Longing

What Happens When Life Won't Stay the Same: Online Therapy for "Lifequakes"

Profile illustration of Clayre Sessoms, RP, ATR-BC, an online therapist in Vancouver, Canada
Written by
Clayre Sessoms
 on
April 25, 2025
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Key Takeways

  • Every transition, even a chosen one, contains some form of grief. You are allowed to feel that, even when the change was one you wanted.
  • The messy middle is not a failure of your transition. It is where most of the work actually happens.
  • Online therapy can hold the slow arc of a transition across months and time zones, meeting you wherever you are in Canada, not only where you started.

Something in your life has changed, or is changing, or is about to. Maybe you chose it. Maybe it chose you. Maybe it is both, a doorway you walked through on purpose, into a room you did not know would be this big.

You are not looking for a listicle of transition types. You are probably not looking for tips to embrace change, and if anyone has sent you one of those articles recently, I am sorry on behalf of the internet. What you are looking for, maybe, is someone who understands that when the old shape of your life does not hold, the work is not to snap into a new shape quickly. The work is to let yourself be inside the not-yet.

Vancouver-based and online across Canada, this is the kind of work we hold at our practice. Not transition management. Transition accompaniment. Someone who can sit with you through the long arc of it, from the part where you are still grieving what was, through the part where everything feels blurred, to the part where a new sense of self starts to come forward. Most of that arc takes longer than people expect, and almost none of it is linear.

Transitions are not projects. They are periods of remaking.

The writer Bruce Feiler spent several years interviewing people across the United States about the biggest changes in their lives. What he heard over and over was that these periods were longer, messier, and more frequent than the standard life scripts had prepared them for. He coined the word lifequake for the kind of change big enough to divide your story into a before and an after. His TED Talk on mastering life's biggest transitions is a good primer if you want to hear the research in his own voice. According to his data, most adults go through three to five of these in a lifetime, and the average one lasts about five years.

Read that again. Five years.

If you are in the middle of one of these and wondering why you are not through it yet, that is useful to know. You are not behind. You are inside something that is supposed to take time.

Feiler draws on earlier work by the anthropologist Arnold van Gennep and others to describe three phases that most transitions move through, though rarely in a straight line. He names them the long goodbye, the messy middle, and the new beginning. This language is not a prescription. It is a way of placing yourself, so you can stop measuring the transition against a clean narrative arc that does not exist.

A parallel framing, from the clinician Jakob van Wielink and colleagues in their work on loss and transition, is that every transition contains non-death loss. You grieve the job you left even when leaving was right. You grieve the person you used to be, even when the new you feels more honest. You grieve the city, the relationship, the version of your body, the certainty. Naming the grief inside a transition is often the first thing that helps.

The long goodbye

This is the part where something is ending, and you know it, and you are somehow still in it.

It is the last months in a job you have already decided to leave. The weeks before a move. The stretch of time after you know a relationship is ending but before anyone has said the words. It is the body you lived in before hormones, or before surgery, or before a diagnosis. It is the version of your family before a parent got sick.

In therapy, the long goodbye is often where people arrive and apologise for being there. I should be further along by now. I said yes to this. I have no right to be this sad about it. What happens in the first few sessions is usually something like unclenching. You do not have to be further along. You can want the change and grieve the leaving at the same time. Both things are allowed in the room.

The messy middle

This is the phase most people did not know they would have to pass through, and it is often where the real work of therapy happens.

You are no longer who you were, and you are not yet who you are becoming. Your old coping strategies do not quite fit. Your new ones have not arrived. Friends who knew you in one shape do not always know what to do with you in another. Your body sometimes feels unfamiliar. Some days you feel nothing in particular. Some days you feel everything.

Feiler's research found that almost half of the people he interviewed identified this middle as the hardest part of a transition. Many of them also said that in hindsight, it was where they made the most meaningful changes in how they saw themselves. Both of those things can be true.

