Many people, when they first hear the news of a loved one's death, they are stunned, unable to cry or feel the pain. They are too "dumbfounded" to fully fathom the impact of the loss. Most people are stunned as if they are unable to grasp the reality and the meaning of the news. They have heard the words but not the message . Survivors have been heard to say, "I just couldn't take it all in," "I couldn't believe it," "It was like I was in a dream. It didn't seem real." Many times, you hear, "I can't believe he(or she)is dead." The bereaved may find themselves performing the daily routines "like an automaton." In intense pain, we are likely to "dissociate," that means, in a manner, stepping away from ourselves, so we don't feel the pain from too close a point. As a result of such a dissociation, we may not be fully thinking, seeing, hearing, or feeling everything.
Numbing does not prevail for ever. It starts receding slowly, like opening the inlets a little bit at a time, so we don't get flooded. However, in this state of psychological numbness, there is a general feeling of tension and apprehension. If there is a calm, it is an "uneasy calm." The uneasy calm, may be broken at any moment by sudden outbursts of extreme sorrow, anger, anguish and rage as the bereaved moves to other stages. At times, survivors experience an overwhelming feeling of panic in which the loneliness becomes unbearable. Occasionally, the survivor may have gales of laughter without reason or feel sudden elation in an imagined experience of reunion with the lost person. The survivor either feels compelled to seek the presence of friends and relatives or completely shun the presence of others.
The natural process of numbing is temporary and is meant to last for a few hours to a few days. It should then give way to the realization of the loss and the attendant pain. Pain must be felt in order for a person to get over the pain and to take actions required to adapt to the loss. Medication is often prescribed by the doctors to sedate the survivor who is experiencing extreme distress. The danger of oversedation with medication or use of medication over an extended period is that it prolongs the psychological numbing and dulling of senses. Any progress in grief work is likely to be delayed when the survivor is medicated.