
It's OK That You're Not OK
Categories
Nonfiction, Self Help, Psychology, Health, Mental Health, Audiobook, Personal Development, Grief, Counselling, Death
Content Type
Book
Binding
Audio CD
Year
2017
Publisher
Sounds True
Language
English
ISBN13
9781683640363
File Download
PDF | EPUB
It's OK That You're Not OK Plot Summary
Introduction
When life shatters everything you thought you knew about the world, when someone you love is suddenly gone, the pain can feel unbearable. Society tells us to "move on," to "find closure," to "heal and grow stronger." But what if these well-meaning messages only add to your suffering? What if the very framework we use to understand grief is fundamentally broken? Grief is not a problem to be solved or a disease to be cured. It is love with nowhere to go, and it deserves to be honored rather than hurried. This book offers a revolutionary approach that acknowledges a simple truth: some things cannot be fixed, only carried. Through understanding the difference between pain and suffering, learning to tend rather than mend, and finding companions who truly understand, you can discover ways to live alongside your grief with grace, authenticity, and even moments of peace.
Chapter 1: Acknowledging Reality: Your Pain is Valid
The first and most crucial step in navigating grief is recognizing that your pain is real, valid, and necessary. In a culture obsessed with positive thinking and quick fixes, this acknowledgment becomes a radical act of self-compassion. Your grief is not a sign of weakness, mental illness, or spiritual failure. It is evidence that love existed in your life. When Matt, a strong and healthy man just months away from his fortieth birthday, drowned on an ordinary summer day, the author discovered the profound inadequacy of everything she thought she knew about grief. Despite being a seasoned psychotherapist with nearly a decade of experience helping others through trauma and loss, nothing had prepared her for the reality of her own devastating grief. The professional knowledge that had served her clients became utterly useless in the face of her own shattered world. In those early days, she found herself wanting to apologize to every client she had ever counseled, realizing how little she had truly understood about the magnitude of such loss. The tools and theories that seemed so helpful from the therapist's chair crumbled when faced with the raw, unfiltered reality of losing someone who was supposed to be there forever. This humbling experience revealed that grief operates on an entirely different plane than intellectual understanding or professional expertise. The path forward begins with radical acceptance of your current reality. Stop waiting for permission to feel as devastated as you do. Your grief belongs to you, and no one else gets to determine its intensity, duration, or expression. Start each day by acknowledging what is true: this hurts, this is hard, and it makes perfect sense that you feel overwhelmed. Create space in your life for the full magnitude of what you are experiencing. Remember that validation from others, while helpful, is not required for your grief to be legitimate. Trust your own inner knowing about what you have lost and what it means to you. Seek out people and resources that honor your experience rather than trying to minimize or rush it. Most importantly, practice speaking truthfully about your pain, even when others seem uncomfortable with that truth. Your acknowledgment of reality becomes the foundation upon which all healing rests. Not healing in the sense of returning to who you were before, but healing that allows you to carry this experience with dignity and grace. When you stop fighting the reality of your loss, you create space for something new to emerge—not better than what was, but authentic to who you are becoming.
Chapter 2: Differentiating Pain from Suffering
Understanding the distinction between pain and suffering can transform your entire approach to grief. Pain is the natural, healthy response to loss—it is love with nowhere to go. Suffering, however, is the additional layer of torment we add through self-judgment, cultural pressure, and resistance to what is. While pain is unavoidable, much of our suffering is optional and can be addressed. The author discovered this distinction during her own darkest moments when well-meaning friends and family members tried to "fix" her grief with platitudes and advice. Each suggestion to "think positive," each reminder that her partner "wouldn't want her to be sad," added a layer of suffering on top of her natural pain. She began to realize that people were not just asking her to accept her loss, but to accept their discomfort with her loss as well. One particularly difficult encounter involved a friend who insisted that the author's continued sadness months after the death meant she was "stuck" in her grief. The friend suggested various activities and mindset shifts that had helped her through a divorce years earlier. While the friend's intentions were loving, her inability to distinguish between the pain of divorce and the pain of sudden death created additional suffering for the author, who began to question whether her intense grief was somehow wrong or excessive. Through careful observation of her own experience, the author learned to identify what belonged to grief itself and what belonged to external pressure and self-criticism. She created a practice of pausing when overwhelmed to ask: "Is this pain about missing Matt, or is this suffering about feeling judged for missing Matt?" This simple question became a powerful tool for reducing unnecessary torment. Begin tracking your own experience by keeping a simple log of what increases your distress and what provides even small moments of relief. Notice when your pain feels clean and connected to love, versus when it feels twisted with shame, judgment, or pressure to be different. Pay attention to which people and situations add suffering to your natural pain. Practice responding to your pain with the same tenderness you would offer a beloved friend. When suffering arises from self-criticism or cultural pressure, gently redirect your attention back to the pure fact of your loss and your love. Create boundaries around inputs that consistently add suffering without adding support. The goal is not to eliminate pain, which would be impossible and undesirable, but to reduce the unnecessary suffering that makes pain harder to bear. When you can differentiate between these two experiences, you reclaim your power to choose how you relate to your grief, even when you cannot choose whether to grieve at all.
