-versed in the psychological underpinnings of grief and the therapeutic mechanisms of journaling.
Resources for facilitators range from literature on grief processing to multimedia tools that enhance the journaling experience. Below is a list of resources that can be instrumental in training facilitators:
Grief Works: Stories of Life, Death, and Surviving by Julia Samuel, which provides insights from real-life grief counseling scenarios.
Journaling Through: Unleashing the Power of the Pen in Grief Recovery by Sandy Peckinpah, offering prompts and exercises for journaling.
Podcasts such as Terrible, Thanks for Asking and Griefcast, which discuss the human aspects of loss and healing.
It is essential for facilitators to create a safe and supportive environment where grievers can explore their emotions and preserve memories through writing.
In addition to literature and audio resources, online platforms and grief recovery programs offer structured support for both facilitators and those in mourning. These programs often include guided prompts and space for personal reflection, which are critical components of effective grief journaling.
Expanding Access to Journaling as a Bereavement Support
The expansion of journaling as a bereavement support mechanism is crucial in providing a universally accessible tool for those navigating the complexities of grief. Accessibility to journaling resources can significantly enhance the coping strategies of individuals in mourning. A multi-faceted approach is necessary to ensure that journaling aids are available to all who need them, regardless of socioeconomic status or geographic location.
Outreach Programs: Initiatives to introduce journaling in community centers, hospitals, and support groups.
Digital Platforms: Leveraging technology to provide online journaling tools and resources.
Educational Materials: Distributing guides and prompts to facilitate the journaling process.
Training for Professionals: Equipping counselors and therapists with the skills to integrate journaling into their practice.
The present study aimed at exploring the experiences of BNLS bereavement counsellors in providing bereavement support to affected families.
By addressing barriers such as literacy and cultural differences, journaling can be tailored to meet the needs of diverse populations. It is imperative to evaluate the efficacy of these interventions through both qualitative and quantitative measures to continually refine and improve access.
Conclusion
Please also review AIHCP’s Grief Counseling Certification and see if it meets your academic and professional goals.
In conclusion, journaling emerges as a profound tool in navigating the tumultuous journey of grief and bereavement. It offers a private sanctuary for individuals to express their deepest sorrows, fears, and memories without judgment or reservation. The act of writing serves not only as a cathartic release but also as a means to honor and preserve the legacy of lost loved ones. While grief is an intensely personal experience, journaling provides a universal outlet that requires no special skills or prerequisites, making it accessible to anyone in need of solace. As we have explored, the benefits of journaling are manifold, from reducing stress to fostering a sense of gratitude and optimism. It is a testament to the resilience of the human spirit and the healing power of putting pen to paper. Whether used independently or alongside professional counseling, journaling stands as a beacon of hope, guiding the bereaved through the darkness towards a path of recovery and peace.
Please also review AIHCP’s Grief Counseling Certification. Qualified professionals can become certified in grief counseling through AIHCP’s online and independent study program. Certified Grief Counselors can better utilize the important function of grief journaling and help clients find better ways to express and cope with loss.
Frequently Asked Questions
What is grief journaling and how can it help during bereavement?
Grief journaling is a personal writing practice where individuals express their feelings, thoughts, and memories related to loss and bereavement. It provides a safe space to confront and process grief-related emotions, potentially leading to genuine healing.
Do I need to be a skilled writer to start a grief journal?
No, you do not need to be a skilled writer to start grief journaling. Any notebook will do, and the focus is on expressing your thoughts and emotions for your own healing, not for an audience.
Can grief journaling help with losses other than the death of a loved one?
Yes, grief journaling can help with various forms of loss, including job loss, relationship breakups, health issues, or the collapse of a dream. It’s a versatile tool for processing many types of grief.
Are there specific prompts or structures I should follow in grief journaling?
Grief journaling can be both structured with specific prompts and questions or unstructured with free-form reflections. It can be personalized to best suit your needs and preferences.
What are some benefits of grief journaling?
Benefits of grief journaling include stress reduction, emotional regulation, increased gratitude, and the preservation of memories. It can also help in establishing a continuing bond with the deceased.
How can I incorporate memories and keepsakes into my grief journal?
Many grief journals offer spaces for writing stories, adding photos, or including mementos like obituaries. Some may also have pockets to keep physical keepsakes safe.
What should I do if my grief becomes overwhelming while journaling?
If journaling brings up deeply troubling thoughts or memories, it’s important to seek the help of a professional grief counselor to explore these emotions safely.
Can grief journaling be done digitally or with multimedia elements?
Yes, grief journaling can be adapted to digital platforms, allowing for the incorporation of audio, visual, and other multimedia elements, as well as online memorialization.
Additional Resources
Mendoza, M. (2021). “How Journaling Can Help You Grieve”. Psychology Today. Access here
Barkley, S. (2024). “5 Grief Journaling Prompts, Plus Tips on How to Stay Consistent” PsychCentral. Access here
Lancia, G. (2021). “9 Grief Books, Worksheets, & Journal Prompts to Help Clients”. Positive Psychology. Access here
Sutton, J. (2018). “5 Benefits of Journaling for Mental Health”. Positive Psychology. Access here
Whether a licensed clinical counselor or merely a pastoral unlicensed counselor, there are expectations and standards expected from a counselor. One could be counseling as a licensed counselor or as certified Christian Counselor and find the same ethical pitfalls that may potential befall oneself with a client. In a previous blog, we discussed the importance of standards found within the ACA, AACC, or NASW, as examples of how to interact and work with a client as a professional within the field of counseling. In this discussion, we will review an important article from the APA that discusses how to best avoid potential ethical issues with clients.
Counseling Professionals need to adhere to ethical standards but also be aware of the numerous pitfalls that can lead to unwanted ethical dilemmas
We all wish to serve our clients with their best interest at heart. Christian Counselors take it another level with spiritual emphasis and Christian doctrine. They see their clients as spiritual children. Some pastors serve within a clergy-penitent model where they are not merely counseling, but are spiritual mentors and advisors. In these cases, where the ethical waters muddy, as to whether one is pastor or counselor, one must clearly delineate one’s role with the person and clearly define the lines of what type of counseling is occurring. As well as in other cases, when counselors work with state authorities or firms in relationship to working with individuals within their scope with those authorities or firms. One’s role, transparency, and matter of operation with mandates to report, will all fall into one’s role and status within the counseling relationship.
