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Otherside Life
Otherside LifeHeal with DeathApril 23, 2026
Heal with Death

How to Help Children Understand and Process Grief

Children grieve differently than adults — and they need different kinds of support. Here's how to talk to children about death, recognize signs of struggling, and know when to seek extra help.

By Victoria Holmes

How to Help Children Understand and Process Grief
April 23, 20261 min read
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Children grieve differently than adults — and they need different kinds of support. Here's how to talk to children about death, recognize signs of struggling, and know when to seek extra help.

How Children Experience Grief by Age

  • Under 3 — No concept of permanence; responds to changes in environment and caregivers.
  • Ages 3–5 — Beginning to understand death but may not grasp permanence. Magical thinking is common.
  • Ages 6–8 — Beginning to understand permanence; may have fears about their own death or parents dying.
  • Ages 9–12 — More adult-like understanding; may mask feelings to appear strong.
  • Teenagers — Complex grief, often expressed through behavior rather than words.

How to Talk to Children About Death

Use clear, honest language. Avoid euphemisms like "passed away," "went to sleep," or "we lost them" — these create confusion and sometimes fear. It is okay to say "died." Acknowledge your own grief in age-appropriate ways: seeing adults grieve teaches children that grief is normal.

Signs a Child Is Struggling

  • Regression to earlier behaviors (bedwetting, thumb-sucking)
  • Persistent sleep problems or nightmares
  • Significant changes in behavior or school performance
  • Withdrawal from friends and activities
  • Physical complaints without medical cause

When to Seek Professional Support

If a child's functioning is significantly impaired three months after a loss, consult a child therapist or child psychologist with bereavement experience. Schools can also be important allies — ask the school counselor to check in.

About the practitioner

Victoria Holmes

Victoria Holmes

Birth & Death Doula

15 years at the beginning and end of life. She will sit bedside with the dying, be with your family in the room, and stay when everyone else goes home.

Victoria’s practitioner profile

Otherside Life coordinates; care is provided by the practitioner. Coordination only. Not legal, tax, financial, medical advice or funeral services.