All specialisms

Trauma and stress

Bereavement

Grief that has stalled, complicated bereavement, and loss alongside other clinical presentations.

How I see this presentation

The bereavement work I see most often is grief that has stalled: loss still actively shaping daily life months or years after the event, or grief sitting alongside a clinical presentation such as depression, anxiety, or PTSD. I am not pathologising grief. I am working with people for whom the normal processes of bereavement have not had the space or conditions to move. People often describe the effort to carry on while the absence has remained unprocessed, and a sense that the routines used to manage it have stopped working. The early sessions are assessment-led but unhurried. There is no fixed timeline imposed on grief.

How I tend to work with it

I have undertaken further specialist training in bereavement counselling, and that informs how I hold the work. Where the picture includes a clinical presentation, the lead modality is Cognitive Behavioural Therapy, with bereavement counselling supporting the relational and meaning-making side of the work. I draw on ACT where the work is about the relationship to the loss and what continues to matter alongside it. The pace is set collaboratively and reviewed honestly. The work is not driven by a predetermined session count.

What a course might look like

Sessions are 50 minutes, typically weekly. Bereavement work often does not follow the same line as a focused CBT course, and the rhythm is reviewed openly every four to six sessions. The framework varies per person, and the duration is discussed honestly rather than committed to in advance.

Next step

If what you have read here fits what you are experiencing, please get in touch. I respond to all enquiries personally, typically within one working day. An initial call carries no commitment.

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