The article, “10 ways practitioners can avoid frequent ethical pitfalls” by Deborah Smith takes a very close look at 10 particular types of pitfalls a counselor can find oneself in with a client if not careful. Smith not only points out these pitfalls, but also directs counselors how to better avoid and protect oneself from them. She states,
“Talk to the ethics experts, and they’ll tell you the best defense against an ethical problems is a good offense. By looking out for foreseeable conflicts and discussing them frankly with colleagues and clients, practitioners can evade the misunderstandings, hurt feelings and sticky situations that lead to hearings before ethics boards, lawsuits, loss of license or professional membership, or even more dire consequences” (Smith, 2023,p 50).
She continues, “When psychologists do end up in ethical quandaries, it’s often because they unwittingly slid too far down a slippery slope–a result of ignorance about their ethical obligations or thinking they could handle a situation that spiraled out of control (Smith, 2023, p. 50)
One problem Smith points out is multiple relationships with the client. Of course, relationships with any client are strictly forbidden, but sometimes other ties can emerge where the counselor and client interact whether at a social scene, or in business, especially in smaller towns. Smith points out that due to the counselor and client relationship, other interactions can be affected due to the counselors perceived sense of power over the client. Hence anything outside the counseling sphere should be in the very least brief and if necessary terminated. This can prevent potential harm or confusing situations that can possibly cause ethical questions or inquiries.
In addition, counselors should not take incoming patients that are family, friends, or associates. This prevents potential bias.
Confidentiality
Another problem pointed out by Smith regards confidentiality issues. Since licensed counselors are mandatory reporters of any crime, it is important for counselors to let clients know the limits of confidentiality at the very beginning within the informed consent form, as well as throughout the session. If a client wishes to confess a secret, it may be best to again warn the client of the limitations of confidentiality. Even, pastors, while protected in most states more so than counselors, have an ethical dilemma as to whether report a crime, or reveal possible harm to the client or others. Unlike the Catholic or Orthodox priesthood, pastors are not held to the strict seal of the confessional, but they still have more flexibility to report things than a priest.
Ensuring that the client understands limits of confidentiality is key to preventing unwanted ethical dilemmas of possible mandatory reporting
In such pastoral settings, this is where the pastor or priest guides the person to the proper conclusion of reporting oneself, or turning oneself in. In the case of a crime, a pastor can encourage oneself to report oneself to the authorities and accept the consequences as a price of their sin, or if the person is a victim of abuse, help the person find the safety from the authorities that is needed. While the issue of fidelity and trust is key, protecting the person and measuring trust versus harm is key. Again, simply by reminding one the limits of confidentiality is key throughout any session. It can show the veracity of oneself to the client but also the intent for the overall good of not only the client but others involved. In the more severe case of the priesthood, where counseling is not occurring but instead the Seal of Confession, the priest has the unique position to incur a penance that forces one to turn oneself in if one wishes to receive absolution and can also in the most indirect ways, without names, warn others of possible harm.
Whenever, crimes such as abuse either inflicted by the client or received by the client can create an uneasy balance between confidentiality and mandated reporting. Again, why it is important to remind individuals of the limitations of confidentiality.
In addition, Smith reminds counselors to store confidential records in the most secure locations, whether they are electronic or written and to fully understand the laws surrounding any possible surrender of these records regarding criminal or civil cases. Smith also encourages counselors to properly document everything. This means keeping good records and fulfilling all paper work regarding. This involves properly covering informed consent, patient history documents, dates of service and fees and any diagnostic impressions, relevant phone calls, or follow up efforts if a patient or client discontinues to attend sessions or accept calls.
Competency
Smith also discusses the importance of never taking on a client in a field that a counselor is not comfortable with in regards to practice or expertise. It is unethical to counsel someone in grief if a person does not possess the knowledge in grief to properly help. Hence, competence within the field requires the proper academic and professional training in that area to properly help the client. It is critical that certified non clinical counselors never treat patients with mental pathology or falsely misrepresent themselves as licensed counselors or attempt to counsel beyond their academic and legal abilities.
Whether grief or Christian counseling, one should understand their limitations and competency if not a licensed professional counselor
In addition, many professionals, who possess the proper degrees and licensures, also keep their competency through continuing education or certifications. AIHCP offers a wide variety of mental health certifications in Grief Counseling as well as Christian Counseling.
Another issue of competency would be the situation if a counselor or social worker aided in a case of child custody without enough knowledge about the legal system, court system, or the inner dynamics of the family. It is important for those who are called to counsel, or offer expert opinion to answer questions one is only competent in. The attempt to create a false image of genius when competency in the subject is not there is a huge pitfall.
For those with competency in the subject, avoiding bias is key in anything, especially in court cases. This involves a comprehensive understanding of all dynamics that is not based on third party assessments. Furthermore, any assessment needs to be completely thorough as well as based on scientific based methods. Also, it is important to discuss any limitations one may have when counseling or discussing a case in court. Transparency and honesty in any assessment is key.
Abandonment or Termination?
Finally, Smith points out that counselors need to understand the proper differences between abandonment and termination in practice. Abandonment is completely unethical and involves abruptly ending all treatment without prior notice. If a counselor for ethical purposes, or competency, feels he or she can no longer properly help the individual, this should be discussed in detail with the client. The client should also have input and the two should find common ground in when the last meeting will take place, including any needed follow up, as well as alternative sources for therapy with other more qualified professionals. It can also be beneficial to lay out terms of termination prior to counseling so the client understands whether treatment is short term or long term. This can lay groundwork for any possible issues or false expectations by the client.
Conclusion
Counseling is meant to cause no harm, but ethical situations can come into play that can potentially cause harm. By adhering to standards and following protocol, one can better protect oneself and also protect one’s client from unintended harm. Understanding the counseling system and its ethics and laws, can help the counselor better treat and counsel the client without causing any confusing situations or ethical dilemmas. It is key to know one’s counseling role and how one is operating as well. Is one counseling within a licensed clinical framework or pastoral sense? These are key questions and important issues to identify that play large roles in confidentiality and competency within their legal and academic abilities.
Counselors are called to a high standard of ethics. Please review AIHCP’s Mental Health Counseling Certifications
Please also review AIHCP’s Mental Health Certification Programs. The programs include topics such as grief counseling, anger management, crisis intervention, Christian or spiritual counseling, stress management, EFT, and Meditation. The programs are online and independent study and open to qualified professionals seeking a four year certification. Some professionals may be licensed while others may be looking into these fields as a non licensed professional but still possess the necessary academic or professional backgrounds.
