Understanding Elderly Persons Mental Health Disorders:

Understanding Elderly Persons Mental Health Disorders:

Understanding mental health disorders in elderly persons is crucial for providing appropriate care, improving quality of life, and ensuring early detection and treatment.

Here’s a clear overview of the key aspects:

Common Mental Health Disorders in the Elderly:

Depression

Often underdiagnosed in older adults.

Symptoms: persistent sadness, fatigue, sleep disturbances, loss of interest, weight changes.

May be triggered by isolation, loss, illness, or medication side effects.

Anxiety Disorders

Includes generalized anxiety disorder, phobias, panic disorder.

Often co-occurs with depression.

Symptoms: excessive worry, restlessness, tension, sleep issues.

Dementia

Includes Alzheimer’s disease and other types (vascular, Lewy body, etc.).

Progressive cognitive decline: memory loss, confusion, personality changes, impaired judgment.

Early detection is key for care planning.

Delirium

Acute and sudden onset of confusion.

Often caused by medical illness, medications, or surgery.

Reversible with timely treatment.

Substance Use Disorders (“Please Seek Medical Advice”)

Includes alcohol or prescription drug misuse (especially benzodiazepines or opioids).

May be overlooked due to stigma or misattributed to aging.

Late-Onset Psychosis

Can include schizophrenia-like symptoms or delusional disorder.

May be related to neurodegenerative diseases or underlying medical conditions. (“Please Seek Medical Advice”)

Contributing Factors to Mental Health Issues in the Elderly:

Biological: Chronic illness, pain, neurodegenerative conditions, medication side effects.

Psychological: Grief, trauma, fear of death, loss of autonomy.

Social: Isolation, loneliness, lack of social support, elder abuse.

Environmental: Institutionalization, poor housing, or inadequate caregiving.

Diagnosis and Assessment:

Comprehensive assessments should include:

Medical history and current medications

Mental status exams (e.g., MMSE, MoCA)

Functional assessments (daily living skills)

Family and caregiver input

Treatment Approaches:

Psychotherapy

Cognitive Behavioral Therapy (CBT), reminiscence therapy, supportive counseling.

Medication (“Please Seek Medical Advice”)

Antidepressants, anxiolytics, antipsychotics — but with caution due to sensitivity and side effects.

Social Support

Day programs, community involvement, family therapy, support groups.

Lifestyle Modifications

Physical activity, good nutrition, sleep hygiene, cognitive stimulation.

Integrated Care

Collaboration between primary care, mental health professionals, and caregivers.

Prevention and Early Intervention:

Promote social engagement and meaningful activity.

Regular screenings during routine medical visits.

Educate families and caregivers on warning signs.

Encourage open conversations about mental health.

Shervan K Shahhian

Bipolar 1 & Bipolar 2, what is the difference:

Bipolar 1 & Bipolar 2, what is the difference:

ASK YOUR PSYCHIATRIST/MEDICAL DOCTOR

The main difference between Bipolar I and Bipolar II disorder lies in the severity and type of mood episodes experienced:

Bipolar I Disorder

Manic episodes are the hallmark. These are severe, often requiring hospitalization, and can include psychosis (delusions, hallucinations).
The person may also experience major depressive episodes, but depression is not required for a diagnosis.
Manic episodes Might last at least 7 days, or are so severe that immediate medical care is needed.

Example: A person may go days without sleep, have grandiose ideas, and engage in risky behaviors—followed (or preceded) by deep depression.

Bipolar II Disorder

Characterized by hypomanic episodes (a milder form of mania) and major depressive episodes.
No full manic episodes occur.
Hypomania Might lasts at least 4 days and doesn’t usually cause significant disruption or require hospitalization.

Example: A person may feel unusually energetic, talkative, and productive for a few days, but not out of control—then experience weeks or months of debilitating depression.

