Skip to main content
Back to resources
Lumânări aprinse în întuneric
Grief

Grief: the five stages are not a staircase you climb

Denial, anger, bargaining, depression, acceptance — everyone knows them. Almost nobody knows the model was written about someone else, that its author came to regret it, and that real grief looks nothing like it.

D

Dr. Elena Ionescu

August 7, 20266 min read

Three months after her father died, Ana frightened herself. Not because she was crying — she had expected that. Because on a Tuesday morning she laughed out loud at a bad joke on the radio, and then, the same day at four o'clock, folded up in a supermarket car park because she had seen a bag of sunflower seeds.

"I thought I was past anger," she told me. "I thought I was at acceptance."

Ana was doing what almost all of us do: checking her grief against a map. And the map is wrong.

Where the five stages came from

Elisabeth Kübler-Ross published On Death and Dying in 1969. Her model — denial, anger, bargaining, depression, acceptance — became probably the best-known framework in all of psychology. It is in textbooks, in films, in conversations at funerals.

What almost always gets lost is the context: Kübler-Ross described what patients facing their own death go through, not what the people left behind go through. These were observations of terminally ill people processing their own diagnosis.

The extension to grief came later, in popular culture rather than in research. And Kübler-Ross herself wrote in her final book, On Grief and Grieving (2005, with David Kessler), that the stages "were never meant to help tuck messy emotions into neat packages" and that they are not linear.

The correction arrived too late. The model had already left home.

What the research actually shows

Longitudinal studies of bereaved people find something other than a sequence.

There is no order. People move through anger, sadness, relief, guilt, numbness — in any combination, on the same day, sometimes within the same hour. An influential body of work by George Bonanno at Columbia University, which followed people before and after losing a partner, found individual trajectories so varied that a shared staging simply doesn't hold up.

Resilience is the most common response. This is the part that surprises people most. In Bonanno's research, the commonest pattern after a loss is not collapse followed by slow recovery, but maintained, relatively stable functioning punctuated by waves of intense pain. Roughly half of people follow it. That doesn't mean they aren't suffering. It means they suffer and keep functioning, at the same time.

Grief comes in waves, not phases. The term used in the literature is grief bursts — surges set off by a smell, a song, a bag of seeds in a car park. Over time they thin out and lose intensity. But they don't stop on a fixed date, and their return years later is not a relapse.

Why it matters that the model is wrong

Because people punish themselves with it.

"I should have reached acceptance by now." "Why am I still angry, I got past that stage." "I laughed — that must mean I didn't care enough."

The stage model adds a second layer of suffering on top of the first: shame at grieving incorrectly. Patients frequently say they feel defective because their experience doesn't match what they know is supposed to happen.

There is no correct way. There is yours.

What is true about grief

Grief is not a problem to be solved. It is the normal response to a broken bond. It doesn't heal the way an infection heals; it integrates. The more useful model than stages is continuing bonds: the relationship doesn't end, it changes form. You go on having a relationship with the person, in a different shape.

The body grieves too. Insomnia, appetite thrown off, lowered immunity, a real physical tightness in the chest. This isn't imagination — loss activates the stress system, with everything that implies biologically.

Relief is a legitimate emotion. After a long illness, after a difficult relationship, many people feel relief — and then guilt about the relief. Both can be true at once.

The first year is hard in predictable waves. The first anniversary, the first holidays, the first birthday without them. Many people describe the second anniversary as unexpectedly hard, because by then everyone around them has moved on.

When grief becomes something that needs help

There is a form that doesn't settle on its own. DSM-5-TR includes it as prolonged grief disorder, and the indicative criteria are:

  • at least 12 months have passed since the loss (6 months in children and adolescents);
  • intense yearning or preoccupation with the person persists almost every day;
  • functioning remains significantly impaired — work, relationships, self-care.

Other signs that justify a conversation with a professional, however long it has been:

  • Increased alcohol or medication use to get through the day.
  • Complete withdrawal — you have stopped answering the phone for weeks.
  • Being unable to touch anything connected to the person, years later: the room left untouched, the clothes untouched.
  • The sense that there is no point continuing.

If you are having thoughts of harming yourself, or feel you no longer want to live, don't wait for an appointment. Call 112, or a suicide prevention line. Grief can make those thoughts sound reasonable. They are not.

What helps, concretely

Don't demand that you get through it faster. Nobody has ever shortened grief by rushing it. The pressure to be all right consumes the energy that would otherwise go into getting through it.

Tell the story, as many times as you need to. Repetition isn't being stuck, it's processing. Find the people who can hear the same story for the fifth time without getting restless.

Keep the minimum structure. Sleep at reasonable hours, food, one trip out of the house a day. Not as achievement — as scaffolding, while the rest is rebuilt.

Rituals work. Lighting a candle, a letter never sent, a visit to the grave, cooking her recipe. This isn't sentimentality; it is how the mind marks a real change.

Therapy helps most where grief is complicated by something else — an ambivalent relationship with the person, a violent or sudden death, a loss you aren't allowed to mourn publicly. Methods with evidence for complicated grief include grief-focused CBT and, where the loss was traumatic, EMDR.

What not to say to someone grieving

  • "They were old, at least they didn't suffer."
  • "Time heals everything."
  • "You have to be strong for the children."
  • "At least you had them for so many years."
  • Any sentence beginning with "at least".

What works instead: "I don't know what to say, but I'm here." And then actually being there — three months later, when everyone else has moved on and the phone has stopped ringing.


Ana didn't reach acceptance on a Tuesday. At a year and a half, she told me the waves come less often, that she can talk about her father without her voice breaking every time, and that she still cries in car parks sometimes. All three are true at once.

That is grief. Not a staircase. A sea that settles, with storms that keep coming back, less and less often.

doliupierderemoartetristetefamilie
D

About the author

Dr. Elena Ionescu

Experienced clinical psychologist with over 10 years of practice specializing in anxiety, depression, and couples therapy. I use evidence-based approaches including CBT and EMDR.

Book with Dr.

Want weekly tips in your inbox?

One email a week, written by licensed therapists. Unsubscribe any time.

Related articles