When their grief worries me: guilt, anger and when to get help

Signs that the grief needs more company, how to talk about guilt and when to bring in a professional.

2 min read

Signs that they need more support

  • Their low mood doesn't improve after several weeks.
  • They have pulled away from friends and from activities they used to enjoy.
  • They talk about intense guilt: "it was because of me," "I should have done something."
  • There are significant changes in their sleep or eating.
  • Their grades have dropped a lot.
  • They completely avoid talking about the loss, or can't talk about anything else.

Before you worry, three questions

  1. 1How much time has passed? The first months are the most intense.
  2. 2Do they have someone to talk to outside the home?
  3. 3Is something else weighing on them and making the grief bigger?
Myths and facts

Myth

"If they don't want to talk, you have to respect that forever."

Fact

Respecting their pace is not the same as dropping the subject.

Myth

"If they get angry, it's a bad attitude."

Fact

Anger can be a form of pain.

Myth

"Guilt goes away if we don't name it."

Fact

Guilt needs words, not silence.

Myth

"Better not to stir things up."

Fact

Grief that doesn't find a place doesn't disappear: it gets stored away, and shows up later in other ways.

Myth

"If they see a professional, it means they couldn't handle it."

Fact

Getting professional help can be a form of care, not proof of failure.

How to say it

Instead of

"You should be feeling better by now."

Try

"I see this still weighs heavily on you. I want to support you better."

Instead of

"Don't get angry about everything."

Try

"Sometimes pain comes out as anger. Even so, we need to find a way to talk without hurting each other."

Instead of

"It wasn't your fault, period."

Try

"I know you may be feeling guilty. We can talk about that, gently."

Instead of

"If you don't want to talk, I won't ask anymore."

Try

"I'm going to respect your pace, but I don't want to leave you alone with this."

Try this: talking about guilt

  1. 1Choose a calm moment.
  2. 2Open with a careful phrase: "Sometimes, after a loss, feelings of guilt come up."
  3. 3Don't correct them right away with reasons.
  4. 4Listen to what they blame themselves for.
  5. 5If the guilt is intense or doesn't ease, offer them the chance to talk to a professional.

When to get help

  • When the grief has gone several months without showing any movement.
  • When it seriously affects their daily life.
  • When there is very intense guilt, or they express not wanting to be here.
  • When you feel you can no longer support them on your own.

What kind of support can help

Type

Therapist with experience in grief

What it's for

To support the process

Type

Grief groups for teens

What it's for

To meet other teens who have been through something similar

Type

Family therapy

What it's for

When the whole family is grieving

Type

The doctor or pediatrician

What it's for

A first point of contact, who can refer you

A question to take with you

What guilt is floating around at home without anyone naming it?

Signs to get help right away

No matter how much time has passed, get professional help right away if:

  • They talk about dying, about wanting to be reunited with the person who died or about not wanting to go on.
  • They hurt themselves on purpose.
  • They are very isolated, or feel intense hopelessness.
  • They carry a very heavy guilt that doesn't ease.
  • They have stopped keeping up with school, their relationships or their personal care, and this has gone on for months.
  • They use alcohol or other substances so they don't have to feel.

Also if no one at home is able to offer support, because the pain is too much for everyone.

If there is immediate risk, go to an emergency room or call your local emergency number.

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