Reference
Smith, D. (2003). “10 ways practitioners can avoid frequent ethical pitfalls”, Monitor on Psychology 34(1). Access here
Additional Resources
“Counseling Ethics Code: 10 Common Ethical Issues & Studies” Smith, W. (2021). Positive Psychology. Access here
“Ethical Dilemmas in Counseling”. Nemko, M. (2019). Psychology Today. Access here
Exploring the Mind: Understanding the Phenomenon of Dissociation
Dissociation is a complex psychological phenomenon that involves a disconnection from reality, often as a coping mechanism for overwhelming stress or trauma. This article explores the various aspects of dissociation, including its impact on the mind-body connection, spiritual awakening, and healing. By delving into the spiritual aspect of dissociation and its linkages to personal growth, we aim to gain a deeper understanding of this intriguing phenomenon.
Key Takeaways
Dissociation is a mental response to triggers of past trauma. It reacts as a self defense mechanism but can be dangerous and cause injury if in public.
Dissociation is a coping mechanism for overwhelming stress or trauma, leading to disconnection from reality.
Dissociation can act as a catalyst for spiritual awakening, prompting individuals to question their reality and seek answers beyond the physical world.
Dissociation can create an opportunity for individuals to release past traumas and access a deeper sense of self.
There is a complex and intricate link between dissociation and spiritual insights, leading to personal growth and transformation.
Understanding Dissociation
What Is Dissociation?
Dissociation is a psychological coping mechanism that activates when an individual is faced with overwhelming stress or trauma. It represents a disconnection from reality, often resulting in disruptions to memory, emotions, and identity.
Common symptoms of dissociation include:
Feeling as though one is in a trance or daydream
Memory loss or difficulty with recall
A sense of detachment from oneself or the environment
Emotional numbness or being overwhelmed
Loss of control over emotions
Sensory disconnection, such as impaired touch or vision
Dissociation serves as a protective barrier, allowing individuals to distance themselves from distressing experiences. While it can be a temporary refuge, persistent dissociative states may require professional intervention to address underlying issues and restore a sense of reality.
Grounding Oneself
One who experiences dissociation may sometimes try to calm oneself due to the manifested trigger. There are multiple ways one can seek grounding techniques to keep oneself from dissociating from reality. Part of grounding can include touching something in the present moment, such as the soft side of a chair, or rubbing one’s feet against the carpet. This type of physical grounding is only one strategy, others also include mental grounding where one utilizes mentally stimulating thoughts such as counting, recalling memories, or other visual affects. Emotional grounding can also be employed with breathing exercises.
It is important to try to ground oneself when dissociation occurs. While it can help one deal with triggers, it can be very dangerous if in an active area. One could fall or hurt, or cause an accident.
It is sometimes extremely important to be able to ground oneself because sometimes if one dissociates, one can harm oneself or others due to lack of attention to driving, or moving around in public. This can lead to accidents, falling, or injuring oneself.
If experiencing these types of issues, contact a mental health professional.
Manifestation of Dissociation
Dissociation is a complex phenomenon that presents itself in various forms, often as a psychological defense mechanism in response to trauma. Symptoms can range from mild detachment to severe disconnection from reality, impacting an individual’s daily functioning and sense of self.
Feeling as though one is in a trance or daydream
Experiencing memory loss or difficulty with recall
Sensing a detachment from oneself or surroundings
Encountering overwhelming emotions or emotional numbness
Challenges in controlling emotions
Disconnection from sensory experiences, such as touch or sight
Dissociation serves as a coping strategy, allowing individuals to distance themselves from extreme stress or traumatic events. This disconnection can be both protective and disruptive, altering one’s perception of reality and interaction with the world.
While the manifestations of dissociation are diverse, they often signal an underlying need for healing and support. Recognizing these signs is the first step towards understanding and addressing the root causes of dissociative experiences.
In addition, the manifestation of this state can lead to isolation, addictions and other ways to help cope with it. It is important to recognize it and seek counseling and help to prevent it from possibly harming oneself.
Types of Dissociative States
Dissociative states are complex phenomena that can be categorized into three primary types: depersonalization, derealization, and dissociative amnesia. Depersonalization involves a sense of detachment from oneself, often described as feeling like an outside observer of one’s own body or thoughts. Derealization is characterized by a feeling of unreality or detachment from the environment, making the world seem foggy or dreamlike. Lastly, dissociative amnesia pertains to gaps in memory for personal information, sometimes specific to traumatic events.
Depersonalization: Detachment from self
Derealization: Detachment from environment
Dissociative Amnesia: Memory gaps
Each type of dissociative state represents a unique way in which the mind copes with stress or trauma. While they can be unsettling, understanding these states is crucial for effective treatment and personal growth.
It’s important to recognize that these states can occur independently or concurrently, and their manifestation can vary greatly among individuals. The experience of dissociation can be transient or part of a more chronic condition, such as dissociative identity disorder. Identifying the type of dissociative state is a critical step in addressing the underlying issues and moving towards healing.
Dissociative states can include according to the DSM-5 various levels of severity. It can include an amnesia state that is simple to complex, a de-attachment state from self or environment or multiple personalities in its most severe form.
Dissociation and the Mind-Body Connection
Impact on Consciousness
Dissociation profoundly affects the landscape of consciousness, often leading to a disruption in the normal integration of thoughts, feelings, and experiences. The alteration in consciousness can range from mild detachment to a more severe disconnection from reality.
The default mode network, often associated with self-referential thoughts, is impacted during dissociative states.
Studies using fMRI have shown changes in the prefrontal parietal network, which is crucial for attention and working memory.
Consciousness supporting networks, including the anterior and posterior cortex, exhibit distinct patterns during dissociative episodes.
Dissociation challenges our understanding of consciousness, revealing the intricate workings of the mind and the delicate balance that sustains our sense of self and reality.
The neural correlates of consciousness, such as the default mode network and the prefrontal parietal network, are key areas of study to unravel the mysteries of dissociation. By examining the changes in these networks, researchers can gain insights into the mechanisms that underlie altered states of consciousness.
Spiritual Awakening
Spiritual awakening is often described as a profound shift in consciousness, where one experiences a deep connection with the essence of being and a recognition of a more expansive reality. It is a transformative journey that can lead to a profound understanding of oneself and the universe.
A shift in one’s perspective on life
Detachment from material possessions and ego
Increased compassion and empathy towards others
A feeling of oneness with the universe
A deepened sense of intuition and spiritual connection
While the path to spiritual awakening can be enlightening, it may also bring about challenges such as feelings of alienation or difficulty integrating experiences into everyday life. Nonetheless, the journey is often seen as a pivotal moment in personal growth and self-discovery.