Chapter 3: Creating Space for Your Grief
Grief needs room to unfold naturally, like a river that requires space to flow. When we try to contain or control our grief, it becomes more turbulent and destructive. Creating physical, emotional, and social space for your grief allows it to move through you with less resistance and more grace. One of the author's most profound realizations came during a panic attack in a grocery store on Valentine's Day, less than a year after Matt's death. Unaware of the holiday, she was suddenly surrounded by couples shopping together, their ordinary intimacy a stark reminder of what she had lost forever. The walls began closing in as she realized that not only was Matt dead, but every one of these loving partnerships would eventually end in death as well. The magnitude of universal impermanence felt crushing in that fluorescent-lit store. In her car, overwhelmed and unable to drive safely, she remembered a grounding technique she had taught countless clients but never needed herself. She began identifying everything orange she could see: shoes, signs, license plate numbers, a piece of mail. This simple practice of focusing on external, neutral objects helped calm her nervous system and gave her mind something concrete to hold onto when her inner world felt completely chaotic. This experience taught her that creating space for grief involves both allowing it full expression when safe to do so and knowing how to contain it when necessary. Grief requires a rhythm of opening and closing, like breathing. Sometimes you need to dive deep into the pain, and sometimes you need to surface for air and attend to the practical demands of living. Identify specific times and places where you can let your grief be as large as it needs to be. This might be early mornings with your journal, walks in nature, or conversations with trusted friends who can witness your pain without trying to fix it. Protect these spaces fiercely from interruption or judgment. Equally important is learning techniques for containing grief when full expression would be unsafe or inappropriate. Practice simple grounding exercises, keep supportive resources easily accessible, and give yourself permission to excuse yourself from situations that feel overwhelming. You are not being dramatic or weak; you are being wise about your own needs. Remember that creating space for grief is an ongoing practice, not a one-time decision. Your needs will change as your grief evolves, and what feels supportive today might feel constraining tomorrow. Stay curious and flexible, always asking what your grief needs from you in this moment, and trust yourself enough to provide it.
Chapter 4: Managing Physical and Mental Symptoms
Grief is not just an emotional experience—it affects every system in your body and every function of your mind. Understanding these physical and cognitive changes as normal responses to abnormal circumstances can help you navigate them with less fear and more self-compassion. Your body and brain are working overtime to process an incomprehensible reality. The author experienced dramatic cognitive changes that initially terrified her. A voracious reader her entire life, she suddenly found herself unable to comprehend more than a few sentences at a time. She would put her keys in the freezer, forget her dog's name, and stand confused in checkout lines unable to understand how money worked. Her brilliant, organized mind had simply stopped functioning in familiar ways, leaving her questioning her sanity on top of everything else. These changes were not signs of permanent damage or mental illness, but evidence of a brain working at capacity to integrate an impossible reality. Like a computer running too many programs at once, her mind had to shut down nonessential functions to focus on survival. The hundred units of mental energy she used to have each day were now ninety-nine units devoted to processing grief, leaving only one unit for ordinary tasks like remembering where kitchen utensils belonged. Understanding this helped her approach her changed mental state with curiosity rather than judgment. She began leaving herself notes, setting multiple alarms, and accepting that she simply was not the person she used to be. This was not failure; this was adaptation to extraordinary circumstances. Her brain was doing exactly what it needed to do to help her survive. Start by tracking your physical and mental symptoms without judgment. Notice patterns in when you feel more or less capable, and adjust your expectations accordingly. If you are exhausted, rest. If you cannot concentrate, do not force it. If you are forgetting things, create external systems to support your memory. Pay particular attention to your basic needs: food, sleep, movement, and medical care. Grief makes it easy to neglect these fundamentals, but they form the foundation that makes everything else possible. Even small improvements in how you care for your physical body can significantly impact your ability to cope emotionally. Consider working with healthcare providers who understand trauma and grief. Many physical symptoms of grief are normal but can be frightening when you do not expect them. Having knowledgeable support can help you determine what requires intervention and what simply requires patience as your system recalibrates to this new reality.
