Meaning-Making in Grief – A Guide for Therapists

Understanding Meaning Reconstruction After Loss

Meaning-making is one of the central processes involved in adapting to bereavement. Rather than reducing grief, it involves helping clients gradually integrate the loss into their understanding of themselves and the world.

Infographic titled "Meaning-Making in Grief" showing a visual model of meaning reconstruction after bereavement. At the centre is a circle labelled "Meaning-Making & Adaptation", described as integrating the loss, carrying it forward and living in alignment with what matters. Three connected circles surround it: "Making Sense" (understanding what happened and how it fits within a person's life and beliefs), "Identity Reconstruction" (exploring how the loss has changed a person's sense of self, roles, relationships and future), and "Continuing Significance" (maintaining a sense of connection with the deceased and identifying what remains important). A side panel outlines potential benefits for grieving clients, including increased understanding, identity adjustment, maintaining meaningful bonds, rebuilding purpose and promoting acceptance. A concluding message highlights that meaning-making is not about finding the "right" answer, but helping clients integrate loss into their life story, rebuild their sense of self and reconnect with what continues to matter.

Bereavement can challenge fundamental assumptions about ourselves, other people and the world. Following a significant loss, clients may question beliefs they once took for granted, struggle to make sense of what has happened, and wonder how they can move forward in a life that now feels fundamentally changed.

Meaning-making refers to the process of making sense of a loss and integrating it into an individual’s life story. Rather than “finding a silver lining” or viewing loss as something positive, meaning-making involves helping clients develop a coherent understanding of what the loss means within the context of their life, relationships, identity and future.

Why Meaning-Making Matters in Grief

Bereavement often disrupts a person’s assumptions about themselves, others and the future. As a result, clients may find themselves asking questions such as –

  • Why did this happen?
  • Who am I now?
  • How can I move forward?
  • What still connects me to this person?

These questions often reflect attempts to rebuild coherence following a significant loss.

Meaning-Making vs “Moving On”

Meaning-making is sometimes misunderstood as encouraging clients to find benefits in their loss or to view bereavement as a positive experience.

This is not the aim.

Many losses remain painful, unfair and difficult to comprehend. Meaning-making does not require clients to approve of what happened, minimise their grief or identify lessons they would rather not have learned.

Instead, the focus is on helping clients answer questions such as:

  • How does this loss fit within my life story?
  • What has changed about how I see myself?
  • How can I carry this loss forward?
  • What continues to matter despite this grief?

The goal is integration rather than resolution.

Robert Neimeyer and Meaning Reconstruction

Much contemporary thinking about meaning-making has been influenced by the work of Professor Robert Neimeyer‘s Meaning Reconstruction model, which proposes that bereavement challenges a person’s assumptions about themselves and the world.

Attempting to understand what happened and how it fits within their broader life experience.

This does not necessarily mean finding answers, but developing a story that feels coherent enough to live alongside.

Exploring how the loss affects their sense of self, relationships and future.

Clients may need to reconsider who they are now, and who they are becoming after the loss.

Developing ways to maintain connection with the deceased while continuing to engage with life.

Many people find meaning through continuing bonds rather than letting go completely.

When Meaning-Making May Be More Difficult

Some clients may find meaning-making particularly difficult when:

  • The death was sudden or traumatic
  • The loss involved violence, suicide or homicide
  • There are unresolved questions surrounding the death
  • The relationship was complex or conflicted
  • The loss occurred at a young age
  • Multiple losses have occurred close together

In these situations, therapists may need to move slowly and carefully, recognising that meaning often develops over time rather than emerging through direct exploration.

Therapeutic Approaches to Meaning-Making

Meaning-making can be supported through a range of therapeutic approaches.

Inviting clients to explore and reconstruct their personal stories.

Acceptance and Commitment Therapy (ACT)

Helping clients reconnect with values, purpose and meaningful action despite ongoing grief.

Exploring ways of maintaining an enduring connection with the deceased (read more on continuing bonds theory here).

Supporting clients who experience self-blame, guilt or shame as they attempt to make sense of the loss.

Exploring questions relating to meaning, mortality, freedom, responsibility and purpose.

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Practical Questions for Therapists

The following questions may help facilitate meaning-making conversations:

  • Understanding Impact
  • What has this loss changed about how you see yourself?
  • How would you describe the impact this person had on your life?
  • Exploring meaning
  • What feels most difficult to understand about what happened?
  • What continues to feel important to you despite your grief?
  • Looking forwards
  • What values or lessons from the relationship do you carry forward?
  • How has your understanding of yourself changed since the loss?

These conversations should never be forced. Some clients may benefit from exploring meaning early in therapy, while others may need considerable time before these questions feel accessible.

Strengths and Limitations

Meaning-making can help clients develop a greater sense of coherence, purpose and psychological integration following bereavement. It can support adaptation, identity reconstruction and continuing bonds with the deceased.

However, therapists should avoid imposing meaning-making agendas or suggesting that every loss must result in growth, insight or transformation. Some experiences remain painful and difficult to understand, and this reality should be respected.

Meaning-making is not about finding the “right” answer. It is about helping clients develop a relationship with their loss that feels authentic, sustainable and personally meaningful.

Key Takeaway

Meaning-making is not about explaining away grief. It is about helping clients integrate loss into their life story, rebuild identity, and reconnect with what continues to matter. Rather than helping clients “move on”, therapists can support them in making sense of what has happened, rebuilding a sense of self and discovering what continues to matter in the presence of grief.

Acceptance + Commitment Therapy (ACT)

Help clients make space for grief while staying connected to what matters most in their lives.

✔ Supporting acceptance of difficult thoughts and emotions
✔ Values-based work to guide decision-making after loss
✔ Mindfulness and present-moment awareness tools
✔ Defusion techniques to reduce struggle with thoughts
✔ Helping clients rebuild meaning and direction
✔ Flexible, compassion-led approach to grief

Cognitive Behavioural Therapy (CBT)

Help clients understand and gently work with the connection between thoughts, feelings, and behaviours in grief.

✔ Identifying unhelpful thought patterns linked to grief
✔ Supporting emotional regulation and coping strategies
✔ Normalising grief-related cognitive responses
✔ Practical tools for reframing and reflection
✔ Behavioural support for re-engagement in daily life
✔ Structured, evidence-based therapeutic guidance


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When Erin created The Loss Foundation, she wanted people grieving to be able to find the support she wished had existed when her dad died.



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