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Understanding Spoon Theory Through Grief, Loss and Life Changes

  • Writer: Jennifer Rose
    Jennifer Rose
  • Aug 14
  • 10 min read

Some days ask more of us than we feel able to give.


After a bereavement, diagnosis, separation, caring role, redundancy, retirement, family change, or another major life transition, even ordinary tasks can feel unusually heavy. Getting dressed, answering a message, making a meal, attending an appointment, or having a conversation may take far more energy than they once did.


This can be confusing, especially when life looks “normal” from the outside. Others may not see the effort it takes to keep going. You may even question yourself and wonder why you cannot simply do what you used to do.


Spoon Theory can offer a gentle, practical way to understand this change. It gives language to limited energy, fluctuating capacity, and the invisible cost of coping. For someone considering counselling after grief, loss, or a life transition, it can also help make sense of what support might look like, one careful step at a time.


Eye-level view of a small wooden table holding teaspoons beside a cup of tea near a window.
A simple image for thinking about energy, care and daily capacity.

What Spoon Theory means


Spoon Theory was created by writer Christine Miserandino as a way to explain living with lupus, a chronic health condition, to a friend. She used spoons as a visual symbol for energy.


In simple terms, each spoon represents a unit of physical, emotional, or mental energy. Every activity costs spoons. Some tasks may cost one spoon. Others may cost several. When the spoons are gone, there may be little or nothing left to give.


For someone with a long-term illness, disability, chronic pain, fatigue, or a new health diagnosis, this idea can feel immediately recognisable. Energy is not endless. It may not reset fully after a night’s sleep. It may change from one day to the next.


Spoon Theory is not a medical tool or a formal diagnosis. It is a metaphor. A metaphor is a comparison that helps explain something complex through a familiar image. Here, spoons help describe capacity in a way that is easier to see and talk about.


A day might look like this:


  • Getting up and washed

One or two spoons


  • Travelling to an appointment

Two or three spoons


  • Having a difficult conversation

Several spoons


  • Cooking dinner

One to three spoons, depending on the day


  • Replying to messages

More spoons than expected, especially when emotions are raw


The numbers are not fixed. They are personal. A task that feels manageable one week may feel impossible the next. This does not mean someone is failing. It means their capacity is changing.


Why grief and loss can use up so many spoons


Grief is often spoken about as an emotional experience, but it affects the whole person. It can alter sleep, appetite, concentration, memory, motivation, and the ability to make decisions. It can also show up in the body through heaviness, restlessness, tension, aches, or deep tiredness.


After a loss, the mind may be working constantly in the background. It may be trying to take in what has happened, replay events, manage practical tasks, handle family dynamics, or face a future that now feels different. Even quiet moments can be full of effort.


This is why ordinary tasks can feel so draining during grief. The task itself may not have changed, but the inner load has.


Someone grieving may spend spoons on things such as:


  • Holding back tears in public

  • Sorting belongings or paperwork

  • Listening to well-meant but painful comments

  • Going back to work before feeling ready

  • Remembering dates, appointments, passwords, and practical details

  • Managing loneliness after visitors have stopped coming

  • Facing places, songs, smells, or routines linked to the person or life that has been lost


Loss can include many experiences. It may be the death of someone loved. It may be the end of a relationship, a miscarriage, infertility, estrangement, loss of health, loss of identity, loss of work, loss of home, or loss of a future that once felt certain.


Some losses are clearly acknowledged by others. Some are private, complex, or misunderstood. Counselling can offer a place where the loss does not need to be justified or minimised.


Grief often uses energy before the day has even begun.

That sentence can be a relief for people who have been blaming themselves for tiredness, avoidance, forgetfulness, or feeling unable to “cope” in the way they expected.


Wide-angle view of a quiet woodland path with fallen leaves and a small basket of spoons resting on moss.
Grief can make the path ahead feel slower and more uncertain.

Spoon Theory after a health diagnosis or major change


A health diagnosis can bring many layers of loss. There may be the practical reality of appointments, treatment, medication, tests, pain, fatigue, or changed routines. There may also be grief for the life that existed before the diagnosis, or the life that had been imagined.


This kind of grief can be hard to name. People may feel they should be grateful, positive, brave, or “getting on with it”. Yet a diagnosis can change the relationship with the body. It can affect independence, work, family roles, intimacy, social life, and plans.


Spoon Theory can be especially helpful here because it gives permission to think about energy as something precious and limited, rather than as a sign of personal weakness.


