Grieving the loss of autonomy, identity, and relationship Dependency in addiction creates multiple, overlapping losses: The loss of self-governance for the person using The loss of mutuality for those who care The loss of predictability, safety, and future orientation for systems Because these losses are ongoing and stigmatized, they often remain unmourned, trapping people in cycles of shame, control, and despair. Mapping dependency to the 6 Needs of Mourning allows grief to