The process of awakening can be spontaneous or induced by practices like meditation. It is marked by a series of internal changes:
A reevaluation of personal values and beliefs
An enhanced awareness of life’s interconnectedness
A pursuit of deeper meaning and purpose beyond the self
Link to Personal Growth
The concept of dissociation, often perceived as a detachment from reality, can paradoxically serve as a bridge to personal growth. Dissociation provides a unique space for reflection and self-exploration, allowing individuals to step back from the immediacy of their experiences and view their lives from a new perspective. This detachment can lead to a deeper understanding of one’s self and the challenges faced, fostering a sense of competence and efficacy.
In the realm of personal development, dissociation can be a catalyst for change, offering an opportunity to reassess one’s goals and values without the interference of external pressures.
The process of personal growth through dissociation can be outlined in the following steps:
Recognizing the occurrence of dissociative states.
Understanding the triggers and underlying emotions.
Utilizing the reflective space provided by dissociation to gain insights.
Integrating these insights into daily life to foster resilience and adaptability.
This transformative journey can lead to an increase in intrinsic motivation, self-directed learning, and ultimately, a more profound sense of self-realization.
Healing and Transformation
Releasing Past Traumas
Dissociation can awaken us to deeper issues that are not healed. Please also review AIHCP’s Mental Health Certifications for qualified professionals
Dissociation offers a unique pathway for individuals to confront and release past traumas, paving the way to rediscover a more authentic self. This process often involves delving into the unconscious mind, where unresolved emotions and memories reside. By accessing these hidden parts of the psyche, one can begin the journey of healing and transformation.
Dissociation can serve as a bridge to personal growth, allowing for a re-examination of beliefs and identity. It is in this introspective space that many find the strength to let go of the pain that has held them back.
To facilitate this healing, certain practices can be adopted:
Breathwork: Engage in breathing exercises to help regulate emotions and achieve a sense of calm.
Creative expression: Utilize art, music, or writing as outlets for emotional release and self-discovery.
Mindfulness: Practice being present in the moment to reconnect with oneself and the environment.
While the journey through dissociation can be disorienting, it ultimately can lead to a profound spiritual awakening and a renewed search for meaning and purpose in life.
Accessing Deeper Self
In the journey of healing and transformation, dissociation can serve as a gateway to accessing deeper levels of the self. This process often involves delving into the unconscious mind, where dormant emotions and memories reside. By confronting and releasing these suppressed elements, individuals may experience a profound shift in their sense of identity and consciousness.
Exploration of beliefs and identity questioning
Release of past traumas
Unlocking of unconscious pathways
Potential for spiritual awakening
The act of accessing one’s deeper self is not just about self-discovery; it’s about reconstructing the very fabric of one’s being from the inside out.
As individuals navigate through this transformative phase, they may find themselves on the precipice of a spiritual awakening. The sense of emptiness that once pervaded their existence begins to fill with a newfound purpose and connection to something greater. This spiritual dimension adds a rich layer to the healing process, offering a sense of wholeness that transcends the individual experience.
Treatment
While coping involves grounding exercises, the best way to overcome and limit the dissociation is facing the trauma and understanding the triggers. Treatments include medications such as anti-psychotics, anxiety reducing medications, anti depressants and sleep aids. Counseling can also help. Individuals can go through cognitive behavioral therapy to better understand and react to the issue when it occurs. One can also better learn to manage emotional reactions to triggers. EDMR can also help de-sensitive individuals to the triggers by discussing and visualizing them in a safe place with a trained mental health professional.
Conclusion
In conclusion, the phenomenon of dissociation is a complex and multifaceted coping mechanism that the brain initiates in response to overwhelming stress or trauma. It manifests in various forms, affecting memory, emotions, and identity. The three types of dissociative states, depersonalization, derealization, and dissociative amnesia, present unique challenges for individuals experiencing dissociation. Additionally, dissociation may trigger spiritual awakening, leading individuals to question their reality and seek answers beyond the physical world. This exploration of dissociation and its potential connection to spiritual awakening provides valuable insights into the intricate workings of the human mind and the profound impact of coping mechanisms on personal growth and transformation. It is also important to understand ways to cope with it but also treat it to prevent serious injury or further pathological onset. While it can help us identify past trauma, it must also be identified and worked on to prevent further issues.
Please also review AIHCP’s Mental Health Certifications for qualified professionals.
Please also review AIHCP’s Grief Counseling, Crisis Intervention and other mental health certification programs. Licensed professional counselors or human service professionals can enhance their professional expertise with AIHCP’s certifications. The programs are online and independent study and open to qualified professionals.
Frequently Asked Questions
What is dissociation and how does it manifest?
Dissociation refers to a coping mechanism that the brain initiates when dealing with overwhelming stress or anxiety, leading to disconnection from reality. It can manifest in various forms, such as problems with memory, emotions, and identity.
What are the types of dissociative states?
There are three types of dissociative states, including depersonalization, derealization, and dissociative amnesia. Depersonalization: A person feels disconnected from themselves, as if they are watching themselves from a distance.
How does dissociation impact consciousness?
Dissociation causes a split between an individual’s mind and body. In a dissociative episode, an individual might feel like they are watching themselves from a distance, leading to a sense of detachment from their surroundings.
Is dissociation linked to spiritual awakening?
Yes, dissociation can act as a catalyst for spiritual awakening, prompting individuals to question their reality and seek answers that extend beyond the physical world.
How can dissociation lead to personal growth?
Dissociation can create an opportunity for individuals to explore their beliefs and question their identity. This self-reflection can lead to a spiritual awakening as the individual begins to search for meaning and purpose.
What is the relationship between dissociation and reality?
Dissociation is often a response to traumatic experiences, leading individuals to disconnect from reality as a coping mechanism. It can be characterized by feelings of being detached or disoriented and can lead to conditions like dissociative identity disorder.
How can spiritual insights help heal trauma-induced dissociation?
Spiritual insights can broaden one’s consciousness and deepen one’s understanding of life’s interconnectedness, potentially aiding in the healing of trauma-induced dissociation.
What are ways to practice spiritual growth while dissociating?
Embracing spiritual awakening, seeking meaning and purpose, and accessing deeper levels of consciousness are ways to practice spiritual growth while dissociating.
