Mindfulness-Based Grief Therapy: A Comprehensive Guide for Grief Counselors and Therapists

By Heather Stang, MA, C-IAYT

Posted: August 14, 2025

Heather Stang teaching Mindfulness & Grief at Omega Institute

Mindfulness for grief gives you a heart-centered, evidence-based way to help clients face pain without drowning and rest without avoiding. It also strengthens your therapeutic presence and supports your well-being.

Why use mindfulness as a grief counseling technique

If your goal is to help clients tend to the suffering and changes of grief, you need an approach that eases distress without pathologizing grief.   Mindfulness does this by training awareness and cultivating compassion. Unlike stage models, which tell clients how to feel, a mindful model helps them cope with the reality of what they are feeling. In this article, you will learn practical grief counseling techniques as well as a framework you can use in bereavement care in individual therapy and grief support groups.

The origins of the Mindfulness & Grief System

In 2014, I published my first book, Mindfulness and Grief. It grew out of two eight-week groups where we practiced meditation, yoga, and journaling, and where contemporary thanatology came to life in real time. Four years later, I reached out to participants and invited them to share their stories for the forthcoming book. Their response was enthusiastic. Several brought dog-eared journals from their original group, and all had an impact story they were eager to share.

Today, that book is in its third edition with a new title, Living With Grief. The system also appears as mindfulness-based grief therapy in the Handbook of Grief Therapies and in my guided journal From Grief to Peace. I am proud of what we now call the Mindfulness & Grief System, and I did not invent mindfulness or yoga for grief.

That credit belongs to Buddhist and Hindu traditions that have shared practices to reduce suffering. You can teach these skills in a secular way while honoring their purpose.

What mindfulness means here

Mindfulness is not just sitting on a cushion. In this work, think of it as an umbrella for practices and everyday behaviors that train how you relate to experience. Two elements matter most: awareness and compassion.

  • Awareness trains you to notice what is happening in the present moment and stay with it. You observe sensations, feelings, and thoughts as they come and go. When you catch yourself grasping, avoiding, or slipping into the past or future, you gently return attention to the present.
  • Compassion brings the heart to awareness. It is not pretending things are okay. It is tending to what hurts with care and clear limits. You can shift from simple noticing to a compassion practice whenever it is needed.

You can apply both while sitting, eating, walking, or talking with a client. Mindfulness is portable and fits the task at hand.

How mindfulness helps clients cope with grief and loss

When you teach mindfulness for grief, you give clients (and yourself) skills that make the hardest parts of grief more bearable, while supporting long-term adaptation. Here is what that looks like:

  • It builds nervous system regulation. Brief conscious relaxation and focusing practices calm arousal and can improve sleep.
  • It interrupts rumination and softens avoidance. Clients learn to notice thoughts as events, not commands, which lowers the pull to spiral or numb.
  • It expands the window of tolerance. Embodied attention helps clients approach difficult emotions without flooding.
  • It builds self-confidence through skill building. Clients gain strength as they learn and apply new practices.
  • It nurtures compassion and connection. Mindfulness fosters care for self and others, which helps clients feel less isolated.
  • It reduces shame and self-criticism. Self-compassion practices replace harsh inner talk with care and boundaries.
  • It supports continuing bonds and wise action. The spaciousness of mindfulness allows clients to stay connected to love without clinging and live intentionally.
  • It fits real sessions. You can teach it in minutes and tailor it to culture, belief, access needs, and modality.
  • It protects you. Your own mindfulness increases presence and lowers empathic strain.

Bottom line. You are not trying to eradicate grief. You are helping people carry love and pain now and when future grief waves hit.

The Mindfulness & Grief System: A framework for compassionate grief support

The Mindfulness & Grief System is structured enough to move clients forward as they adapt to life after loss, and spacious enough to honor where they are and their individual differences. That balance is the hallmark of an effective grief approach. Dr. J. William Worden’s Four Tasks of Mourning inform the foundation of this work, and Robert A. Neimeyer’s meaning reconstruction is its heart.

The system is grounded in thanatology and works in individual counseling and grief support groups. It supports meaning reconstruction across the arc of care, with each module serving a clear aim.

There are several ways to deliver this training. A closed eight-week group offers containment and community, but set expectations clearly. This is not about mastering grief . Frame it this way: the work gives clients tools they can use now and insight into what to try later as capacity grows. In individual sessions, move at the client’s pace and adapt language, length, and practices to fit their needs.

1) Conscious relaxation

Aim: Settle the nervous system so the body becomes an ally.
How: Lead a brief relaxation or focusing practice. Breathwork can help, but it is not always the best place to start. Offer neutral or aspirational anchors such as a word, image, sound, or gentle touch point. Normalize losing the anchor and beginning again.
Use: Session openers, sleep routines, grief waves.

