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Grief & Loss

The Stages of Grief Are Not a Checklist (And That’s Actually Good News)

The five-stage grief model is widely known but often misunderstood. Kelowna RCC Lindsey McDonald explains what the research actually says, why the checklist approach can cause harm, and what grief looks like in real practice.

Lindsey McDonald
Lindsey McDonald, RCC
11 min readKelowna, BC

Somewhere between the hospital and the funeral home, someone probably told you about the five stages of grief. Maybe you looked them up yourself at 2 a.m., hoping to find yourself on the map. Denial. Anger. Bargaining. Depression. Acceptance. It sounds like a path, like if you just keep moving you’ll eventually arrive somewhere that feels okay.

Grief doesn’t work like that. And most grieving people already know it.

Why are we so attached to the five stages of grief?

Elisabeth Kübler-Ross published On Death and Dying in 1969, based on interviews with patients facing terminal diagnoses. The five stages (denial, anger, bargaining, depression, acceptance) weren’t a theory about bereavement. They were observations about what it’s like to know you’re dying.

The model spread fast. It landed in medical training, popular culture, and eventually every grief explainer on the internet. When you’re in the thick of loss, having a map, even a rough one, feels like something solid to hold onto. The stages give grief a shape. They make it feel temporary and navigable.

That’s not nothing. Kübler-Ross named emotional experiences that many people recognized in themselves, and she did it at a time when grief was largely avoided in mainstream medicine. She gave clinicians a vocabulary. She made it okay to talk about dying.

The trouble is that “stages” implies a sequence, a direction, an end point. That’s where things go sideways for a lot of the people I work with in Kelowna and across BC.

What are the stages of grief, and what do they actually mean?

Here’s a plain-language summary of the five stages alongside what they tend to look like for real people.

Five experiences, no required order. Descriptions of Denial, Anger, Bargaining, Depression, and Acceptance from the original Kübler-Ross model

Denial isn’t usually literal disbelief that someone died. It’s more often an emotional buffer. Your brain keeps the full weight of the loss at arm’s length while you manage practical things, show up for other people, and try to keep functioning. It can look like numbness, busyness, or an eerie calm that feels wrong.

Anger is the stage people most often feel ashamed of: anger at the person who died, at doctors, at God, at yourself for something you said or didn’t say. This is loss trying to process the unbearable by finding something it can push against.

Bargaining is the “what if” and “if only” territory. It’s mentally replaying every decision leading up to the loss, searching for the moment things could have gone differently. Exhausting and completely understandable.

Depression here isn’t a clinical disorder. It’s the deep sadness, withdrawal, and heaviness that moves in once the reality of the loss has fully landed. The world feels colourless. Getting through the day feels like an enormous effort.

Acceptance is the most misunderstood stage. People sometimes think it means you’re okay with what happened. It doesn’t. It means you’ve found a way to carry the loss: building a life that includes it rather than waiting for it to be over.

Kübler-Ross herself said, repeatedly, that these stages were never meant to be a sequence. In her later writing and interviews, she was clear that people move between them, experience several at once, skip some entirely, or circle back months or years later. She described them as frames of reference, not a ladder to climb.

The expansion to seven stages (adding shock, pain/guilt, and an upward turn) was an attempt to capture more of the bereavement experience. Adding more steps doesn’t address the core issue, though. Calling them “stages” still implies you’re supposed to move through them in a direction.

How many stages of grief are there?

Depending on where you look, you will find five stages, seven, twelve, or four phases. They are not competing discoveries. They are mostly the same original observations, resliced by different authors for different audiences, and only two of them come from research on bereaved people at all.

ModelWhere it came fromStudied bereaved people?
Five stages
Kübler-Ross, 1969
Interviews with patients facing their own terminal diagnosisNo. Dying patients, not mourners
Seven stages
Later popular adaptation
Self-help expansion of the five, splitting shock and pain out and adding an “upward turn”No single study behind it
Twelve stages
Internet-era expansion
No identifiable clinical origin. Usually a blend of the above with recovery-program languageNo
Four phases
Bowlby and Parkes
Attachment research on bereaved adults: numbness, yearning, disorganization, reorganizationYes

So the honest answer to “how many stages are there” is that the number tells you which author you happened to read, not how grief works. Adding stages makes the map more detailed without making it more accurate, because the problem was never the count. It was the idea of a sequence.

What does research say about how grief actually unfolds?

A 2021 systematic review published in Frontiers in Psychology (Stages of Grief Portrayed on the Internet) analyzed how the bereavement model is depicted online and found significant problems: most content presented the stages as a fixed sequence, overstated the evidence base, and omitted the substantial variability in how people grieve. The researchers were concerned this misrepresentation could lead bereaved individuals to feel they were doing it wrong.

Research by Bisconti and colleagues found that rather than progressing through emotional phases, wellbeing after loss oscillates, moving back and forth, sometimes daily. Loss doesn’t go in one direction.

