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Cordillera Counseling Services
  • Home
  • Areas of Specialization
  • Resources
  • Tahmineh and How I Work
  • FAQ
  • Contact
  • Client Portal

Grief & Loss

In Columbia, Maryland & Virtually Throughout Maryland

Grief is a natural response to loss, but it does not always follow a predictable path or timeline.


People may grieve the death of someone they love, the end of a relationship, changes in health or ability, the loss of a role or identity, major life transitions, or a future they expected but did not get to have.


Grief can involve sadness, longing, anger, guilt, numbness, relief, confusion, or moments of connection and meaning alongside pain. It can affect sleep, concentration, energy, relationships, and the ability to engage with everyday life.


There is no single “right” way to grieve. Understanding the meaning of the loss and the ways it has affected your life can be an important part of learning how to carry it.

How Grief Can Show Up

Grief can affect emotions, thoughts, relationships, and the body.

Grief may involve waves of sadness, longing, anger, guilt, relief, numbness, or disbelief. These experiences can shift from day to day and may be triggered by reminders, anniversaries, changes in routine, or moments when the absence feels especially noticeable.


Some people have difficulty concentrating, sleeping, making decisions, or finding energy for everyday tasks. Others may feel disconnected from people who do not fully understand the significance of the loss.


Grief can also bring questions about identity, meaning, responsibility, or what life is supposed to look like now.


These responses can be painful, but they are not necessarily signs that someone is grieving incorrectly or that something is wrong with them.

When Grief Becomes Hard to Carry Alone

Grief does not need to be rushed.

Grief may be worth exploring in therapy when the loss feels overwhelming, isolating, or difficult to integrate into everyday life.


For some people, grief becomes entangled with guilt, trauma, unresolved relationship experiences, or a sense of responsibility for what happened. Others may feel pressure to “move on” before they are ready or may struggle when the people around them no longer recognize how significant the loss still feels.


Grief can also coexist with depression, anxiety, or trauma-related symptoms. Therapy can help make space for the loss while also attending to the ways it may be affecting sleep, functioning, relationships, identity, or hope for the future.

What Grief Therapy May Address

Support can make room for both the loss and the life that continues around it.

Therapy may focus on making sense of the loss, understanding the emotions and memories connected to it, and finding ways to remain connected to what mattered without feeling consumed by what has changed.


Depending on the person, grief work may include addressing guilt, anger, unfinished conversations, trauma connected to the loss, changes in identity or relationships, or the difficulty of imagining a future that now looks different.


Treatment may draw from cognitive approaches, EMDR, Sensorimotor Psychotherapy, attachment and relational approaches, and parts-oriented work, depending on what is most helpful for the individual.


When grief is accompanied by significant depression, anxiety, trauma symptoms, or difficulty functioning, additional supports—including psychiatric evaluation or medication consultation when appropriate—can also be discussed as part of treatment planning.


If grief or loss is affecting your daily life, relationships, or sense of connection, you are welcome to contact Cordillera Counseling Services to learn more or schedule a consultation.

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Tahmineh Shadkhoo, LCPC | Md License No. LC9504

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