Grief Work 2026: How Grief Affects Your Body

Grief is not *just* feelings. It is so much more.

Often there are random or unusual physical symptoms that show up days, weeks or even years after a child has gone to Heaven.

An important and necessary part of grief work is learning to recognize the physical manifestations of grief and advocating for care from professionals who may not be able to make the connection unless the bereaved speak up and speak out.

❤ Melanie

It’s a well known fact that stress plays a role in many health conditions.  

And I think most of us would agree that child loss is one of (if not THE) most stressful events a heart might endure.  

So it’s unsurprising that bereaved parents find themselves battling a variety of physical problems in the wake of burying a child.  

grief head in hands and stress words

What may be surprising is how uninformed medical and even psychological professionals are with respect to the very real ways child loss intersects with chronic conditions and often creates new symptoms.  

Here is a list of only SOME of the physical manifestations of grief (via What’s Your Grief?) with my own comments :  

Fatigue.  If you’ve always been an energetic sort, you might find this aspect of grief particularly disconcerting.  This kind of fatigue doesn’t get better with rest.  I’ve written about that here. 

Some days I can barely make myself get out of bed and when I do, I struggle to do any but the most necessary tasks.  Don’t automatically dismiss this symptom as ONLY grief (although it most certainly could be!) get a thorough check-up to rule out other causes such as low thyroid, diabetes, heart disease, major depressive disorder or a number of conditions that can be treated effectively with medicine.  Don’t beat yourself up if the doctor decides “nothing is wrong” with you.  You are grieving and grief is work!  I know this symptom has improved for me over time as I’ve established boundaries, admitted limitations and learned to rest when necessary.

charlie brown too tired to cry

Aches and Pains.  Our bodies and minds are connected in ways not well understood.  Mental and emotional distress can make any underlying pain condition that much worse.  When I’m feeling especially lonely, desperate or sad my autoimmune disease flares AND my perception of the very real pain that causes is heightened.  Pain and heartache can lead to a downward spiral that is hard to undo.  Get help and treatment for the physical and give yourself grace and space to endure the emotional causes of body aches.  Don’t self-medicate with drugs, alcohol or other self-destructive coping strategies.  Reach out to a safe person and let them help you find a better way.

painlevels

Headaches.  Needless to say, stress makes tension headaches more likely.  Sometimes, though, a headache can be a symptom of something more serious.  Don’t dismiss an especially sudden, intense or long-lasting headache as “just grief”.  It could be previously undiagnosed high blood pressure, stroke or migraine.  Those being ruled out, various relaxation techniques, cold or warm compresses, over-the-counter analgesics and gentle stretches might help.

Sometimes grief headaches can be alleviated by the simple act of telling our stories.  Bottling up emotions and thoughts adds to the ongoing stress and tension of my child loss burden.  When I spill them-either on paper in a journal, in a closed online bereaved parents’ group or in person to a safe friend or family member-often I feel the band around my head relax and the pain fade away.

Tightness in Chest, Shortness of Breath.  The day I got the awful news, I remember asking friends who came to sit with me over and over, ” Am I still breathing?”  My world was spinning out of control and my body responded.  Anxiety after child loss is real. Broken Heart Syndrome is real.  Heart attacks are not uncommon.  Don’t ignore these symptoms.  But don’t be surprised if they persist despite all tests to the contrary.  When I feel trapped and overwhelmed, a walk outside or even to another room can help.  Deep breathing exercises and grounding exercises can often interrupt an episode.

Broken_Heart_syndrome_EN-01

Forgetfulness.  I wrote this post on Grief Brain: It’s a Real Thing! a couple years ago and am always surprised to see it shared repeatedly.  But I think it strikes a chord with any heart walking through grief.  You are not crazy!  You are not experiencing early onset dementia (most likely).  Like other symptoms, get checked out if they persist or worsen.  But odds are, your experience falls within the range of normal for anyone whose life has been shattered by child loss.  Losing things, forgetting things, getting lost in familiar places, missing appointments or bill payments, inability to remember names of people you know well-all of these are common after loss.  In time, the symptoms usually diminish.  They have for me.  I still have to rely on lists and reminders much more often, though.  And that’s OK.

griefbrain1

Inability to Focus.  Like grief brain, this is another cognitive manifestation that’s not only annoying, it can impact life in significant ways.  Before Dominic ran ahead to Heaven, I was an avid reader.  I often had three or four books going at the same time.  I could spend hours focused on a single project.  Not anymore.  I sometimes find it difficult to read a recipe.

