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GRIEF AND DEATH

Grief is the overwhelming feeling of loss that stems from the loss of a loved one. People grieve in many different ways, but those grieving usually experience similar phases of grief. These stages range from feelings of depression to the acceptance of the loss. 

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TOPICS AND EDUCATION

WHAT IS GREIF?

Grief is the feeling of pain that comes from loss. Someone might be grieving the loss of a family member. 

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SYMPTOMS

Many signs and symptoms of grief are expected at first. When symptoms persist and restrict an individual from healing, they may need to seek help. 

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TREATMENT

DIAGNOSIS

DIAGNOSIS

Many individuals who struggle with complicated grief are treated in therapy, while some are additionally prescribed medication. 

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DIAGNOSIS

DIAGNOSIS

DIAGNOSIS

A medical professional might conduct a range of mental, physical, and genetic exams. They will also use the DSM-5 to ensure that the individual's symptoms match the criteria for that specific disorder. 

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additional information

Definition, Symptoms, Treatment

What is Grief?

Grief is the feeling of pain that comes from loss. Most often seen when someone is grieving the loss of a family member. They are feeling this because something has bereaved them of their family member. Grief may become complicated when the mourning of a loved one effects the individual's daily life and prevents them from healing. The disorder in the DSM-5 manual is called persistent complex bereavement disorder. Bereavement is the state of being deprived of something or someone. Therefore, an individual may be bereaved of their loved one. 


Symptoms 

Many signs and symptoms of grief are normal for a few months after losing someone, but complicated grief is when these symptoms persist and disable an individual from healing. Complicated grief includes symptoms such as, intense sorrow and pain, numbness, detachment, depression, guilt, self blame and the belief that you could have stopped the death, and isolation. People who are dealing with complicated grief are usually unable to focus on much else other than the loved one’s death. For that reason, they have a lack of focus, they might find it difficult to live a normal routine, and feel that nothing else in life matters. Some even feel that their own life is not worth living and wish that they had died along with their loved one. 


Treatment 

People who have complicated grief are usually treated in therapy. In therapy, an individual would learn about the symptoms they are experiencing and how to adjust to them. They might also do things such as act out conversations with their loved ones in order to help with their acceptance. Lastly, therapy will help an individual gain better coping skills in order to help with their emotions surrounding the loss of their loved one. Additionally, some individuals struggling with grief may be prescribed medication. There is not much research indicating that any specific medication treats complicated grief, but many individuals might begin taking antidepressants to relieve their feelings of sadness and hopelessness. If a traumatic event was involved in the loss of a loved one, an individual may relieve counseling. There are different types of counseling such as cognitive therapy and exposure therapy. Cognitive therapy helps an individual reframe their negative thoughts to be more positive. For example, if an individual is experiencing guilt and shame, cognitive therapy would help to relieve some of this guilt by helping the individual reshape the way they see this event. Exposure therapy slowly exposes the individual to fears that the traumatic event has caused, so that the individual will experience a decrease in some of their symptoms.

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Grief may become complicated when the mourning of a loved one effects the individual's daily life and prevents them form healing. 

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Diagnosis

DSM-5 Criteria

DSM-5 Criteria for Persistent Complex Bereavement Disorder 

A) The individual has experienced the death of a loved one. 

B) Since the death, at least one of four symptoms has been experienced on more days than not and have persisted at least 12 months after the death. 

  1. Persistent yearning/longing for the deceased. 
  2. Intense sorrow and emotional pain in response to death. 
  3. Preoccupation with the deceased. 
  4. Preoccupation with the circumstances of the death. 

C) Since the death, at least 6 of 12 symptoms have been experienced more days than not and have persisted for at least 12 months. 

  1. Marked difficulty accepting death. 
  2. Experiencing disbelief or emotional numbness. 
  3. Difficulty with positive reminiscing about the deceased. 
  4. Bitterness or anger related to death. 
  5. Maladaptive appraisals about oneself in relation to the deceased or the death. 
  6. Excessive avoidance of reminders of the loss.
  7. A desire to die in order to be with the deceased. 
  8. Difficulty trusting other individuals since the death. 
  9. Feeling alone or detached from other individuals since the death. 
  10. Feeling that life is meaningless or empty without the deceased or the belief that one cannot function. 
  11. Confusion about one’s role in life or a diminished sense of one’s identity. 
  12. Difficulty or reluctance to pursue interests since the loss or to plan for the future.

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