Summary Table:

Feature	Bipolar I	Bipolar II
Mania	Full mania (severe)	Hypomania (mild/moderate)
Depression	May occur, not required	Required for diagnosis
Hospitalization	Common during mania	Rare
Psychosis	Possible in mania	Absent

Here’s a comparison of Bipolar I vs Bipolar II including their core features and typical treatment options:

Bipolar I vs. Bipolar II: Full Comparison

Feature	Bipolar I	Bipolar II
Type of Elevated Mood	Full mania	Hypomania (less intense than mania)
Depressive Episodes	Common, but not required for diagnosis	Required for diagnosis
Mania Duration	≥ 7 days, or any duration if hospitalization needed	≥ 4 days, not severe enough for hospitalization
Psychosis	Can occur during manic episodes	Not typical
Functioning Impairment	Often severe, may lead to hospitalization	Impairment usually mild during hypomania
Diagnosis Requirement	At least 1 manic episode	At least 1 hypomanic + 1 major depressive episode
Suicide Risk	High (especially with mixed episodes or depression)	Higher than Bipolar I due to more time spent in depression
Course of Illness	May have rapid cycling or mixed episodes	Often more time spent depressed than elevated

Treatment Options

1. Mood Stabilizers

ASK YOUR PSYCHITRIAST/MEDICAL DOCTOR

2. Antipsychotics (especially for mania or psychosis)

ASK YOUR PSYCHITRIAST/MEDICAL DOCTOR

3. Antidepressants

ASK YOUR PSYCHITRIAST/MEDICAL DOCTOR.

4. Psychotherapy

Cognitive Behavioral Therapy (CBT) – For managing depressive symptoms and negative thinking patterns.
Psychoeducation – Teaching about the illness to improve treatment adherence.
Family-focused therapy – Helps stabilize the environment and support systems.

5. Lifestyle and Monitoring

Sleep regulation is critical — disturbed sleep can trigger episodes.
Mood tracking apps or journals help identify early warning signs.
Avoiding alcohol and drugs — these can destabilize mood.

Summary:

Bipolar I: More severe, needs stronger antimanic treatment, often antipsychotics. ASK YOUR PSYCHIATRIST/MEDICAL DOCTOR
Bipolar II: More chronic depression, focus often on lamotrigine and psychotherapy.
Shervan K Shahhian

Understanding Non-Suicidal Self-Injury or NSSI:

Understanding non-suicidal self-injury or NSSI:

Non-suicidal Self-Injury (NSSI) refers to the intentional, direct harm to one’s own body tissue without suicidal intent. It’s a psychological behavior often used as a coping mechanism, not an attempt to end life. Understanding it involves examining emotional, psychological, and social dimensions.

Key Aspects of NSSI:

1. Common Forms:

Cutting (most prevalent)

Burning

Scratching

Hitting or banging body parts

Interfering with wound healing

Hair pulling (can overlap with trichotillomania)

2. Psychological Function:

People may engage in NSSI for various emotional reasons, including:

Emotion regulation: Relief from intense emotions like anger, sadness, anxiety, or emptiness.

Self-punishment: Due to guilt, shame, or low self-esteem.

To feel something: Counteracting emotional numbness or dissociation.

Communication or expression: As a cry for help or a way to express internal pain non-verbally.

Control: Gaining a sense of control in chaotic situations.

3. Risk Factors:

Childhood trauma or abuse

Emotional dysregulation (often seen in borderline personality disorder)

Depression or anxiety disorders

Bullying, social rejection, or peer pressure

Lack of social support or emotional expression tools

4. Who Is Affected?

Most common among adolescents and young adults

Can occur in any gender, though females often report cutting more and males report hitting or burning more

Increasingly seen across cultural and socio-economic groups

5. Clinical Recognition:

Included in the DSM-5 as a condition requiring further study

Often co-occurs with other mental health issues like depression, PTSD, eating disorders, or BPD

6. Treatment Approaches:

Cognitive Behavioral Therapy (CBT): Helps restructure negative thought patterns and develop healthy coping skills.

Dialectical Behavior Therapy (DBT): Particularly effective for emotion regulation and interpersonal effectiveness.

Trauma-informed care: When history of abuse or trauma is involved.

Medication: If there’s a co-occurring mood or anxiety disorder.

Family therapy or support groups: To address relational dynamics and isolation.

