Types of Loss Grant Marylander Types of Loss Grant Marylander

The Grief Nobody Talks About: Surviving the Loss of Someone to Suicide

When someone dies of cancer, people bring food and sit with you. When someone dies by suicide, conversations stop mid-sentence and friends pull back. You carry the loss and a second, quieter burden: the sense that your grief is too complicated for anyone to hear.

There is a particular kind of grief that arrives wrapped in silence.

When someone you love dies of cancer, people bring food. They call. They sit with you. The loss is visible, the mourning is communal, and the world, imperfectly but genuinely, shows up.

When someone you love dies by suicide, something different often happens. People don’t know what to say, so they say very little. Friends pull back. Conversations stop mid-sentence. And you are left to carry not only the devastating weight of your loss, but a second, quieter burden: the sense that your grief is somehow too complicated, too uncomfortable, too charged with questions that nobody wants to ask out loud.

This is the grief that nobody talks about. And that silence, more than almost anything else, is what makes it so hard.

You Are a Survivor of Suicide Loss

If you have lost someone to suicide, a parent, a child, a partner, a friend, a sibling, you are what the grief community calls a “suicide loss survivor.” The term matters, because naming what you are going through is the first step toward not being alone in it.

Suicide loss survivors are not a small group. Research published in Suicide and Life-Threatening Behavior found that as many as 135 people are significantly affected by each suicide death. These are not strangers. They are people who loved the person who died, who are now navigating a form of grief that is, in important ways, unlike any other.

Understanding what makes this grief distinct is not about ranking losses or suggesting that suicide loss is worse than other bereavements. It is about being honest that it is different, and that those differences matter for how you grieve, what you need, and why the ordinary supports so often fall short.

Why This Grief Is Different

The Stigma Is Real, and It Has Consequences

Suicide carries a stigma that has deep historical and cultural roots. For centuries, suicide was treated as a moral failing, a sin, even a crime. Those frameworks have largely been discredited, but their residue remains, in the awkward silences, in the phrases people reach for, in the questions that hang unspoken in the air.

When that stigma surrounds a death, it surrounds the grief as well. Survivors often report feeling as though they must protect the circumstances of the death, telling some people the truth, giving others a vague explanation, managing a kind of double life in which the full story is never fully told. This concealment, however understandable, comes at a significant cost. Grief that cannot be spoken openly is grief that cannot be fully processed.

Dr. Jack Jordan, one of the leading researchers in suicide bereavement, has described this as a kind of “disenfranchised grief,” grief for a loss that society does not fully sanction or support. When your grief is disenfranchised, you don’t just lose the person. You lose access to the ordinary rituals and community support that help people move forward.

The Questions That Don’t Have Answers

Grief after most deaths involves questions. Grief after suicide involves a particular kind of question that can become consuming: Why?

Why did this happen? Was there a sign I missed? Could I have said something, done something, changed something? Did they know how much I loved them? Did I fail them?

These questions are not signs of weakness or irrationality. They are the mind’s attempt to make sense of something that often resists sense-making. But they carry a unique feature that distinguishes them from other grief questions: they are unanswerable. And living with an unanswerable question, with what researchers call “ambiguity” at the heart of your loss, is one of the most psychologically demanding aspects of suicide bereavement.

The search for a reason is understandable. But it is worth knowing that the absence of an answer is not the same as the absence of meaning, and that the questions themselves, over time, can shift from instruments of self-punishment into something quieter and more bearable.

The Guilt Is a Special Kind of Painful

Guilt is common in grief. After a suicide loss, it can be overwhelming.

Survivors frequently carry the weight of things said and unsaid, decisions made and unmade, moments they wish had gone differently. The “if only” loop, if only I had called that day, if only I had taken it more seriously, if only I had said the right thing, can run almost continuously in the early months of loss.

It is important to say this clearly: suicide is the result of a complex convergence of biological, psychological, and circumstantial factors. It is not caused by the failure of the people who loved the person who died. The responsibility does not belong to you. And yet grief rarely responds to logical argument, and knowing this intellectually is very different from feeling it.

