Holding On or Letting Go?

With the holiday season approaching, it is the perfect representation of the romanticized view we hold of love, family, and romance (Every kiss begins with Kay!). The Commercials reflect the joy, connection, and wholesome embrace of goodwill and peace. It is also the perfect recipe for comparison and feeling slapped with the loneliness of being reminded of everything you do not have and not being where you should be.

A common theme during the holidays is the slight despondence of where we are relationally. The pressure of either following through with the expectations of the relationships we hold, or of being involved in the societal expectations of having family and relationships. This time can really highlight our own insecurities of what is and what should be.

Naturally, we want to be with someone who accepts the person we are. In any relationship, we look for those who will make us their priority as we often do for those who are important. Ideally, we hope for people who are present and want to know and understand everything about us. We wish to have them be devoted to us and who is dependable to share life with. We wish to find a mirrored companion: someone to give you a reflection of something similar to what you are offering.

Oftentimes, the reality of the experiences we tend to have- or may have faced in the past- are less than ideal. Expectations are not met and the feeling of being cared for in the way we hoped didn’t pan out. Instead of being truly seen and fully accepted, we run into conflict, emotional turmoil or even distortion of reality in these relationships.

The following are a list of questions that come up often in understanding healthy relationships and knowing when it is okay to let those unhealthy relationships go:

1. Is it okay to let go of an old friend or long-term relationship if you realize you don't want the same things or if they aren't good to you? Of course, friendships are to be reciprocal in where both needs are met on all levels. If at any point one person seems to be regularly giving more than what is given back, it makes sense to end the friendship regardless of history. If friends are not good to you, why do they have access to you? Love, whether platonic or romantic, is to be empowering and reflecting of emotional safety so if that is not present; if you do not feel empowered or that there is emotional safety to be yourself, then it is not a correct fit. Who we are and how we see the world shifts every 5 years or so, therefore it makes sense that there may be cases where we do not grow together. In those cases, it is okay to let go of friendships that do not reflect what you are wanting out of experiencing life.

2. What about new friends? Is it a good idea to screen potential friends? It is necessary to screen all those we allow into our emotional energies. Not everyone deserves access to our story, and not everyone will be able to honor or respect those sides of us. By letting go of those who do not align with our needs and values, we can make space for those who give that naturally.

3. What are some signs you shouldn't, or should no longer be, friends with someone?

A: They criticize you instead of supporting you: People stand behind "constructive criticism" when in fact the statement is putting the person down. We can support and ask to understand the perspective of choices made to then offer other perspectives without criticizing the person. Oftentimes, the statements made are not necessary for growth or for the situation.

B. Lack of loyalty: When their interest or respect in you varies depending on the people they are around. Shares your stories with others without your permission (gossips about you)

C. You are important to them when they need emotional, verbal, financial or other types of support. In other words, they talk to you in their free time, but they don't free time to speak with you.

D. Comparisons or competition. Comparing you to others that are presented as being better than you or competing with you instead of supporting and encouraging you.

E. Transactional: If then relationships where there is a tally kept on who is doing what. "I did this for you, so I need you to do this for me" or If Then statements, "if you cared about me, you would"

F: Manipulation of any kind. Passive aggressive behavior, gaslighting, blaming, shaming, or making you feel as though you are a bad friend if you don't do what this friend would want you to do. The power rests in their hands when it comes to your decision making.

G: If you feel as though you have to prove your worth to them.

4. It is not that bad, thy don’t abuse me, they say mean things sometimes. Is that abuse? Verbal abuse is any spoken messages that lead to demeaning the spirit and character of the other. It can take the form of many types of techniques such as contempt, criticism or gaslighting. The point of the behavior is to reduce the person's value and worth in their own eyes (of the person being abused) to the effect that sacrifices are made of the abused at the expense of themselves to meet the needs of the abuser.

