Thanadoula: Supporting the End of Life in France

A growing number of individuals are seeking support during life’s final stages, and a relatively new profession is emerging to meet that need: thanadoula, also known as a death doula. While still largely unknown in France, the role of a thanadoula – providing emotional, physical, and practical support to those nearing the end of life and their families – is gaining recognition, and may soon be formally acknowledged through legislation currently being discussed in the Assemblée Nationale.

The term “thanadoula” combines “Thanatos,” the Greek god of death, and “doula,” an Arabic term meaning servant. This reflects the profession’s focus on providing compassionate care and support during a profoundly vulnerable time. Unlike medical professionals who focus on treatment, thanadoulas concentrate on the emotional and spiritual well-being of the dying person and their loved ones.

Delphine Freiss, a thanadoula, describes her role as offering a listening ear and a supportive presence. She notes that individuals approaching death often find joy in simply having someone to talk to openly and without judgment. This is particularly important as many people struggle to discuss death and dying, leading to feelings of isolation, and anxiety.

The origins of the doula profession can be traced back to ancient Greece, where women provided support to those giving birth. The modern doula movement gained momentum in the United States, with increasing numbers of women utilizing doulas for pregnancy, childbirth, and the postpartum period. In France, the number of birth doulas has been steadily growing since the creation of the association Doulas de France in 2006.

The concept of the thanadoula, however, is more recent. According to a report by Global Wellness, the profession emerged in 2003 within a palliative care department in New York. An employee, recognizing a lack of emotional support for dying patients, developed the first professional death doula training program. The goal was to alleviate anxiety, reduce feelings of loneliness, and lessen the stress experienced by both patients and their families.

Currently, approximately 85% of French citizens express a desire to die at home, yet access to palliative care services in a home setting remains limited. This gap in care creates a need for individuals who can provide comfort and support in a familiar environment. Thanadoulas aim to fill this void, offering a human connection and a sense of peace during a difficult time.

Doulas de France recognizes the growing importance of end-of-life support and has established an online directory to connect individuals with certified thanadoulas. This directory makes it easier for families to find qualified professionals who can provide compassionate care during the final stages of life.

While the profession is not yet formally recognized or regulated in France, the ongoing discussions within the Assemblée Nationale suggest a potential shift in the future. Formal recognition could lead to standardized training and increased access to thanadoula services for those who need them. As of February 5, 2026, the profession remains largely unknown, but its potential to improve the quality of life for individuals facing end-of-life challenges is becoming increasingly apparent.