Chapter 5: Finding Companions on the Journey
Grief can be profoundly isolating, but it does not have to be a solitary journey. While no one can grieve with you or for you, finding others who understand the territory can provide invaluable companionship and validation. These connections often come from unexpected places and may not resemble the support systems you had before your loss. Years after Matt's death, the author was meeting a friend she had originally connected with online through their shared experience of loss. As she waited in a crowded public space, she momentarily panicked about how she would recognize Elea among hundreds of strangers. Her immediate thought was to look for Elea's son, Vasu, whom she felt she would recognize anywhere. Several seconds passed before she remembered: Vasu was dead. He had died the same year as Matt. She knew her friend only because both their loved ones were gone. This moment crystallized something profound about the relationships formed in grief. Every person in her closest circle of support was there because of death, loss, and shared understanding of incomprehensible pain. While they would all trade these relationships for the return of those they had lost, the bonds formed in the crucible of grief had become among the most precious in their lives. These were people who could sit with devastation without flinching, who understood that some things cannot and should not be made better. The power of this community lay not in shared solutions or recovery strategies, but in shared recognition of what could not be recovered. When one person spoke of their continued sadness years after loss, others nodded in understanding rather than offering encouragement to "move on." When someone described the surreal experience of rebuilding life around a permanent absence, others witnessed without judgment or advice. Begin looking for your people in both online and offline spaces. Read widely in areas related to your type of loss, paying attention not just to authors but to commenters and community members whose words resonate with your experience. Do not be afraid to reach out with vulnerability and honesty about what you are living. Remember that these connections may be temporary or long-lasting, close or distant, and all forms have value. Some people will walk with you for a season, others for years. Some will be daily supports, others occasional check-ins. Allow these relationships to develop organically without pressure or expectation. Most importantly, be the kind of companion you wish to find. Share your truth, witness others' pain without trying to fix it, and create space for the full range of grief experiences. In becoming findable to others, you not only help them feel less alone but also strengthen the entire network of support available to all who find themselves in this unwanted club.
Chapter 6: Establishing Boundaries with Well-Meaning Others
One of the most challenging aspects of grief is navigating relationships with people who genuinely want to help but whose efforts often cause additional pain. Learning to set clear, kind boundaries with well-meaning family and friends is essential for protecting your emotional energy and maintaining relationships that can survive this difficult time. The author found herself dreading encounters with certain loved ones who repeatedly offered unsolicited advice, shared their own loss stories as if all grief were identical, or expressed frustration when their attempts to cheer her up failed. One particularly difficult relationship involved a family member who constantly reminded her of how "lucky" she was to have had Matt for as long as she did, as if gratitude could somehow balance out devastation. After months of politely enduring these interactions while feeling increasingly isolated and misunderstood, she realized that protecting these well-meaning people from the truth of her experience was actually harming everyone involved. They felt ineffective and rejected, while she felt unseen and unsupported. The kindest thing she could do was to be honest about what helped and what hurt, even if it initially created discomfort. She developed a three-step approach: first, acknowledge their caring intention; second, clearly state her boundary; and third, redirect the conversation if possible. For example: "I appreciate that you care about me and want to help. I am living this experience in the way that feels right to me, and I am not interested in discussing whether that is the correct approach. I would love to hear about what is happening in your life instead." Practice identifying which people in your life are capable of respecting boundaries and which are not. Some will adjust their approach when given clear guidance, grateful to finally know how to be genuinely helpful. Others will become defensive, argumentative, or dismissive when asked to change their behavior. This information tells you everything you need to know about how to proceed. For those who can learn, invest energy in gentle education. Share resources, explain what you need, and appreciate their efforts to understand even when they are imperfect. For those who cannot or will not respect your boundaries, limit contact without guilt. You do not owe anyone access to your grief, regardless of their relationship to you. Remember that boundary-setting is an act of love, both for yourself and for your relationships. By being clear about what works and what does not, you give people the opportunity to actually support you rather than accidentally harm you. Those who truly care about your wellbeing will appreciate this guidance, even if it challenges their assumptions about how grief should look or how help should be offered.