5. How do you know if it is abuse? Denial, blame, and manipulation are all elements of emotional and verbal abuse to create and maintain an imbalance of power. Denial serves as a defense mechanism to maintain the status quo. It is difficult to face the fact that the one you love could do such harm to you, to care so little of your wellbeing or could be so self-centered to their needs at the expense of you. Blame is usually the tool used by the abuser to justify their actions and maintain their innocence; if they hadn't done or said (insert behavior) then the abuser would not have reacted as they did. It keeps the abused in a state of self-doubt and confusion and eventually those verbal messages become the internal dialog and belief of the person being abused. Manipulation is any action that is used to get a desired effect. Examples could be passive aggressive behavior: Sullenness or cynicism, intentional mistakes and procrastination, complaints about being underappreciated or somehow cheated out of something, resentment, and covert opposition. Behaviors to punish the other person as a way to control behavior: guilt, shame, withdrawal, comparison to others, etc.

Coming to terms with relationships that we value that are also unhealthy or not reciprocal will be challenging emotionally and everyone will go through the process of grief. Awareness of this will at times feel like rejection or that we are not good enough to have the proper show of love and affection from any of these emotions. Self-care will be essential in coping with the loss. How would you define "self-help"? Self-help is taking any measure to ensure the regeneration and maintenance of our emotional, mental, and physical health. Especially emotional... The focus is 100% on you so you can replenish reserves of emotional energy. Emotional energy is finite- we wake up with a specific amount and once that is depleted, it is gone until the next day. Humans are social beings and being surrounded by others who exhibit understanding and empathy through shared experiences help one to feel that they are not alone and also help them cope with their own experiences through the shared experiences shared.

Sleep and Grief

Grief is a natural and normal response to loss. It is felt profoundly, yet differently, by everyone. There is no right or wrong way to grieve. It is a journey that we are forced to undertake when we lose someone we care about. Understanding grief, however, doesn’t make it any less difficult or painful. 

Grief is felt on an emotional level, but also on a physical level. Your heart can literally ache. A memory can cause your stomach to lurch. A photograph can make tears well in your eyes. Some nights, your mind races so fast that you cannot sleep. Other times you feel you could sleep all day. 

“If we let the despair set in, all aspects of life, including our sleep, will be negatively impacted. We will either have a hard time falling asleep or sleep excessively to escape reality,” said Dr. J. Salim, a dentist with Sutton Place Dental Associates in New York specializing in sleep apnea. “The net effect of these two possibilities is anxiety, lethargy, fatigue, loss of productivity, despair, hopelessness, compromises health, weight gain, and loss of will and motivation to advance in life.”

The truth is, insomnia and hypersomnia (excessive sleepiness or drowsiness) are not an uncommon symptom of grieving. And they can make the pain and anguish of grief worse. But there are things you can do to help you get the rest you need. And, in time, the intensity of your grief should become more manageable.  

Causes of Grief

Grief is the result of loss that is usually associated with the death of a loved one. But there are other causes of grief:

• Loss of a loved one through relationship breakup or divorce.

• Personal loss of one’s own abilities, health, or well-being due to illness or injury.

• Loss of a job, financial security, or social status.

• The physical absence of someone whose fate is unknown, such as in the case of a kidnapped or missing children or lost soldiers.

• The psychological loss of someone who is physically present but mentally absent, such as a loved one with dementia.

• Disenfranchised losses, such as the loss of a pregnancy, pet, home, etc.

The Stages of Grief

Grief is the response to loss. Bereavement is the profound absence felt when someone you love is gone. Both are common reactions when someone you love dies. These feelings gradually ease, but for some people, these emotions are debilitating and don’t improve in time. It becomes difficult to get on with your life. This is a condition known as complicated grief, and it often requires professional help to work through emotions so that you can learn to cope.  

You may have heard about the Five Stages of Grief – the Kübler-Ross model that breaks grieving into five stages: denial, anger, bargaining, depression, and acceptance. It was written by Dr. Elisabeth Kübler-Ross, in 1969 in her book “On Death & Dying.” For decades, the Five Stages of Grief have served as a guide for people as they work through their grief. The stages aren’t necessarily linear. Some people experience all steps in order while others may experience them in a different order. Yet others may only feel a few of the emotions. Let’s take a closer look at the five stages: 

1. Denial: Disbelief in diagnosis or death.

2. Anger: When it is understood that denial cannot continue, anger and frustration can set in.

3. Bargaining: The hope of believing that the cause of grief can be avoided through negotiation.

4. Depression: Deep sorrow over the loss.

5. Acceptance: Realization that everything will be OK.

Acceptance doesn’t mean that grief ends. You will always mourn your loved one. But, in time, the pain should become more manageable.

