1. Welcome to the Open Sky Webinar The webinar begins at 6pm—see you soon!

2. Heather Menzie, MA, LPC www.openskywilderness.com

3. DSM DSM Types of Grief: Tangible and Symbolic Types of Grief: Tangible and Symbolic Models of the Grief Cycle Models of the Grief Cycle Continuum of Care Continuum of Care Personal Grief Inventory Personal Grief Inventory Wellness Plan Wellness Plan Questions/Discussion Questions/Discussion

4. V62.82 “Bereavement” Occurs when an individual is responding to the death of a loved one Occurs when an individual is responding to the death of a loved one Expect at least 2 months of depressive symptoms Expect at least 2 months of depressive symptoms Bereavement varies among cultures Bereavement varies among cultures “Good grief” allows for an uninterrupted process “Good grief” allows for an uninterrupted process

5. Looking beyond limitations Looking beyond limitations Loss is a universal experience Loss is a universal experience Physical/tangible loss Physical/tangible loss Symbolic/Psychosocial Loss Symbolic/Psychosocial Loss

6. Case Example: 15 y.o. boy has not grieved death of father. Triggered by news from home about the family pet’s death. Moves into grief for his father. Case Example: Parent has not confronted pain about her father being aggressive with her. She becomes triggered by her partner being aggressive to her son.

7. Avoidance (Shock, Denial, Bargaining) Confrontation (Sadness, Anger, Rage) Reintegration (Testing, Acceptance, Reinvestment) Cycle of Grief: Elizabeth Kubler-Ross (1969) Cycle of Grief: Elizabeth Kubler-Ross (1969) 6 “R”s of Grief: Theresa Rando (1984) 6 “R”s of Grief: Theresa Rando (1984) 4 Tasks of Mourning: J. William Worden (1991 ) Dual Process Model of Grieving: Margaret Stroebe & Henk Strut (1999)

9. ParentChild

10. Support System Wellness Activities

11. Where was your child before wilderness? Where does Wilderness fit in to the Continuum of Care? What is the wilderness “Peak Experience?” Why isn’t wilderness enough treatment? What do you mean we should expect them to relapse after wilderness? What does that mean? Then what? What is aftercare?

12. 1) I feel angry, confused, and unloved when you tell me I can’t come home after Open Sky. 2) I imagine I feel this way because I have worked so hard here. I am not lying to you anymore, and I admit that I have an alcohol problem. I believe I am ready to come home. 3) In the future, I hope that you see how much I have grown, and I hope that I can accept and understand your decision.

13. “You will have a chance to see the emotions you feel in other families and in yourself. You can realize that you are not alone in the pursuit of health for your child.” (OS Parent, 10/14/12) “Not only was it beneficial to me personally, but it really helped me connect to what my son is experiencing and doing in the program which has really helped to alleviate my anxiety about him being in a wilderness program so far away from home.” (OS Parent, 10/14/12)

14. “It is essential to participate in Wellness Weekend. The experience will give you tools to help you take better care of yourself which will help improve your relationships. Also, it will help you understand the experience your child is having so you will be better equipped when you reunite.” (OS Parent, 10/14/12) “It was an awakening to how I felt and how that influenced how I reacted to my child. It helped me understand why my child was reacting to me.” (OS Parent, 10/14/12)

15. 1. 1. American Psychiatric Association. (2000). Diagnostic and Statistical Manual of Mental Disorders. Arlington, Virginia: American Psychiatric Association 2. http://www.changingminds.orgwww.changingminds.org 3. http://www.helpguide.org/mental/grief_loss.htmhttp://www.helpguide.org/mental/grief_loss.htm 4. Liebler, N., Moss, S. (2009). Healing Depression the mind body way. New Jersey: John Wiley 7 Sons, Inc. 5. Kubler-Ross. (1969). On Death and Dying. New York: Macmillon 6. Rando, T. (1984). Grief, Dying, and Death. Illinois: Research Press Company 7. Van Praagh, J. (2000). Healing Grief. New York: Penguin Putnman Inc 8. Weintraub, A. (2004).Yoga for Depression.New York: Broadway Books

16. Heather Menzie, MA, LPC heather@openskywilderness.com 970- 759 -1365 Please keep this browser window open. When the presentation is complete, it will take you to a short survey for todays webinar.