Chapter 7: Expressing Grief Through Creative Outlets
Creative expression provides a unique pathway for processing and honoring your grief that words alone cannot always accomplish. Through art, writing, music, or other creative practices, you can give form to experiences that feel formless, create beauty from devastation, and maintain connection with those you have lost. These practices serve not as solutions but as companions in your journey. The author had always been a writer, but grief initially made her resent words and the inadequacy of language to capture the magnitude of her loss. However, she found herself unable to stop writing, even when she had no conscious intention to do so. Words seemed to leak out of her whether she had paper available or not. Writing became her way of continuing the conversation with Matt that death had interrupted, of recording moments of connection and calm that she could return to during darker times. Through years of writing courses with grieving students, she witnessed the power of creative expression to transform isolation into connection. One student described how grief had robbed her of her usual coping mechanisms—crying no longer brought relief, therapy felt inadequate, even screaming in an empty house provided no release. But writing, she said, had not failed her. Through writing, the sharp edges of her emotions became sanded down just enough that they did not cut as deeply with every breath. The creative process offers several unique benefits for grief: it allows expression without requiring explanation, creates tangible evidence of your inner experience, provides a safe space where everything is welcome, and can help you discover what you think and feel rather than what you believe you should think and feel. Whether through words, images, sound, or movement, creativity gives grief a voice and a form. Begin with whatever medium calls to you, regardless of your skill level or previous experience. The goal is expression, not artistry. Try ten-minute writing sessions, simple collages from magazine images, photographs of things that remind you of your person, or any other form that feels accessible. Allow your creations to be as dark, angry, or chaotic as your grief actually is. Consider sharing your creative work with trusted friends or online communities of others who understand grief. There is something powerful about having your expression witnessed and validated by others who recognize the territory you are mapping. You might also keep some creations private, for your eyes only, as sacred space between you and your grief. Remember that creative practice is not meant to make you feel better, though it sometimes might. It is meant to give you a way to honor what is true, to process what feels unprocessable, and to create beauty and meaning alongside pain. In expressing your grief creatively, you become an active participant in your healing rather than a passive recipient of others' solutions.
Summary
Grief is not a problem to be solved but a mystery to be honored, a testament to love that deserves our deepest respect and gentlest care. Throughout this exploration, one truth remains constant: "Love is the only thing that lasts." When everything else falls away—the familiar routines, the shared future, even sometimes our sense of self—love remains as both the source of our pain and the foundation of our healing. The path forward is not about moving on or getting over your loss, but about learning to carry love and loss together, creating a life that honors both what was and what remains. This requires courage to feel fully, wisdom to distinguish between necessary pain and optional suffering, and compassion to treat yourself as someone worthy of care even in your brokenness. Your grief belongs to you, and so does your power to live it authentically, surrounded by those who can witness your pain without needing to fix it. Start today by speaking one true thing about your experience to someone who can simply listen, and trust that this small act of honesty opens the door to a more genuine way of being in the world.
Best Quote
“The reality of grief is far different from what others see from the outside. There is pain in this world that you can't be cheered out of. You don't need solutions. You don't need to move on from your grief. You need someone to see your grief, to acknowledge it. You need someone to hold your hands while you stand there in blinking horror, staring at the hole that was your life. Some things cannot be fixed. They can only be carried.” ― Megan Devine, It's OK That You're Not OK
Review Summary
Strengths: The review highlights the book's empathetic approach to grief, emphasizing its kindness towards both mourners and those trying to support them. It praises the book for providing practical advice on coping with grief's cognitive challenges and for challenging unhelpful cultural narratives about "moving on." The reviewer appreciates the author's personal experience and the validation offered to readers. Overall: The reader expresses a highly positive sentiment, recommending the book strongly to anyone experiencing grief or supporting someone who is. The book is described as a valuable resource for understanding and managing grief, despite being an emotionally challenging read.
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