I have to take frequent breaks when working on something because my mind gets fuzzy and I just can’t pay attention for more than a few minutes at a time.  Some bereaved parents have to change jobs or careers because they are not able to perform necessary tasks anymore.  This particular symptom has not improved very much for me although I’ve found ways around it.  I use lists to keep an external record of what I should be doing and when.  I mix up mindless chores with ones that require more attention to give my brain a break.  I try to dissect larger jobs into smaller, manageable chunks.  And sometimes I just have to admit that today a particular thing just isn’t happening. 

Appetite or Digestive Issues.  Stress has long been linked to gut problems.  I suspect we’ve all had that “rumbling in our tummy” from time to time even before child loss.  For many of us it’s exponentially worse after.  Some bereaved parents try to stuff emotions by stuffing themselves with food.  Others can’t eat at all.  Still others experience stomach ulcers or bowel disease ranging from acute to chronic.  I was hospitalized twice in the first year after my son’s death for serious colon issues.

Again, don’t ignore sudden or persistent symptoms.  Try to eat well and avoid self-medicating with food.  Added pounds rarely add up to better emotional or mental health.  I let pounds I’d lost ten years ago find me again.  Get help if you need to from someone willing to act as an accountability partner.  I’ve recently joined a friend in setting goals for ourselves and sharing recipes and meal prep.  Try to treat food as another aspect of grief work and manage it the best you can.

the struggle bus

Getting Sick More Often.  Stress lowers the immune system.  That’s a fact.  So when bereaved parents encounter germs (as we all do from time to time) it may well be our bodies don’t have the energy or resources to combat them.  Colds, flu, strep throat, skin infections may all be more likely this side of child loss.  Don’t be discouraged to seek treatment.  There is so much we can’t control in life, but getting antibiotics for an infection is pretty easy.

It’s not in your head, mom or dad! 

Grief has real physical manifestations.   

Don’t be dismissed or denied the care you need. 

Educate your healthcare providers and insist on being heard. 

the weight of grief without words

*photo credit:  The Weight of Grief  Scupture ~ Celeste Roberge*

Grief Work 2026: What Exactly IS Grief Work?

A few years ago I was encouraged to assemble some of my posts into a series I titled “Grief Work”.

They definitely do NOT cover everything I would want to share with a bereaved parent but they are a place to start if you are early on this journey and you can explore any topic further by using the search bar any time you’d like.

I’m sharing again for those who may need them now or may want to pass these on to someone else who needs them.

❤ Melanie

I have used the term for years and only recently has someone asked me to define it.

I guess I never realized that in all the writing about it, I’d never really explained what it meant.

So here goes.

The term was coined by psychiatrist Erich Lindemann in the 1940s. He worked with survivors of the Cocoanut Grove tragedy and observed that grievers experienced common symptoms, feelings and faced similar challenges. Through his work, he developed a theory of grief incorporating his observations and his technique for walking grievers through these common issues.

Image result for six stages of grief erich lindeman

Today the term has been expanded and is used widely to describe almost any approach to grief that includes specific techniques for helping someone walk the path of loss.

I use “grief work” to mean all the ways I (and others) must actively seek to identify, face, process, and ultimately incorporate the feelings, trauma and changes loss force upon us.

Grief work (in no particular order) can include but is not limited to:

  • Attending sessions with a professional, spiritual or lay counselor. Some people find it helpful to have a safe person outside the immediate grief circle to discuss feelings, concerns and relationship challenges that are generated by loss or exacerbated by loss. It’s best to find a counselor who specializes in grief, preferably child loss and/or traumatic loss (all child loss can be classed as traumatic loss). Other counselors may be too quick to label a bereaved parent’s grief as “abnormal” or “too lengthy” or “complicated” when it is, in fact, closely following observed timelines for dealing with child loss. If the first counselor you find isn’t a fit, try another. It’s OK to insist that you are heard, your feelings respected and your loss recognized for the life-shattering event that it is.
  • Finding, joining and participating in online or in person support groups. There are literally dozens of online support groups for bereaved parents. Some are designed to meet the needs surrounding specific types of loss such as sudden death, suicide, drug overdoses or loss to cancer or another disease or condition. Some are organized around certain faiths. Others may be rooted in geographic proximity and the online group might have a monthly or quarterly face-to-face meeting in the area. While it can sometimes be overwhelming to see the number of parents in such a group, it’s also extremely helpful to have a safe space to share things only another bereaved parent can understand.
  • Setting aside quiet time to think, process and possibly journal feelings. So much grief work must be done alone. Counselors can equip me with tools, support groups can give me real-life examples and encouragement but only I can do the nitty-gritty labor of teasing apart all the feelings and change grief brings with it. Journaling has been very helpful for me in putting words to what can sometimes be rather nebulous thoughts swirling around in my head. When I name what I’m feeling or experiencing, I can better construct a strategy for processing and living with it.
  • Walking back through memories, noting regrets, forgiving yourself and making peace with the past. We ALL have things we would have done differently. Death, being final, forces a heart to face that there is no chance to atone for past behavior. Words unsaid, things undone, opportunities missed are carved in the stone of yesterday. I spent many nights recounting my shortcomings as a mother, berating myself for what I didn’t do. Eventually I was able to rest on the simple fact that one thing I DID do was make sure Dominic knew he was loved.
  • Setting boundaries to give yourself and your family space and time to do grief work as well as to conserve emotional, relational and physical energy that’s in limited supply after child loss. So many of us live with few or no boundaries-responding to every request with a “yes”, adding things to the calendar without a thought to how exhausted we might be at the end of a day or week. Some of us are overtaxed at work or school. Some of us are hyper-involved in our churches, civic organizations or local politics. There are dozens of ways to be extended and just as many ways to live with that constant drain. Child loss forced me to recognize that I could no longer BE that person. I couldn’t afford the time, energy, mental space and emotional burden of saying “yes” anymore. I learned that “NO” is a complete sentence and began using it.
  • Practical considerations regarding your child’s belongings and other personal property. Many people might not consider this part of grief but it is. So many details to take care of, so many times I had to repeat the words, “My son was killed in an accident. I need to close this account.” So many copies of his death certificate mailed out to different agencies or companies, documenting the awful reality that he was never coming home again. Then there are questions of what to keep, what to store, what to give away. Should a room remain untouched if your child still lived at home? We had to clean out Dominic’s apartment only a few days after his funeral. It felt like I was boxing up everything beautiful about my boy.
  • Learning how to do holidays, birthdays, family gatherings, vacations and other gatherings. The empty chair looms larger when all the others are filled. If you have been the primary organizer of such events, it might surprise you to find the rest of the family still expecting you to be that person. Even if you aren’t the host for holidays, you will need to communicate to others if or how you feel comfortable participating.
  • Maintaining or regaining health after loss. Stress is one of the greatest contributors to so many health issues. Child loss is an unbelievably stressful experience. So it’s no wonder that many parents find themselves post loss with new or aggravated health problems. I had an appointment with my rheumatologist just one month after Dominic ran ahead to Heaven. It was critical that I tell her of my loss because in addition to whatever medical interventions she was prepared to prescribe, she needed to know I would be experiencing an extended period of intense stress that might necessitate closer observation and follow-up. As difficult as it may be to talk about, it’s important to inform your healthcare providers of your loss and to be absolutely honest about changes you’ve noticed in your body as a result.

There are probably a dozen or more subcategories of grief work I could list and some of you might think of ones I wouldn’t.

Grief IS work.

It is important, necessary and exhausting WORK.

It requires time, resources, effort and energy and cannot be hurried along.

But it is the only way a heart can begin to put the pieces back together.

❤

Embracing Uncertainty: Finding Hope After Loss

Here’s another post I shared awhile back but is worth revisiting.

Once again I find myself afraid to make plans because circumstances beyond my control (beyond ANYONE but God’s control) have reminded me that human plans are oh, so fragile.

It’s tempting to allow my heart to retreat to that awful place that felt safe after Dominic ran ahead to Heaven: Don’t plan and you won’t be disappointed.

But my Shepherd King has led me gently these past years to a place of real safety.

MY plans may fail but HIS will never be thwarted.

It took me nearly two years to hang a wall calendar again.  It took that long, plus some, to add anything to it besides close family birthdays and doctor’s appointments.

