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Pillars of Strength 3/8: Ways to Express Grief

Psychotherapist Julia Samuel MBE has spent 25 years working with bereaved families. In this weekly blog series, the author of Grief Works is sharing her concept of the ‘pillars of strength’, which we can use to help clients grieve and rebuild their lives. Today, Samuel introduces the third pillar – the importance of expressing grief.

One difficulty with grieving is that it is invisible. We feel as if a limb has been cut off, or that there is a huge chasm of emptiness in our heart where the person we love is missing. But when others look at us we look exactly the same.

The central paradox of grief is that we are forced, through death, to face a reality we don’t want. Often we do what we can to avoid that reality, and block the pain. The truth of the death often feels surreal initially, when we feel so shocked. As the pain begins to take hold, we may begin to use habitual behaviours to protect us against feeling. Depending on the behaviours, these can work for us, or against us.

Pain is the agent of change

This is a hard concept to help clients understand. But if we think about how we are in our everyday life, when it is going according to plan, we tend to be content, and there is no need to change anything. It is from persistent feelings of discomfort, boredom, anger, anxiety or fear that we realise we need to revaluate what is going on. Is it who we are with? Is it work? What is it that we need to change, in order to feel content, even happy again?

When someone dies this change is imposed on us, and the pain we feel is intensified, forcing us to adapt to a different external and internal world. It is the internal yell of pain that lets us really know the person we love is no longer alive. We may need to help our clients see that it is often the behaviours we use to avoid pain that actually harm us the most.

The importance of expressing grief

People usually say time is a great healer, but if we don’t do the work of grief and find ways of expressing the conflicting and confusing feelings that are inside us, they tend to stay there, unchanged, yet contaminating all our other feelings. We function ok but our capacity to feel joy is diminished, for the energy we use to block pain, blocks our capacity to feel across the spectrum of our experience. We armour ourselves against all feelings. I am sure we all recognise those clients who we feel we could tap and we’d hear the tin of their armour that is keeping us out.

My big shout in today’s blog is that we need to find ways to help our clients express their grief. In my book Grief Works, I show that the most common way is to talk. As psychotherapists well know, something happens when we focus on what is going on inside us. We find words to describe that feeling and, as we voice it, there is a connection between our words and our feelings that means incrementally we adjust a little bit more to the reality that this person has died.

For other clients, painting, gardening or making music may be just as helpful as talking to friends and family, or to us. There is no right way to express grief. The key is to help your client find a way that works for them. If they do this regularly, it becomes a supportive pillar in the management of their pain, which in itself changes over time.

Find out more about Julia’s work and writing at



Julia Samuel

Julia Samuel MBE, Msc, MBACP (Snr Accredited) UKCP Registered Psychotherapist was Psychotherapist for Paediatrics at St Mary’s Hospital Paddington, the post she established in 1992, where her role for 25 years involved seeing families who have children or babies who die, and where she trained and supported the staff.

In 1994 she worked to help launch and establish The Child Bereavement Charity, and as the Founder Patron was involved and continues to be involved in many aspects of the charities work, having a key role in fundraising, strategy and training. In 2016, Julia was awarded an MBE in recognition of her services to bereaved children, and in 2017 Middlesex University awarded her an Honorary Doctorate. In 2017 Julia published Grief Works, which was a bestseller in the UK and has been published in 17 countries. She also has a private practice where she sees families and individuals for many different issues.

Roles: Chairman Birthright (Wellbeing) (1992-5); Founder Patron the Child Bereavement Charity 1994+; Trustee Child Bereavement Charity 2008+; Tutor Metanoia Institute 1997-2008; Governor of British Association of Counselling  and Psychotherapy (2001-2004); Vice President British Association Counselling and Psychotherapy Nov 2013+.

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