Grief moves in waves rather than stages, comparing the linear stage model against research showing non-linear oscillation between ok days, hard days, and gradual movement forward

Separate PMC research on bereavement misrepresentation found that when clinicians and loved ones, or anyone trying to support a griever, use the stages as a checklist, it can actively harm grieving people by making them feel abnormal if they don’t hit the stages in sequence, or “stuck” when they’re simply processing in their own way.

One genuinely useful development from recent research is the formal recognition of prolonged grief disorder (PGD). Added to the DSM-5-TR in 2022 as the only new diagnosis in that revision, PGD is characterized by intense, daily yearning for the deceased, alongside symptoms like identity disruption, disbelief, emotional pain, and a sense that life is meaningless, persisting more than 12 months after the loss and significantly impairing functioning. About 1 in 10 bereaved people develop PGD.

There’s a meaningful difference between grief that’s painful and grief that’s clinically stuck. Most people still grieving a year out are not disordered. They’re human. If your grief is preventing you from functioning, or feels qualitatively different from ordinary sadness, that’s worth exploring with a professional.

What do modern models of grief say instead?

Grief theory did not stop in 1969. Three models developed since then describe what I actually see in sessions far better than any staged sequence does, and almost none of the popular grief content online mentions them.

The Dual Process Model

Proposed by Margaret Stroebe and Henk Schut in 1999, this is the one I reach for most. It says grieving people move back and forth between two modes: loss-oriented coping, where you are facing the loss directly, and restoration-oriented coping, where you are dealing with the practical business of a changed life. Neither is avoidance. The oscillation between them is the mechanism, not a failure of it.

This is why grief arrives in waves. It is also why the person who seemed fine at the funeral and fell apart four months later was not in denial. They were in the other half of a normal process.

Continuing Bonds

In 1996, Klass, Silverman and Nickman challenged the assumption that healthy grieving ends in detachment. Their research found that most bereaved people maintain an ongoing relationship with the person who died: talking to them, carrying their standards, keeping objects, marking dates. This is not being stuck. For most people it is how the loss becomes liveable.

I mention this often, because a lot of people arrive slightly ashamed that they still talk to their mother in the car. That is not a symptom.

Worden’s tasks of mourning

William Worden reframed mourning as four tasks rather than stages: accepting the reality of the loss, processing the pain of grief, adjusting to a world without the person in it, and finding an enduring connection with them while moving forward with your own life.

The shift from stages to tasks matters more than it sounds. Stages happen to you and you wait them out. Tasks are things you do, in any order, returning to them as needed. It gives people something to work with rather than a timeline to fail.

What does the grieving process look like in my practice?

I’m a Registered Clinical Counsellor and I work with loss through an Internal Family Systems (IFS) and somatic lens. Practically, that means I don’t ask clients which emotional phase they’re in. I ask what they’re noticing in their body right now. I ask which part of them is talking.

Here’s what I see regularly in my Kelowna counselling practice and in virtual sessions across British Columbia.

The bereavement process is non-linear in ways that catch people off guard. A client who’d found some equilibrium six months after a loss will reach out because the grief came back full force, triggered by a smell, a song, a date on the calendar. That’s not regression. That’s how loss works.

Grief also lives in the body. The tight chest. The nausea before a family gathering. The way sleep disappears in the early weeks, or arrives as the only escape. The stages model is largely cognitive: it describes emotional and mental states while largely ignoring the nervous system. A lot of grief work, especially with losses that were traumatic or sudden, needs to happen at the body level first. That’s where somatic work comes in.

Grief isn't only in your mind, it lives in the body too. Physical symptoms including tight chest, nausea, sleep disruption, fight-or-flight, muscle tension, and exhaustion.

IFS offers something useful here too. Loss isn’t experienced by one unified “you.” Parts of us can hold different feelings about the same death simultaneously. One part might feel relieved that a long illness is over. Another part feels guilt about that relief. Another part is furious. These aren’t contradictions. They’re all real, and they can coexist.

I also work with grief that isn’t about death: the end of a relationship, a chronic illness diagnosis, estrangement from a parent, infertility, a career that ended before you were ready. These losses are real and valid, and the stages model was never designed for them.

How long does grief last?

This is the question I get asked most often, and the honest answer is: it depends. The question itself can sometimes get in the way.

Most research points to the acute phase, the period of most intense, destabilising pain, lasting roughly 6 to 12 months. That doesn’t mean loss is “over” at the one-year mark. It means that for most people, the sharpest edges tend to soften somewhere in that window. The loss becomes something you carry rather than something that’s carrying you.

Anniversaries matter. The first birthday after someone dies. The first Christmas. The one-year mark itself. These dates can bring the bereavement experience back at surprising intensity, even when you’ve been feeling steadier. That’s normal. The nervous system holds these patterns.

There’s also a clinically meaningful difference between grief that moves and grief that’s stuck. Grief that moves is painful but fluid. It comes in waves, and in between waves, there are moments of ordinary life. Grief that’s stuck tends to feel more static: a constant, unchanging weight, an inability to picture any future, a sense that the self has fractured and can’t be repaired. That’s when I’d start asking questions about prolonged grief disorder or whether there’s a trauma component that needs specific attention.

