5 Ways Grief Can Affect Your Health

The loss of a loved one can have a profound impact on your mental and physical well-being. Here are strategies to help you cope.

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Medically reviewed in July 2022

If you've ever experienced the loss of a loved one, you've likely confronted a period of acute grief and mourning in the days, weeks, and months following the initial bereavement.

While this process is normal, it can affect both your mental and physical health, especially right after the death. For some, grief comes and goes. But for others, grief lingers long after the loved one is gone—and it may require treatment and attention.

Marie Mitarotondo is a grief recovery specialist, hospice chaplain, and the spiritual director of Lourdes Health System in Collingswood, New Jersey. She explains that grief feels like something has been taken away from us and describes grief as the collection of strong and conflicting emotions we feel when we lose someone or something we love.

“That feeling of loss can apply not only to the death of a loved one, but also to the end of a marriage or other relationship, or the loss of a pet, a prized possession, or even your financial status,” Mitarotondo says.

Acute grief is a completely normal response to bereavement, and it typically subsides within 6 to 12 months. If your grief persists and is accompanied by problems like anger, inability to accept the death, or inability to carry out your daily activities, it may indicate a more serious issue.

But how can you differentiate between acute grief and forms of grief that may become more problematic? And what does that mean for your mind and body?

What is grief? 
Grief is a natural response to the loss of something close to you. That could be an adult family member, child or pet, or in some cases, even a job or home. Other traumatic experiences like pregnancy loss, car accidents, and divorce or separation from a partner can also bring about feelings of grief.

Acute grief eventually diminishes with time—usually within a year. Complicated grief, which is less common, tends to persist, and often involves severe symptoms.

Also referred to as persistent complex bereavement disorder or prolonged grief disorder, complicated grief is characterized by profound changes in one’s mental or emotional well-being. It often affects your ability to function from day to day, and may include feelings of intense worthlessness, loneliness, internal questioning of personal beliefs, a strong yearning for the person who passed, and an inability to accept the passing. In some cases, suicidal thoughts are also present. Symptoms last for six months or more. 

In March 2022, prolonged grief disorder was officially classified as a mental health disorder for the first time in the American Psychiatric Association’s diagnostic manual, following years of debate. The diagnosis applies only to a small subset of people who are debilitated by their grief for an extended period, with symptoms like emotional numbness and difficulty re-engaging in everyday life. Its addition means insurance providers may now cover certain treatments for the condition.

The unpredictability of grief
Shortly after a loss, you can expect to experience feelings of sadness, confusion, and shock. There is no “normal” or predictable amount of time to grieve, and Mitarotondo says it’s important to realize that there are no set “stages” of grief, as conventionally understood. “That’s simply a myth,” she says.

“In a sense, grief is wild. It can circle back and hit us just when we think we've gotten everything under control,” she explains. “And the return of grief may be prompted by a scent, a song, or a phrase. It’s complex and can ambush us.”

The serious effects of grief
Certain health conditions may occur at the same time as complicated grief or may be worsened by grief. These include:

Depression: Around 50 percent of those with complicated grief experience unipolar major depression. This can include prolonged symptoms related to the grief, such as: 

  • Mood fluctuations and irritability
  • Sadness related to what has been lost  
  • Self-blame or guilt surrounding caregiving
  • Difficulty concentrating
  • Weight and appetite fluctuations
  • Fatigue

Another common and more serious symptom of loss is suicidal thoughts or actions. Between 40 and 60 percent of those with complicated grief experience suicidal thoughts.

If you or anyone you know are having thoughts of suicide, reach out to the Crisis Text Line by texting ‘HELLO’ to 741741. You can also call the National Suicide Prevention Lifeline at 1-800-273-8255 or call, text, or chat 988.

If you’re with someone who is considering suicide, do not leave that person alone. Call 911 or go to the nearest emergency room.