The Connection between Grief and Sleep

During bereavement, we can experience a range of reactions. The pain of loss can be emotional and physical — your heart and body can actually ache. This alone can cause problems with sleep. But, combined with the emotional reactions — like sadness, loneliness, and anxiety — those who are grieving can either experience sleepless nights or seek escape in sleeping more.

For people with complicated grief, the risk for sleep disturbances appears to be greater as the condition is often accompanied by depression or post-traumatic stress disorder (PTSD).

A Rice University and Northwestern University study published in Psychosomatic Medicine found that people who recently lost a spouse were more likely to have disrupted sleep and that this fragmented sleep caused an increase in inflammation in their bodies two to three times higher than those who were not bereaved. If sleep did not improve, the researchers surmised, these widows and widowers could experience long-term inflammation, putting them at increased risk for cardiovascular disease.  

“One of the biggest ways grief and sleep is connected is through dreams,” says Rebecca Ogle, a licensed Clinical Social Worker and therapist with Grounded Counseling in Chicago, Illinois. “Many grieving folks dream about their loved ones. If the dreams are upsetting this may cause them to dread sleeping and have trouble falling asleep.”

Others may oversleep. “This is due, in part, to the simple fact that grief is emotionally exhausting,” she adds. Many people who are grieving feel they need to put on a “brave face” for others who are concerned for them or in order to return to work. Yet, “internally they are miserable,” she says. “Not only is keeping up with this tiring, it can also lead to feelings of isolation, which leads to people spending time alone, which leads to lots of sleep.”

The Physical Symptoms of Grief

Licensed independent clinical social worker Howard Lunche, in his book, “Understanding Grief,” identified the symptoms of grief as being felt on several levels including physical, emotional, mental, social, behavioral, and spiritual. 

Physical

• Headaches

• Chest pain

• Stomach issues

• Aches and soreness

• Shortness of breath

Emotional

• Shock

• Numbness

• Sadness

• Anger

• Guilt

Mental

• Anxiety

• Depression

• Forgetfulness

• Denial

• Low motivation

Social

• Isolation from others

• Withdrawing from social activities

• Loss of friends

Behavioral

• Crying

• Searching for deceased

• Avoiding places that arouse grief

Spiritual

• Questioning God

• Wondering where your loved one is

• Hearing or sensing the deceased is near

Lack of Sleep

• Insomnia — Symptoms of insomnia include difficulty falling asleep or awakening at night and having difficulty falling back to sleep. Insomnia is not uncommon after someone goes through the stress and trauma of losing a loved one.

• Physical pains from grief — The pain from grief is not only emotional, it can be physical as well. You become more aware of physical sensations like pain. Backaches, joint pain, headaches, and general stiffness and soreness are common side effects of grief. You may even feel a dull hollow in your gut.

Excess Sleep

• Hypersomnia — The overwhelming and constant exhaustion and sadness that accompanies grief can also cause excessive daytime sleepiness or oversleeping, a condition known as hypersomnia. This is a common symptom in people with depression. Hypersomnia symptoms include sleeping all day, taking a lot of naps during the day, going to bed early in the evening, or oversleeping in the morning.

• Depression (and its physical side effects) — Depression is a common symptom among those who are mourning the loss of a loved one. People who are depressed can experience significant weight gain or weight loss, psychomotor agitation, fatigue, feelings of worthlessness, inability to concentrate, marked loss of interest or pleasure in activities once enjoyed, and insomnia or hypersomnia.

Understanding different types of grief 

Loss of a spouse

Whether you’ve been married a few years or several decades, losing your life partner is devastating. You may feel shocked or numb. You may experience survivor’s guilt for being the one who survived. You may even get mad at your deceased spouse for leaving you. All these emotions are normal as you work through your grief. A huge void has entered your life and you may feel lonely, scared, or anxious suddenly without your spouse. This is the time to take extra care of yourself. Studies have shown that after losing a spouse, the surviving spouse is at a 48% greater risk of dying. 

