When grief becomes long-lasting and overwhelming
Prolonged Grief Disorder (PGD) is a mental health condition in which intense, persistent grief lasts for more than a year after a loss. It causes ongoing emotional pain, difficulty accepting the loss, and challenges in daily functioning, especially in older adults who may face multiple losses in later life.
Prolonged Grief Disorder (PGD) is a mental health condition in which intense, persistent grief lasts for more than a year after a loss. It causes ongoing emotional pain, difficulty accepting the loss, and challenges in daily functioning, especially in older adults who may face multiple losses in later life.
Prolonged Grief Disorder (PGD) occurs when the natural grieving process becomes stuck and turns into chronic distress. People with PGD experience intense longing for the deceased, persistent sadness, and difficulty engaging in normal life activities. The condition is recognized by the American Psychiatric Association and can follow the loss of a loved one, friend, or companion. Older adults may be at higher risk due to social isolation, chronic illness, or the loss of long-term partners. PGD differs from depression or post-traumatic stress disorder (PTSD) but may occur alongside them. Early recognition and supportive interventions such as therapy, social connection, and community engagement can promote healing and prevent further decline in emotional and physical health.
Review the most relevant symptoms, risk factors, and common care approaches in one place.
Several factors can increase the risk of developing this condition, including:
Age: Older adults may be more vulnerable after losing a spouse or close companion.
Social isolation: Limited social contact can intensify feelings of loneliness and loss.
Previous mental health issues: A history of depression or anxiety can raise susceptibility.
Nature of the loss: Sudden, traumatic, or multiple losses heighten emotional strain.
Lack of support: Absence of family or community support can prolong grief.
Physical health problems: Chronic illness can reduce resilience and coping ability.
Symptoms can vary but often include:
Persistent sadness: Deep sorrow lasting more than 12 months after a loss.
Intense yearning: Strong desire to be reunited with the deceased.
Difficulty accepting the loss: Trouble believing or adjusting to the reality of the death.
Social withdrawal: Avoiding people or activities once enjoyed.
Guilt or anger: Lingering feelings about what could have been done differently.
Impaired daily function: Struggling to maintain routines or personal care.
Coping with this condition can be challenging, but these strategies may help:
Grief counseling: Talking with a trained therapist can support emotional processing.
Support groups: Connecting with others who’ve experienced loss reduces isolation.
Routine and structure: Maintaining daily habits provides stability and purpose.
Physical activity: Gentle exercise, such as walking, can ease tension and improve mood.
Mindfulness or meditation: Calms the mind and encourages emotional balance.
Creative expression: Writing, music, or art can help express difficult emotions.
| Food | Type | How It Helps | Support |
|---|---|---|---|
| Salmon | Fatty Fish | Omega-3s support brain health and may help regulate mood during grief. | |
| Dark Chocolate | Other | Contains compounds that may help elevate mood and provide comfort. | |
| Chamomile Tea | Beverage | Calming properties may help reduce anxiety associated with grief. | |
| Walnuts | Nut | Brain-healthy fats support emotional well-being during difficult times. |
Omega-3s support brain health and may help regulate mood during grief.
Contains compounds that may help elevate mood and provide comfort.
Calming properties may help reduce anxiety associated with grief.
Brain-healthy fats support emotional well-being during difficult times.
Can worsen grief symptoms and interfere with emotional processing.
May increase anxiety and interfere with sleep during grief.
Can worsen mood and energy levels when coping with grief.
Start with the options that have more supporting research and then review the details with your care team.
Discover evidence-based treatments and research for prolonged grief disorder (pgd).
Treatment focuses on managing symptoms and improving quality of life:
Complicated grief therapy: A specialized form of psychotherapy to address prolonged mourning.
Cognitive-behavioral therapy (CBT): Helps replace distressing thoughts with healthier coping skills.
Medication: Antidepressants may help when depression or anxiety accompany grief.
Social engagement: Encouraging connection through volunteering or community groups.
Mindfulness and relaxation techniques: Reduce stress and promote inner calm.