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Grief and Crisis Decisions

Kathleen Cleberg, Sharon Danes

During a stressful period or disaster, the decision-making process can be greatly affected by our emotional responses to loss and grief. During this difficult time, a lot of decisions may have to be made. Be aware of the grief stages and their effect on decision-making. The following is Elizabeth Kubler Ross' model of grief stages, with comments on our ability to make decisions during each stage. It includes the research of Dr. Sharon Danes (University of Minnesota).

• Stage 1: Shock and denial. It is common for people to avoid making decisions or taking action at this point.
• Stage 2: Anger. Making decisions at this point is difficult because all one's energy gets put into the emotion rather than problem solving.
• Stage 3: Depression and detachment. Because it's hard to make decisions at this stage, consider asking a family member, friend, or professional for help if important decisions need to be made.
• Stage 4: Dialogue and bargaining. People become more willing to explore alternatives after expressing their feelings.
• Stage 5: Acceptance. Decisions are much easier to make because people have found new purpose and meaning as they have begun to accept the loss.

For more information, contact your Health Care Provider.