Losing your life partner can be especially difficult at night. The empty space next to you in bed feels vast. It can be especially difficult falling asleep at night without your loved one. “If you’ve lost a partner, get a body pillow or let the dog sleep with you for a while,” suggests Dr. Brian Wind, a clinical psychologist and Chief Clinical Officer of Journey Pure. “You might also sleep on your partner’s side of the bed for a sense of closure.”

Loss of a parent

Regardless of your age or the closeness of your relationship, losing a parent is never easy. Your mother and father brought you into this world. Losing one or both can feel as if the anchor to your identity has been cut and you’re left adrift in the world without them. Studies have found that we identify the loss of a father and mother differently. The death of a father is like a loss of personal mastery. Fathers instilled in us the strategies and tools to help us live and work. Losing a mother, however, is felt on a more visceral level because of the nurturing role they played in our lives when we were young. 

At night, you may find yourself lying in bed unable to sleep because your mind is flooded with thoughts. You may feel guilty for not spending more time with them, or grieve not having a better relationship with them. You may worry that you didn’t live up to their expectations. To calm a racing mind so you can sleep better, Dr. Wind suggests “incorporate breathing exercises, meditation, or yoga into your pre-sleeping routine.” Seeing a therapist can also help you process those hurtful thoughts and emotions.

Loss of a child 

Parents are supposed to outlive their children. Whether they are a toddler, teenager, or adult, when a child’s life is cut short, we are left grappling for understanding. The physical and emotional pain may be especially overwhelming if the death was sudden or unexpected. But even if death follows a lengthy and painful illness, there is little peace in losing a child. As parents, we are responsible for nurturing our children. When they die, you may feel as if you failed them. You may also feel as if you have lost a part of yourself because, quite literally, you have. 

The pain of losing a child can be so overwhelming, it may be difficult to get out of bed in the morning. You may want to sleep the rest of your life away. “Most times, sleep is preferred instead of dealing with the devastation,” says Dr. Reneé Sunday, an anesthesiologist and motivational speaker.

Losing a child is a traumatic experience, and you may need professional help getting through it. Studies show that parents who do not work through their grief are at an increased risk for long-term mental and physical health consequences. A study published in JAMA found that therapy that resembles treatment for post-traumatic stress disorder (PTSD) was 25% more effective at helping people manage their grief than traditional therapy. 

Loss due to suicide

Losing a loved one to suicide is a shocking and heart-wrenching experience. You may be struggling with guilt, anger, or confusion. You might ask yourself: “Could I have done something to prevent it?” Not only will you experience the physical and emotional symptoms of grief, you may also feel isolated. Many people have a difficult time talking about suicide and may not reach out to you because they don’t know what to say.

Guilt can wake you up at night, and painful thoughts of “what if” or “why” can keep you from falling back to sleep. You may even have thoughts of suicide. This is not unusual or uncommon. However, having these thoughts does not mean you will act on them. Keep asking yourself questions until you no longer need to ask, suggests the nonprofit SAVE (Suicide Awareness Voices of Education). Consider attending a support group for families who have been affected by suicide. Talking with others who know your pain can help you process your emotions. In time, you will be able to work through your anxious thoughts and get a good night’s sleep.

Loss of a pet

For many of us, pets are more than animals. They are beloved family members who fill our lives with joy and companionship. When a pet dies, the sense of loss you feel can be similar to losing a loved one. Some people may not understand your level of grief over a pet. They might tell you it’s time to “move on,” or that you’ll feel better if you get another pet. It’s not always that easy. 