I would record what I did AFTER the fact, but I just couldn’t let my heart make plans.

Because I had made planslots and lots of plans-before Dominic ran ahead to heaven unexpectedly and wrecked them all.

There’s another reason looking forward is hard on my heart:

No matter how wonderful the event, no matter how anticipated the birth, or wedding, or graduation, or party-there will always, always, always be one person missing.

Sometimes, I still find making firm plans difficult.  

I warn friends that I may get up the “morning of” and decide that I just cannot do it.  The closest ones (the only ones I really have left) totally understand and never pressure me otherwise.

As the years have passed, I’m now able to look a little bit further into the distance. I’m able to pencil in some fun things more than a week in advance.

I can look up ideas on Pinterest again-ideas for birthday gifts months away, for dinner table decorations and for craft projects to occupy the hottest parts of summer days.

I’ve even boldly formed a ministry, { http://heartacheandhope.org } and hosted retreats and meetings for a whole year!

So if you are in the early days and find thinking about tomorrow too daunting, take heart, dear one.

Twelve years later and I’ve learned to take Dominic WITH me as I walk into tomorrow after tomorrow without his physical presence.

I’m finding ways to keep him close, to have him near, to share him with others so that the vibrant man he was (and still IS-in heaven) is remembered and honored.

The fact is that tomorrow comes whether I am dragged kicking and screaming into the new day or whether I go willingly, with purpose and with grace.

I am trying to choose purpose and grace.

Sometimes it’s really, really hard.

But when I do-it’s worth it.

sometimes helps me wake up brene brown

Not Just an Empty Nest…

I wrote this a few years ago in response to post after post across social media of (mostly!) moms lamenting the fact their son or daughter would soon be moving away or off to college. 

I get it!  

When you are used to having your kid around it’s tough when he or she leaves the nest.  

But there is a vast difference in having to work a little harder to stay in contact or arrange visits and never being able to speak to your child again. 

It’s an adjustment to compare calendars to find a day your family can celebrate together but it’s heartbreaking to know that one chair will always be empty at every family gathering.  

Read the rest here:  Please Be Patient With Me

This Little Light of Mine: An Update From my Heart

When I started writing in this space over ten years ago, I never expected any but a few close friends and family to read my ramblings.

It was a complete surprise to realize my words struck a chord with a wider audience.

My corner of the Internet is still very small compared to today’s mega-influencer types, but it is near and dear to my heart and I want to give you an update on how life is going, where I feel the Lord is leading me and what I hope to do in the next few months.

As most of you know, my father suffered a significant stroke in mid-September, 2025. And as all my bereaved parent friends are aware, ANY new stressor is magnified by the grief we continue to carry regardless of how long it’s been since our child went to Heaven.

I was completely consumed with his care until mid-December when I was able to break away and be with my son and his family to welcome the birth of their third child, a little girl named Holly.

Sadly, her earthly sojourn was short and on January 4, 2026-just two weeks after her birth-Jesus welcomed her to Heaven.

Our hearts were devastated and broken.

I had only a couple of days home before I returned to my father who had to have eye surgery that turned into a five week ordeal when in order to save his lower left eyelid, his left eye was sown shut for over a month. Vision in his right eye had been cut in half by the stroke and further impacted by a cataract.

It was a tough time.

I won’t give you a blow-by-blow of the days and weeks since then except to say this: I have spent only thirty percent of nights in my own bed for eight months. For a homebody, this is HUGE.

Lately I haven’t been thriving.

So I’m employing all my creative energy in trying to figure out how to remain engaged with ministry (which is my heart) and still meet the needs of my hurting and healing family.

Which brings me to this update.

I think the best way to use whatever moments I can steal from overwhelming obligations is to comb the archives of the blog and try to assemble some printed resources. People have encouraged me to do this for years but I’ve never been willing or able to focus on the project when it was so much more exciting to to keep writing, sharing and having retreats.

I hope to keep showing up here when I can and giving myself permission to skip days when I can’t.

I would like to learn more about creating video resources (both short and longer format) to make material more accessible to more people.

The heartacheandhope.org website needs updating. I want to have a drop down menu highlighting not only my own content but that of other excellent ministries and individuals who can help bereaved parents steward their grief well.