Important Distinctions:

NSSI ≠ Suicide Attempt: NSSI is not intended to be fatal, though it can increase the risk of future suicide attempts if underlying issues remain untreated.

It is a signal of distress, not attention-seeking behavior — compassionate, nonjudgmental support is key to helping those who engage in it.

Supporting someone who engages in non-suicidal self-injury (NSSI) and understanding how it is assessed clinically are both critical for effective care and intervention. Here’s a breakdown of both:

How to Support Someone Engaging in NSSI

1. Respond with Empathy, Not Judgment

Avoid saying things like “Why would you do that?” or “You just want attention.”

Instead: “That must be really hard for you. I’m here if you want to talk.”

2. Stay Calm and Grounded

Seeing injuries can be shocking, but reacting with panic may make the person feel ashamed or retreat.

Keep your voice calm, and focus on understanding rather than controlling.

3. Open Non-Confrontational Conversations

Ask gently: “I noticed you’ve been hurting yourself. Do you want to talk about what’s been going on?”

Validate their pain even if you don’t understand the behavior: “I can’t imagine what you’re going through, but I want to help.”

4. Encourage Professional Help

Suggest they speak with a therapist or counselor trained in trauma, emotion regulation, or adolescent mental health.

Offer to help them find resources or go with them if they’re afraid.

5. Promote Safe Alternatives

Help them identify replacement behaviors like:

Snapping a rubber band on the wrist

Drawing on skin with red markers

Holding ice cubes

Journaling or art

Exercise or grounding techniques

These don’t solve the core issue but can reduce harm as they transition to healthier coping.

6. Be Patient

Stopping NSSI is a process, not a single decision.

Relapses can happen; continue offering nonjudgmental support.

How NSSI is Assessed Clinically

1. Clinical Interviews

Mental health professionals conduct structured or semi-structured interviews that cover:

Frequency, methods, and severity of self-injury

Triggers and emotional states before and after

Intent (e.g., suicidal vs. non-suicidal)

History of trauma, abuse, or neglect

Co-occurring symptoms: depression, anxiety, dissociation

2. Assessment Tools and Questionnaires

Some standardized tools used include:

Functional Assessment of Self-Mutilation (FASM)

Deliberate Self-Harm Inventory (DSHI)

Self-Injurious Thoughts and Behaviors Interview (SITBI)

3. Differential Diagnosis

Clinicians assess whether NSSI is:

A symptom of a broader condition (e.g., Borderline Personality Disorder, Depression, PTSD)

Occurring independently, possibly as a primary coping mechanism.

4. Risk Assessment

Even though NSSI isn’t suicidal, it’s linked to higher suicide risk over time.

Clinicians assess for suicidal ideation, hopelessness, and impulsivity.

5. Treatment Planning

Based on the assessment, the clinician develops a personalized care plan that may involve:

Therapy (DBT, CBT, EMDR)

Medication SEEK MEDICAL ADVICE FROM A MEDICAL DOCTOR.

Family involvement, if appropriate

Shervan K Shahhian

Cutters and those who Self-Harm, why:

Cutters and those who Self-Harm, why:

Self-harm, including cutting, is a complex and often misunderstood behavior. People who engage in self-harm are usually not trying to end their lives but are instead trying to cope with overwhelming emotional pain, regulate intense feelings, or feel something when feeling numb. It’s a maladaptive coping mechanism that can temporarily relieve distress but often leads to shame, isolation, and increased suffering.

Common Reasons People Self-Harm:

Emotional regulation: To release feelings of anger, sadness, or frustration.
Self-punishment: Due to feelings of guilt, shame, or self-hatred.
Numbness or dissociation: To feel real or break through emotional numbness.
A cry for help or communication: When words feel insufficient to express inner turmoil.
Sense of control: When life feels chaotic or out of their hands.

Important Points:

It affects people across all ages, genders, and backgrounds.
It is not necessarily linked to suicidal intent, though it does increase risk.
Shame and stigma often keep people from seeking help.
Therapy (especially Dialectical Behavior Therapy or Cognitive Behavioral Therapy) can be very effective.
Supportive relationships and environments are critical for healing.

