This paper argues that incorporating grief and mourning attitudes or principles into general psychotherapy practice will deepen our capacities for empathic responsiveness and enable our patients to meet the tasks of change and adaptation inherent in the developmental process, and the upheavals of loss in its many forms. More importantly, the paper contends that in order for truly effective patient grief work to occur, the grief-informed self-psychologist must draw from personal loss experiences that have been worked through. We should continually cultivate an empathic presence that is open to and informed by self psychology’s mirroring, twinship, and idealizing selfobject needs and functions. Taken together and used empathically, these lead to a quality of witnessing the patient through waves of grief and mourning. I call it attuned accompaniment.