If your pet slept in your bedroom or in your bed, you will sense their absence at night. Even if your pet slept in a crate or cage, you can still feel the void knowing they are not in your home. The absence can make it difficult to fall asleep. “It may help to sleep with a stuffed animal, article of clothing, or even a photo that reminds you of them,” Ogle says. And actively do things to heal your heart, like reaching out to others who have lost pets, holding a funeral, or ceremoniously scattering your pet’s ashes. Also, take care of yourself. Because in grief you are at greater risk for accidents, illnesses, and general aches and pains

Loss due to COVID-19

COVID-19 has created angst for many of us. But losing a loved one during a global pandemic can be devastating, especially if you were unable to say goodbye to your loved one in person due to efforts to stop the spread of the virus. You may have been faced with the decision to take your loved one off life support, a particularly difficult experience to reason with if your loved one was healthy before contracting the virus. 

You may lie awake at night, searching for understanding. Or wake in the night consumed with grief, anger, or anxiety. It is normal to feel overwhelmed with emotion, especially since social distancing can make it challenging to receive hugs of comfort from others. Find your own comfort by making your bedroom into a sanctuary, Dr. Wind says. “Make sure your bedroom is dark and at a cool temperature for sleeping,” and that your mattress and bedding are comfortable and supportive. As you work through your grief, sleep will come easier.

Sleep Tips for Grieving

Grieving isn’t a “one size fits all” process. Everyone grieves differently. And you cannot compare your mourning with another’s because it won’t necessarily look the same. Some of us cry, look sad and withdraw from others. Some of us grieve in private while trying to convince others we are fine. Still, some of us cope by staying busy, afraid if we slow down, we will have to face the pain of our loss. Many of us, however, suffer from sleep disturbances following the loss of a loved one. But there are things you can do to help you get a better night’s sleep:

Sleep hygiene and routine

• Sleeping/bedroom environment — Your bedroom should be a sanctuary only for sleep and sex. Use blackout curtains to block out light, set the thermostat at a cool but comfortable temperature, use a sound machine to block out noise and lull you to sleep.

• New mattress and bedding — Old, sagging mattresses can impede your best efforts to sleep. Consider a new memory foam, latex, or hybrid mattress that offers comfort and support. New mattresses also offer performance factors that traditional innerspring beds don’t like pressure point relief and spinal alignment to help reduce aches and pains.

• Exercise at appropriate times — Exercise is a great way to burn off stress and anxiety and to prepare your body for sleep. But don’t do any strenuous exercise within three hours of bedtime. Exercise releases endorphins, the “feel-good” chemical, that can overstimulate you and keep you from sleeping.

• Avoiding alcohol/drugs/stimulants before bed — Alcohol can make you sleepy, which may seem ideal when you have trouble sleeping. But too much alcohol too close to bedtime can make you wake up during the night and have trouble falling back to sleep. Coffee and caffeinated drinks are stimulating and if consumed too close to bedtime can keep you from falling asleep.

• Blue light exposure before bed — It may be tempting to look at your phone or watch TV to help you fall asleep at night. But these devices emit blue light, which blocks the body’s natural sleep hormone, melatonin, and thus interferes with your ability to fall asleep.

• Room temperature — A room that is too hot or too cold can make sleep downright uncomfortable. For most people a temperature between 65 and 72 degrees is ideal for sleep.

• Sleep schedule — Maintain a regular bedtime and wake up time can keep your circadian rhythm in check. The circadian rhythm is the body’s internal 24-hour clock that governs your sleep-wake cycle.

Relaxation techniques

• Meditation — Taking time to practice mindfulness or focus your mind on a particular thought or object can help clear your mind and reduce stress, and can ultimately help you sleep better. Meditation apps are a great resource for this.

• Breathing exercises — Breathing can be a powerful tool for reducing anxiety and can help you wind down before bedtime. Focus on taking slow, deep breaths, breathing in and out through the nose, allowing your belly to fill with air.

• Acupressure — Acupressure is based on the same traditional Chinese medicine principles as acupuncture to relieve stress, but it uses pressure instead of needles on certain points on the body. You can do acupressure on yourself by simply applying pressure with your fingers to the same points targeted by acupuncture.

Seek help

Grief is a deeply personal experience, but you don’t have to go through it alone. Talk to a trusted friend, a family member, or seek out support groups where you can share with others who have experienced similar pains. If you are having an especially difficult time with your grief and time doesn’t seem to heal your wound, talk with a therapist or psychologist specialized in grief counseling.