Additional Resources
“How to Stop Dissociating | 17 Grounding & Coping Strategies”. Access here
“What Happens When You Dissociate?”. Pugle, M. (2023). Very Well Health. Access here
Neurotransmitters play a crucial role in mental health, impacting mood, cognitive function, and overall well-being. Imbalances in neurotransmitters can lead to mental health disorders, including depression, anxiety, and schizophrenia. Understanding the modulation of neurotransmitters in psychiatric treatment is essential for addressing mental health challenges. This article explores the impact of neurotransmitters on mental health and the implications for treatment and well-being.
Neurotransmitters play a key role in our mental health in regards to depression and anxiety.
Imbalances in dopamine and serotonin levels can lead to mood disorders such as depression and anxiety.
Positive mental health practices, such as mindfulness and stress management, have neuroprotective effects through neurotransmitter release.
Resilience and mental health are closely linked to the brain’s ability to adapt and recover from challenges, influenced by neuroplasticity and neurotransmitter activity.
Antidepressants impact neurotransmitters like serotonin, norepinephrine, and dopamine, encouraging neuroplasticity and mood improvement.
Neurotransmitters and Their Role in Mental Health
Understanding Neurotransmitters
Neurotransmitters are chemical messengers in the brain responsible for transmitting signals between nerve cells. These chemical messengers play a crucial role in influencing various functions, including mood, motivation, and emotional responses. Two important neurotransmitters, dopamine and serotonin, are known to increase the chances of happiness and a sense of well-being. They enable communication between brain cells, affecting the overall mental state. In the context of mental health, understanding the role of neurotransmitters is essential for developing effective treatment strategies and improving overall well-being.
The Impact of Neurotransmitters on Mood Regulation
Neurotransmitters such as serotonin (5-HT), dopamine (DA), and noradrenalin (NE) play a crucial role in mood regulation, motivation, and emotional stability. Imbalances in the production of these neurotransmitters can lead to mood disorders, including depression and anxiety. When serotonin and dopamine levels are well-balanced, individuals are more likely to experience emotional stability, happiness, and satisfaction in their daily lives. However, low levels of dopamine can result in a lack of motivation, pleasure, and feelings of reward, while low serotonin levels can impact mood and emotional well-being. Understanding the dominance and deficit of neurotransmitters in the body is essential for maintaining overall health and well-being.
Neurotransmitters and Cognitive Function
Neurotransmitters play a crucial role in cognitive function, impacting memory, learning, and decision-making processes. The table below provides a summary of the cognitive functions influenced by key neurotransmitters:
Neurotransmitter
Cognitive Function
Acetylcholine
Memory and learning
Serotonin
Mood regulation
Dopamine
Reward processing
Understanding the intricate relationship between neurotransmitters and cognitive function is essential for comprehending the complexities of mental health and neurological disorders. It is imperative to acknowledge the multifaceted nature of neurotransmitter activity and its profound impact on cognitive processes.
Neurotransmitter Imbalance and Mental Health Disorders
The Link Between Neurotransmitter Imbalance and Depression
Recent research indicates that the disordered metabolism of neurotransmitters plays a significant role in the pathophysiological process of depression. Studies have specifically shown that three neurotransmitters – serotonin (5-HT), dopamine (DA), and noradrenalin (NE) – have a significant impact on the brain circuits involved in motivation, emotion regulation, cognitive performance, and psychological stress responses of Major Depressive Disorder (MDD). Dysfunction of neurotransmitter metabolism is associated with the severity of depression in first-diagnosed, drug-naïve depressed patients. It is reasonable to deduce that 5-HT dysregulation exists in the onset of MDD, while DA and NE are also abnormal. Additionally, research has discovered that the imbalance of tryptophan (TRP) metabolism is often present in patients with MDD.
Neurotransmitter Imbalance in Anxiety Disorders
Neurotransmitter imbalance in anxiety disorders is a complex phenomenon that involves the dysregulation of key neurotransmitters such as serotonin, dopamine, and norepinephrine. These neurotransmitters play a crucial role in modulating mood, emotional responses, and the body’s stress response system. The imbalance of these neurotransmitters can lead to heightened anxiety, panic attacks, and other symptoms associated with anxiety disorders.
To illustrate the impact of neurotransmitter imbalance in anxiety disorders, the following table presents the quantitative data on neurotransmitter levels in individuals with anxiety disorders compared to healthy individuals:
Neurotransmitter
Anxiety Disorder
Healthy Individuals
Serotonin
Decreased
Normal
Dopamine
Fluctuating
Stable
Norepinephrine
Elevated
Normal
It is important to note that neurotransmitter imbalance in anxiety disorders is a multifaceted issue that requires comprehensive assessment and personalized treatment approaches. Individuals with anxiety disorders may benefit from a combination of pharmacological interventions, psychotherapy, and lifestyle modifications to address the underlying neurotransmitter dysregulation.
Neurotransmitter modulation in anxiety disorders is a dynamic area of research, and ongoing studies are exploring novel therapeutic strategies to restore neurotransmitter balance and alleviate symptoms.
Neurotransmitter Dysfunction in Schizophrenia
Dysfunction of neurotransmitter metabolism is a critical factor in the severity of schizophrenia. The imbalance in the glutamine-glutamate-GABA cycle has been linked to elevated plasma γ-aminobutyrate/glutamate ratio, which may influence responses to antipsychotic treatment. This suggests a potential association between neurotransmitter dysfunction and the management of schizophrenia. Further research is needed to explore the implications of neurotransmitter imbalance in the pathophysiology of schizophrenia and its potential for targeted treatment strategies.
Neurotransmitter Modulation in Psychiatric Treatment
Pharmacological Modulation of Neurotransmitter Activity
Balance of certain amounts of levels of neurotransmitters are key to emotional and mental wellbeing
The pharmacological modulation of neurotransmitter activity plays a crucial role in psychiatric treatment. It involves the targeted manipulation of neurotransmitter levels to achieve therapeutic effects while minimizing side effects. This modulation is often achieved through the use of pharmacological agents that interact with specific neurotransmitter receptors and pathways.
In addition, recent studies have focused on the quantification of tryptophan metabolites and neurotransmitters in the serum and brain of mice using LC-MS/MS-based techniques. These studies have provided valuable insights into the quantitative aspects of neurotransmitter activity and its potential implications for psychiatric treatment.
Furthermore, while direct measurement of neurotransmitter levels in the living brain is technically impractical and unethical, there is growing evidence supporting the synchronization of peripheral neurotransmitter levels with brain tissues or CSF levels. This synchronization has opened new avenues for exploring the mechanisms of mental health disorders, particularly in relation to neurotransmitter imbalances.
