By Evelyn Pechter, Psy.D.
Bob Dylan was right — there are all kinds of changes that come. Layers upon layers of change. Among those layers are welcome changes: for example, a new baby in the family, a new son or daughter-in-law. These changes can allow for a smile and fond memories. Then there are changes that are not so welcome. The ones that cause great pain and grief — the primary losses: the death of a spouse, or a parent or anyone, near or far. Then there are secondary losses: the lack of physically getting together with friends and family, the change of everyday routines, such as going to the market, and feeling fearful if someone gets closer than six feet, and a list that grows.