2) Mindful awareness

Aim: Learn the middle way between grasping and avoiding.
How: Coach simple sensing. Name seeing, hearing, touch, taste, smell, and cognition as experiences that arise and pass. When yearning or waves of grief appear, feel the feet or chair, then return to sensing. If the experience is overwhelming, normalize self-compassion or switch to another technique that creates safety.

3) Compassion for self and others

Aim: Reduce shame and harsh self-judgment.
How: Use phrases in the client’s authentic voice. Start with compassion directed to others if self-compassion is hard. Compassion is not pretending things are okay. It is tending to what is true with kindness and boundaries.

4) Skillful courage

Aim: Balance strength and vulnerability so clients can face what hurts without overwhelm.
How: Use embodied practices. Invite clients to feel emotions in the body rather than think about them in the mind. Name location, temperature, pressure, edges, movement, and color. Keep contact short, then return to a regulating anchor. Capacity grows through titration, not endurance tests.

5) Getting unstuck

Aim: Work with predictable obstacles to practice and life.
How: Name classic hindrances such as aversion, restlessness, sluggishness, desire, and skeptical doubt. Pair each with a concrete antidote. Use “hindrance of the day” check-ins to normalize setbacks and build self-mentoring. Alternative point-of-view journaling can help here.

6) Continuing bonds

Aim: Support an ongoing inner relationship with the deceased.
How: Guide “life imprint” reflections and rituals that honor how the person lives on in values, mannerisms, and choices. Invite letting go of habits that do not serve life now. Treat ambivalent bonds with extra compassion and clear boundaries.

7) Allowing transformation

Aim: Practice reality acceptance and invite healthy adaptation, including posttraumatic growth.
How: Distinguish acceptance from approval. Explore identity with short inquiries such as “I am…,” “I value…,” and “I am becoming….” Do a monthly journal review and make a list of what has changed, welcome and unwelcome; tag entries for strength, connection, or meaning and add a brief then/now note. Growth does not mean grief is gone or that anyone wanted to be strong. Notice and name what emerges while honoring that love and pain can coexist.

8) Perpetual mindfulness

Aim: Build a sustainable rhythm beyond therapy.
How: Co-create a maintenance plan with daily micro-practices, a weekly longer practice, a monthly reflection, and seasonal or annual rituals. Offer educational and community resources, and normalize ongoing oscillation and grief waves. If it is the end of the program or treatment, invite a ritual symbolizing “who I was” and “who I am now.”

Techniques you can teach in sessions

Use short, repeatable practices. Keep choice and safety in view. Offer eyes-open options and alternatives to breath when needed.

Mindfulness meditation

To train attention and awareness, invite a neutral anchor such as sound, touch points, or a simple phrase. Coach a gentle return each time the mind wanders. Start with two to five minutes to build confidence. If breath increases anxiety, switch anchors. Use this to settle at the start of sessions, ease transitions, and support sleep.

Compassion meditation

Compassion softens shame and harsh self talk while building common humanity. Offer phrases in the client’s own voice, for example, “This is hard. May I treat myself with kindness.” Begin with a neutral person if self compassion feels out of reach, then move closer as tolerance grows. Keep it brief for clients who feel unworthy of care. Useful for guilt, self blame, and anger at self or the deceased.

Mantra meditation

A simple mantra gives the mind a steady rhythm to rest on. Choose a secular phrase that fits culture and belief, and repeat it silently with the breath or a gentle tap. Helpful for restless minds, racing thoughts, and sleep onset. Avoid phrases that sound like forced positivity.

Journaling for grief

Directed writing supports sense making and values based action. Offer short prompts for five minutes, such as “Right now I notice,” “What I need today,” or “One small step.” Use between sessions, around anniversaries, and when clients feel stuck. If unstructured venting increases rumination, steer back to focused prompts.

Somatic yoga

Gentle, accessible shapes rebuild regulation and body trust. Attend to sensation, pressure, and boundaries, with both seated and standing options. Invite consent and choice for every movement. Effective for anxiety, muscle tension, and low interoceptive awareness. Trauma sensitivity is essential.

Mindful movement

Slow, simple movements help discharge activation and widen attention. Highlight contact with the ground, joint range, and natural breath pacing. Useful for restlessness, grief waves, and a midday reset. Keep intensity low and avoid competitive framing.

Body scan

Moving attention through the body strengthens interoception and relaxation. Travel from feet to head or head to feet, naming sensation without judgment and pausing anywhere that feels steady. Good for sleep routines, anxiety care, and post session integration. Offer eyes open and external anchors if internal focus is dysregulating.

RAIN meditation

The RAIN sequence offers a clear map for meeting difficult emotions. Recognize what is present, Allow it briefly, Investigate sensations and needs with kindness, and Nurture with a phrase, gesture, or small action. Close by grounding or orienting to the room. Keep contact short and return to a regulating anchor between steps. Helpful for strong emotions, urges to avoid, and meaning making.