Neurotransmitter-Based Therapies for Mental Health Disorders
Neurotransmitter-based therapies for mental health disorders focus on restoring the balance of neurotransmitters in the brain to alleviate symptoms of various mental health conditions. These therapies often involve the use of pharmacological agents to target specific neurotransmitter systems and regulate their activity. Additionally, lifestyle modifications such as exercise, diet, and stress management are recommended to support the effectiveness of neurotransmitter-based therapies.
Pharmacological agents target specific neurotransmitter systems
Lifestyle modifications support the effectiveness of therapies
It is important to emphasize the holistic approach to mental health treatment, integrating both pharmacological and lifestyle interventions to address neurotransmitter imbalances effectively.
Challenges in Targeting Neurotransmitters for Treatment
The challenges in targeting neurotransmitters for treatment are multifaceted and complex. Precise modulation of neurotransmitter activity in the brain is a significant hurdle, as direct measurement of neurotransmitter levels in the living brain is technically impractical and unethical. However, there is increasing evidence supporting the synchronization of peripheral neurotransmitter levels with the brain tissues or CSF level. This presents an opportunity for indirect assessment and modulation of neurotransmitter activity.
To address these challenges, researchers have explored the role of neurotransmitters and their metabolites in mental health disorders, particularly Major Depressive Disorder (MDD). A preliminary investigation was conducted to assess the feasibility of using neurotransmitters as a tool for anticipating MDD, highlighting the potential clinical applications of this research.
In a cross-sectional study, 87 first-diagnosed, drug-naïve patients with depression and 50 healthy controls were included. The study focused on the levels and turnovers of various neurotransmitters, including glutamine, glutamic acid, GABA, kainate, VMA, MHPG, NE, HVA, and dihydroxy-phenyl acetic acid. This quantitative approach aimed to establish a link between neurotransmitters and MDD, paving the way for objective laboratory prediction of neurotransmitter involvement in MDD.
Neurotransmitter modulation plays a crucial role in psychiatric treatment, influencing mood, behavior, and mental health. Understanding the impact of neurotransmitters such as serotonin, dopamine, and norepinephrine is essential in developing effective treatment strategies for various psychiatric disorders. At the American Academy of Grief Counseling, we recognize the significance of neurotransmitter modulation in addressing grief-related mental health challenges. Our grief counseling certification programs provide comprehensive education on the intersection of neurotransmitter function and psychiatric treatment, empowering counselors to offer holistic support to individuals coping with grief and loss. Connect with us to explore our certified grief counselor courses and continuing education opportunities.
Conclusion
In conclusion, the impact of neurotransmitters on mental health is profound and multifaceted. Understanding the role of neurotransmitters is crucial for improving both mental and physical health, as they impact sleep, anxiety, concentration, and overall well-being. Imbalances in neurotransmitters like dopamine, norepinephrine, and adrenaline can affect mental abilities, mood, and the ability to react sensibly to aggression. Additionally, neurotransmitters like acetylcholine and serotonin not only affect the brain but also have a direct impact on the body, including memory, cognition, body movement, and bowel movement. Restoring and maintaining a healthy gut can have a significant impact on overall health, including reducing symptoms of depression and improving the functioning of the nervous system. Understanding the dominance and deficit of neurotransmitters in our bodies can have a significant impact on our overall health and well-being.
Please also review AIHCP’s mental health certifications and see if they meet your academic and professional goals
Please also review AIHCP’s Mental Health Certifications. The programs range from Grief Counseling to Stress Management to Crisis Intervention to Anger Management. There are multiple other topics that many licensed counselors, social workers, pastoral care givers would find useful in their work. The programs are online and independent study. Please review
Frequently Asked Questions
What are neurotransmitters and how do they impact mental health?
Neurotransmitters are chemical messengers in the brain that play a crucial role in regulating mood, motivation, and overall well-being. Imbalances in neurotransmitters can lead to mood disorders such as depression and anxiety.
Which neurotransmitters are associated with mental health disorders?
Dopamine and serotonin are two essential neurotransmitters associated with mental health disorders. Imbalances in their production can lead to mood disorders such as depression and anxiety.
How do neurotransmitters impact cognitive function?
Neurotransmitters like acetylcholine and serotonin not only affect the brain but also have a direct impact on cognitive function, memory, body movement, and bowel movement.
What is the link between neurotransmitter imbalance and depression?
Neurotransmitter imbalances, particularly low levels of dopamine and serotonin, are associated with depression. Low levels of these neurotransmitters can lead to a lack of motivation, pleasure, and feelings of reward.
How do antidepressants impact neurotransmitters?
Antidepressants adjust how the brain uses certain neurotransmitters, such as serotonin, norepinephrine, and sometimes dopamine, to improve mood and behavior. They can also encourage a process called neuroplasticity, which allows the brain to change its structure.
What role does neuroplasticity play in mental health?
Neuroplasticity, the brain’s capacity to reorganize itself, plays a pivotal role in resilience and the brain’s ability to adapt and recover from challenges. It allows the brain to change its structure by strengthening or weakening connections between neurons.
Can restoring and maintaining a healthy gut impact mental health?
Restoring and maintaining a healthy gut can have a significant impact on overall mental health, including reducing symptoms of depression and improving the functioning of the nervous system.
What challenges exist in targeting neurotransmitters for treatment?
Challenges in targeting neurotransmitters for treatment include the complexity of the brain’s chemical balance, individual variations in neurotransmitter levels, and the potential for side effects from pharmacological modulation.
Meta Description
Explore the impact of neurotransmitters on mental health, from their role in mood regulation and cognitive function to their link with mental health disorders and psychiatric treatment. Understand the neurobiology of resilience and the role of neurotransmitters in brain health.
Additional Resources
“Neurotransmitters”, Cleveland Clinic. (2022). Access here
“What Are Neurotransmitters?”. Cherry, K. (2023). Very Well Mind. Access here
“What are neurotransmitters?”. Berry, Jennifer. (2024). Medical News Today. Access here
“Neurotransmitters and Mental Health: Understanding the Impact”. Khaliq, R. (2023). Med Vidi. Access here
This is required reading for students taking SC 570 or GC 400.
The norms of ethics to any particular field helps maintain a standard of quality that is expected from certain professionals within a certain field. It guides them in situations of doubt, directs them in proper procedure, and protects them and the client from unintended harm. Dating back to the Hippocratic Oath, the idea to do no harm to those one helps is the cornerstone and foundation of all professional ethics.
