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Loss and Bereavement
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Grief and Loss Reactions

These are ways that people react to death, grief and loss. You may or may not have the natural reactions listed here. If the grief and loss you are having is frightening or doesn't slowly go away, you probably should talk to someone about it.

When there is a loss, you can have a physical, emotional, psychological, social and/or spiritual reaction to the loss.

Physical Grief and Loss Reactions

  • Pain in the neck, head, jaw, back, chest around the heart.
  • Pounding or racing heartbeat.
  • Muscle stiffness, soreness, weakness.
  • Feeling dizzy or fainting.
  • Feeling like you are choking or having difficulty breathing.
  • Changes in appetite.
  • Changes in sleep patterns - can't get to sleep, waking up in the middle of the night, sleeping all the time.
  • Feeling jumpy and sensitive to sudden, loud noises, crowds, or other people.
  • Being absent-minded or accident prone.
  • Feeling restless, unable to sit still.
  • Low energy, exhaustion.
  • Hair loss or change of hair colour
If any of these physical conditions are worrisome, please contact your physician and have them checked.

Emotional Grief and Loss Reactions
  • Disbelief and shock that the death occurred.
  • Crying - sobbing or unexpected, sudden outbursts of crying
  • Frequent sighing
  • Relief that the person's suffering is over or that a bad relationship is over
  • Anger at the medical system, higher power, the person who died, yourself, or whoever/whatever was responsible for the death
  • Irritability
  • Nightmares or dreams about the death or person who died
  • Withdrawal, being uncommunicative
  • Talking a lot, rambling, confused, repeating conversations or stories
  • Anxiety, panic
  • Fear
  • Sadness or despair
  • Envy of other families or of the one who died
  • Shame - in suicide, death from AIDS or anorexia or as a result of a criminal activity
Psychological Grief and Loss Reactions
  • Guilt for not preventing the death, even if this was not possible; for things said or done in the past you wish you could take back; for things you promised to do or wish you had said and never did; for surviving
  • Irrational thoughts about joining the dead person or about the death
  • Bargaining - "I'll never do ______ again if they can just come back."
  • Visual images or thoughts that are experienced repeatedly
  • Think you are losing your mind
  • Can't concentrate
  • Memory and time are distorted
  • Self-absorbed - no energy or interest in others
  • Loss of confidence and security
  • Increased sensitivity to appreciation or criticism from others
  • Unable to cope with people's jokes, laughter, complaints
  • Problems making decisions
  • Depression
  • Desire to die - to join loved one or escape from the pain (different from suicidal thoughts)
  • Afraid you have a serious illness
  • Not permitting yourself to experience the emotions - "I'm okay."
Social Grief and Loss Reactions
  • Loneliness
  • Isolation - "I'm the only one who has ever felt like this." "Nobody understands."
  • Changes in relationships
Spiritual Grief and Loss Reactions
  • Loss of faith, questioning previous beliefs
  • Openness to the spiritual world
  • Interest in other faith traditions
  • Feelings of connection or communication with the person who died
  • Asking, "Why?" "Why them?" "Why me?"
  • Asking, "What is the meaning of life?" "What is the meaning of my life without them?"
  • Asking, "Where are they now?" "Is there a Heaven?"
  • Discovery of faith or a spiritual understanding


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