For example, before a diagnosis, a full day might have included work, shopping, cooking, messages, exercise, and social time. After a diagnosis, one appointment may take most of the day’s spoons. Not only because of the appointment itself, but because of travel, waiting, anxiety, information to process, and recovery afterwards.


The same can apply to other life transitions:


  • Becoming a carer

  • Moving home

  • Retiring

  • Going through divorce or separation

  • Starting again after redundancy

  • Adjusting after children leave home

  • Living with menopause-related changes

  • Recovering after burnout

  • Rebuilding after trauma or prolonged stress


Transitions often ask us to adapt before we have had time to grieve what has changed. Counselling can slow this process down. It can create room to notice what has been lost, what remains, and what may need to be approached differently now.


When capacity changes from day to day


One of the hardest parts of limited energy is its unpredictability. A person may manage something on Monday and be unable to do it on Wednesday. This can be frustrating for them and confusing for others.


Spoon Theory allows for this fluctuation. It recognises that capacity is affected by many things, including sleep, pain, stress, emotional triggers, medication side effects, social contact, weather, hormones, anniversaries, and unexpected demands.


This matters in grief too. A person may feel steadier for a few days, then suddenly feel overwhelmed by a date, a memory, a song in a shop, or a simple question such as “How are you?”


Progress in grief and adjustment is rarely a straight line. It often moves in waves.


Using spoons as a language can help make this more visible:


  • “I have fewer spoons today, so I need to keep things simple.”

  • “That appointment used more spoons than I expected.”

  • “I can come, but I may need to leave early.”

  • “I want to reply properly, and I do not have the energy today.”

  • “I need to choose between cooking and making that phone call.”


These sentences can support clearer boundaries. Boundaries are the limits we set to protect our wellbeing. They are not punishments or rejections. They help people live more honestly within their current capacity.


For many people, counselling is one of the first places where these limits can be explored without shame.


Close-up view of a hand placing one teaspoon beside smooth stones at the edge of a stream.
Small choices can help protect limited energy.

How counselling can help when your spoons feel limited


Counselling does not remove grief, loss, illness, or life change. It does not ask someone to rush towards acceptance or put a positive spin on pain. Good therapy offers a steady, confidential space to understand what is happening and to find ways of living with it.


When energy is limited, therapy can move at a pace that respects that. Some sessions may involve talking through a specific event. Others may focus on rest, grounding, identity, guilt, anger, sadness, or fear. Sometimes the work is simply finding words for what has felt unsayable.


Spoon Theory can support therapy in several practical ways.


It can help name what is happening


Many people arrive in counselling saying, “I don’t know why I’m so tired,” or “I should be coping better.”


Exploring spoons can gently shift the question. Instead of asking, “What is wrong with me?”, counselling might ask, “What is taking energy from me right now?”


That question can reveal hidden demands. These might include emotional labour, masking pain, managing other people’s reactions, keeping routines going, or carrying anxiety about the future.


Emotional labour means the effort involved in managing feelings, often your own and other people’s. During grief or illness, this can be enormous.


It can support kinder expectations


After loss or change, many people compare themselves with who they used to be. They may expect old levels of productivity, social energy, patience, or resilience.


Counselling can help make space for a more compassionate view. This does not mean giving up. It means recognising the reality of what is being carried.


A useful therapy question might be:


“If I only had a limited number of spoons today, where would I want them to go?”


The answer may change daily. Some days, the priority is attending work. Some days, it is resting. Some days, it is feeding yourself, speaking to one trusted person, or doing the smallest next thing.


It can help with guilt and boundaries


People often feel guilty when they cannot show up in the way they used to. They may worry about letting others down, cancelling plans, needing help, or being less available.


Guilt can use even more spoons.


In counselling, guilt can be explored with care. Is it pointing to a value, such as love, responsibility, or connection? Or is it coming from an old belief that rest must be earned, needs are a burden, or saying no is selfish?


This kind of reflection can help boundaries feel less harsh and more honest.


Gentle ways to use Spoon Theory in daily life


Spoon Theory is most helpful when it becomes practical, not another thing to do perfectly. Here are a few simple ways it can support day-to-day life during grief, illness, or transition.


Notice your spoon patterns


For a week, gently observe what gives energy and what drains it. This does not need to be a detailed diary. A few notes may be enough.


You might notice that phone calls take more energy than texts. Mornings may be harder than afternoons. Certain people may feel soothing, while others leave you depleted. Practical tasks may be easier than emotional ones, or the other way round.


The aim is awareness, not judgement.


