Ramey Rieger (X) Nov 12, 2019:

Hi Susan Looks good!

Susan Welsh (asker) Nov 12, 2019:

brain fog This has 862,000 g-hits in the context of "bereavement." It is suggested to me by the idea of being "stuck." Might work.

Wendy Streitparth Nov 12, 2019:

Mental blockage, maybe?

Björn Vrooman Nov 12, 2019:

Maybe... "When someone experiences a traumatic death, their challenges become two-fold. One, they must cope with the trauma and two, they have to cope with their grief. The experiences of trauma and grief are two different things unto themselves, yet after a traumatic death, they get thrown into one big emotional blender. Things get tangled, thoughts and emotions get fused, and people sometimes find themselves utterly stuck."
https://whatsyourgrief.com/traumatic-loss/

Similar to what Cilian has already said.

Best

Björn Vrooman Nov 12, 2019:

I... ...agree with what Cilian said, especially about "lump in one's throat."

What seems a bit confusing is the part you've quoted in the d-box: "Gefühl eines Fremdkörpers im Bauch"

That's also true for Kloß im Hals: "Das Gefühl, einen Fremdkörper im Hals zu haben, ohne dass dies tatsächlich der Fall ist, nennt sich in der Hals-Nasen-Ohrenheilkunde Globus-Gefühl bzw. Globus-Syndrom."
https://www.hno-aerzte-im-netz.de/news/hno-news/kloss-gefueh...

In any case, I'd have thought it meant that the patient was "stuck": https://psychcentral.com/blog/9-ways-to-let-go-of-stuck-thou...
https://www.recoveryranch.com/addiction-blog/are-you-an-over...

"One seemingly benign thought — often a rumination about a decision I have made in the past, a regret of one form or another, or sometimes something that makes no sense at all — is packed with panic and plays over and over again in my mind, keeping me awake at night and besieging me with anxiety during the day."
https://www.everydayhealth.com/columns/therese-borchard-sani...

Best wishes

Cilian O'Tuama Nov 11, 2019:

Sorry. With 'what has gone before', I meant the Trauergefühle/Grübeln. She can't stop thinking about something.

Susan Welsh (asker) Nov 11, 2019:

to Cilian Thanks, your suggestion may be helpful. It's a Table, presenting the "blended psychology" method with this patient, and what comes before this sectionis not relevant. What comes immediately after it is this: "Umgang mit Trauer/Emotionsregulation: (a) Anleitung zur differenzierten Wahrnehmung körperlicher Anzeichen ihrer Emotionen (Unzufriedenheit in der Magengegend spürbar, Gefühl eines Fremdkörpers im Bauch, Visualisierung als 50 heiße Backsteine, Erspüren von brodelnden Ärger im Magen); (b) Einschätzung der Intensität (0-10): 10; (c) Normalisierung und Validierung: Verständnis für Erleben geschaffen („Gibt es Gründe für die Backsteine?“); (d) Modell für erlaubende Haltung gegenüber Gefühlsausdruck: weinen zulassen, Trost annehmen"

Cilian O'Tuama Nov 11, 2019:

The inverted commas... ... suggest it explains what has gone before.
Is it perhaps a slang/trivial term for her inability to stop thinking about it? Like having a lump (Kloß im Hals) in your throat that you can't get rid of?