Would you like insights on how to support someone who self-harms or explore psychological approaches to treatment?

Explore Psychological approaches to treatment:

Psychological approaches to treating self-harm focus on understanding the underlying emotional drivers and helping individuals build healthier coping strategies.

Here’s an overview of the most effective evidence-based treatments:

1. Dialectical Behavior Therapy (DBT)

Best for: Individuals with emotional dysregulation, especially those with Borderline Personality Disorder (BPD), though it’s helpful beyond that.

Core Skills Taught:

Mindfulness: Staying present and aware of emotions.

Distress Tolerance: Surviving emotional crises without self-harming.

Emotion Regulation: Identifying and managing intense emotions.

Interpersonal Effectiveness: Navigating relationships in a healthy way.

Why it works: DBT teaches concrete skills to replace self-harm with more adaptive behaviors.

2. Cognitive Behavioral Therapy (CBT)

Best for: Understanding and challenging the thoughts and beliefs that lead to self-harming behaviors.

Focuses on the cognitive distortions (e.g., “I deserve pain”) and maladaptive behavior patterns.

Encourages behavioral experiments to try safer alternatives.

Teaches problem-solving and coping skills.

3. Mentalization-Based Therapy (MBT)

Best for: People who struggle to understand their own and others’ mental states (common in BPD or attachment trauma).

Helps the person recognize the thoughts and feelings behind their actions.

Builds the capacity to reflect rather than react.

4. Compassion-Focused Therapy (CFT)

Best for: Individuals with high self-criticism or shame.

Aims to increase self-compassion and soothe the inner critic.

Replaces self-harm used as self-punishment with nurturing internal dialogues.

5. Psychodynamic Therapy

Best for: Exploring unresolved emotional conflicts, early attachment issues, or trauma.

Uncovers the root psychological causes behind the need to self-harm.

Can be helpful for those who want to understand the deeper meaning of their behavior.

6. Trauma-Informed Therapy (e.g., EMDR, Somatic Experiencing)

Best for: Those with a history of abuse, neglect, or PTSD.

Recognizes self-harm as a survival response to trauma.

Helps process traumatic memories and reduce dysregulation at the nervous system level.

Additional Support Approaches:

Art therapy or music therapy to express pain non-verbally.

Group therapy for peer support and skill-building.

Medication may be helpful for co-occurring depression, anxiety, or mood disorders.

Treatment is most effective when non-judgmental, empathetic, and collaborative, focusing on safety planning, trust, and empowerment.

Shervan K Shahhian

Neurological Response to Stress, why:

Neurological Response to Stress, why:

The neurological response to stress refers to how the brain and nervous system react when you perceive a threat, challenge, or pressure — basically when you’re under stress. This reaction is automatic and deeply wired into us for survival.

(Consult a Medical Doctor if you have any Medical questions.)

Here’s how it works in simple terms:

1. Perception of Stress (Triggering the Response)
It all starts in the amygdala, a part of your brain involved in processing emotions like fear and anxiety.

When the amygdala detects a potential threat, it sends a distress signal to the hypothalamus, the brain’s command center for managing stress responses.

2. Fight-or-Flight Activation (Sympathetic Nervous System)
The hypothalamus activates the sympathetic nervous system.

This triggers the adrenal glands (on top of your kidneys) to release adrenaline (epinephrine).

Effects of adrenaline:

Increased heart rate

Faster breathing

Pupil dilation

Energy boost (glucose released into bloodstream)

Heightened alertness

This is your classic “fight-or-flight” mode.

3. Sustained Stress Response (HPA Axis)
If the stress continues, your brain activates the HPA axis (Hypothalamus–Pituitary–Adrenal axis).

This leads to the release of cortisol, the primary stress hormone.

Cortisol helps keep you alert and gives your body more energy — but long-term, high levels can be damaging.

4. Return to Balance (Parasympathetic Nervous System)
Once the threat passes, the parasympathetic nervous system (the “rest and digest” system) kicks in to calm you down.

