Six things to consider when adding a therapist to your bereavement resource list

Mental health therapists are an important part of any bereavement resource list, and Haven Certified Bereavement Doulas are required to find a few as part of their certification process. Here are six things you should think about when finding therapists to add to your list.

  1. Where are they licensed? Therapists are often licensed to practice in particular states or countries and may not be available to serve clients in other areas. Be sure to consider this, especially if you live near a border! (For example, I live in Missouri just ten minutes from Illinois, so it helps my local clients to have options of licensed therapists in either or both states.)
  2. What payment options do they have? Perhaps they take insurance; it would be good to know which insurance plans they typically take. Maybe they are private pay only; that’s important to communicate to your clients. It might be that they are open to bartering or forms of delayed payment; try to ascertain as much of that information as you can when adding them to your resource list.
  3. Do they specialize in perinatal loss or in grief more broadly? It’s rare to find a therapist (let alone therapists, plural) who specialize specifically in perinatal loss. It’s amazing if you can find options. But, keep in mind that therapists who specialize in grief, body image, relationships, and family dynamics may all be helpful to your future clients. Doing a bit of digging to find someone who really cares about the challenge your client is facing can help set up a successful match.
  4. What is their background? Some clients will feel more comfortable with therapists who have a particular background — for example, a woman as opposed to a man, or a person of color compared to a white person, etc. Clients may even look for therapists who share their religious perspective, take a certain approach to therapy, or have had certain experiences (such as perinatal loss). Having diversity in what kinds of therapists are represented on your resource list can help your client find a therapist they are most likely to be comfortable with.
  5. Are they taking clients? Not all therapists have availability all the time! It can help to check periodically with the folks on your list and see if they are at or below capacity. That way, you get your clients to people who can actually support them rather than people who just keep saying that they’re fully booked.
  6. When or how are they taking appointments? Some people really want to see their therapist in person, while others prefer the flexibility of telehealth. Similarly, some folks will only be available outside of traditional business hours, while others may find a session between 9am and 5pm to be most convenient. Having therapists with multiple options on your list will be helpful in ensuring your client can actually create a sustainable practice of attending therapy appointments.

Do you have any other recommendations for what to consider when adding mental health therapists to your bereavement resource list? If so, comment below!

Photo by Fa Barboza on Unsplash

Listening, over and over and over and

On what it means to receive the same story – for the teller and for me

By Dr. Abby Jorgensen

When I’m working with a family who is experiencing or has experienced a loss, I often will spend time listening to them as they tell me important parts of their story. Sometimes, it’s the first time they’ve ever told anyone the story. Sometimes, the story details what happened that morning, and sometimes, it’s a history from decades ago that has remained hidden for far too long.

One common pattern I see is that sometimes, a person who is struggling to make sense of a particular moment or interaction will repeat that story over and over again. Sometimes I’ve counted as many as five or six retellings, in the same conversation, of exactly the same story. The person often doesn’t realize that they’re going back over the same conversational ground. Sometimes there are different inflections in the story, different elements that appear. But the plotline and major characters are the same.

Sometimes the story is one of sadness (the moment a child took their last breath). Sometimes the story is one of naive joy (the moment she discovered that the pregnancy test was positive and thought everything would be alright). Sometimes the story is one of deep anger (the moment a provider uncompassionately shared the news that the fetus had died).

And the story comes spilling out, and does again, and then another time.

Believe it or not, this conversation pattern is very normal. This isn’t even something I worry about, so long as the person seems to be safe and capable of keeping those around them safe. Often times, when they’ve told me the story two or three times, I’ll even invite it the next time they mention that moment — “Could you tell me about that again? That moment seems so impactful for you.”

Some people might experience listening to this retelling as boring, tiresome, or burdensome. And there is some truth to this — what I think the person is often longing for is a way for the story to end appropriately, for the plotline to finish in a place that makes sense. I can’t give them that. It’s hard to be reminded, over and over and over again, that you can’t actually solve the crushing problem the person is telling you about. It’s grating to keep hearing a message that you’ll never be able to fix a thing you keep hearing about, no matter what you do. Taking on that burden, again, and again, and again, and again, is a sacrifice of mental stimulation in conversation in honor of helping a person carrying the heavy burden that moment places upon them.

So, listening to the story allows us to help the other person feel less alone. But also, it can give someone the chance to share their child with another person — the child whose public image may never have materialized, who may remain unknown to most of the community. And even further, through listening and attending to the nuanced differences, I can validate different emotions that may arise as someone walks back through the story with slightly different foci each time.

But most of all, listening to this story is an ever-expanding gift.

Each time you listen to that story, you give an even larger gift of hearing someone who has not been heard, of receiving something the giver does not yet understand. This is why I call listening to the same story over and over again the “ever-expanding gift.” I deeply believe that creating a conversational space for the release of the story and the emotions behind it, bit by little tiny bit, becomes more impactful the more we do it for that particular story.

