Somatic Grief Exercises for Grief Therapy & Healing After Loss

By Heather Stang, MA, C-IAYT

Somatic Grief Support-3

Somatic grief exercises help people notice and respond to the physical experience of loss through body awareness, mindful movement, grounding, and other practices. 

Grief affects more than our thoughts and emotions. It can show up as tension, exhaustion, restlessness, changes in breathing, or a sense of disconnection from the body. For grief counselors, therapists, coaches, and other helping professionals, somatic approaches offer additional ways to support clients when talking alone isn't enough.

The goal isn't to force an emotional release or make grief disappear. It's to help people recognize what they're experiencing, discover what may support them, and make choices about how they want to respond.

My approach draws on more than 20 years of working with grief and mindfulness, my training as a Certified Phoenix Rising Yoga Therapist, and the 8-Step Mindfulness & Grief System. I teach helping professionals how to integrate these practices into their existing work through my Mindfulness & Grief Coach Certification.

Below, we'll explore practical somatic exercises, trauma-sensitive considerations, and how to choose approaches that fit the person in front of you.

What Is Somatic Grief Support?

Somatic grief support brings attention to the physical experience of grief alongside thoughts, emotions, relationships, memories, and meaning. The word somatic refers to the body, and in grief work, these practices may involve noticing physical sensations, becoming aware of posture, exploring movement, or recognizing how emotions are experienced physically.

For example, someone might notice their stomach tightening when they talk about an upcoming anniversary. Another person may feel exhausted after spending time with relatives who expect them to be doing better. These physical responses can offer useful information, but we don't need to interpret every sensation as a hidden message about grief.

If a client notices tension in their shoulders, they might choose to stretch, change position, explore the sensation, or simply continue talking. As helping professionals, our role is to support curiosity without deciding what the experience means for someone else. This is central to how I teach grief coaching: helping people become more aware of their own experiences and giving them room to decide what they need.

How Does Grief Affect the Body and Nervous System?

Grief can affect sleep, appetite, concentration, energy, and the way someone experiences their body. The death of a loved one or another significant loss can be stressful, and the body's responses to that stress may include restlessness, muscle tension, changes in breathing, difficulty sleeping, or exhaustion. Some people notice these changes immediately, while others become aware of them in ordinary situations, such as waking in the middle of the night or preparing for a family gathering.

Our nervous system plays a role in how we respond to stress, but grief doesn't follow one predictable physical pattern. One person may feel restless and agitated, while another feels depleted, numb, or disconnected. Some experience several of these responses over the course of a single day. When we're supporting grieving clients, it's useful to recognize this variety without assuming that everyone will experience grief in the same way.

Physical Experience What a Grieving Person Might Notice
Muscle tension Tight shoulders, a clenched jaw, or physical discomfort
Changes in breathing Holding the breath or breathing differently during difficult moments
Fatigue Feeling exhausted after ordinary activities
Restlessness Difficulty sitting still or wanting to move
Numbness Feeling disconnected from physical sensations or emotions
Heaviness A sense of weight in the chest, stomach, or body
Sleep disruption Difficulty falling asleep, waking frequently, or feeling unrested

These experiences aren't unique to grief. Physical symptoms can have many causes, and new, severe, persistent, or concerning symptoms may require medical assessment.

As helping professionals, we can acknowledge how grief affects the body without assuming every sensation has an emotional cause.

For more about how people experience loss physically, read Bodywork for Grief.

How Can Somatic Practices Help With Grief?

Somatic practices can offer another way for grieving people to explore their experiences.

Talking is important. People often need to tell their stories, express anger or guilt, remember the person who died, and make sense of what has changed.

But someone may understand their grief intellectually and still experience overwhelming sensations in certain situations.

Body awareness can bring additional information into the conversation.

A client might notice that their shoulders tense when they discuss a difficult family relationship. Rather than immediately asking why, you could invite them to notice what's happening.

They may discover something meaningful, realize they're physically uncomfortable, or decide they'd rather move.

All of those responses provide useful information.

I remember a student in one of my certification classes realizing that an uncomfortable, itchy dress was contributing to her irritability. She had been aware of her mood but hadn't connected it to the physical discomfort.

Sometimes the explanation is that simple.

Somatic grief work gives people opportunities to become curious about their experiences. It doesn't require every sensation to reveal a deeper psychological meaning.

Five Somatic Grief Exercises to Explore With Clients

You don't need elaborate techniques to include body awareness in grief support. Some of the most useful practices are surprisingly simple, and many can be introduced as part of an ordinary conversation. What matters is understanding why you might offer a practice, how to adapt it, and when to leave it alone.

