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Symptoms of Grief

by Kirsti A. Dyer MD, MS, FT
for About.com

Updated: October 26, 2006

About.com Health's Disease and Condition content is reviewed by the Medical Review Board

Grief is a normal response to the loss of a loved one. The entire person--mind, body and spirit--reacts when responding to grief. Common reactions can include physical, emotional, behavioral or psychological, social and even spiritual changes. The symptoms listed are among the normal responses that may occur after experiencing a loss.

Potential Symptoms of the Acute Grief Response

Physical Symptoms

  • Fatigue, Feelings of Exhaustion
  • Weakness
  • Shortness of breath
  • Tightness in the throat
  • Palpitations
  • Nausea
  • Diarrhea
  • Constipation
  • Aches and pains - Abdominal, stomach pain, back pain, headache
  • Lightheaded, Dizziness
  • Trouble sleeping
  • Change in appetite, increased or decreased leading to change in weight
  • Change in sex drive
  • Crying, sighing
  • Restlessness

Emotional Symptoms

  • Emotionally labile
  • Sadness
  • Anger, Irritability
  • Panic, Anxiety
  • Meaninglessness, Helplessness
  • Apathy
  • Numbness, Disbelief, Denial
  • Longing
  • Abandonment, Loneliness
  • Self Blame
  • Fear
  • Guilt
  • Relief

Behavioral/Psychological Symptoms

  • Forgetfulness
  • Difficulty concentrating, Slowed thinking
  • Wandering aimlessly
  • Feeling trance-like
  • Sense of unreality or emptiness
  • Dreams of the deceased
  • Searching for the deceased
  • Sense the loved one's presence
  • Hallucinations of the deceased, sensing their presence (visual or auditory)
  • Assuming mannerisms or traits of the loved one
  • Needing to retell the story of the loved one's death
  • Avoiding talking about loss so others won't feel uncomfortable

Social Symptoms

  • Overly sensitive
  • Dependent
  • Withdrawn
  • Avoiding others
  • Lack of initiative or interest
  • Hyperactive
  • Underactive
  • Relationship difficulties
  • Lowered self esteem

Spiritual

  • Doubting belief system
  • Questioning spiritual values
  • Spiritual injury
  • Loss of faith
  • Disappointment in religion, clergy and church members
  • Feeling betrayed by God or Spiritual Force
  • Angry with God or Deity
  • Preoccupied with own death
  • Sensing presence (visual or auditory)
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© 2006 Kirsti A. Dyer MD, MS, FT. Licensed for use to About.com.
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Sources:
Bertmen SL, Sumpter HK, Greene HL. "Bereavement and Grief." Clinical Medicine. Ed. Greene HL. 2nd ed. St. Louis, MO: Mosby Year Book, Inc. 1996. 856-8.
Casarett D, Kutner JS, Abrahm J. Life after Death: A Practical Approach to Grief and Bereavement. Ann Intern Med. 2001;134:208-215. 24 October, 2006. <http://www.annals.org/cgi/reprint/134/3/208.pdf>
Dyer KA. Acute Grief Response. Loss, Change and Grief. Journey of Hearts. 11 September 2002. 24 October 2006. <http://www.journeyofhearts.org/jofh/grief/grief_res>
The Hospice of the Florida Suncoast. Grief - A Normal Response to Loss. 23 October 2006 <http://www.thehospice.org/griefnormal.htm>
Fitzgerald H. The Mourning Handbook. New York, N. Y.: A Fireside Book, 1994, p. 37.
Kutner JS. Grief and Bereavement: Physical, Psychological, and Behavioral Aspects. ACP Annual Meeting 2000.
National Cancer Institute. Loss, Grief, and Bereavement (PDQ) 2005. Health Professional Version. 15 October 2005. 24 October 2006. <http://www.cancer.gov/cancertopics/pdq/supportivecare/bereavement/HealthProfessional/page1>
Saindon C. Grief: A Normal and Natural Response to Loss. Self Help Magazine. 15 April 1998. 24 October 2006. <http://www.shpm.com/articles/trauma/grief.html>

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