Part of what grief therapy can offer is a space to sit with the guilt, not to dismiss it, but to examine it honestly, to distinguish between genuine regret and the distorted self-blame that loss so often generates, and to begin, slowly, to put it down.

The Trauma Layer

For many suicide loss survivors, especially those who discovered the body or were among the first to know, the loss carries a traumatic dimension that adds another layer of complexity to the grief. Intrusive images, hypervigilance, difficulty sleeping, a heightened startle response: these are not unusual, and they are not signs that something is permanently wrong with you. They are signs that your nervous system has been through something profound.

When trauma and grief are intertwined, they tend to complicate each other. Trauma responses can make it difficult to engage with the grief work that supports integration, and unprocessed grief can intensify trauma symptoms. Recognizing this interplay, and finding support that addresses both, is an important part of the path forward.

What Integrating This Grief Can Look Like

None of this is meant to suggest that integrating a suicide loss is impossible. It is not. Survivors of suicide loss can and do find their way to lives that are meaningful, even joyful, lives in which the person they lost remains present in memory and love, without the grief being a constant emergency.

But grief integration after this kind of loss tends to require a few things that are worth naming.

Permission to grieve fully. You do not need to protect others from the circumstances of your loss, or from the intensity of your grief. You are allowed to mourn completely and openly, even when the world around you seems uncertain how to hold that.

Connection with others who understand. There is something that happens in a room full of people who have experienced the same kind of loss, a recognition, a relief, a sense that you are not alone in the specific texture of what you are carrying. Survivor of suicide loss support groups exist for exactly this reason, and the research consistently shows they help.

A space to sit with the unanswerable. A good therapist will not try to give you answers you cannot have. They will help you develop a different relationship with the questions, one that allows you to carry them without being crushed by them.

Time, and patience with the non-linearity of it. Suicide bereavement research suggests that the mourning process after this kind of loss often takes longer than after other deaths, and that the path is rarely straight. The second year is often harder than the first. Grief that seemed to be softening can resurface sharply around anniversaries, holidays, and milestones. None of this means you are stuck. It means you are grieving something real.

A Final Word

If you are reading this because you have lost someone to suicide, I want to say something directly: your grief is real, it is valid, and it deserves to be seen.

The silence around this kind of loss is not a reflection of its significance. It is a reflection of a cultural discomfort with suicide that has nothing to do with the depth of your love or the enormity of your loss. You are allowed to grieve loudly, or quietly, or in whatever way is true to you. And you deserve support that meets you where you actually are.

You do not have to carry this alone.

___

I am a Licensed Clinical Social Worker and Certified Grief Counselor specializing in grief therapy in Boulder, Colorado. I also have the privilege of facilitating a survivor of suicide loss support group in the Boulder community. If you are a suicide loss survivor and wondering whether individual therapy, a support group, or both might help, I would welcome a conversation. You can schedule a free 15-minute consultation at shareyourgrief.org, no pressure, no commitment, just a chance to talk.

Read More
Types of Loss Grant Marylander Types of Loss Grant Marylander

The Unseen Griever

Nobody sends flowers when a marriage ends. There is no bereavement leave when a friendship dissolves or an estranged parent makes clear they will never see you. These losses are real, they are grief, and you do not need anyone's permission to mourn them.

There is a kind of loss that nobody sends flowers for. No one shows up at your door with a casserole when your marriage ends. There is no bereavement leave when your friendship quietly dissolves. The world doesn't pause when you lose a job that gave your days meaning, or when a parent you always hoped would finally see you makes clear that they never will.

And yet we can grieve these losses deeply. And, sadly, often grieve alone.

We have a narrow cultural script for grief. It involves death, a funeral, a period of mourning that is socially sanctioned and, above all, time-limited. But grief doesn't follow that script. And many people who are quietly devastated by losses that go unseen, often leaving the person with the belief they don't even have permission to grieve (we sometimes refer to such grief as “disenfranchised grief”.

The losses we forget to name

Therapists use the term "ambiguous loss" to describe losses that lack the clarity of death: the parent lost to dementia who is still physically present, the estranged sibling who is alive but gone, the version of your life you had to abandon when illness or circumstance intervened. Pauline Boss, who coined the term, observed these losses are often the hardest to heal precisely because they are unacknowledged. There is no ritual. No community. No shared language for what you are going through.