These five approaches are part of the mindfulness-based and somatic work I draw on when supporting grieving people. They offer different ways to bring awareness to the body while respecting each client's needs, preferences, and professional boundaries.

1. Noticing Physical Sensations

One of the simplest ways to introduce somatic awareness is to invite someone to notice what's happening physically as they talk. You might ask, "As you're sharing this, are you noticing anything happening in your body?" If they mention tightness in their shoulders or heaviness in their chest, you can ask whether they'd like to spend a moment noticing it.

The important thing is to stay curious without assigning meaning to the sensation. Sometimes people discover a connection between their emotions and what they're feeling physically. Other times, they realize they're tired, uncomfortable, or need to change position.

There's no need to turn every sensation into an insight about grief. Awareness is useful in its own right, and the client gets to decide what they want to do with what they've noticed.

2. Grounding Through the Senses

When someone feels overwhelmed, asking them to focus on their breathing or turn their attention inward isn't always the best place to begin. I often start with something outside the body, such as listening to sounds in the room or noticing an object nearby.

You might invite a client to notice the sounds around them without searching for anything in particular. From there, if they feel comfortable, they could notice the temperature of the air on their skin or the support of the chair beneath them. It's a simple way to bring attention to the present moment without asking someone to explore difficult emotions before they're ready.

I teach this kind of choice throughout my mindfulness practices. Clients can keep their eyes open, move, change their focus, or return to conversation. Sometimes noticing the sounds outside the window is all the practice needs to be.

3. Exploring Mindful Movement

Not everyone wants to sit still when they're grieving. Some people feel restless, while others have been sitting with difficult thoughts for so long that changing position feels welcome. Movement gives us another way to include the body without making a formal meditation the center of the session.

A client might choose to stand, stretch, walk, or notice how their weight shifts from one foot to the other. You can invite them to pay attention to what changes, without suggesting that a particular movement should make them feel better.

My background in Phoenix Rising Yoga Therapy has influenced how I approach movement in grief support. The emphasis is on the person's direct experience, rather than achieving a particular posture or outcome. A small adjustment may be enough to help someone recognize what feels comfortable, what doesn't, and what they need next.

4. Practicing RAIN With Body Awareness

RAIN is one of the practices I teach in Step 4 of the Mindfulness & Grief System, Skillful Courage. Originally developed by Michele McDonald and later adapted and popularized by Tara Brach, it offers a way to explore difficult emotions with awareness and compassion.

The four steps are Recognize, Allow, Investigate, and Nurture. We begin by noticing what's present, whether that's sadness, anger, guilt, or something harder to name. Allowing means acknowledging the experience without immediately trying to change it, while remembering that the person can always pause or choose not to continue.

During Investigation, I sometimes invite people to notice how an emotion is experienced in the body. Sadness might feel heavy, anger might be accompanied by tension, or someone may notice very little physically. We don't need to interpret these sensations or decide what they mean. Nurture then invites the person to consider what kind of care or support would be helpful.

RAIN isn't about getting someone to experience more emotion or pushing them toward a breakthrough. It's about developing a different relationship with what's happening, with enough flexibility to recognize when another approach would be more useful.

5. Identifying Helpful Resources

Before inviting someone to explore difficult emotions, I want to know what helps them when things become too much. This is where resourcing becomes important, particularly when working with people whose grief may involve traumatic experiences.

A resource is something the person can turn toward for comfort, connection, or support. For one client, that might mean walking outside or listening to music. Another may find it helpful to notice their feet on the floor, spend time with a pet, or call someone they trust. I don't assume that the same practice will help everyone, and I encourage people to discover what works in their own lives.

I also like to explore resources before someone becomes overwhelmed. It's easier to recognize your options when you have a little room to think about them. Then, when a difficult moment arrives, the person has something familiar they can choose.

Resourcing isn't about avoiding grief. It helps people recognize that they can approach difficult experiences, step away when needed, and return when they're ready.

How Can You Approach Somatic Grief Work Without Pushing Too Far?

One of the most useful concepts from my Phoenix Rising Yoga Therapy training is The Edge. In Phoenix Rising, this refers to a place where there's enough sensation or challenge to invite awareness without pushing beyond what feels manageable. I've carried this principle into my work with grieving people because it gives us a practical way to think about how we approach difficult experiences.

In Step 4 of the Mindfulness & Grief System, Skillful Courage, we explore the balance between turning toward uncomfortable emotions and recognizing when it's time to step away. Sometimes courage means staying with a difficult feeling for a few moments. Other times, it means noticing that you've had enough for now and choosing to do something else. Both require awareness, and both can be appropriate responses.

