Reprint: Traumatic bereavement and how to help the survivors

When grief involves trauma − a social worker explains how to support survivors of the recent floods and other devastating losses

Rain falls over a makeshift memorial for flood victims along the Guadalupe River on July 13, 2025, in Kerrville, Texas.
AP Photo/Eric Gay

Liza Barros-Lane, University of Houston-Downtown

The July 4, 2025, floods in Kerr County, Texas, swept away children and entire families, leaving horror in their wake. Days later, flash floods struck Ruidoso, New Mexico, killing three people, including two young children.

These are not just devastating losses. When death is sudden, violent, or when a body is never recovered, grief gets tangled up with trauma.

In these situations, people don’t only grieve the death. They struggle with the terror of how it happened, the unanswered questions and the shock etched into their bodies.

I’m a social work professor, grief researcher and the founder of The Young Widowhood Project, a research initiative aimed at expanding scholarship and public understanding of premature spousal loss.

I was widowed when I was 36. In July 2020, my husband, Brent, went missing after testing a small, flat-bottomed fishing boat called a Jon boat. His body was recovered two days later, but I never saw his remains.

Both my personal loss and professional work have shown me how trauma changes the grieving process and what kind of support actually helps.

To understand how trauma can complicate grief, it’s important to first understand how people typically respond to loss.

Grief isn’t a set of stages

Many people still think of grief through the lens of psychiatrist Dr. Elisabeth Kübler-Ross’ five stages of grief, popularized in the early 1970s: denial, anger, bargaining, depression and acceptance.

But in fact, this model was originally designed for people facing their own deaths, not for mourners. In the absence of accessible grief research in the 1960s, it became a leading framework for understanding the grieving process – even though it wasn’t meant for that.

Despite this misapplication, the stages model has shaped cultural expectations: namely, that grief ends once people reach the “acceptance” stage. But research doesn’t support this idea. Trying to force grief into this model can cause real harm, leaving mourners feeling they’re grieving “wrong.”

In reality, mourning is often lifelong. Most people go through an acute period of overwhelming pain right after the loss. This is usually followed by integrated grief, where the pain softens but the loss is still part of everyday life, returning in waves.

Although grief is unique to each person and relationship, researchers have found that mourners often strive to a) make sense of the death; b) adjust to a world without their loved one; c) form an ongoing connection with their deceased loved one in new ways; and d) figure out who they are without their loved one.

It’s difficult and at times disorienting work, but most people find ways to carry their grief and keep living.

A grandmother embraces a young woman in front of a wall of flowers.
Julia Mora embraces her granddaughter, Isla Meyer, during a vigil for Texas flood victims on July 11, 2025.
AP Photo/Gerald Herbert
When grief and trauma collide

However, some losses carry an extra layer of pain, confusion and trauma.

Sudden, unexpected, accidental, violent or deeply tragic deaths – like those experienced during the recent floods – can lead to what researchers call traumatic bereavement: grief that is disrupted by the traumatic nature of the death.

People experiencing traumatic bereavement often endure a longer and more intense acute grief period. They may be haunted by disturbing images, nightmares or relentless thoughts about how their loved one died or suffered. Many wrestle with dread, spiritual disorientation and a shattered sense of safety in the world.

Some of these deaths are also considered “ambiguous” – unclear or unconfirmed loss – such as when a body is never recovered or is too damaged to view. Without physical confirmation, mourners often feel stuck in disbelief and helplessness.

This was true in my case. Not seeing my husband’s body left a part of me suspended between knowing and not knowing. I knew he had died but couldn’t fully believe it, no matter how much I lived with the reality of his absence. For a long time, I caught myself repeating these words every morning: “Brent is dead. Brent is dead.”

In many cases, these reactions aren’t short term. Many people affected by traumatic loss remain overwhelmed and sometimes physically and emotionally impaired for years. Symptoms may taper over time, but they rarely disappear entirely.

Supporting mourners

Traumatic bereavement can feel unbearable. Many mourners struggle with intense, long-lasting reactions that can leave them feeling helpless, altered or even unrecognizable to themselves. They may appear withdrawn, forgetful or emotionally drained because their systems are overwhelmed. Coping can look messy or self-destructive, but these are often survival strategies, not conscious choices. I’ve also seen how those same struggles become more survivable when mourners don’t have to carry them alone. If you’re supporting someone through traumatic loss, here are three ways to help.

  • Make space for the horror. Listen without flinching. Acknowledge the full weight of what happened and how terrifying and unjust the loss was. This means saying things like, “This should never have happened,” or “What you went through is beyond words.” It means staying present when the mourner speaks about what haunts them. Let them know they don’t have to carry this alone. You may feel the urge to say something hopeful such as, “At least the body was recovered,” but there is no silver lining in these cases. Instead, say: “There’s nothing I can say to fix this, but I’m not going anywhere.”
  • Help them find others who can understand. Trauma can be isolating. Mourners often feel uniquely overwhelmed or confused. Support groups, peer companions and therapists trained in treating grief and trauma can offer the kind of recognition and validation that even the most devoted friend may not be able to provide.
  • Take care of yourself, too. Being present for someone in deep grief takes energy, especially if you were personally affected by the loss. Stay connected to replenishing people, practices and routines. If you don’t, you may begin to experience trauma, too. Taking care of yourself will help you remain grounded so that you can show up.

I believe supporting someone through traumatic bereavement is one of the most meaningful things you can do. You don’t need perfect words or a plan. What sustains them won’t be advice or solutions, but your simple, powerful act of staying.The Conversation

Liza Barros-Lane, Assistant Professor of Social Work, University of Houston-Downtown

This article is republished from The Conversation under a Creative Commons license. Read the original article.