Heart rate slows, cortisol levels drop, and the body goes back to normal.

When Stress Becomes Chronic
If this system is constantly activated (due to chronic stress), it can lead to problems like:

Anxiety and depression

Memory issues (especially in the hippocampus, which is sensitive to cortisol)

Weakened immune system

Digestive problems

Heart disease

(Consult a Medical Doctor if you have any Medical questions.)

Shervan K Shahhian

The problem with diagnosing each other with Autism and ADHD:

The problem with diagnosing each other with Autism and ADHD:

Great question — and a really important one in our current cultural moment where self-diagnosis and peer-diagnosis are common online and in everyday conversations.

There are several issues that come up when people start diagnosing each other (or themselves) with Autism or ADHD without professional training:

1. Oversimplification of Complex Conditions

Autism and ADHD are neurodevelopmental disorders with wide spectrums. The DSM-5 criteria involve more than just being “quirky” or “hyper.” These conditions affect multiple areas of life: social functioning, sensory processing, executive function, attention regulation, and more. Reducing them to a few relatable traits does a disservice to people who are significantly impacted.

2. Pathologizing Normal Behavior

It’s easy to mistake normal human variation — such as introversion, distractibility under stress, or high energy — for a disorder. Diagnosing someone casually risks turning everyday personality traits into medical labels.

3. Self-fulfilling Labels & Identity Fusion

Labels can stick. When someone is told “you seem autistic” or “you’re so ADHD,” they may internalize that identity — especially in formative years or moments of vulnerability. This can narrow their self-concept, change their behavior, or even increase symptoms through confirmation bias.

4. Misinformation & TikTok Psychology

On social media, complex conditions are often turned into bite-sized symptom lists like:

“If you like organizing your bookshelf a certain way — you might be

autistic!”

These oversimplified “tests” can be misleading and feed into a culture of misdiagnosis or trivialization of real challenges people face.

5. Stigma and Harm to Real Diagnosis

When the language of diagnosis becomes casual, it can lead to people not taking actual diagnoses seriously, and also marginalizes individuals who truly need accommodations and support. It can also lead to skepticism from professionals, making it harder for legitimately neurodivergent individuals to be believed or supported.

6. Missed Alternative Explanations

A person might struggle with focus not because of ADHD, but because of anxiety, trauma, poor sleep, thyroid issues, or stress. Assuming a diagnosis without a full assessment can cause someone to miss the real root of their difficulties.

Better Alternatives:

Psychoeducation: Learn about neurodivergence from reputable sources.

Encourage professional assessment rather than labeling others.

Be supportive and validating without trying to “name” what someone is going through.

Use descriptive language (“You seem overwhelmed in loud places”) instead of diagnostic labels.

Shervan K Shahhian

The Impact of Illegal Drugs on Intimacy and Expression:

The Impact of Illegal Drugs on Intimacy and Expression:

“The use of illegal drugs could result in death.”

That’s a rich and layered topic — illegal drugs can have complex and sometimes paradoxical effects on intimacy and expression, depending on the substance, the context, and the individuals involved.

Here’s a breakdown of the psychological and emotional dynamics at play:

Short-Term Effects (Perceived Enhancements)

Some illegal substances are known to increase feelings of intimacy, connection, and emotional openness in the short term:

1. MDMA (Ecstasy/Molly)

Increases empathy, trust, and emotional vulnerability.

Often described as creating a “heart-open” state.

Can temporarily dissolve emotional walls between partners or within group settings.

Users report increased verbal and non-verbal emotional expression.

2. Cannabis

Enhances sensory perception and emotional introspection.

Some users experience heightened sexual pleasure and emotional bonding.

But can also cause anxiety or disconnection depending on mindset.

3. Psychedelics (LSD, Psilocybin)

Can foster deep, spiritual connection with others.

Breaks down ego boundaries — leads to feelings of unity and love.

However, the experience can be unpredictable and emotionally raw.

Long-Term & Negative Effects

Despite initial perceived benefits, prolonged or repeated use of illegal drugs tends to disrupt true intimacy and authentic emotional expression. Here’s how:

1. Dependency & Avoidance

Drugs can become a substitute for emotional labor and communication.

