
Grief Counselling at Castle Craig

Table of Contents
What is Grief?
Grief is a powerful human emotion which usually follows a loss. This loss may be due to the death of someone close to us, or some other type of personal loss such as redundancy, the end of a relationship, or a deterioration in our health.
People respond to loss in different ways, and while some may be visibly upset and cry, others experience shock, denial, or disbelief.
Longer-term responses to loss can include ongoing sadness and other mental disorders such as anxiety and depression, and this can lead some people to turn to substances or other forms of addictive behaviour as a way to numb their intense emotional pain.
We know from experience that loss is a common theme among people in treatment for addiction.
Symptoms of Grief
Emotions connected to grief are likely to come and go, and may not be present all the time. However, common feelings include:
- Extreme sadness
- Shock
- Anger
- Guilt
- Exhaustion
Signs of Complicated Grief
Most people will find that the intensity of their grief reduces over time, but this is not the case for everyone. When grief continues for months or years, it is referred to as complicated or prolonged grief.
Signs of complicated grief can include:
- Sadness or guilt which continues for more than 6 months
- Difficulty accepting the death has occurred
- Spending a lot of time thinking about the person who has died
- Being unable to do everyday activities
- Suicidal thoughts
Complicated Grief and Addiction
Prolonged grief disorder or persistent complex bereavement disorder differs from what would typically be usual, in terms of length and emotional intensity for a person’s background and culture.1
What’s more, there is a link between complicated grief and addiction. Research has found that complicated grief is one of the risk factors for substance misuse and that those who use substances have a higher chance of developing complicated grief.2
Similarly, it has been found that people with substance use disorders are more than six times more likely to be affected by complicated grief than the general population.3
How Can Grief Lead to Addiction?
Grief can be overwhelming and difficult to manage. The death of a loved one, for example, can affect a person’s sense of identity, purpose, and connection to others, resulting in feelings of loneliness and despair.
To escape the painful emotions, some people may turn to drugs and alcohol as a way to numb their feelings. Using substances might provide some temporary relief, perhaps by helping people to relax or sleep during the initial grieving process. However, the regular use of drugs or alcohol to self-medicate the symptoms of grief can interfere with the natural grieving process and prevent individuals from healthily processing their emotions.
Over time, if the grieving person continues to use substances as a coping mechanism, this can lead to addiction, with the person becoming psychologically and physically dependent on the substance to function.
The Five Stages of Grief
The concept of grief as a five-stage process was first developed by the psychiatrist Elisabeth Kübler-Ross in her 1969 book ‘On Death and Dying’.4
These five stages are described as denial, anger, bargaining, depression, and acceptance, and can all be emotionally challenging. However, the stages are not linear and can occur in any order, with some potentially never happening at all. Also, every time a person experiences grief, the experience is likely to differ from the time before.
1. Denial
Finding out someone has died can be overwhelming, and it is common to feel numb in the early days following a bereavement. We may intellectually understand that someone has died, but are unable to accept that we will never see the person again. So we may carry on with daily life as usual as if nothing has changed. Such denial is usually only temporary.
2. Anger
It is common and natural to feel angry when someone dies. It may seem unfair, particularly if the person has died younger than expected, or if we had plans for the future. We may feel angry with the person for dying and leaving us, or angry towards ourselves for the things we did or didn’t do while the person was alive.
3. Bargaining
This stage can involve trying to bargain and negotiate as if we could change what has happened. People may go over and over past events, spending time thinking about all the potential “what ifs” and “if onlys” which could have potentially influenced the outcome and prevented the loss.
4. Depression
When we lose someone or something important, we can feel intense sadness for a long time, and even start to question the meaning of life itself. This sadness often comes in waves, and we may find ourselves withdrawing from people and social situations.
5. Acceptance
Over time, the pain of grief gradually eases for most people, and we can accept the loss. While we may never get over the death of someone close to us, we learn to live with it, start to accept our new reality, and move forward.
What is Grief Counselling?
Grief counselling is a type of talk therapy that can help you to process and accept your loss. Your therapist will provide a safe, non-judgmental space where you can talk freely and openly about your thoughts and feelings. It can often be beneficial to speak to someone who is separate from the situation, and who isn’t a family member or friend.
Your therapist can help you to focus on what is within your control, and to find strategies to help you cope in the here and now. These might include writing things down in a journal, doing more physical exercise, or meditation practices. Maintaining a routine and focusing on smaller goals can help to provide a sense of purpose.5
It is important to note that grief is a highly individualised process and that practices which help one person may not be so beneficial for someone else.

