Medically reviewed by Gabriela Asturias, MD on May 23, 2025Facing the end of life — whether your own or a loved one’s — is one of the most emotionally complex experiences a person can endure. But no one has to go through it alone. End of life counseling offers emotional, psychological, and even spiritual support to help individuals and families navigate this deeply personal time with greater peace, clarity, and connection.
Psychotherapist, Licensed Clinical Social Worker Associate (LCSWA)
801 Cascade Pointe Lane, Suite 101, Cary, NC 27513, Cary, North Carolina 27513
Christina Earley is a Psychotherapist in Cary, North Carolina. They treat End of Life, Attention Deficit Hyperactivity Disorder (ADHD), Learning Disorder.
Warm welcome to my profile! I work with clients from all walks of life to improve their mental health and relationships.
Licensed Clinical Social Worker (LCSW)
Remote only
Morgan Rudd is a Licensed Clinical Social Worker (LCSW) in undefined, undefined and has been in practice for 8 years. They treat End of Life, Life Transitions, Work/Life Balance.
Morgan works from a strengths-based perspective and believes that when given the proper tools, everyone has the ability to grow, to change and to succeed.
Licensed Professional Counselor (LPC), Licensed Clinical Social Worker (LCSW), Licensed Marriage and Family Therapist (LMFT)
7633 Ganser Way, Madison, Wisconsin 53719
Margaret Bester is a Licensed Professional Counselor (LPC) in Madison, Wisconsin and has been in practice for 21 years. They treat End of Life, Sleep Concerns, Chronic Illness/Pain.
Current availability, all identities welcome, experienced and passionate professionals working with a variety of diagnosis' and symptoms.
Licensed Mental Health Counselor (LMHC), Licensed Independent Clinical Social Worker (LICSW), Licensed Marriage and Family Therapist (LMFT)
Remote only
Talk. Heal. Thrive. Psychotherapy is a Licensed Mental Health Counselor (LMHC) in undefined, undefined. They treat End of Life, Phobia, Gambling Concerns.
Talk. Heal. Thrive. Psychotherapy is a telehealth insurance-based therapy practice working with clients anywhere in Washington State.
Licensed Professional Counselor (LPC)
3295 North Drinkwater Boulevard, Scottsdale, Arizona 85251
Nicholas James is a Licensed Professional Counselor (LPC) in Scottsdale, Arizona and has been in practice for 10 years. They treat End of Life, Men's Issues, Abuse.
Inclusive and accommodating care, I welcome clients of all identities and abilities and focus on establishing a supportive and genuine relationship.
Counselor, Executive Function Coach, Licensed Clinical Professional Counselor (LCPC)
Remote only
Quenetta Johnson is a Counselor in undefined, undefined and has been in practice for 6 years. They treat End of Life, Men's Issues, Burnout.
Supporting growth, healing, and balance in every season of life.
In facing the end, we can discover what matters most. Therapy can help bring peace, clarity, and connection.
— Gabriela Asturias, MD
End-of-life counseling is a specialized form of emotional and psychological support offered to individuals who are facing their own mortality, as well as to the loved ones walking alongside them. It provides a safe and compassionate space to process thoughts and feelings around dying, loss, and the life that’s been lived — and the one that is coming to a close.
For the person who is terminally ill or nearing the end of life due to age or chronic illness, this type of therapy can help reduce fear, make peace with unresolved emotions, and affirm their sense of identity, value, and meaning. A skilled end of life therapist understands the emotional complexity of dying — the grief, fear, anger, regrets, and moments of clarity that often arise — and provides space for all of it to be seen and expressed.
But end of life counseling isn’t just for the person who is dying. It’s also for:
Sessions may include discussions about fear of death, how to say goodbye, unresolved family dynamics, spiritual or existential concerns, or practical questions about dying and what comes after. Therapy might also support legacy projects like letter-writing, creating memory books, or simply reflecting on a life’s purpose and relationships.
Ultimately, the goal of end of life counseling is to bring comfort, clarity, and emotional resolution to an often painful and confusing chapter — while honoring each person’s unique experience and beliefs. Whether it’s about letting go, making peace, or finding a sense of control in an uncontrollable situation, this work can be transformative for everyone involved.