Someone recently asked me the “why” of what I do and I replied:

I don’t want any bereaved parent sitting in darkness to feel like darkness is all there is.

My candle is small but even the smallest candle in the black night of child loss is enough to help guide a heart to hope.

My candle IS small.

It’s light has definitely diminished of late.

But it’s still lit and I’m determined to keep it that way as long as I can.

Mother’s Day 2026: A Letter to My Living Children*

I shared this for the first time eight years ago.

Before my mother’s illness and death, before the frighteningly early arrival of our little Captain and the less-frightening and less early arrival of his brother, LT, before an overseas deployment, a destructive hurricane, Covid19, and the heartbreakingly short earthly life of sweet Holly, along with too many other stressful events to list.

I have watched my kids meet every challenge-sometimes with grace, sometimes with grit, sometimes with both.

They are different people than they would have been if Dominic still walked beside us. They know things their peers can’t even guess.

We all lost so much when we lost Dom. But we still have each other.

And that’s a treasure.

I never thought it possible to love you more than I already did.

But I do.

Your brother’s untimely departure has opened my heart in a whole new way to the glory that is your presence.  It has made me drink you in like water in the desert.

Read the rest here:  A Letter To My Living Children*

Is This Normal? Questioning How We Grieve.


Believe me, no one wonders more than I if the things I’m feeling, the things I’m doing and the rate at which I am healing is “normal”.

I belong to a couple of bereavement support groups and a recurring theme is, “Am I crazy?  Is this the way it is supposed to be?”

Sometimes grieving parents wonder these things because of their own misgivings.

But often, we question our feelings and experience because of external pressure.

And that is unfortunate and unfair.

When a mom brings her new baby home from the hospital, people are quick to remind her that life “will never be the same”.

She is encouraged to seek advice and help from friends and family and given space and time to figure out this new way of being.  As the years pass, she might express frustration and concern over the challenges of going back to work, sleepless nights, feeding issues, potty training, and dozens of other, everyday struggles that result from welcoming this little person into the family.  And that is just the beginning. 

No one thinks it strange that the ADDITION of a child is a life-long adjustment.

So, why, why, why is it strange that the SUBTRACTION of a child would also require accommodation for the rest of a mother’s life?

My heart grew larger when Dominic was born and the space that is his cannot and will not be filled by anyone or anything else.

I am learning each day to work around this empty spot.  I am becoming stronger and better able to carry the weight of grief that I must bear.

I can do many of the things I used to do before the only place I could visit Dominic was at the cemetary.

But I have to do them differently.  I need more help.  It takes more time. And sometimes I find after I plan to go somewhere that I am just not able to go after all.

I will never “get over” burying my son.

There will always be another mountain to climb, another loss to mourn, another hurdle to clear in this grief journey.

Dominic is part of me.  That didn’t change when he went home to be with Jesus.

The absence of his presence is EVERYWHERE.

And just for the record–missing the child I love for the rest of my life is perfectly normal.

This Is What Grief Looks Like

Today I was backing out of the driveway when my eyes landed on the tag of one of our other cars.

Suddenly I realized that I hadn’t renewed our tags this year.

They are due in January and, like other important dates graven in my over- organized brain, I literally NEVER forget.

But I did.

And I hadn’t even thought about it these three months until just now.

My sweet granddaughter, Holly, went to Heaven at Dallas Children’s Hospital January 4th. My elderly dad had eye surgery in Florida January 19th. I was home for exactly four days the whole month.

This is what grief looks like in real time twelve years later.

I still have six half grown kittens born a week before Holly entered the world . I brought their poor mama 700 miles because I didn’t want her to deliver while I was away welcoming my precious girl.

I just can’t let them go.

They are connected to her life, a source of joy, a reminder that death doesn’t claim every beautiful thing.

I’m probably going to keep them all because I can and because a farm can always use more barn cats.

This is what grief looks like twelve years later.

img_4728

I recently had a nuclear stress test and an echocardiogram. My EKG in January was just a little “off” so my cardiologist sent me for testing.

The results were good. No real issues other than that I need to get back to walking every day and should lose weight.

I finally activated a Fitbit tracker I bought months ago to track my heart rate, activity and steps.

This is what grief looks like even after over a decade.

