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LIVING WITH

PresentedClick to edit by masterCigna Employee byline style Assistance Program

Replay Link: https://onlinexperiences.com/Launch/QReg/ShowUUID=E27C7A03-0603-4614-A0CA-7288A76F9506 SEMINAR GOALS

• Identify common reactions to grief • Discuss how the experience of grief unfolds • Review strategies for coping with grief • Recognize when more help might be needed • Learn the benefits of your Employee Assistance Program (EAP)

Use and distribution limited solely to authorized personnel. © 2019 Cigna Some content provided under license. 2 WHAT IS GRIEF?

• Grief is… • Triggered by loss • Spontaneous • Unlearned • Emotional and physical

Use and distribution limited solely to authorized personnel. © 2019 Cigna Some content provided under license. 3 WHY DOES IT HURT SO MUCH?

• Our sense of who we are and what the future will be is upended • Major change requires us to adapt without a blueprint • Can be a slow evolution; may be a companion for a long time • Modern life may not offer the support we need

Grieving offers us a way to deal with the pain of loss.

Use and distribution limited solely to authorized personnel. © 2019 Cigna Some content provided under license. 4 GRIEF REACTIONS

Emotional Physical Cognitive Behavioral

Everyone reacts differently; there is no “right” way to grieve.

Use and distribution limited solely to authorized personnel. © 2019 Cigna Some content provided under license. 5 GRIEF IS NOT ORDERLY

GriefThe experience as distinct includes: stages •is Facinga misconception of the loss •1. ExperiencingDenial the pain •2. AdjustingAnger to a new normal •3. BeginningBargaining to see a future 4. 5.

(Kellehear, n.d.) (Walter & McCoyd, 2009) Use and distribution limited solely to authorized personnel. © 2019 Cigna Some content provided under license. 6 THE EXPERIENCE OF GRIEF

Shock Denial Numbness Blame Relief Depression Acceptance

Use and distribution limited solely to authorized personnel. © 2019 Cigna Some content provided under license. 7 LIVING with grief

Use and distribution limited solely to authorized personnel. © 2019 Cigna Some content provided under license. 8 COPING STRATEGIES

Be kind to yourself • Allow your • Say what you need • yourself • Staying connected is OK

Putting one foot in front of the other may be all you can manage some days.

Use and distribution limited solely to authorized personnel. © 2019 Cigna Some content provided under license. 9 COPING STRATEGIES

Work on finding balance • Allow rituals to ground you • Invite laughter to return • Light small sparks • Leave the house

Men and women tend to cope in different ways.

Use and distribution limited solely to authorized personnel. © 2019 Cigna Some content provided under license. 10 COPING STRATEGIES

Find healthy ways to manage stress • Lean on others • Write down thoughts and feelings • Watch out for unhealthy coping • Eat, sleep, and move!

Coping strategies won’t take the pain away, but they may help you feel stronger and more able to manage it.

Use and distribution limited solely to authorized personnel. © 2019 Cigna Some content provided under license. 11 SPECIAL OCCASIONS, HOLIDAYS, ANNIVERSARY OF THE LOSS

Grief can surge • Don’t ignore • Alert others • Plan ahead

Use and distribution limited solely to authorized personnel. © 2019 Cigna Some content provided under license. 12 COMPLICATED GRIEF

Intense and prolonged grief reactions may point to need for more help • Deep pain and longing • Profound hopelessness • Preoccupation with guilt, anger • Increased substance use • Prolonged sleep problems • Inability to perform daily living activities

Seek help immediately if you or someone you know is thinking about . Call 911 or the National Lifeline: 1-800-273-8255 (TALK)

(Shear et al, 2011) (Mayo Clinic Staff, 2014) Use and distribution limited solely to authorized personnel. © 2019 Cigna Some content provided under license. 13 OFFERING COMFORT

What do I say or do? • Follow their lead • Avoid clichés • Listen and keep listening • Anticipate their needs • Go the distance

Use and distribution limited solely to authorized personnel. © 2019 Cigna Some content provided under license. 14 COPING together

Use and distribution limited solely to authorized personnel. © 2019 Cigna Some content provided under license. 15 Marsh McLennan EAP Program

• Free to employees • 1-5 Face-to-face sessions • Confidential • Unlimited telephonic consultation Call EAP #800.382.3432 • Available 24 hours a day, 7 days a week • Household benefit • Legal and Financial • Work/life support available through LifeCare 877.399.8235

BENEFITS OF THE EAP For more , type go/eap into your intranet browser.

16 REFERENCES

Kellehear, A. (n.d.). On death and dying: Dr. Elisabeth Kübler-Ross and the five stages of grief. Retrieved February 25, 2016 from http://www.ekrfoundation.org/five-stages-of-grief/

Kessler, D. (2014). Heal your heart after grieving. [Powerpoint]. Eau Claire, WI: PESI, Inc.

Mayo Clinic Staff. (2014). Complicated grief. Retrieved from http://www.mayoclinic.org/diseases- conditions/complicated-grief/basics/definition/con-20032765

Shear, M. K., Simon, N., Wall, M., Zisook, S., Neimeyer, R., Duan, N., Reynolds, C., Lebowitz, B., Sung, S., Ghesquiere, A., Gorscak, B., Clayton, P., Ito, M., Nakajima, S., Konishi, T., Melhem, N., Meert, K., Schiff, M., O'Connor, M.-F., First, M., Sareen, J., Bolton, J., Skritskaya, N., Mancini, A. D. and Keshaviah, A. (2011), Complicated grief and related bereavement issues for DSM-5. Depress. Anxiety, 28: 103–117. Retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3075805/

Walter, C.A. and McCoyd, J.L.M. (2009). Grief and loss across the lifespan: A biosychosocial perspective. New York, NY: Springer Publishing Company, LLC.

Use and distribution limited solely to authorized personnel. © 2019 Cigna Some content provided under license. 17 This material is provided by Cigna for informational/educational purposes only. It is not intended as medical/clinical advice. Only a care professional can make a diagnosis or recommend a treatment plan. For more information about your behavioral health coverage, you can call the customer service or the behavioral health telephone number listed on your health care identification card.

Any reference to the products, services, information or websites of any other non-Cigna affiliated entity is provided for informational purposes only and should not be construed as an endorsement by Cigna of the products, services, information, or websites of such entities, nor should such reference be construed as an endorsement by such entities of the products, services, information or websites of Cigna and/or its affiliates. Cigna neither reviews nor controls the content and accuracy of these references or websites, and therefore will not be responsible for their content and accuracy. Your access to non-Cigna web sites is at your sole risk.

All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation, including Cigna Health and Life Insurance Company, Connecticut General Life Insurance Company, Cigna Behavioral Health, Inc., and HMO or service company subsidiaries of Cigna Health Corporation. The Cigna name, logo, and other Cigna marks are owned by Cigna Intellectual Property, Inc. All models are used for illustrative purposes only.

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Use and distribution limited solely to authorized personnel. © 2019 Cigna Some content provided under license. 18