Users may avoid vulnerability, relying instead on chemical shortcuts to feel connected.

2. Emotional Dysregulation

Long-term use often leads to mood swings, detachment, or emotional numbness.

Neurochemical imbalances (especially serotonin and dopamine depletion) can impair empathy and expression.

3. Distrust & Isolation

In relationships, drug use may introduce secrecy, broken trust, or betrayal.

Over time, this erodes emotional safety — vital for true intimacy.

4. Physical and Psychological Side Effects

Decreased libido, anxiety, paranoia, or depressive symptoms.

These can make healthy intimacy feel inaccessible or unsafe.

Psychological Perspective on Expression

Expression isn’t just about speaking or acting — it’s about being authentically known.

Drug-induced expression can feel profound, but often lacks integration into daily, sober reality.

Over time, genuine emotional expression may become suppressed as drug use replaces personal growth or inner work.

From a Parapsychological Angle?

If we stretch into transpersonal psychology or parapsychology, drug use may:

Open non-ordinary states of consciousness that mimic mystical or intimate experiences.

But these openings, if not earned through personal development, can be unstable or misleading.

True intimacy might require spiritual maturity, NOT chemical enhancement.

“The use of illegal drugs could result in death.”

Shervan K Shahhian

Understanding of Ethical of Pleasure:

Understanding of Ethical of Pleasure:

The ethics of pleasure refers to philosophical perspectives and moral questions surrounding the pursuit and experience of pleasure.

It asks: When is pleasure good or bad? Is it ethical to seek pleasure? Are all pleasures equal? Here’s an overview of key approaches to understanding this:

1. Hedonism

Core Idea: Pleasure is the highest good and proper aim of human life.

Ethical Hedonism (e.g., Epicurus): Not all pleasures are worth pursuing. Long-term well-being and tranquility (ataraxia) are more valuable than short-term indulgence.

Utilitarianism (e.g., Jeremy Bentham, John Stuart Mill): Moral actions are those that maximize pleasure and minimize pain for the greatest number of people.

Mill distinguished between higher (intellectual, moral) and lower (bodily) pleasures.

2. Stoicism

Opposite of hedonism in many ways.

Believes pleasure is not inherently good; virtue and wisdom are the true goals.

Seeking pleasure can lead to dependency and loss of inner peace.

3. Christian Ethics & Religious Views

Often view pleasure with caution — associated with temptation and sin.

But not all pleasure is condemned: joy, love, and divine experiences can be virtuous.

Ethical pleasure is often framed as selfless, spiritual, or aligned with God’s will.

4. Modern Perspectives

Psychology & Ethics: Understanding how pleasure impacts well-being, relationships, and society.

Consent and Harm: Ethical pleasure respects boundaries, autonomy, and avoids harm to others (e.g., in sexuality, consumption, entertainment).

Authenticity: Some modern thinkers explore whether pleasure is meaningful or superficial — linked to consumerism vs. deeper fulfillment.

5. Existential and Postmodern Views

Question whether pleasure has objective meaning.

Emphasize individual choice, freedom, and authenticity over any fixed “ethical code” of pleasure.

Core Ethical Questions:

Is it okay to seek pleasure if it doesn’t harm others?

Can too much pleasure be bad for the soul or mind?

Is pleasure a byproduct of living well, or should it be a life goal?

How do we weigh personal pleasure against communal or environmental impact?

Shervan K Shahhian

Understanding Attachment-Informed Grief Therapy:

Understanding Attachment-Informed Grief Therapy:

Attachment-Informed Grief Therapy is an approach to grief counseling or therapy that integrates attachment theory — originally developed by John Bowlby — with the understanding of how people experience and process grief.

Here’s a clear breakdown of what it is and why it matters:

What Is Attachment Theory?

Attachment theory says that human beings form deep emotional bonds (attachments) with others, especially early caregivers. These bonds affect how we relate to others and how we handle loss and separation throughout life.

