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The Stages of Grief Explained: What to Expect During Loss and Mourning

When you’re grieving, you may move through five stages of grief: denial, anger, bargaining, depression, and acceptance. Developed by psychiatrist Elizabeth Kübler-Ross in 1969, this model isn’t a linear timeline, you’ll likely revisit stages unpredictably. Each stage serves a purpose, from denial’s protective shield to acceptance’s peaceful acknowledgment of your loss. Understanding these emotional responses can help you recognize what you’re feeling and find reassurance that your experience is normal. Below, we’ll explore each stage in depth.

What Are the Five Stages of Grief?

dynamic non linear grief process

Five distinct stages form the foundation of the most widely recognized grief model, developed by psychiatrist Elizabeth Kübler-Ross in 1969. These stages, denial, anger, bargaining, depression, and acceptance, represent common emotional responses to loss, though your personal experience may differ considerably. Kübler-Ross developed this model through her work with terminally ill patients at the University of Chicago medical school.

You’ll likely move through these stages non-sequentially, sometimes revisiting emotions you thought you’d processed. Denial initially buffers the shock, while anger emerges as you confront the unfairness of your situation. Bargaining involves “what if” thinking as you attempt to regain control. Depression brings deep sadness and withdrawal. Acceptance doesn’t mean approval, it means acknowledging your new reality.

These universal feelings aren’t prescriptive. The model serves as a framework for identifying your emotions, not a rigid timeline for healing. During the depression stage, grief can sometimes develop into clinical depression, which may require professional help to address.

Denial: The First Stage of Grief and Self-Protection

When you first encounter significant loss, denial often serves as your mind’s immediate protective response. You may experience shock, numbness, and disbelief as your psyche shields itself from overwhelming reality. This temporary defense mechanism allows you to process frightening information gradually rather than absorbing the full emotional impact at once.

Common Experiences Warning Signs
Confusion about what happened Prolonged avoidance of loss-related discussions
Doubting the reality of events Persistent clinging to false reality
Hopelessness and emotional numbness Inability to acknowledge loss after extended time

During denial, you might isolate yourself or act as though nothing has changed. You may find yourself replaying events or conversations as you search for signs that things are still normal. There’s no fixed timeline for this stage, it naturally lessens as you begin acknowledging your loss and allowing yourself to feel. In the well-known Kübler-Ross model, denial represents the first of five stages that individuals commonly experience when processing grief, followed by anger, bargaining, depression, and acceptance.

Anger: When Grief Becomes Blame and Frustration

anger grief s powerful emotional expression

As reality pierces through denial’s protective shield, anger often emerges as grief’s next powerful expression. According to the Kübler-Ross model, this stage represents your emotional reaction to recognizing inevitable loss. You might find yourself asking, “Why me? It’s not fair!” or searching for someone to blame.

Your anger’s emotional manifestations can include irritability, sudden rage bursts, and deep resentment. You may snap at loved ones, neglect self-care, or feel furious at the universe itself. These reactions stem from lacking control over your loss and the intense pain you’re experiencing. Research shows that grief actually activates the physical pain system in the brain, which helps explain why anger, a response closely linked to physical pain, becomes so prevalent during mourning. It’s important to remember that feeling anger towards the person who has died is entirely common and does not mean you loved them any less.

When anger becomes unmanaged, watch for warning signs: pushing away support systems, substance abuse, or difficulty functioning daily. If you’re struggling through these stages, professional counseling can help you process grief without becoming trapped in destructive cycles.

Bargaining: The Stage of “What If” and “If Only”

When anger no longer provides relief, you may find yourself entering the bargaining stage, where your mind searches desperately for ways to undo or negotiate your loss. You might catch yourself making deals with God, the universe, or fate, promising to be a better person if only you could have your loved one back or change the outcome. This stage often brings intense guilt and self-blame as you replay scenarios in your mind, wondering if different choices could have prevented your pain. Bargaining serves as a transition between denial and acceptance, giving your mind the time it needs to gradually adjust to the reality of your loss. While bargaining may seem irrational, it is a normal part of grieving that temporarily provides a sense of control during an overwhelming experience.

Negotiating With Higher Powers

The bargaining stage emerges as a psychological bridge between denial and the deeper pain of depression, marked by persistent “what if” and “if only” thinking that attempts to negotiate away an irreversible loss.

During this phase, you may find yourself pleading with a higher power, fate, or the universe to restore what’s gone. This bargaining represents your mind’s attempt to regain control over circumstances that feel utterly helpless. Ultimately, bargaining serves as a defense mechanism against helplessness that naturally arises when facing overwhelming loss.

Common negotiations include:

  1. Promising stronger faith if a loved one is spared
  2. Offering charitable acts in exchange for relief from grief
  3. Making deals with God or karma for more time
  4. Pledging personal transformation if the trauma reverses

These negotiations serve a purpose, they cling to hope while gradually preparing you for acceptance of your new reality. When no bargain can be reached, the individual typically moves quickly into the depression stage of grief.

Guilt and Self-Blame

Guilt and self-blame often emerge as bargaining’s most painful companions, transforming your grief into an exhausting mental trial where you serve as both prosecutor and defendant. You replay events obsessively, convinced that different actions could’ve altered the outcome.

What-If Pattern If-Only Pattern Emotional Impact
“What if I’d called?” “If only I’d visited more” Intense guilt
“What if I’d noticed sooner?” “If only we’d gotten another opinion” Crushing regret
“What if I’d been there?” “If only I’d said I loved them” Persistent self-blame

This irrational self-negotiation serves as a defense mechanism, offering temporary control over helplessness. You may feel overwhelming responsibility despite bearing no fault. These painful emotions can also manifest as survivor’s guilt, where you question why you’re still here when your loved one is not. During this stage, you might find yourself pleading with God or fate, attempting to negotiate a deal to somehow reverse or undo what has happened. Acceptance comes only when you stop bargaining and confront grief directly.