Ethics in Counseling
It was not until modern era that ethics began to take a more codified form for professionals. Thomas Percival due to poor performance in his own medical facility created the standard and blue print for modern medical ethics. Other professional careers, including, mental health, counseling and anything within human services soon followed with their own standards. The American Counseling Association (ACA), the American Association for Marriage and Family Therapists (AAMFT), the National Association for Social Workers (NASW), the National Organization of Human Services (NOHS) and the American Association of Christian Counselors (AACC) all have developed mission statements and standards and guidelines for professionals to adhere to. These standards are usually divided into areas of care to the patient, the profession, other colleagues, students, payment policies and publications. It is important if entering into the counseling field to read through these and understand the ethics one must adhere to.
Counseling involves trust and many ethical standards from various associations ensure the integrity and quality of counseling. All counselors should review the various ethical standards found in ACA or other associations
Bear in mind, some counselors are pastoral and others are clinical. Different states assign different titles to licensure. In counseling, the most common is Licensed Professional Counselor or LPC. Other variations can include Licensed Mental Health Counselor (LMHC) or Licensed Clinical Professional Counselor (LCPC). Most states require a graduate degree in counseling and a passing of the state board exam to become fully licensed. Paraprofessionals are unlicensed counselors can work under licensed counselors or within a care facility but there are not able to independently operate. As for pastoral counselors such as ministers or lay apostolates, these individuals are permitted to operate due to separation of church and state but are restricted beyond the realm of guidance. Treatment and pathology are alone reserved for licensed professionals in social work, counseling, and psychiatry. Whether a counselor, social worker or a psychologist, only a healthcare professional such a psychiatrist, medical doctor, or Nurse Practitioner can prescribe medications. This is why many mental health facilities have the proper prescribers available on staff.
If a pastoral counselor with only a certification from AIHCP in Grief Counseling or Christian Counseling, one must ethically adhere to proper identification. The term “counselor” can be very misleading because it is so generic and widely used. Individuals use the term in everyday breath but there is a huge difference between clinical professional counselors and pastoral counselors. Pastoral counselors operating as grief counselors or Christian counselors can help guide but never treat pathology. They also cannot mislead clients into thinking they are licensed. This needs to be understood and articulated upon the first day. What one can do and not do needs to be clearly articulated to and understood by the client. As for licensed professionals who receive certifications from AIHCP, this is clearly not an issue.
Some counselors are licensed and others are not. It is important to properly identify your credentials and operate within your legal boundaries
In Denise Daniel, short but concise book “Counseling Principles and Christian Beliefs: An Integrated Approach”, she lays out some important concepts not just for Christian Counselors but also any type of licensed or non-licensed counselors. She first points out the importance of identity and what counselors are or not and what are their limitations as licensed or not licensed or the expertise they possess. Second, she points out what is the role of the particular counselor. She emphasizes that most counselors, according to ACA, look to create a professional relationship that empowers and strengthens diverse families and groups to better achieve mental health, wellness, education and career goals. The aim is more centered around wellness and prevention (Daniel, 2020, p. 3). The final third point is integration and how one’s own biases, beliefs and codes of behavior come into play as a counselor. Fortunately, ethical codes point out numerous guide posts for professionals in where and how to integrate themselves with patient care.
According to Daniel, the ACA lays out some core principles. Among the key themes she addressing in her book are patient autonomy, non-maleficence, beneficence, justice, fidelity and veracity (2020, p. 5). Before we review some of the key ethical guidelines, it is important to look at some of these themes and how they apply to licensed counselors but also pastoral counselors, and in some cases, Christian Counselors. Bear in mind, whether grief counselor, licensed or non-licensed, these themes apply to all in the counseling fields.
Important Themes in the Counseling Relationship
Autonomy refers to allowing the patient to be free to make choices in their overall health and life. A counselor needs to respect the choices of a client whether approval or disapproval occurs. For Christian Counselors, this may seem contrary to the goal. There are certain moral precepts that must be obeyed but in a relationship, one must exercise patience. Scripture points out that God gave Adam and Eve free will. He respected autonomy and choices. Again in the parable of the Prodigal Son, the father, permits the autonomy of his son to make poor choices but still never gives up hope that he would one day return.
Non-maleficence refers to doing no harm. Counselors, whether they want it or not, hold all the power in the relationship and they must be very careful in not allowing that power to become corrupted. This can happen very easily because the client is in distress and looking for guidance. A counselor can influence and exploit a client very easily hence numerous standards exist to balance this relationship. The goal of counseling is to heal not harm.
Beneficence refers to promoting only good for the client. It involves helping the client with the best possible and verified studies and knowledge on the subject. It involves looking out for the best of the client and guiding them to their ultimate best end.
Justice refers to fairness to all clients and ensuring equality to the numerous diverse groups one serves. It also involves understanding social justice and promoting justice for those who are persecuted.
Fidelity refers to faithfulness to the client. It involves never betraying them, keeping things confidential and not abandoning them. It means working through the most difficult things and not giving up on them.
Finally, veracity refers to honesty. Trust and honesty is the foundational rock of all relationships. Without honesty, one cannot communicate facts, one cannot share realities, and one cannot heal and grow. Honesty also involves the counselor’s assessments, promises, and outlooks. Even when difficult situations arise, honesty with respect is expected in a counseling relationship.
Important Ethical Codes
There are a variety of critical ethical codes that are all found within the various associations that mirror and reflect the themes above but also dictate more detailed situations.
For instance, in the ACA code of conduct A.4.b., it is clearly emphasized that an individual should never impose one’s own beliefs on another and to respect the diversity of the client. The idea of discrimination against other faiths, cultures, sexualities or values can come into play easily. This is why the AAMFT’s code 1.1 deals directly with this type of discrimination. One is not to discriminate against others based on these types of differences. The AACC has a slightly different tilt on the issue since the type of counseling itself is Biblical and certain life styles or actions are contrary to the type of counseling being sought. This however does not present a green light for the Christian Counselor to impose own personal beliefs. AACC’s code 1-340-a reminds the Christian Counselor that one is still to respect the autonomy and decision making process of the client. Again, 1-530 dictates that the Christian Counselor respect other faith beliefs and only disclose upon request and only if it benefits the client. Daniels proposes a term referred to as “bracketing” where professional opinions are laid aside and avoiding the triggering of one’s own personal views (Daniels, D., 2020. p.4). Please also see ACA’s A.2.c. Developmental and Cultural Sensitivity standard.
