"It All Came Tumbling Down", Considerations on how to deal with Grief, Trauma and Loss". This book provides a wide range of readers a guide for working toward healing in the face of grief and loss. The narrative style is straightforward, and the anecdotes and examples are relatable to many. Recognizing how difficult this work can be the book is constructed in such a way that the reader can, if they choose, engage with small chunks of the text at a time- taking time to digest, reflect, and journal, and then come back to another part of the text when they are ready to re-engage in the work. Dr. Howard desires for people to heal from the inside out.