In session, the messy middle is where we slow down the most. We do not try to rush you toward clarity you do not yet have. We pay attention to what the body is doing, what keeps looping in your mind, what old patterns are surfacing. We notice, together, the places where a new sense of you is beginning to come through, even quietly.

The new beginning

This phase arrives, and it rarely looks like what you pictured.

A new beginning is not usually a dramatic moment. More often it is a slow accumulation of days where the new shape of your life starts to feel like yours. You wake up and the grief is still present, but it is further back in the room. You recognise yourself in the mirror in a new way. You stop apologising for the change. You start making choices from the person you now are, not the person you used to be.

Therapy in this phase is often about integration. How do you carry what the transition taught you into the rest of your life. What do you want to keep from the old version of yourself. What do you not want to carry forward. Who do you want to be, now that you know something new about yourself.

How online therapy holds the work across time zones and lives

We work online, which matters for transition work in particular.

Transitions often involve physical movement. People move to Toronto for a job, to Halifax for a partner, to Whitehorse to be closer to family, back to Vancouver because something pulled them home. The wrong therapist at the wrong moment gets lost in that shuffle. An online relationship does not. We can keep working together whether you are in your apartment, a hotel room during the move, a friend's spare bedroom, your parents' house, or the new place where you do not yet know the coffee shops.

The work also often involves availability that an office-based practice cannot always hold. Some weeks you need the session on a Wednesday at 3. Some weeks you need it on a Friday at 11 because the Wednesday version of you is underwater. Online therapy makes that kind of flexibility more possible.

And for many of the people we sit with, online therapy lowers one more barrier that gets in the way when life is already heavy. You do not have to drive anywhere. You do not have to be seen walking into a building. You can sit in a space that already feels like yours.

If you are in the middle of something, or on the threshold of something, or on the long slow approach to something, we would be glad to hear from you. Grief therapy online is one of the more direct entry points for transition work, because transitions are grief events first, even when they are chosen. A free consult is the simplest way to find out whether working with us fits.

Frequently Asked Questions

I chose this change. Why does it still hurt?

Because you are grieving the version of your life, and often the version of yourself, that the old shape held. Choosing a change does not remove its losses. It places them alongside the possibility of something new. Both things live in you at once.

How long does this take?

Longer than you expect, and variably so. Bruce Feiler's research suggests the average major life transition takes about five years from initial disruption to a settled new shape. In therapy, that does not mean five years of weekly sessions. It means the arc of the transition itself lasts longer than a few months, and having a steady place to return to across that arc tends to help.

I am in the middle of it right now and everything feels blurry. Is this a sign therapy is not working?

No. What you are describing sounds like what Feiler and others call the messy middle, and it is not a failure of anything. It is a phase with its own logic. The blurriness is often what needs to be present for something new to come through. In session, we would move slowly through that blur rather than trying to push you past it.

I am in a new city and have lost the therapist I used to see. Can I start with you online?

Yes. Online therapy across Canada is well-suited to people whose transition has involved a move, a shift in their life circumstances, or a disruption in previous care. A free consult is the best way to begin and see whether our approach fits.

My transition is collective, not just personal. How does therapy help with that?

Some transitions are shared: political instability, climate grief, community upheaval, the ongoing weight of collective harm. These do not lend themselves to clean individual narratives of moving through. What therapy can offer is a space to name what you are carrying, feel it without being alone in it, and tend to your own capacity inside a larger reality that is not going to resolve on any individual schedule.

Profile illustration of Clayre Sessoms, RP, ATR-BC, an online therapist in Vancouver, Canada
author's bio
Clayre Sessoms

Clayre Sessoms (she/they) is a psychotherapist and art therapist whose work begins in presence: what's real, what's alive, and what needs care. Her approach is relational, experiential, and creative. As a white therapist, she's learned that power lives in the room whether named or not: in who offers care, in the history of harm, in the systems that shape us. She doesn't come as a fixer or an expert. She comes as a collaborator, a trans, disabled, and queer person committed to repair and building the trust needed for care to unfold.

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