People tend to develop one of these attachment styles:

Secure attachment — generally trusting, open to closeness.

Anxious attachment — fears abandonment, seeks excessive reassurance.

Avoidant attachment — downplays needs, avoids closeness.

Disorganized attachment — conflicted, often from trauma or abuse.

How Attachment Affects Grief

When someone dies (or is lost), the intensity and nature of the grief can be strongly influenced by the type of attachment the person had with the deceased and their general attachment style.

Securely attached individuals usually grieve in a healthy way — though the pain is deep, they tend to integrate the loss over time.

Anxiously attached people may struggle with overwhelming grief, preoccupation with the deceased, and difficulty moving on.

Avoidantly attached individuals may appear to cope well, but often suppress or deny grief, which can lead to unresolved issues later.

Disorganized attachment often leads to very complicated grief — swinging between extremes, feeling unsafe or stuck.

What Happens in Attachment-Informed Grief Therapy?

This approach considers:

The client’s attachment style

The nature of their relationship with the deceased

How they cope with separation and emotional pain

Therapy might include:

Helping the client process and express suppressed emotions safely.

Addressing unresolved attachment trauma that may surface during grief.

Encouraging development of new internal representations of the lost person (e.g., internalizing their voice, values).

Building or reinforcing secure internal attachment models through the therapeutic relationship.

Exploring how the grief experience reflects attachment wounds, and working toward repair.

Techniques Used May Include:

Emotion-focused therapy (EFT)

Narrative therapy (rewriting the story of the relationship and loss)

Internal Family Systems (IFS) for dealing with inner parts that are stuck in grief

Mindfulness and somatic awareness to address avoidant/dissociative reactions

Psychoeducation on attachment and grief

Example:

A client who lost a parent and has an anxious attachment style may obsessively revisit the last conversation, feel extreme guilt, and fear they’ll never be loved again. Therapy would:

Help them soothe those attachment anxieties

Reframe the relationship

Validate the grief while guiding integration

Strengthen secure internal connections

Shervan K Shahhian

How to find meaning in Traumatic Loss:

Finding meaning in traumatic loss is one of the hardest — but also potentially most transformative — human experiences. The path is never linear, and it often comes in waves.

But here are some grounded and compassionate ways to approach it:

1. Let Yourself Grieve Fully
Grief is not something to fix; it’s something to honor. Traumatic loss shatters the world you knew — and that shattering needs space. Suppressing grief can delay healing.

Allow anger, sadness, confusion, even numbness. All are valid.

There’s no timeline — your grief unfolds in your way.

2. Seek Connection
Pain isolates, but healing happens in connection — not just with people, but with the world, with spirit, and with your own inner self.

Talk to someone who gets it — a therapist, a spiritual guide, a support group.

Don’t underestimate the power of simply being witnessed.

3. Create Rituals of Remembrance
Ritual gives structure to chaos. It can help you hold the memory of what was lost while inviting new meaning to emerge.

Light a candle, write letters, plant a tree.

Or invent a private ritual that feels sacred to you.

4. Explore Spiritual or Philosophical Perspectives
Sometimes meaning comes from asking deeper questions: What is life? Why do we suffer? What still connects us to those we’ve lost?

Look to your spiritual beliefs or explore new ones.

Practices like meditation, CRV, dreamwork, or prayer can open new doors.

5. Channel the Pain into Something Bigger
This is what Viktor Frankl called “tragic optimism” — the ability to transform suffering into something that affirms life.

Create art, start a cause, write, speak, help others.

Let their memory do something in the world.

6. Accept That Meaning May Be Elusive
Sometimes, meaning doesn’t come right away. Or it shifts over time. And sometimes, it’s not a grand insight, but a quiet knowing:

“I survived. I loved. I remembered.”

7. Listen to the Messages in the Pain
In Parapsychology and transpersonal psychology, we often explore whether loss contains teachings or messages — sometimes from the departed, sometimes from the soul.

Do you feel nudges in dreams?

Are synchronicities showing up?

Is something calling you to grow in a way you never expected?

These can be whispers of a deeper meaning emerging.

Shervan K Shahhian