Coping with Loss: Exploring Normal, Anticipatory, and Complicated Grief

By Jaslyn Bush | UAB Community Health & Human Services Program Intern

Photo by cottonbro studio on Pexels.com

Death is an inevitable part of life. Grieving a loved one can be challenging, taking years to recover from the loss. In my experience, the grieving process for a loved one is never truly over because I will always remember that person. “Grief most often gets less intense over time, but the sense of loss can last for decades. Certain events, mementos or memories can bring back strong emotions, that usually last for a short time” (National Cancer Institute [NCI], 2013). Grief feels like the process of accepting that the person is no longer alive. There are three types of grief: anticipatory grief, normal grief, and complicated grief (National Cancer Institute, 2013).

According to Stanford Parkinson’s Community Outreach, anticipatory grief is the act of grieving somebody who is still alive but, expected to pass away from sickness or other health complications (Stanford Parkinson’s Community Outreach, n.d.). From my experience with grief, I believe anticipatory grief is the hardest type of grief to go through. Before both of my grandmothers passed away due to sickness, I couldn’t get over the fact that one day, they wouldn’t be here anymore. Every time I spent time with either of them, I felt this lingering sadness that one day I would never get to see or talk to them again.

The NCI explains that normal grief occurs when an individual has acknowledged and accepted their loss and continues with their life, even though it may be difficult. Some common themes of normal grief include periods of sadness, disbelief, emotional numbness, anxiety, and distress. This can also lead to loss of sleep, hallucinations of the deceased, and loss of appetite (National Cancer Institute, 2013).

Complicated grief occurs when intense sadness/grief lasts longer than expected. According to the Association for Behavioral and Cognitive Therapies (ABCT), complicated grief affects 2-3% of the population worldwide. Signs of complicated grief include constant thoughts about the deceased, avoiding reminders of the deceased, along with keeping reminders of deceased such as their pictures or belongings (ABCT, 2021). Complicated grief usually lasts 6 months or longer, depending on if the individual has social, cultural, or religious connections to the deceased (ABCT, 2021).

When experiencing one or more types of grief, I have adapted some suggestions from the Centers for Disease Control and Prevention (CDC) regarding what one can do who is experiencing grief:

  • Seek comfort and lean on the support of others in your network.
  • Create a positive and purposeful routine.
  • Honor your loved ones who have passed.
  • If necessary, get help from a professional.
  • If you or someone you know is struggling or in crisis, call or text 988 or chat 988lifeline.org.

Have you experienced grief before? What are some of the emotions that you felt? What helped you to overcome one or more types of grief? Please feel free to share in the comments section or post an encouraging message at the Wilkinson Wellness Lab on Facebook.

References

Anticipatory Grief. (n.d.). Stanford Parkinson’s Community Outreach. https://med.stanford.edu/parkinsons/caregiver-corner/caregiving-topics/anticipatory-grief.html

Centers for Disease Control & Prevention. (2023, May 26). Grief. https://www.cdc.gov/howrightnow/emotion/grief/index.html.

Complicated Grief | Fact Sheet. (2021, March 4). ABCT – Association for Behavioral and Cognitive Therapies. https://www.abct.org/fact-sheets/complicated-grief/

National Cancer Institute. (2013, March 6). Grief, Bereavement, and Coping With Loss. National Cancer Institute; cancer.gov. https://www.cancer.gov/about-cancer/advanced-cancer/caregivers/planning/bereavement-pdq


Everyone Can Help: Suicide is Preventable

By Jessica Feagin | Intern and UAB Community Health and Human Services Student

Suicide one of the leading causes of death in the United States. Responsible for nearly 46,000 deaths in 2020, which averages one death every 11 minutes (CDC, 2023). In 2020, suicide was among the top 9 leading causes of death for people 10-64 years old. Suicide was the second leading cause of death for people ages 10-14 and 24-34. Suicide and attempts cause serious emotional, physical, and economic impacts. It also affects the health and well-being of friends, loved ones, and the community. Suicide is preventable, and everyone has a role to play in saving lives and building strong individuals .

If someone says that they want to harm themselves, try to stay calm, not panic, and listen. It is possible if someone has chosen to tell you and talk about how they feel, they will let you help them to get assistance and support. According to the NSW, if the person has told you they are thinking about suicide, here are five things you can do:

  • Listen and encourage them to talk about their situation.
  • Show empathy for their situation and take them seriously.
  • Avoid leaving them alone.
    • Possibly try to get them to the hospital or call police if they planning to act.
    • Call the Suicide Prevention Line.
  • Discuss the ways that you can get them help and if they agree to follow up and get the help.
    • Offer to take them to a hospital or a counseling appointment.
  • If the person does not want you to get help, you should advise them that you need to because you are legally obliged to do so as you are concerned for their safety.

An important number everyone should know is 988. It is the Suicide and Crisis Lifeline. This lifeline is available 24 hours a day and provides free and confidential support for people in distress, prevention, and crisis resources for everyone.

References:

Centers for Disease Control and Prevention. (2023, May 8). Facts About Suicide. Centers for Disease Control and Prevention. https://www.cdc.gov/suicide/facts/index.html

Practical strategies and tips for effective support – how do I respond if someone says that they want to kill themselves?. How do I respond if someone says that they want to kill themselves? – Practical strategies and tips for effective support. (n.d.). https://www.health.nsw.gov.au/mentalhealth/psychosocial/strategies/Pages/communicating-response.aspx