Support people of many kinds are entrusted with stories. While our conversational norms might lead us to expect that we will hear a story once (maybe twice, if the teller has forgotten they’ve already shared it with us), in reality grief stories can be replayed and reiterated and reshared. Next time you are the recipient of these stories, I hope you can identify yourself as the giver of an ever-expanding gift with each iteration of the story you receive, hold, and cherish.

Photo by Erol Ahmed on Unsplash

U.S. Hotlines and Warmlines for Emotional First Aid

When you’re administering emotional first aid, one key component of your preparation is having resources ready should a client need them. Here are some resources you may need if you’re administering emotional first aid to a client who has experienced a loss.

GEOGRAPHIC NOTE: These resources are primarily focused on serving the United States. If you’d like to contribute additional resources that primarily serve other areas, reach out to us at abbythesociologistdoula@gmail.com. Abby would love to pay you to put together a blog post specifically for your area.

Emergency resources:

  1. 988 Lifeline (suicide & crisis lifeline): call 988, text, or chat via website anytime for immediate support. There are videophone resources available for folks who are Deaf/HoH, and there are Spanish and English speakers available. 988 Lifeline – If you need emotional support, reach out to the national mental health hotline: 988.
  2. 911 or your emergency services: call anytime (or, if available in your area, text) and give the address and information of the person who is at risk. Remember that police or fire departments may respond.
  3. Crisis Textline: text HOME to 741741 anytime to be connected to a trained volunteer. Crisis Text Line | Text HOME to 741741 Free, 24/7 Mental Health Support

For when something isn’t an emergency, but someone needs more help:

  1. National Maternal Mental Health Hotline: serves pregnant and postpartum moms via text or call anytime. While volunteers speak English and Spanish, they also have translators available for 60 additional languages. National Maternal Mental Health Hotline | MCHB
  2. Postpartum Support International Warmline: a perinatal-focused warmline that provides services in both English and Spanish. I appreciate that their volunteers are also trained to talk to bereaved families particularly. PSI HelpLine (English & Spanish) | Postpartum Support International (PSI)
  3. National Alliance on Mental Illness Helpline: a resource line available Monday through Friday via call, text, or email to help find mental health resources. They also have a line specifically dedicated to teens and young adults helping their peers. NAMI HelpLine | NAMI
Photo by Adrian Swancar on Unsplash

Haven Doula Spotlight: Amanda Smith

In this spotlight, we feature Amanda Smith, Haven-trained bereavement doula in North Carolina.

Amanda, why did you decide to become a bereavement doula?

I was in a class to learn about becoming a birth doula. At the end of the class I heard Abby speak about how she became a bereavement doula and something just struck my heart. I have always been interested in how to support families going through loss, but never felt equipped to step in and lend an ear or a shoulder. I reached out to Abby and she had such great knowledge and share and mentor.

Why did you decide to take a Haven Bereavement Doula training?

I didn’t know much about all the ways to doula and Abby was the first to share about bereavement. I didn’t even research other teachers. Abby was so kind to answer questions and share resources I was drawn to learn as much as I could from her. When she launched Haven, I was all in

What does serving as a bereavement doula look like for you right now?

Mostly I find myself doing virtual meetings with families that have gone through loss. I have just dipped my toes into the water of bereavement care. I am still trying to figure out how a family in need would find me. 

How else do you serve your community?

I am also a birth and postpartum doula and work at the Smithfield Pregnancy Center. 

What is one thing that you like to do to take care of yourself?

I take care of myself by processing my experiences with my husband and other doulas. I also do a monthly massage and am currently working on getting back into some reading. I make sure that when I give my time to a family, I also make sure to take time for myself with no expectations (ie. lazy day).

Do you have any advice for anyone who is considering becoming a bereavement doula?

Network. I believe that I would not be as knowledgeable or feel as secure to take on clients if I didn’t have a network of birthworkers and birthworker supporters. This is not a solo gig; you need to have a community of people to be able to resource and reference when you or a client needs something. 

We are so grateful for the many ways Amanda supports her community!

For more information about becoming a bereavement doula, check out our guide here.

A database of children’s books about grief and loss

When children experience a loss, finding ways to help them understand and cope is a crucial part of the grieving process for families. This is where the power of reading comes in. But, there are many, many children’s books about grief, death, and even perinatal loss. No need to find them all; we’ve reviewed them for you.

We carefully curate our database of children’s books to help you find beautifully written and illustrated stories that will help your family discuss difficult topics of grief, death, and perinatal loss. We have evaluated each listed book on its ability to assist bereaved families (especially older siblings and other children) by offering empathic, accurate, and gentle guidance.

The database includes detailed reviews, ratings, and a description of the content and tone—including note of spiritual or religious perspectives. This information helps parents, bereavement doulas, and other support people quickly find the books that are most likely to help them navigate difficult conversations. Thus, our comprehensive guide stands as your supportive companion through the process of finding the children’s book that best fits your situation and your loved ones or clients.