Insomnia: Insomnia is a disorder that interferes with your ability to sleep through the night. It also affects how you function during the day. The condition can also cause sleep anxiety, the constant worry and obsessing that can come about when you can’t fall asleep, as well as concentration problems.

Anyone grieving (not just those with complicated grief) may experience sleep disturbances throughout the coping process, but insomnia is a common feature of complicated grief. In fact, sleep difficulties may worsen the symptoms of grief.

Post-traumatic stress disorder: A large number of people with complicated grief—an estimated 30 to 50 percent—have post-traumatic stress disorder (PTSD), a condition which may involve flashbacks and nightmares related to the loss lasting for a month or more. Additionally, those with PTSD may feel the need to avoid people, places, or things that remind them of the one who passed.

It's worth noting that an inclination to avoid reminders of a loved one is also a hallmark of complicated grief itself, whether or not the patient experiences PTSD as well.

Anxiety disorders: Those who have complicated grief also have an increased risk of anxiety disorders. About 20 percent of those with complicated grief have generalized anxiety disorder, which is characterized by extreme and persistent worry over things like money, health, family, or work.

Roughly 10 to 20 percent of people experiencing complicated grief also have panic disorder, a condition in which one experiences spontaneous panic attacks.

Increased drug use: Substance abuse is common among those with complicated grief. This can include the harmful use of alcohol, tobacco, and illicit drugs to cope with the loss.

Coping with complicated grief
The coping process can look different for everyone, but if you have complicated grief, experts generally recommend professional treatment. A psychiatrist, clinical social worker, or other healthcare provider (HCP) will walk you through the diagnosis process, which often includes an examination of your medical history and current symptoms, among other things. Your HCP will then recommend treatment options based on your symptoms and their severity.

The first line of treatment for complicated grief is often cognitive behavioral therapy, a treatment that can be done in a one-on-one setting with a therapist, in groups, or even online. This type of therapy usually involves working through ways to change thinking and patterns of behavior.

Whether you decide to pursue individual or group counseling, Mitarotondo says you can expect to discuss the myths about grief, confront the losses you’ve experienced in your life (both past and present), learn to articulate the things you may have wanted to do differently in those situations, and develop techniques that may be helpful in addressing future grief.

“We really focus on identifying and letting go of the negative, retaining the positive and sharing those feelings in a safe environment,” she says.

In addition to counseling or therapy, Mitarotondo also recommends a technique she uses in her programs called “memorializing the loss.”

“We use the creative arts to try to honor the person or other loss and make a positive concrete symbol of the relationship in all its goodness that people can carry forward,” she says. “Participants may create a collage, decorate a stone or a heart, create a small sculpture, write and share a letter, or use another medium to make a symbol to remember and honor their loved one.”

To address any other complications stemming from grief—such as PTSD, major depression, or substance abuse—your HCP may recommend more condition-specific treatment options such as medication or rehabilitation.

Healing doesn’t mean you’ve forgotten
If you’ve lost a loved one and you’re having a hard time understanding what life will be like once you do recover from the passing, you should know that healing—even from complicated grief—will never mean you’ve forgotten the person and what they meant to you.

Coping successfully just means you’ve learned to accept their passing, which is good for your physical, mental, and emotional well-being.

Article sources open article sources

American Psychiatric Association. “APA Releases Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, Text Revision (DSM-5-TR).” March 18, 2022.
American Psychiatric Association. “APA Offers Tips for Understanding Prolonged Grief Disorder.” September 23, 2021.
American Psychological Association. Grief: Coping with the loss of your loved one. Date created: January 1, 2020.
Barry, Ellen. “How Long Should It Take to Grieve? Psychiatry Has Come Up With an Answer.” The New York Times. March 18, 2022.
National Institute of Mental Health. Depression. Last Revised: February 2018.
Monk TH, Germain A, Reynolds CF. Sleep Disturbance in Bereavement. Psychiatr Ann. 2008;38(10):671-675.
National Institute of Mental Health. Post-Traumatic Stress Disorder. Last Revised: May 2019.

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