Continue reading “Reprint: Traumatic bereavement and how to help the survivors”

A COVID loss: anger, grief, and healing

The COVID-19 pandemic has been raging for many months now, marked from the onset by lies about the disease, its origins, its treatment, and its prevention. No aspect of the pandemic has been free from controversy and misinformation. In the middle of flame wars and whack-a-mole efforts to squelch anti-vaccine, anti-mask internet sites lies the confusion and grief of those who have lost loved ones to this disease (over 700,000 in the US and 4,800,000 worldwide).

 

Like many others who believe in science, I was first puzzled and then appalled by the cloud of outright falsehoods that grew up around vaccination. Refusing the vaccines based on illogical and unfounded internet rumors struck me as downright suicidal. Equally troubling were the friends who bought into those lies.

One was a long-time, very dear friend who had supported me through dark times and whom I had supported in turn. Early in 2020, L told me that she didn’t trust the mRNA vaccines and besides, she thought she’d had a mild case of COVID-19, although she was never tested. But she was diligently wearing a mask at work, and it was clear that further discussion would only be confrontational, so I backed off. For the next year, all appeared to be going well. Then she moved to another part of the country, one with low vaccination and mask-wearing rates. I heard from her while she was waiting at an urgent care center for a persistent cough. Her COVID-19 test was positive. A few days later, she was admitted to the ICU. We talked and texted frequently as her condition deteriorated. After a week and a half, she was placed on a ventilator. She died two weeks later. Her last text to me was, “I love you.”

During her hospitalization, I felt not only growing concern for her, but anger. Anger at so many things. After her diagnosis, I wanted to scream at her, “How could you fall for that conspiracy nonsense?” Then my fury spread to everyone who spread those lies, manipulated statistics, and otherwise terrified people into refusing the one thing proven to save their lives. Anger at the last administration and the former president, who failed to take action at the onset of the pandemic. Anger at the officials in her state for their lax measures and cavalier attitudes to the virus. Anger at everyone who touted ineffective remedies in order to make a profit. And most of all, guilt that I hadn’t pressed the vaccine issue harder and been persuasive enough to save my friend’s life.

Grief mixed with anger and guilt isn’t logical. Nor is it simple.

While my friend was still alive, I realized how unhelpful it would be to be angry with her during her illness. The time to discuss vaccines was after the crisis, not when she was fighting to breathe. Armed with these thoughts, I did my best to work through this particular piece of anger or at least put a dent in it. I also talked myself through my part in what happened and acknowledge that there was nothing I could have done. The choices were hers, as were the consequences. But I believe in harm reduction. The price of making stupid decisions should not be death, although with COVID-19 it all too often is. I hoped that eventually my friend would have come around to getting vaccinated, but she ran out of time. Now I’m just sad.

My opinion of the anti-vaxxers hasn’t budged. I’m angrier and less patient with them than I was before. I still want to blast them with their responsibility for the death of my friend and so many others. I don’t go all-out on this, however. I have more important emotional work to do, mourning the loss of my friend. Continue reading “A COVID loss: anger, grief, and healing”

A Different Kind of Fostering

Previous posts have been about fostering dogs.  This one is too.  Just not in the same way.

My friend B. was one of the first people to welcome me to the neighborhood clique of dog-people, the two of us bonding over dog names (her little pup is Minnie, my gangly beast is Maxi).  

Minnie is a recent adoption.  Her previous dog died recently, at an advanced age, and she waited a while before getting another.  They’d only been together a few months when Minnie started acting off.  They ran tests, and everything came back clear…. until this month it didn’t.

Minnie has lymphoma.

We walk along the curving path through the park, as she tells me the diagnosis, Max and Minnie trotting just ahead of us. They’ve put Minnie on prednisone, and it’s drastically improved her mood and behavior.  She’s not in pain any more.  But it’s only buying time. Continue reading “A Different Kind of Fostering”

What We Lose, What We Gain

About 15 years ago most of my jewelry was stolen. None of it was very valuable, although there were some pearls and jade and a little amber, and a lovely pair of moonstone in gold stud earrings that had some monetary value. But, as is the way of things, each piece had a story that was part of my life. That was their real value, and hence the deepest loss. I’d had some of them since my childhood, and some had been gifts from loved ones who’ve since died. Some of it was my mother’s.

I went through the expected rage and frenzy, scouring local flea markets in the forlorn hope that I might spot a piece or two. Of course, I did not. When that stage had run its course, the police report filed (and, doubtless, immediately tossed), anger turned to grief, and grief to acceptance, and acceptance to looking in a new way at what I’d lost.

I wrote in my journal that although the thieves had taken bits of minerals, crystals, shells, fossilized tree sap, they could not steal:

the stories in my mind
the books I’ve written
my children
the redwoods
my dreams
my friends
their kindness and generosity to me
my capacity for joy…

Slowly, over the years, I have acquired a new collection. It’s smaller and more suited to who I am now. I discovered a few things from my mother, tucked away in an old cigar box with some broken bits and things I didn’t wear. Friends and family surprised me with simple, beautiful pieces: a strand of black pearls, an amber pendant, a necklace of silver and garnet dangles, tiny, amazingly delicate garnet earrings. I went through a period of needing “replacements,” and then letting them go. My daughters and I have swapped a number of pairs of earrings. It’s such a delight to pass them on. And to realize I don’t truly need any of this.

What I need are the people I love, and who love me. What I need is to write the stories in my heart. What I need is to work for a better world for everyone. In light of the covid-19 pandemic and the #BlackLivesMatter protest movement, my priorities have sharpened.

I look at what I have, what I have lost, what cannot be taken from me, what I have gained. Yes, I enjoy beautiful things. How much more dear to me are the memories that come with them. And how much more precious are the lives of those who are oppressed and terrified and suffering today.