A divorce is one of the most disorienting experiences a person can go through. You are not just losing a partner. You are losing a future you believed in, a family structure, a home, a daily rhythm, sometimes an entire social world. And yet grief after divorce is frequently minimized, even by the people experiencing it. "At least you didn't lose a child." The comparison closes the door before you've even had a chance to open it.

Job loss carries a grief that often goes unnamed too. For many people, work is not simply income. It is identity, structure, community, and purpose. When it disappears, something foundational can collapse in ways that feel frightening and embarrassing in equal measure.

And then there is the grief that comes from people who are still alive: the estrangement from a parent or sibling, the slow unraveling of a friendship that once felt permanent. This kind of grief can be the loneliest of all, because the person is still there. You can't mourn them the way you mourn the dead. But you are mourning something just as real.

Why it matters to call it what it is

Naming grief as grief is not self-pity. It is accuracy.

When we don't name what we're carrying, we often don't give ourselves the care we need. We push through. We tell ourselves to be grateful. We wonder why we feel so heavy and hollow, and we conclude that something must be wrong with us rather than recognizing that something happened to us.

Grief is the natural response to losing something that mattered. It doesn't require a death certificate or anyone else's validation to be real.

What this might mean for you

If you are reading this and feeling something loosen in your chest, it might be because you have been carrying a loss without permission to grieve it.

Whatever you have lost, whether it is a person, a relationship, a version of your life, a dream, a role, a future you had counted on, you are allowed to grieve it. You are allowed to take it seriously. You are allowed to be changed by it.

And if you have been wondering why you can't simply get over it, it might be because no one ever told you that what you went through was a loss worth grieving in the first place.

It was. It is.

Read More
Types of Loss Grant Marylander Types of Loss Grant Marylander

Pregnancy Loss and Grief

There is often no funeral, no mourning period, and sometimes not even adequate language for the enormity of it. Parents are met with “at least you can try again,” which invalidates a bond that was entirely real. Your grief is real too.

There is an urban legend about Ernest Hemingway betting his fellow writers that Hemingway could craft a full story in six words. After the bet was accepted, Hemingway wrote, “For Sale, Baby Shoes, Never Worn.”

Regardless of the story’s origins, I think it captures the deep grief that arises from pregnancy loss (the clinical terms are “reproductive grief” or “reproductive trauma” which includes not only pregnancy loss but also the grief arising from infertility).  

As a grief therapist, I have supported individuals through the depths of grief following death and loss. One area that consistently demands more recognition and understanding is grief following pregnancy loss. Whether it's an early miscarriage, a stillbirth, or the heartbreaking conclusion of infertility, the pain is profound, yet often profoundly minimized by society. This minimization of pregnancy loss and reproductive trauma results in disenfranchised grief.

Disenfranchised grief refers to any loss that is not openly acknowledged, publicly mourned, or socially supported. Pregnancy loss fits this definition tragically well. There's often no funeral, no official mourning period, and sometimes, even the language to articulate the enormity of the loss feels inadequate. A parent's arms ache for a child they never held, a future they envisioned, and dreams that were shattered in an instant. Yet, they might be met with well-meaning but hurtful phrases like, "At least you can try again," or "It wasn't a real baby yet." These words, though perhaps intended to comfort, only serve to invalidate the very real bond that was formed and the deep grief that remains.

The impact of this disenfranchisement can be devastating. Individuals experiencing pregnancy loss may feel isolated, ashamed, and as if their grief is somehow "wrong" or unwarranted. They might struggle to process their emotions, feeling compelled to "get over it" quickly and silently. This lack of external validation can lead to anxiety, depression, and PTSD.

Our society has a collective responsibility to change this narrative. We must create spaces where this grief is seen, heard, and honored.

If you are experiencing pregnancy loss, please know that your grief is valid. It is real. You have every right to mourn the loss of your child and the future you envisioned. Seek out support – whether it's a therapist specializing in reproductive loss, a support group, or trusted friends and family who can simply listen without judgment.