Two very different kinds of grief. Grief that moves (comes in waves, painful but fluid) versus grief that's stuck (constant unchanging weight, may be Prolonged Grief Disorder)

The cultural message that loss should wrap up in a year, or worse, in weeks, is one of the most harmful things I encounter. People come into my Kelowna practice apologizing for still being sad two years after a death, as though there’s a normal they’ve failed to reach. There isn’t. There’s your particular loss, your particular nervous system, and whatever timeline makes sense for both of them.

How can you support yourself through grief without a checklist?

The most useful reframe I can offer: instead of asking which stage you’re in, ask what you’re actually feeling right now. Name it as specifically as possible. Not “sad,” but something like “a heaviness in my chest that makes it hard to breathe deeply,” or “a sharp irritability that comes out sideways at people who don’t deserve it.”

Specificity is grounding. It connects you to the actual experience rather than to a label.

Your nervous system needs support during bereavement, not just your mind. That might mean being deliberate about sleep, food, and movement. Not because loss is a wellness problem, but because your body is carrying a significant physiological load. It might mean noticing when you’ve been in a fight-or-flight state for days and finding what brings you back down: slow breath, a walk, physical contact with people who help ground you, time outside.

Grief-informed counselling looks different from general therapy. It takes seriously the specific nature of each loss: the relationship that’s gone, the identity that shifts after it, the way the future has to be reimagined. It doesn’t treat grief as a symptom to be reduced. It treats the griever as someone navigating one of the most significant experiences a person can have.

If you’re in Kelowna, West Kelowna, or anywhere in British Columbia, I offer both in-person and virtual sessions. I work with loss of all kinds: death, relationship endings, chronic illness diagnoses, estrangement, infertility, and any loss that’s been told it doesn’t count.

If you’re ready to take the next step, I’d love to hear from you. Book a free 15-minute consultation →

Frequently Asked Questions

What are the five stages of grief?

The five stages are denial, anger, bargaining, depression, and acceptance. Developed by Elisabeth Kübler-Ross in 1969 from interviews with terminally ill patients, they were later applied broadly to bereavement. Kübler-Ross consistently clarified that the stages were never intended as a fixed sequence. People may experience them in any order, simultaneously, or not at all.

Do you have to go through all five stages of grief?

No. Research shows significant variability in how people experience loss. Some people go through all five stages; others experience only a few, in a different order, or for different lengths of time. There’s no correct or complete way to grieve, and missing a stage doesn’t mean your bereavement is incomplete.

What is the hardest stage of grief?

This varies considerably. Many people find the depression stage the most difficult because it tends to arrive once the initial numbness has worn off and the reality of the loss has fully landed. Others find anger the hardest to sit with because it can feel socially unacceptable. There’s no universal answer.

How long does each stage of grief last?

There’s no set timeline. Research suggests the acute phase of bereavement, the period of most intense disruption, typically lasts 6 to 12 months. Individual emotional phases don’t have fixed durations. Some people move through certain feelings in days; others return to the same feeling months or years later.

What is prolonged grief disorder?

Prolonged grief disorder (PGD) is a clinical diagnosis added to the DSM-5-TR in 2022. It’s defined as intense, daily grief that includes yearning for the deceased and symptoms like emotional pain, identity disruption, and a sense of meaninglessness, persisting more than 12 months after a loss and significantly impairing daily functioning. About 1 in 10 bereaved people develop PGD. It responds well to targeted therapy.

Can grief come back after you’ve felt better?

Yes. Grief commonly resurfaces around anniversaries, significant dates, milestones, or unexpected sensory triggers like a song or a smell. This isn’t regression. It’s a normal feature of non-linear bereavement. The intensity typically lessens over time, even if the loss never fully disappears.

Is grief only about death?

No. Loss can follow any significant change: the end of a relationship, a chronic illness diagnosis, estrangement, infertility, job loss, or any situation where something or someone meaningful is no longer part of your life. These losses are real and valid, even when the broader culture doesn’t always recognize them as grief.

How many stages of grief are there?

It depends entirely on which author you read. Kübler-Ross described five, based on interviews with dying patients rather than bereaved people. A later popular adaptation split those into seven. Twelve-stage versions circulate online with no identifiable clinical origin. Bowlby and Parkes described four phases and did study bereaved adults. The number tells you about the source, not about grief.

What is the dual process model of grief?

Proposed by Stroebe and Schut in 1999, it describes grieving as an oscillation between two modes rather than a progression through stages. Loss-oriented coping is facing the loss directly. Restoration-oriented coping is dealing with the practical business of a changed life. Moving back and forth between them is the process working, not avoidance. It explains why grief tends to arrive in waves.

Do you have to let go of someone to move on?

No, and the research points the other way. The continuing bonds model, developed by Klass, Silverman and Nickman in 1996, found that most bereaved people maintain an ongoing relationship with the person who died, and that doing so is generally healthy rather than a sign of being stuck. Talking to them, keeping their things, or marking their dates is a normal part of carrying a loss.

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These blog posts are for educational purposes and are not a substitute for counselling or medical care.