Understanding Grief & Loss: Clinical Strategies for Supporting the Bereaved - Dr. Jacob Sermeno

Grief is a deeply personal experience that affects each individual differently.

In this episode of the Delgado Podcast, Dr. Jacob Sermeno, LCSW highlights the importance of distinguishing between adaptive grief, a normal response to loss, and complicated grief, which involves prolonged symptoms like avoidance, hyper-attachment, or significant daily impairment. Recognizing these differences helps clinicians provide tailored support to those struggling to process loss.

Cultural factors and societal norms play a significant role in how grief is expressed. Jacob emphasizes the need for cultural humility, encouraging clinicians to create safe, nonjudgmental spaces where clients can process their emotions authentically. Whether navigating cultural expectations or personal barriers like suppressed emotions, clinicians can empower clients to grieve in ways that honor their experiences while promoting healing.

Jacob also shares advice for those supporting grieving loved ones. Simple acts of presence, such as listening without judgment or offering a kind word, can provide immense comfort. He reminds us that grief is not linear and that it’s okay to have both good and bad days. Whether you’re a clinician or a friend, understanding and respecting the grieving process is essential to providing meaningful care.

Conversation includes:

The clinical distinction between adaptive and complicated grief.
Signs of dysfunctional grief and when to intervene therapeutically.
Strategies for clinicians to build rapport with grieving clients.
The role of cultural humility in addressing diverse grief practices and expectations.
How grief affects biopsychosocial functioning
Addressing avoidance and hyperattachment in complicated grief presentations.
Techniques to support emotional expression while maintaining professional boundaries.
Practical advice for grief-adjacent individuals supporting loved ones or colleagues.
Understanding the Kubler-Ross model: utility and limitations in modern practice.
Encouraging self-awareness and self-compassion in the grieving process.

About Dr. Sermeno
Dr. Jacob Sermeno is a Licensed Clinical Social Worker with over a decade of experience addressing chronic mental health concerns, cognitive impairments, and aging-related challenges. His work spans end-of-life care in hospice and nursing homes, geriatric psychiatric program development, and mental health support within corrections. Jacob’s research focuses on reducing recidivism among incarcerated individuals with Severe Mental Illness (SMI), where he has pioneered treatment and discharge planning initiatives for SMI-focused housing units in San Bernardino County. Committed to advancing the field, he aspires to a career in education to equip future professionals with evidence-based practices for working with vulnerable populations.