I also draw on the principle of titration, which involves approaching difficult experiences in small, manageable amounts rather than all at once. A client might choose to acknowledge a painful memory briefly before shifting their attention to something supportive. They may return to that memory later, or they may decide they've done enough for the day. We don't need to determine that for them.

There's no prize for going further into emotional pain. As helping professionals, we're better served by paying attention to what feels workable for the person in front of us than deciding how deeply someone ought to explore their grief.

Trauma-Sensitive Somatic Grief Practices

Body awareness isn't comfortable for everyone, particularly when grief involves traumatic experiences. Focusing on the breath, closing the eyes, or paying close attention to internal sensations can increase distress for some people. That's worth remembering because practices that feel familiar and helpful to us may be experienced very differently by our clients.

David Treleaven's work on Trauma-Sensitive Mindfulness has influenced how I approach these considerations. His teaching emphasizes recognizing when mindfulness may be difficult for someone with a trauma history, supporting choice and agency, and adapting practices rather than expecting everyone to follow the same instructions. I bring those principles into grief support alongside my training in mindfulness and Phoenix Rising Yoga Therapy.

For example, someone who finds breath awareness uncomfortable might prefer to listen to sounds in the room or look at an object nearby. A client who becomes overwhelmed during an exercise can change position, move, return to conversation, or stop al

Client Experience Possible Practice What to Consider
Feeling overwhelmed External sensory awareness Internal attention may increase distress
Restlessness Comfortable movement Let the client choose whether and how to move
Physical tension Posture or body awareness Don't assign emotional meaning to sensations
Difficult emotions Brief RAIN practice Allow pauses and alternatives
Numbness or disconnection External grounding Don't push for a stronger emotional response
Exhaustion Rest or a short settling practice Consider physical and medical needs

These are possibilities, not prescriptions. A framework can help us organize our choices without turning grief support into a formula. There's also value in recognizing when no exercise is needed. Sometimes the most useful thing you can offer is your attention, a thoughtful question, or an opportunity for someone to tell their story without interruption.

For more ideas you can bring into your work, explore my Grief Coaching Tools for Helping Professionals.

What Is the Difference Between Somatic Grief Support and Somatic Therapy?

Somatic grief support is a broad term for bringing body awareness and body-based practices into grief work. It isn't a standardized treatment or professional qualification. Depending on the practitioner's training and role, it might involve mindfulness, noticing physical sensations, movement, or helping someone recognize what they need when grief becomes physically overwhelming.

Somatic therapy is a broader term for therapeutic approaches that work with bodily experience. Some methods are used in clinical mental health and trauma treatment, while others come from different therapeutic traditions. Each approach has its own theoretical foundations, training requirements, and evidence base, so the term alone doesn't tell you what a practitioner is qualified to offer.

A licensed therapist with appropriate training may incorporate specialized somatic interventions into clinical treatment. A grief coach, chaplain, or group facilitator might use mindfulness-based body awareness, movement, or sensory grounding within their existing professional role. These approaches can complement one another, but they aren't interchangeable. Understanding the distinction helps us communicate clearly with clients and recognize when someone needs a different level of support.

In my Mindfulness & Grief Coach Certification, I teach an integrated approach that includes mindfulness, meditation, movement, journaling, compassion, and body awareness. The training helps professionals bring these practices into their existing work, but it doesn't qualify someone as a licensed somatic psychotherapist or expand their clinical scope.

For a closer look at these professional distinctions, read Grief Coaching vs. Therapy.

What Should Someone Expect From Somatic Grief Therapy?

There isn't one standard experience of somatic grief therapy. What happens in a session depends on the practitioner's training, the approach they use, and what the client wants to explore. Some sessions include conversation and occasional invitations to notice physical sensations. Others may involve mindful mov

Heather Stang, MA, C-IAYT

About the author

Heather Stang, MA, is an award-winning thanatologist, author, and founder of the Mindfulness & Grief Institute. For more than 20 years, she has helped people living with grief through mindfulness, meditation, journaling, and body-based practices. She is the creator of the 8-Step Mindfulness & Grief System, which she teaches through the Mindfulness & Grief School and the Mindfulness & Grief Coach Certification.

In 2025, Heather received the Clinical Practice Award from the Association for Death Education and Counseling (ADEC). Her work appears in professional texts, including The Handbook of Grief Therapies and Techniques of Grief Therapy: Assessment and Intervention. She is also the author of Living with Grief, From Grief to Peace, and Navigating Loss.

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