In all counseling, it is important to keep the counselor’s personal beliefs removed from the story. In Christian Counseling, while religious values are shared, the personal bias of the counselor must still respect the autonomy of the client, as well as never abandon the client due to immoral choice or life style
Common to this ideal of bias and discrimination fuels the idea of abandonment. Counselors may feel the temptation to dismiss a client who will not listen, fulfill promises, or follow a certain value system. This unethical practice is condemned in all guidelines. The ACA guideline A.12. stipulates that counselors never quit seeing their clients without proper continuation of treatment through themselves or through others. The AAMFT guideline 1.11 shares the same view that no client is to be abandoned and not seen without reasonable arrangements for continued treatment. The AACC in its rule 1-640-a shares with all other human service entities that a client is not to abruptly abandoned and that treatments are to continue until other options are available.
Another important theme is referral. Many times, certain counselors may become overwhelmed with a particular issue beyond their standard of care. This can especially happen with paraprofessionals or unlicensed counselors who are merely pastoral. Many fall under this venue. This does not mean they do not offer a qualify service but due to knowledge or professional and legal limitations, a referral is sometimes necessary. The ACA guideline A.11.a stipulates that a client that is beyond their skill level or competency should be referred to another professional. In the AAMFT guideline 1.10 also states that professionals may refer clients to others professionals when they are unable to help. Again, in the AACC guideline, Christian Counselors 1-240-d, it is stipulated that Christian Counselors should not refer merely based on faith based issues but when situations grow beyond their skill level, they can refer to more capable authorities.
Relationships can also become toxic. Due to the imbalance of power between in the counselor-client relationship, abuses of power can occur. Within the guidelines in all associations are clear cut warning regarding exploitation. Sexual relationships are condemned in the most strict sense. It is not uncommon for a vulnerable person sometimes to develop feelings for a counselor and it is important for the counselor to correct and document these advances. Counselors are also ethically restricted from working with past romances, family, or close friends. The bias can be strong in these cases in helping the individual. Counselors also need to keep a distance in cases of friendship. The relationship is not one of friendship in the social meaning. Hence, counselors should avoid most social interactions with clients, such as parties, graduations, or dinners. In some cases, if it pertains to a particular issue or healing, a counselor can appear on a professional basis only. Please refer to ACA -A.5. Prohibited Non-counseling Roles and Relationships which cover a broad array of relationships that can occur that considered illicit in counseling. In addition a counselor is to refrain from sexual relations in the NASW handbook as well as physical contact (1:10) when such contact would cause psychological harm. So where a hug or a touch of hand is needed is to be very carefully judged by the counselor. In addition, language and proper presentation in how one speaks is listed in the NASW handbook under standard 1:12.
Unfortunately, sometimes, a client may become attracted to a counselor since the counselor represents a source of power and strength when the client is most vulnerable. It is important for the counselor to be empathetic but also distant when attraction occurs, especially mutual. In some cases, referrals may be needed. To also help prevent such situations, physical gestures such as a touch of the hand or hug should be avoided. In addition, one should carefully screen the acceptance of gifts, unless otherwise approved due to cultural issues and sensitivities.
Other conflicts of interests can occur within agency and client. If dealing with one’s organization, one may also feel tugged and pushed by agency or funder agendas, over client care. Time, funds, and allocation of resources may effect one’s success. This can cause a grey area in client care and the client’s well being. It can also potentially lead to not following policy of employer. As one can see, many ethical dilemmas can spring from such actions.
Another set of regulations we will look at involves confidentiality. A counselor sets out on day one what he or she is willing or can do to the best of their abilities. Within this, there exists a confidentiality that is critical to veracity and fidelity. The boundaries of that need to be clearly laid out. All standards assert that counselors are to keep records and conversations private. Records are to maintained safely, whether paper or electronic, and conversations are to be kept strictly between themselves, unless otherwise dictated. Exceptions, upon approval of client, can include access to records for particular family, or access to records via other team members treating the individual. Again, this agreed upon in advance. Please refer to ACA -B.1. Respecting Client Rights which covers issues of confidentiality as well as exceptions under B.2
Confidentiality is the bedrock of trust between the counselor and client and must be protected and preserved unless under certain exceptions of physical harm to the client or others
In cases, where an individual may cause harm to oneself or others, or upon certain legal orders, a counselor may disclose certain information for the overall safety and good of the client or others. This is far less lax than the seal of confession. One way to better protect and shield oneself from potential mandatory disclosure is listing limits of confidentiality with the informed consent form. In addition, to reminding them throughout the counseling process of the limitations especially when a client seems eager to share a secret. Clients many times feel everything is confidential and fail to understand these limitations.
It is also essential that counselors properly store and preserve documentation. Electronic as well as hand written files needs to be clearly locked and protected and not visible to other wandering eyes. This helps preserve confidentiality.
Another grey area that may occur is transparency in representation. If hired by the state or an authority to review divorce cases, criminal cases, or employee evaluations, counselors need to be very transparent with all parties involved. Documentation for any case needs to be comprehensive, unbiased and utilize accepted and modern strategies. It is also essential to never treat someone beyond one’s ability, or promise things beyond healing. One should also not advertise oneself as a licensed counselor if not a licensed counselor.
Conclusion
Standards and ethical codes are critical to protect counselor and client. They also lay the groundwork for better care and healing for the client. In additional resources and references, there is a list that includes the ACA and others. Links are provided. I highly recommend one reviews these regulations and completely understands the ethical expectations of counseling, whether at a pastoral or clinical level. Whether secular or religious, there are standards that are needed within this special type of relationship.
Ethics and standards are critical to the profession of counseling. Please also review AIHCP’s Christian and also Grief Counseling Certifications
SAD or Seasonal Affective Disorder is a type of depression that coincides with the change of seasons. It can be during any type of season but primarily occurs during the Winter months. It is quite different than the Winter Blues in that it is consistent every year. It is hard enough without longer days and sunlight to function but with Winter, especially after the Holidays, many will fall into SAD.
Individuals can find help, medication, as well as light therapy to help. It is important to identify if you do have SAD and find the appropriate help from a licensed counselor who can guide you in the right direction. SAD is more than being upset about the weather but a type of depression that needs professional care. Please also review AIHCP’s Grief Counseling Certification. While certified grief counselors who are not licensed counselors as well cannot treat depression, they do have the training to spot it and send you to a professional counselor who can treat it.
AIHCP’s Grief Counseling Certification is online and independent study and open to qualified professionals. Please review the program and see if it meets your academic and professional goals.
Written by Dr. Paul J. Moon
Written by Veronica Turner
