Supporting bereaved people with profound learning disabilities still remains an under-researched area. Moreover, the barriers of communication and disenfranchised grief mean that they often do not receive the support they require, leading to emotional and behavioural difficulties. This article describes research using a case study design, which explored how memory box work was used to support the bereavement process with one young woman, Claire and the outcomes for Claire and her family. Exploring the history of the relationship between Claire and her brother, the work also benefitted her mother and her paid carers.