Chapter 3 · Loss and Grief

Check yourself

Two questions on this chapter. Pick an answer to see the reasoning, and retake it as often as you like.

An adopted woman in her thirties mentions her upcoming birthday: “I always get weird around my birthday. I should be glad, obviously.” Then she moves on. What's the most useful response?

Marisol is 58, your client for seven months, originally for what she called midlife restlessness. She was adopted as an infant in a closed domestic adoption and grew up in a loving family. Both adoptive parents died in the last decade. She has never searched for her biological family. Three sessions ago, when she described missing the family she never had, you asked whether she'd considered a DNA test. She said she'd thought about it but wasn't ready. You let it go, then raised it again the next session as a possible step. She said again that she wasn't ready, but agreed to think about it. This week she says she's grateful for the work but isn't sure where it's going, and she's considering taking a break. What's most likely happening, and what do you do?