Plan around recovery time


If something is likely to take many spoons, build in space afterwards where possible. A medical appointment, funeral, family gathering, legal meeting, or return to work conversation may require recovery time.


Recovery time is not laziness. It is part of the task.


Choose what matters most today


Limited capacity often means choosing. This can feel painful, especially for someone used to doing a great deal.


A simple question can help:


“What truly needs my energy today, and what can wait?”


This may include postponing lower priority tasks, accepting help, simplifying meals, reducing social contact, or breaking tasks into smaller steps.


Share the metaphor with someone trusted


Some people find it easier to say, “I am low on spoons,” than to explain every detail of their grief, pain, fatigue, or anxiety.


A trusted friend, partner, family member, colleague, or therapist may be able to understand your needs more clearly through this image. They do not need to get it perfectly. They only need to be willing to listen.


Overhead view of an open journal with a teaspoon, pressed leaves and a pencil on a wooden bench.
Writing things down can make energy and emotions easier to understand.

Walking the therapy journey at a human pace


Beginning counselling can feel like a big step, especially when spoons are already low. There may be worries about where to start, whether the feelings will be too much, or whether talking will make things worse.


Therapy does not need to begin with everything at once. It can start with what feels most present. That might be exhaustion, numbness, anger, fear, guilt, loneliness, or confusion. It might be the practical strain of getting through each day.


A compassionate therapeutic relationship offers consistency, respect, and room to go slowly. It does not require polished explanations. It does not require having the “right” words. Silence, tears, uncertainty, and tiredness are all allowed.


Spoon Theory can be part of that shared language. It can help shape sessions around capacity. It can help decide when to explore something deeply and when to pause. It can support gentler goals, such as understanding triggers, making space for grief, practising boundaries, or finding small ways to feel more grounded.


This blog is for information only and is not a substitute for medical or mental health advice. If you are concerned about your health, safety, or wellbeing, it is important to seek support from an appropriate professional or urgent service.


A gentle takeaway


Spoon Theory gives a name to something many people feel but struggle to explain. Grief, loss, illness, and major life changes can use energy in quiet, invisible ways. When capacity changes, it does not mean you are weak. It means you are carrying something significant.


Counselling can offer a place to put some of that weight down, make sense of what has changed, and move at a pace that honours your real capacity.


If your spoons are limited right now, the next step does not need to be large. It may simply be noticing what today has asked of you, and allowing that to matter.


Helpful Resources

Every person's experience is unique, but understanding what you're experiencing can often make it feel a little less overwhelming. The resources below explain some of the ideas and models I regularly use in counselling and psychotherapy to help people understand grief, loss, emotional wellbeing, and life transitions. You may find these helpful alongside this article:

  • Understanding Your Window of Tolerance

  • The Stress Bucket

  • The Whirlpool of Grief

  • Attachment Styles

  • Spoon Theory and Self-Compassion During Grief

  • Understanding Trauma Responses


Together, these guides form part of My Therapy Roadmap; a collection of practical resources designed to help you better understand yourself and navigate grief, loss and life's many transitions at your own pace.


My Approach


As a qualified NCPS Accredited Registrant and ACC counsellor and psychotherapist, I support adults navigating grief, loss and life transitions, including bereavement, relationship changes, menopause, pregnancy and infant loss, pet bereavement, caring responsibilities, retirement, anxiety, depression, burnout, and the emotional impact of life-changing health diagnoses and long-term health conditions. I offer counselling from my private therapy cabin in Littlehampton, West Sussex, walk and talk therapy in nature, and secure online counselling across the UK, so together we can find an approach that feels safe, comfortable and right for you.


Alongside counselling, I often draw upon psycho-educational resources and practical tools that can help bring understanding to experiences that may otherwise feel confusing or overwhelming.  Together, we can work towards understanding your grief and finding a way forward that feels meaningful and authentic to you.


Taking the First Step

Support starts with a conversation.

Beginning counselling can feel like a big step, especially if you've never spoken to a therapist before. That's why I aim to make the process as straightforward and welcoming as possible.


You can book a free 15-minute consultation online at a time that suits you, with instant access to my real-time availability. Appointment confirmations, reminders, secure payment and online session links are all handled automatically, making the process simple and stress-free.



If online booking isn't your preference, that's absolutely fine. You're welcome to contact me through my website, by email, text or phone, and I'll be happy to help you arrange an appointment.


Whether you're looking for support with grief, loss, anxiety, depression, burnout or another life transition, we'll begin with a conversation about what's brought you here and what you're hoping for from counselling.


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