While often used interchangeably, palliative care and hospice care are distinct — though both focus on comfort and quality of life.
In both contexts, a palliative care therapist or counselor plays a crucial role in helping patients and families cope emotionally. Preparing for end of life is as much about emotional readiness as it is about medical decisions.
Absolutely. Facing death often triggers a wide range of powerful emotions — from fear and denial to anger, guilt, regret, and deep sadness. These feelings are entirely normal, but they can be overwhelming if left unprocessed.
End of life counseling provides a compassionate space to:
A trained end of life therapist helps individuals work through these feelings at their own pace, supporting emotional healing even in the final stages of life.
Palliative care is a holistic model that addresses not only physical symptoms but also emotional, spiritual, and psychosocial needs. Therapists and counselors are key members of this interdisciplinary team.
Their roles may include:
These professionals often work alongside doctors, nurses, social workers, chaplains, and caregivers — making sure the patient is cared for as a whole person, not just a medical condition.
Grieving doesn’t begin at the moment of death — it often starts long before. This is known as anticipatory grief, and it’s common among family members who are preparing for end of life with a loved one.
Ways families can prepare emotionally include:
End-of-life counseling for families is about more than managing sadness. It’s about helping people be present with their loved one, resolve unfinished emotional matters, and begin the healing process while their person is still with them.
Yes. For many, the end of life brings up profound spiritual or existential questions:
End-of-life counseling can include spiritual counseling, life review therapy, and existential therapy. These approaches help individuals make sense of their beliefs, values, and life journey. You don’t need to be religious to benefit — even nonreligious people can experience existential distress at the end of life.
Some end-of-life therapists work closely with chaplains or spiritual care providers, offering support that aligns with the individual’s worldview, whether it’s rooted in faith, nature, philosophy, or personal values.
Bereavement counseling is therapy designed to support individuals coping with the death of a loved one. While grief is a natural part of life, professional help can be essential when:
Bereavement support can begin immediately after death or months (even years) later. There’s no “right time” — what matters is recognizing when grief is interfering with your well-being and asking for help.
While grief is a natural process, there are times when it becomes complicated or prolonged, requiring professional support. Warning signs may include:
These may point to prolonged grief disorder (PGD) or depression. An end of life therapist or grief counselor can assess the situation and offer therapeutic strategies to move through grief in a healthy way.
Grief therapy for complicated or prolonged grief goes beyond validation — it offers tools to work through trauma, rebuild identity, and re-engage with life. Techniques may include:
Whether you’ve lost a parent, child, partner, or friend, grief therapy offers a path forward when time alone isn’t enough to heal. Bereavement support isn’t about “getting over” someone — it’s about finding ways to carry love and loss together.
Yes — children and teens grieve differently from adults, and they absolutely benefit from specialized support.
Younger children may not fully understand the permanence of death, while teens may struggle with overwhelming emotions and lack the tools to express them. Signs that a child or teen might need bereavement counseling include:
A trained end of life therapist or child grief counselor uses age-appropriate approaches such as play therapy, art, storytelling, or structured discussions to help young people process their loss.
Yes — support groups can be profoundly healing for many people. Grief can feel isolating, and being around others who “get it” can reduce feelings of loneliness and shame.
Support groups offer:
Some groups are general, while others are tailored (e.g., for spouses, parents who’ve lost children, or people who’ve experienced suicide loss). In-person and online options exist, making bereavement support more accessible than ever.
Many people find that combining a support group with individual end of life counseling or grief therapy offers the most comprehensive path to healing.
Death is one of life’s greatest certainties — and greatest emotional challenges. Whether you’re navigating a terminal diagnosis, caring for someone in their final days, or grieving a profound loss, you don’t have to do it alone.
End of life counseling offers the space to face your emotions, honor your relationships, and move through one of life’s most vulnerable times with dignity and support.
From preparing for end of life to bereavement support after a loss, therapy helps you move from fear and sorrow toward meaning, healing, and peace.
Recovery is possible. With early intervention, a supportive community, and the right professional care, you can overcome challenges and build a fulfilling life. We’re here to help you find the support you need.