And for those supporting someone through pregnancy loss, remember the power of presence and validation. Instead of trying to "fix" their pain, it is important to acknowledge someone’s grief and loss. Allow the person who is grieving the space and time to grieve in their own way, for as long as they need. By doing so, we begin to chip away at the disenfranchisement, allowing people to cope with their grief and learn to integrate the grief into their lives.

Grief is not something you have to figure out on your own. If you're in the thick of it right now — exhausted, overwhelmed, or just unsure what you're even feeling — I'd be honored to sit with you in it. Reach out for a free 15-minute consultation. Let's talk.

Read More
Types of Loss Grant Marylander Types of Loss Grant Marylander

The Road Less Traveled: Grieving a Lost Future

The career you planned and had to abandon. The family you imagined. The version of yourself that got sidelined by circumstance. These futures were never real and losing them still produces genuine grief that deserves to be named as such.

Life, in its often-unpredictable way, constantly presents us with a myriad of paths. Each decision we make, each fork in the road we take, inevitably means leaving other paths untrodden. While we often celebrate the journey we embark on, there's a quieter, less acknowledged form of grief that many experience: grieving a lost future, the echo of "what might have been."

This grief is not necessarily about regretting choices, but rather acknowledging the very real sense of loss for a future that, for whatever reason, never materialized. It could be the career path you meticulously planned but had to abandon due to unforeseen circumstances. Perhaps it's the vision of a life with a person who died, or the dream of a particular family dynamic that shifted. It might even be the version of yourself you envisioned becoming, a self that was sidelined by life's detours.

The "road less traveled" often sounds romantic, but sometimes, the pain comes from not taking that road, or having it taken from you. We invest emotions, hopes, and dreams into these imagined futures. They become part of our identity, even before they become reality. When those futures vanish, whether through a breakup, a career setback, a health crisis, or simply the passage of time, the emotional residue can be profound. It’s the mourning of possibilities, the quiet ache for experiences that will now never be.

Allowing yourself to grieve these lost futures is just as important as grieving other losses. It's not a sign of weakness or a failure to accept your current reality (I will write about the importance of acceptance, or more accurately radical acceptance, in a future post). Instead, it's an acknowledgment of your capacity for hope, planning, and love. Give yourself permission to feel whatever emotions may arise - sadness, disappointment, and even the anger that can accompany such a loss. Talk about it if you can, write about it, or simply sit with your emotions.

While the future you envisioned may no longer be, recognizing and honoring that loss can help you move forward, not by forgetting, but by integrating that experience into your life. It clears the space for new possibilities, new dreams, and new futures to emerge. The echo of what might have been doesn't have to be a haunting; it can be a reminder of your incredible capacity to dream and to adapt.

 

Read More
Types of Loss Grant Marylander Types of Loss Grant Marylander

Pets and Grief

The loss of a pet can produce grief that mirrors the loss of a human loved one and the world rarely treats it that way. The brain fog, the sleep trouble, the void where the morning routine used to be: all of it is real, and all of it deserves to be mourned.

The bond we share with our pets is one of unconditional love, comfort, and routine. They are family members, confidantes, and constant presences in our lives. When that bond is suddenly broken, the emotional fallout can be devastating, often mirroring the pain experienced after the loss of a human loved one.

It’s crucial to understand that the grief process for a pet is fundamentally similar to any other loss. You may be experiencing a wide range of emotions, including intense sadness, denial, guilt, and anger. The guilt might stem from second-guessing medical decisions or the circumstances of their death, while anger might be directed toward the world for taking them too soon. These turbulent emotions are a normal and natural part of your grief journey.

It is also important to remember that grief is not just emotional; we experience physical changes and our brain struggles to make sense of a loved one’s absence (for a great exploration of grief and biology, I highly recommend Mary-Frances O’Connor’s books, The Grieving Brain and The Grieving Body). Many of my clients report brain fog, challenges with sleep, and fatigue.