Seeking Alternative Outcomes

Almost everyone who grieves finds themselves trapped in bargaining’s exhausting mental loop, desperately searching for alternative outcomes that could’ve changed everything. After moving through denial and anger, you’ll likely find yourself asking “what if” questions that replay events obsessively. This stage reflects your brain’s attempt to negotiate with reality and cope with profound helplessness.

Common bargaining thoughts include:

  1. “What if I’d insisted on a second opinion?”
  2. “If only I’d called that morning.”
  3. “I’d trade anything to have them back.”
  4. “What if we’d caught it sooner?”

These mental negotiations serve as defense mechanisms against vulnerability, temporarily buffering you from deeper pain. While bargaining feels consuming, it’s a normal part of the stages of grief. Consider grief counseling if you’re stuck in this phase.

Depression: When Grief Feels Heaviest

Depression represents one of grief’s most overwhelming phases, affecting nearly 40% of bereaved individuals who meet diagnostic criteria for major depression within the first month after loss. You may experience persistent emptiness, hopelessness, and an inability to recall positive memories during this stage.

Your depressive symptoms during grief can include crying, disrupted sleep, loss of appetite, and excessive guilt. Research shows that 30% of bereaved individuals experience a depressive episode within the first year, while 10% develop persistent depressive disorder. Due to the significant overlap in symptoms, a bereaved person cannot receive a depression diagnosis until two months have passed since their loss.

Clinical studies reveal that grief-related depression triggers measurable biological changes. Inflammatory markers like IL-6 and TNF-α become elevated proportionally with your depressive symptoms. Brain imaging studies demonstrate that grief activates regions associated with pain processing and attachment. Understanding these responses helps you recognize that your depression isn’t weakness, it’s your mind and body processing profound loss.

Acceptance: Living With Loss, Not Getting Over It

learning to live alongside grief

When you reach acceptance, you’re not “getting over” your loss, you’re learning to live alongside it. Whether you’ve experienced the death of a loved one or faced a terminal illness diagnosis, acceptance marks a shift from overwhelming emotion to acknowledging reality. In both the five stages and seven stages models, this phase doesn’t mean the pain disappears, it means you’ve developed psychological flexibility to hold grief while moving forward.

Signs you’re entering acceptance include:

  1. No longer resisting or denying what’s happened
  2. Experiencing moments of peace amid sadness
  3. Reconnecting with others after isolation
  4. Setting goals and finding new purpose

Research shows acceptance typically increases 6-24 months post-loss. This healing process allows you to honor your loss while rebuilding a meaningful life. Part of reaching acceptance involves finding meaning in the loss and learning to integrate that understanding into your daily existence.

Frequently Asked Questions

How Long Does the Entire Grieving Process Typically Last for Most People?

You’ll typically experience the most intense grief symptoms for six months to two years, though the full process often takes longer. Your timeline depends on factors like the nature of your loss, your relationship with what you’ve lost, and your personal coping mechanisms. Remember, grief doesn’t follow a linear path, you’ll move through waves and cycles at your own pace, and that’s completely normal.

Can Children Experience the Same Stages of Grief as Adults Do?

Yes, children can experience similar grief stages, but they process them differently based on their developmental level. You’ll notice children often show “intermittent grief”, they may seem fine one moment, then overwhelmed the next. They express emotions through behavior, play, or physical symptoms rather than words. Unlike adults, children revisit grief at each new developmental stage, meaning they’ll reprocess the same loss as they mature and gain new understanding.

When Should Someone Seek Professional Help for Unresolved Grief?

You should seek professional help when grief markedly disrupts your daily life for weeks or months, preventing you from functioning normally. Watch for persistent symptoms lasting beyond 12 months, thoughts of suicide, or feeling life isn’t worth living. If you’re experiencing emotional numbness, can’t engage in activities, or notice worsening anxiety or depression, a grief counselor or therapist can provide evidence-based treatments like cognitive behavioral therapy to support your healing.

Is It Normal to Grieve Losses Other Than Death, Like Divorce?

Yes, it’s completely normal to grieve losses beyond death. Divorce triggers a grief process similar to mourning, involving denial, anger, and depression. You’re processing the loss of a relationship, shared dreams, and your envisioned future. Research shows emotional intensity typically peaks within six months of separation, and the process may last up to two years. Most people report significant life improvement after this period, so your feelings are valid and expected.

What Physical Symptoms Might Accompany the Emotional Stages of Grief?

You may experience a wide range of physical symptoms during grief. These commonly include chest tightness, shortness of breath, and heart palpitations. You might notice digestive issues like nausea, appetite changes, or stomach upset. Many people develop muscle tension, headaches, back pain, and fatigue. Sleep disruption is particularly common. These somatic responses result from your body’s stress hormones and are well-documented, normal reactions to loss.

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Medically Reviewed By:

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Dr Courtney Scott, MD

Dr. Scott is a distinguished physician recognized for his contributions to psychology, internal medicine, and addiction treatment. He has received numerous accolades, including the AFAM/LMKU Kenneth Award for Scholarly Achievements in Psychology and multiple honors from the Keck School of Medicine at USC. His research has earned recognition from institutions such as the African American A-HeFT, Children’s Hospital of Los Angeles, and studies focused on pediatric leukemia outcomes. Board-eligible in Emergency Medicine, Internal Medicine, and Addiction Medicine, Dr. Scott has over a decade of experience in behavioral health. He leads medical teams with a focus on excellence in care and has authored several publications on addiction and mental health. Deeply committed to his patients’ long-term recovery, Dr. Scott continues to advance the field through research, education, and advocacy.

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