How Therapy Can Help With Grief
Grief therapy can help you to cope with the emotional, psychological, and behavioural impacts of your loss. The therapy will explain the stages of normal grief together, and support you to develop healthy ways to manage difficult emotions.
Grief therapy can help with:
- Understanding and coping with the emotional, physical, and psychological effects of grief, which can include depression, anxiety, and even physical illness.
- Navigating the stages of grief and finding ways to adjust to life after loss.
- Providing a sense of validation and normalisation, helps a person to realise that what they are going through is a natural part of the grieving process.
- Providing coping strategies and tools for managing grief and related emotions, such as stress, anger, and guilt.
- Identifying and addressing any unresolved issues or conflicts related to the loss which might be hindering the grieving process.
- Offering an opportunity to express thoughts and feelings in a non-judgmental and compassionate setting.
- Finding meaning and purpose, and facilitating personal growth and transformation.
Grief Therapy at Castle Craig
We see many people arrive at Castle Craig with unresolved grief issues. This often includes the death of a person, but can also be other losses, such as the end of a relationship, the death of a pet, or a miscarriage, for example.
Unprocessed grief can be a trigger for relapse, and so these issues need to be addressed if addiction recovery is to be long-lasting. So, after assessment, we make sure that grief is considered as a part of every patient’s treatment plan. This is likely to involve individual and group therapy, cognitive behavioural therapy, and mindfulness-based interventions.
We also run dedicated grief therapy groups so that people can talk about their losses in a supportive environment. Group members are invited to carry out assignments between sessions, which they can then bring back and share with the rest of the group.
The therapeutic community we provide is designed to help each person feel safe and supported while they work through any grief issues. As we recognise that grief can be a long-term issue for many of our patients, we also make sure that it is factored into our aftercare provision.

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Coping With Grief When in Recovery
Grief can be triggering for people affected by addiction, as it can be a risk factor for relapse.
Here are some tips to help with managing grief when in recovery.
- Be sure to talk about your feelings to others, perhaps by joining a support group.
- Practise good self-care such as healthy eating, sleeping, and exercise.
- Keep busy.
- Try doing new things.
- Allow yourself time to consider the good things in life that you still have.
Can You Be Addicted to Grief?
For some people, letting go of grief can be extremely difficult, and long after a bereavement, a picture or memory can bring a fresh wave of upset and yearning.
Scientists have found that for these people, complicated grief activates neurons in the brain’s reward centre, in a process that is similar to addiction.
Usually, when our loved ones are alive, we get a neural reward from seeing them or being reminded of them. When a loved one dies, those who adapt to the loss stop getting this neural reward. However, some people continue to crave it and so repeatedly seek out reminders of their loved ones, albeit subconsciously, because each time they achieve the feelings they desire.
This can make it much harder to move on from the loss and suggests that to an extent, some people may become addicted to their grief.6
Next Steps
If you have experienced a loss, and think that unresolved grief issues might be contributing to your addiction, then contact us for support today.
Whatever stage of grief you’re currently at, we can help you to process and accept your loss as part of your overall recovery.
Grief counselling is just one of many different therapies that we offer at Castle Craig, all of which can be selected and tailored to meet your unique needs.
Call us today. Our help centre team will take you through the next steps and answer any questions you have about our treatment programmes.
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References
- NHS. Grief after bereavement or loss.
- Parisi A, Sharma A, Howard MO, and Blank Wilson A. The relationship between substance misuse and the treatment for complicated grief itself: A systematic review. Journal of Substance Abuse Treatment. 2019; 103, 43–57.
- Masferrer L, Garre-Olmo J, and Caparrós B. Is complicated grief a risk factor for substance use? A comparison of substance-users and normative grievers. Addiction Research & Theory. 2017; 25(5), 361–367.
- Cruse. Understanding the five stages of grief.
- BACP. Loss. What therapy can help with.
- University of California – Los Angeles. Addicted To Grief? Chronic Grief Activates Pleasure Areas Of The Brain. ScienceDaily. 2008.
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