Trauma-sensitive mindfulness for grief

Lead with safety, not technique. Keep practices brief and choice based, and name clear opt-out options. If breath focus triggers panic or flashbacks, switch to another anchor such as sound, touch points, or a visual object, and offer eyes-open practice. Invite gentle pendulation. Touch a difficult feeling for a short time, then re-orient to the room so the client stays within a workable window of tolerance.

Ground through the senses at the start and end of any deeper contact, and pause if you notice dissociation, panic, or shutdown. Work within your scope, collaborate or refer when symptoms are complex, and remember this is not exposure therapy. Go slow, let capacity build, and let the relationship be the container. For a deeper guide to adaptations, see David Treleaven’s Trauma-Sensitive Mindfulness.

Who can teach mindfulness for grief

You can teach these skills if you work within your scope and maintain your own steady practice. Roles include grief counselors, chaplains, social workers, coaches, nurses, hospice volunteers, yoga teachers, yoga therapists, and mindfulness meditation teachers.

Your primary directive: Practice what you teach. Short daily practice is better than long occasional practice.

Stay in your lane: Teach skills, not diagnoses. Use language that matches your credentials and setting. Get informed consent for practices.

When to refer or co-treat:

  • Suspected prolonged grief disorder
  • Safety concerns, including suicidal thoughts or self harm
  • Trauma symptoms that disrupt daily life, active dissociation, or panic that does not settle
  • Psychosis, mania, or untreated substance dependence
  • Moderate or severe brain injury, or medical complexity outside your scope

Teach safely: Go slow. Keep practices brief and choice based. Offer eyes-open options and alternatives to breath. Pause if distress rises. Collaborate with licensed mental health professionals when needed.

What the research suggests in plain language

You can tell clients that mindfulness training changes how the brain and body handle stress and attention. Imaging studies show structural and functional changes linked to learning, regulation, and perspective taking. In bereavement-specific work, mindfulness-based programs have been associated with reorganized resting-state connectivity and reduced anxiety. Directed journaling for grief that focuses on sense making and values tends to outperform unstructured writing. Compassion practices support connection and reduce isolation. Online formats can improve access when in-person groups are not feasible.

The takeaway for clinical practice is simple. You are not trying to erase grief. You are training systems that help people carry love and pain with more steadiness and choice.

How to integrate this into your individual counseling and grief support groups

Mindfulness meditation, guided practices, and journaling for grief fit easily into one-to-one work and groups. Start small if clients are new to meditation.

  • Open every session with a brief centering where clients notice breath, body, and emotions, without pressure to change anything.
  • Teach one short practice per week and send a brief script or audio for home practice.
  • Use a five-minute directed journal prompt with a focus on awareness or personal needs.
  • Invite clients to create a self-compassion mantra.
  • Close with one next action that tends to grief and one that tends to life.
  • Practice techniques before you teach them. This builds empathy and enhances therapeutic presence.

Resources and influences

My Relevant Publications

Mindfulness and compassion

  • Jon Kabat-Zinn — mindfulness based stress reduction and the body scan.
  • Zindel Segal, Mark Williams, John Teasdale — mindfulness based cognitive therapy.
  • Kristin Neff, Christopher Germer — self compassion research and Mindful Self Compassion.
  • Paul Gilbert — compassion focused therapy for shame and self criticism.
  • Sharon Salzberg — loving kindness practice for connection and care.
  • Herbert Benson — relaxation response using a simple word or phrase.
  • Edmund Jacobson — progressive muscle relaxation for somatic calming.

Grief theory and models

  • J. William Worden — Four Tasks of Mourning as a practical map.
  • Robert A. Neimeyer — meaning reconstruction after loss.
  • Dennis Klass, Phyllis Silverman, Steven Nickman — continuing bonds with the deceased.
  • Margaret Stroebe, Henk Schut — dual process model and oscillation.
  • Joanne Cacciatore, Melissa Flint — ATTEND model for mindful, compassionate bereavement care.

Movement, somatics, and trauma

  • David Emerson — Trauma Center Trauma Sensitive Yoga.
  • Richard C. Miller — iRest Yoga Nidra for trauma and sleep.
  • Thich Nhat Hanh — mindful walking and everyday mindfulness.
  • Michele McDonald — RAIN sequence for working with difficult emotions.
  • Tara Brach — clinical popularization of RAIN with nurture.
  • David Treleaven — trauma sensitive mindfulness, safety, choice, and titration.

Heather Stang, MA, C-IAYT

About the author

Heather Stang, MA, C-IAYT, is the recipient of the 2025 Association for Death Education and Counseling Clinical Practice Award, holds a Master's Degree in Thanatology from Hood College, and is a Certified Phoenix Rising Yoga Therapist. She is the author of Navigating Loss, Living With Grief (formally Mindfulness & Grief) and the guided journal, From Grief To Peace. She

You might also like