I’m rapidly approaching another unwelcome milestone marking twelve long years since I heard Dominic’s voice, saw his face, hugged his neck.

I’m stronger.

I feel joy.

I don’t cry every day.

But if anyone thinks the absence of my son or my granddaughter doesn’t change EVERYTHING, they are wrong.

“How are you doing?” “Not as well as you might think.”

For over ten years this space has been a lifeline to me.

When I first started writing here it was, honestly, a way for me to express feelings and thoughts that were unwelcome in my social and personal circles.

I thought that if I wrote them down for the world to see, maybe some friends (and most especially) extended family, might read them and gain a bit of insight into the long, lonely road of grieving a child.

A couple of weeks ago I confessed that I didn’t have it in me anymore.

So many responded with kind comments and encouragement. Thank you, Thank. You. THANK YOU!

The break has been good in one respect-it gave me a little more freedom to just experience my life and less pressure to turn that experience into something I could share.

Here I sit, not on the DATE of Dominic’s running ahead, but on the DAY (the Saturday before Palm Sunday) of his running ahead and I am not really OK.

I feel like most of 2025 was like 2013-a year of promise.

The year before Dom went to Heaven, I turned 50. As an ardent student of Scripture, I had claimed that year as a Jubilee. All my children would be college graduates, one would be married and they were pursuing their own paths-each successful in their own way. I would finally be able to be more than a mother and free to follow my own ambitions.

April 12, 2014 changed that.

Last year also felt like a kind of freedom.

After over ten years of carrying this burden, I launched an official ministry and was doing things I had only previously dreamed of. Four amazing mom retreats, speaking engagements, book studies, monthly support meetings, the blog, sharing on podcasts and gaining additional credentials in grief counseling all meant I was beginning to live forward once again.

Then my dad had a devastating stroke.

I spent three months just trying to reach equilibrium for an almost 90 year old man who was way too involved in way too many things. If you haven’t had both the privilege and burden of caring for an aging parent, let me tell you it is so. much. more. than you can imagine. Even with every good intention and forethought, running two households is hard.

I had two days between leaving Papa’s home (praying the caregiver who was coming in three days a week would manage half of what I had when there 24/7) and heading to Texas for the too-early birth and ultimately tragically short life of my granddaughter, Holly.

Christmas was made jolly for the grandboys but the adults were just there for the show.

January 4, 2026 was the second day the earth stood still for our family.

Except that it doesn’t. The world keeps spinning and people keep going and somehow, miraculously, our broken hearts continue to beat.

I won’t type every event since then but suffice it to say nothing has slowed down, no provision has been made for deep rest, reflection and the silence that gives any of us the time to process loss and the questions it raises.

So here I am at the Saturday before Palm Sunday once again.

And I am not as well as I might have thought this far into the journey.

I’ve gained all the necessary tools to hold on and to make it to the next morning, trusting the sunrise to bring new mercy and trusting Jesus to help my heart.

But I’m exhausted.

I don’t want to discourage anyone who is earlier in this journey.

I am stronger and better able to carry the load-if I wasn’t, I would not have survived this past year of additional burdens. I only desire to be as honest as possible. so, honestly, today (and probably this entire week) I’m not feeling very strong.

Grief continues to shape who I am and how I interact with the world.

I can’t pretend it doesn’t.

Navigating Grief: At Night, It Can Still Feel Fresh

It happens most often as I am drifting off to sleep. 

There is this one spot on the bedroom bookshelf where my eyes landed that first night-one paperback spine that instantly transports me to the moment I had to close my eyes on the day I found out my son would never come home again.

And it is fresh.  

Absolutely, positively fresh.  

Like “just happened” fresh.  

missing-someone

You’d think that nearly twelve years of intervening experience, nearly twelve years of grief work, nearly twelve years of trying so darn hard to learn to tuck that feeling away deep down so it can’t escape would have worked whatever magic time is supposed to work.  

it has been said that time heals all wounds rose kennedy clock

But it hasn’t.  

Oh, most days I can lock that lid down tight.  I can distract my mind, busy my hands and keep my heart from wandering too close to despair.

Darkness though. 

Shadows and silence and stillness give room for the memory to rise to the surface.  

And it does.  

My son is never coming home again.  

Fresh.  

Absolutely, positively fresh.

“Just happened” fresh.  

sometimes cant believe you are gone