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Family pathway

Part 11 · Bereavement

11.1Grief after mesothelioma is its own shape

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The grief after a mesothelioma death is grief like any other, with some particular pressures on top of it. The pressures aren’t hard to name.

It often follows a short, sharp illness. Many families have only months between diagnosis and death. There isn’t time to make peace with what’s happening before it happens. The ‘long goodbye’ people talk about with dementia or motor neurone disease is not what most mesothelioma families get. You get a short goodbye, and then the long bit afterwards.

It comes with anger. Mesothelioma is, almost always, somebody’s fault. Not the person who died. Not you. The companies that knew and kept selling. The employers who didn’t warn. The insurers who tried to disappear. That anger is a fair response to facts, and you don’t have to do anything with it. Some families channel it into a civil claim or an inquest, and find that helpful. Others find that the same fight makes grief harder, and decide not to pursue one, or to pause. Neither choice is more loyal to the person who died.

It comes with paperwork. The coroner’s process, the inquest, probate, the civil claim, the DMPS application if relevant, employer pension forms, the energy company, the council. The paperwork can arrive before you feel ready. Some of it has 14-day deadlines. Many widows and widowers describe the months after the inquest as the worst part, because the world expects you to function before you can.

It comes with strangers being kinder than friends. Hospice staff, CNSs, the coroner’s officer, the solicitor’s assistant — these are often the people who carry you. Old friends sometimes vanish, because they don’t know what to say. You can be furious about that and still find ways back, later.

Things many bereaved families say help:

  1. Talking to other people whose person died of the same disease. This isn’t a ‘support group’ cliché; it’s specific. The asbestos support groups know what an inquest feels like in a way most counsellors don’t.
  2. Marking time. The death-day, the birthday, Christmas, Action Mesothelioma Day on the first Friday of July. Plan for them in advance. Tell at least one person they’re coming up.
  3. Letting the body grieve. Walking. Sleep. Water. Cold weather. The body is doing some of this work without you, even when the mind is somewhere else.

If grief stays so intense for months that you can’t function — or you feel that life isn’t worth living — please speak to your GP or a specialist bereavement service. That’s more than ‘just sadness’ and there are treatments and talking therapies that help. The clinical name now used is ‘prolonged grief disorder’. You haven’t failed at grief. You may simply need more support than friends and family alone can give.

Some people want faith support during bereavement; some want a deliberately secular space. Hospital chaplaincy is for people of any faith or none. Humanists UK runs a non-religious pastoral care and ceremonies service. Most major religious communities also offer bereavement visiting. Pick what fits.

We’ve put practical bereavement steps in chapters 11.2 to 11.8. We’ve put helplines in chapter 12.2. The AtaLoss bereavement finder (ataloss.org) will match you to a service near you.

In association with Mesothelioma UK