Final Thoughts 

Grief is a natural and normal response to loss that can lead to sleepless nights. Insomnia and hypersomnia are common side effects of grieving. Just as the intensity of your pain becomes more manageable in time, so should your sleep. And as your sleep improves, so will your ability to handle your grief. 

If you need additional help, call the U.S. Department of Health and Human Services’ National Helpline at 1-800-662-HELP (4357). 

Charlotte Spence

Certified Sleep Science Coach

https://www.mattressnerd.com/sleep-and-grief/

Coping When Life IS Unfair

One of life’s most valuable lessons, one that takes too long to accept, is that life is hard.

If we had our way, there would be no pain, things would go our way, we wouldn’t have to work as hard, and we certainly wouldn’t have to suffer. We get reality instead, a reality that tells us all too often that things are not fair and as Hal Urban said, “the world will not devote itself to making us happy”.

If we do not accept life as it is and face these challenges, it is impossible to be happy or content. Instead, we keep wishing for something that we will never get. If we accept and understand that life is hard, we can live more effectively and find solutions. It is this process of meeting our problems head on and looking for solutions that gives life its meaning.

Once we accept the fact that life is hard, we begin to grow. We can begin to see that every obstacle is an opportunity to write our future, regardless of what the past has said.

Life can and will break you.

Nobody can protect you from that, and living alone won’t either; for solitude will also break you with its yearning.

You have to love. You have to feel. It is the process of experiencing who you are here on earth. You are here to risk your heart. You are here to be swallowed up.

Grief is one of those experiences that feels like it could break you.

Grief is a stalker. It lurks in the cabinets and in the waiting room at the dentist’s and behind the switch on the hall light. It twines itself inside the click of pens and the heels of socks. Tea bags are infused with it, as are cereal boxes, computer games and the mail as it is slipped through the slot.

Contrary to reputation, it never looks drab; it doesn’t care about time.  It isn’t elegant. It isn’t easy or smooth. It rises with the sun and hides in the corners of fog. Surprisingly it prefers hello to goodbye. It shows up on the beach and frayed the nerves in the manner of a gunshot or a siren whizzing by. It is big, hairy, inarticulate, possessing just one word, why. It is brain freeze and sour lemons and a knife to the belly and a thrum-thrumming of the heart- combined.

Grief makes us clumsy. Always falling and attempting to rise.

An excerpt from The Painted Drum,  resonated deep within my bones. She wrote, “And when it happens that you are broken, or betrayed, or left, or hurt, or death brushes near, let yourself sit by an apple tree and listen to the apples falling all around you in heaps, wasting their sweetness. Tell yourself you tasted as many as you could.”

When it comes to grief and loss, we have to be gentle with ourselves. Grief then coping comes and goes and the stages will not follow a particular pattern.

Do not beat yourself up when after a while of “handling your emotions”, you are slapped in the face with strife again.

Acknowledge what it is, accept it as natural and own the feelings.

Swim in the feelings until your fingers get all pruney.

Taking a stance of "grin and bear it" or "push through it" doesn't allow you to experience it, or reject what's happening either. It keeps you stuck, and you experience it all over again the next time a similar situation arises.

Remember that accepting where you are today, doesn't mean that you are saying it is okay to remain here indefinitely.

Understand that it makes sense for you to feel what you are right now based on the experiences that led you here, to this very moment. Give yourself the grace to feel compassion for your experience at the moment and where you are, knowing that you have the choice to start working through it again later on today, or tomorrow.

The definition of what is your best that you have to give yourself today is enough.

Only through the process of experiencing our struggles can we begin to heal. Through that healing, we can begin to experience the wonderment of being alive and to truly live.

To process fully you must first own your experience whether positive or negative. Allow the feelings to flow over you and let it embrace all of your being. Only then can you begin to make sense of why you are having these feelings, where they come from, and what to do with them next in a manner that is not pushing them aside or pretending they don’t exist.

Remember, it is your experience and no one can define it for you. Give yourself the permission to exist as you are while you are on your path to fully achieve what you are capable of becoming.