The absence of our routines—the morning greeting, the daily walk, the evening snuggle—creates a vast, painful void. Acknowledging your intense, multifaceted grief is one of the important tasks of mourning. Give yourself permission to mourn fully and openly, just as you would for any significant loss. Be kind to yourself, seek support, and honor the deep love you shared.

Read More
Types of Loss Grant Marylander Types of Loss Grant Marylander

The Toll of Dementia Caregiving

Sixteen million Americans provide unpaid dementia care and they do it longer and at higher cost to their own health than other caregivers. Respite genuinely helps, even a few hours a week, and there is a specific way to ask for it that works better.

The majority (80%) of people with dementia are receiving care in their homes.  To put this in perspective, 16 million Americans provide more than 17 billion hours of unpaid care for their loved ones. It is notable that dementia caregivers provide care for a longer duration than caregivers of people with other types of conditions.

Caregiving takes its toll and this is especially true for dementia caregivers. Dementia caregivers report higher levels of stress, more depression and anxiety symptoms, and lower levels of subjective well-being, self-efficacy, and anxiety. Further, caregivers experience worse physical health outcomes, including higher levels of stress hormones, compromised immune response, antibodies, greater medication use, and greater cognitive decline.

So what can we do?

There are protective factors for stress and depression: Larger social networks, frequent social contact, and the ability to arrange for assistance from friends are moderators of depressive symptoms and caregiver burden. Respite care is especially important. Research shows that even a few hours of respite a week can improve a caregiver’s well-being. Respite care can take the form of different types of services in the home, adult day care, or even short-term nursing home care so caregivers have a break or even go on vacation.

It is critical that caregivers make their needs known. For example, identify a caregiving task or a block of time that you would like help with. Perhaps there’s a book club meeting you’d like to attend or some time alone to read a book. Be ready when someone says, “What can I do to help?” with a specific time or task, such as, “It would be really helpful for me if you could stay with mom on Tuesday night so I can go to my book club for 2 hours.”

Be understanding if you are turned down. The person may not be able to help with that specific request, but they may be able to help another time. Don’t be afraid to ask again. If you have trouble asking for help face to face, try writing an e-mail to your friends and family members about your needs. Set up a shared online calendar or scheduling tool where people can sign up to provide you with regular respite.

Need more suggestions or resources? Boulder County offers support for caregivers through its AAA Caregiver Initiative. Alzheimers.gov provides helpful tips for dementia caregivers.


 

 

Read More
Types of Loss Grant Marylander Types of Loss Grant Marylander

Can an Adult be an Orphan?

The death of an elderly parent is often treated as just part of life, which leaves adult children grieving without acknowledgment. One client put it precisely: when one parent dies it is a semicolon, when the second dies it is a period.

In the often cringe-worthy but hilarious show, Curb Your Enthusiasm, the lead character Larry David challenges his friend Marty Funkhouser’s statement that, with the death of his mother, he is now an orphan. "An orphan?  You're a little too old to be an orphan."

I suspect that Larry’s reaction is not uncommon. Indeed, since it is expected that adult children will survive their parents, there is often the belief that when an elderly parent dies, “it’s no big deal - just part of life.” Unfortunately, the failure to recognize the impact of a parent’s death, regardless of the age of the child, can lead to disenfranchised grief, i.e., grief that is not openly acknowledged, socially supported, or publicly mourned.

This is tragic because, regardless of your relationship with your parent, their death can trigger strong emotions: sadness, relief, anger, guilt, regret. Further, there is a finality when both parents die that can shake our world. One client phrased it especially well: “When one parent dies, it’s a semi-colon. When the second parent dies, it is a period.”

The death of our parents can bring families closer to together and move them farther apart. Many times our parents are the “glue” that keeps a family together and, with their death, old wounds become raw again.

We also can experience a loss of identity and find new roles emerge. We may feel that we are no longer someone’s child. We may grieve the fact that we will have unanswered questions about our parents’ lives and history, or feel unable to resolve longstanding challenges.

As with all grief journeys, it is important to remember you have the right to express and experience your grief in your own way, including the right to express and explore your feelings. It may be helpful to note when you engage in rumination about what we “should have” done differently and accept that we did our best in the moment. And always remember there is no expiration date on our grief.

Read More