1. Jennifer Baker-Jones MA LP THE CENTER IS A NONPROFIT ORGANIZATION DEDICATED TO OFFERING HOPE FOR THE DIFFICULT TIMES IN OUR LIVES.

2.  Deepen understanding of work we do with victims by learning about: 1.Common grief and trauma reactions, 2. How our own personal loss history impacts us, 3.and tips for how to respond to victims experiencing grief and loss. GOAL OF PRESENTATION

3.  Define Grief, Personal Loss History, and Common Grief Reactions.  Identify Complicated Grief Reactions  Identify Trauma Reactions  What you can do  Self-Care OVERVIEW

4.  An ongoing, personal process of acknowledging the life changing impact of loss. It affects the behavioral, cognitive, emotional, physical and spiritual dimensions of our self.  Cumulative, Disorganized, Fearful, Non- linear, Unique GRIEF

5.  OBVIOUS LOSSES:  Death of Spouse, Grandparent, Child, Friend, Parent, Pet etc.  Relationship loss, Loss of job  “Hidden” LOSSES :  Fertility, health, self-esteem, trust, safety, community, sense of sexuality, loss of connection with loved ones, self- expression  Times of transition can often be even more hidden and hard to find support for. PERSONAL LOSS HISTORY

6.  PetDreamsCommunity  SafetyDependenceFreedom  Self ExpressionIncomeRole(s)  Friendship JobYouth  TrustVocationSelf-Esteem  Mother/Father HomeChildhood  FamilyFertilityFriends  RelationshipsSexual FunctionGrandparent(s)  SiblingsMarriage Co-worker  HealthPartnerGrandchild(ren)  InfantIndependence Fertility  Career Self Worth Security  Mobility Faith Sexuality PERSONAL LOSSES THAT IMPACT US

7.  Behavioral: feeling detached, changes in interests, changes in relationships, changes in productivity, loneliness, short fuse  Cognitive: difficulty concentrating, preoccupation with loss, distracted, lowered self-esteem, confusion  Emotional: changes in mood, panic, fear, sadness, anger, shock, guilt  Physical: changes in appetite, difficulty sleeping, nightmares, stomach aches, headaches, fatigue, increased sickness  Spiritual: change in belief system and values, sense of hopelessness, questioning faith/religion, disconnected from self COMMON GRIEF REACTIONS

8.  Culturally Based  Cumulative  Depriving  Disorganized  Life changing  Overwhelming  Painful  Stressful  Personally Unique THE PROCESS OF GRIEF IS..

9. Grief Loop Loss Integration Shock Confusion Denial Anger at Self Lowered Self- Esteem Agony Grief Anguish Depression Apathy Indifference Loss of Interest Desire to Withdraw & “Give-up” Protest Despair Detachment Crying Pain Weakness Nausea Loss of Appetite Sleep Disturbances Other Physical Change Continuing Physical Symptoms Slowed Thinking & Actions “Urge to Recover” What Was Lost Decreased Socialization No New Friendships “Bland” Expression Absent Spontaneity Adapted from Lammers

10.  Past Experience With Loss - Family of origin responses to death and grief - Losses in childhood, adolescence, or adulthood - Relationship With Loved One  Nature of the relationship  Circumstances Surrounding The Death  Present Influences - Social support - Belief system - Resilience, personality FACTORS AFFECTING LOSS

11.  Depression  Intense bereavement lasting more than 2 months  Destructive Behavior  Substance Abuse  Eating Disorder  Recurring Flashbacks  Risk taking behavior  Withdrawn  Suicidal Thoughts  Homicidal Thoughts COMPLICATED GRIEF REACTIONS