n relation to Worden’s tasks of grief, while C says that she has accepted the loss of her children, both in death and through adoption, I feel she may not have accepted the reality of the loss. In our sessions we have been working together to help her tell her story, how the baby died and how the children came to be adopted, I have encouraged her to tell me about her children, describing their appearance, their mannerisms and their personality. We have discussed the events that lead up to the children’s adoption, which was evidently difficult for her to recall. She is displaying a lot of shame around her behaviour in this instance and a lot of guilt with regards to her parenting, however, it is clear that she feels remorse around the events that lead to her children’s adoption. She is, however, confident that she made the right decision to terminate her pregnancy, as the baby may not have survived,due to her diagnosis, but she is also questioning if the baby would have survived. Through further reading around the subject of Trisomy 18, it was found that the median survival time for live births with full trisomy 18 was 14 days. Although median survival for these children is 2 weeks or less. (Wu, Springett & Morris, 2013). In relation to the last time the children were seen or contacted, C receives letters occasionally however has not disclosed if she is allowed to send letters, this is a cause of both distress and contentment as she knows they are having a good life but the letters arrive sporadically so she does not receive regular updates, it is unclear if this is the conditions of the adoption and this is an area for further work. C’s feelings around her last contact with her children are distressing for her as she remembers her daughter holding out her arms and calling out to her, I feel that this was