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Jeremy Frank & Associates

Jeremy Frank & Associates

Therapy for Addiction & Mental Health

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    • Jeremy Frank, PhD, CADC
    • Carla Runnels, LPC, CAADC, MA
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    • Alexander Ott, MA, LMFT
    • Jake Brennan, MA, LPC
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    • Molly Schenker, LSW
    • James R. McKay, PhD
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Grieving Sober: When Loss Hits and You Can’t Numb It Away

woman grief

Grief is hard. Grieving sober can feel downright brutal.

When you’re in recovery, loss doesn’t come with an escape button. There’s no substance to soften the edges, no quick numbing, no checking out. Instead, grief arrives fully embodied—heavy, raw, and demanding to be felt. And while that can be terrifying, it can also be profoundly healing.

Why Grieving Sober Feels So Intense

Substances often serve as emotional anesthetics. In active addiction, grief gets postponed, blurred, or buried. In recovery, it shows up on time—and sometimes all at once.

When grieving sober, people often report:

  • Strong physical sensations (tight chest, nausea, fatigue)
  • Emotional waves that feel unpredictable or overwhelming
  • Old losses resurfacing alongside new ones
  • Fear that feeling this much might derail recovery

This doesn’t mean you’re “bad at grief.” It means you’re actually doing it.

The Intersection of Grief and Addiction

Research consistently shows that unresolved grief can increase the risk of relapse. According to the American Psychological Association, grief can disrupt sleep, mood regulation, and stress tolerance—all factors that overlap with substance use vulnerability (APA, Grief, Dictionary of Psychology).

At the same time, recovery removes the coping tool you once relied on most. Grieving sober asks you to build new emotional muscles while already exhausted. That’s a big ask—and it’s also why support matters so much.

What Healthy Grieving Sober Can Look Like

There is no “right” way to grieve, but sober grief often involves learning to stay present without self-destructing.

Some supportive practices include:

  • Naming the loss (person, relationship, identity, future you imagined)
  • Letting emotions come and go without rushing to fix them
  • Creating rituals that honor the loss without substances
  • Talking openly about grief in therapy or recovery spaces
  • Practicing harm reduction around emotional overload (rest, boundaries, pacing)

Grief is not linear. Grieving sober is less about moving on and more about learning how to carry what happened without abandoning yourself.

Therapy as a Container for Sober Grief

In addiction-focused therapy, grief work is often essential. Many clients are grieving more than one thing at once—deaths, estrangements, lost years, or the version of themselves they thought they’d be.

Therapy offers:

  • A regulated space to feel without becoming overwhelmed
  • Tools for coping with anniversaries, triggers, and sudden waves
  • Help separating grief from relapse urges
  • Compassionate accountability during vulnerable periods

As Elisabeth Kübler-Ross famously noted, grief is not something we “get over,” but something we learn to live with (On Death and Dying).

You Don’t Have to Grieve Alone

If you’re grieving sober, you are not weak—you’re brave. Feeling deeply without numbing is one of the hardest and most meaningful parts of recovery.

Support doesn’t make grief disappear, but it makes it survivable. And over time, it can make room for something unexpected: connection, resilience, and a deeper trust in yourself.

Our practice specializes in supporting people in recovery through life’s hardest transitions—including grief, loss, and major emotional upheaval. Whether you’re newly sober or years into recovery, we’re here to help you feel without falling apart.

Reach out today to schedule a consultation and take the next step toward grieving with support, safety, and compassion.

January 15, 2026 by Jeremy Frank and Associates
Category: Addiction Recovery, Addiction Treatment, Couples, Families, Harm Reduction, Mental Health, Relationships, WellnessTag: addiction counseling, addiction recovery, alcohol recovery, drug recovery, grief, grieving, loss, recovery, social support, substance use, therapy

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Schedule a consultation. Reach out today.

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Jeremy Frank & Associates
About
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Specialties
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  • Understanding Sex Addiction
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    Philadelphia, PA 19130

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Information on this website www.jeremyfrankassociates.com does not constitute a therapeutic relationship and should not be construed as clinical advice, counseling or therapy. We assume no liability for the information within this website or harm that may result from using, referencing, relying on, or decisions executed from its use. 

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