Grief (Including Complicated / Prolonged Grief)

A natural response to loss that can deeply affect emotions, identity, and daily life over time.

1) What it is

Grief is a natural response to losing someone or something important. It can affect emotions, the body, sleep, concentration, relationships, and sense of identity.

NHS notes that support is available if grief is affecting your life.

Sometimes grief becomes complicated or prolonged, where intense grief continues and life feels stuck, overwhelming, or unable to move forward.

2) What it feels like (real-life examples)

People may say:

  • “I feel numb and then suddenly overwhelmed.”
  • “I can’t accept they’re gone.”
  • “I feel guilty, angry, or lost.”
  • “Life has no meaning now.”
  • “I’m functioning, but I’m broken inside.”

Grief often comes in waves rather than following a straight line.

3) Common signs & symptoms

  • waves of sadness, yearning, crying
  • numbness or shock
  • anger, guilt, and “what if” thoughts
  • sleep disturbance or appetite changes
  • brain fog and poor concentration
  • social withdrawal
  • physical symptoms (tight chest, fatigue, aches)

Signs grief may be prolonged or complicated

  • persistent, intense yearning with inability to re-engage with life
  • avoidance of reminders so strong that life becomes very restricted
  • ongoing severe impairment months or years after the loss

4) What causes it / risk factors

Grief may become more complex after:

  • sudden or traumatic loss
  • bereavement after suicide
  • multiple or repeated losses
  • lack of emotional or practical support
  • prior mental health difficulties
  • complicated relationships or unfinished business

5) Triggers (what can make it worse)

  • anniversaries, birthdays, holidays
  • songs, places, or smells
  • paperwork or legal processes
  • seeing others appear to “move on”
  • loneliness and isolation

6) What helps right now (fast relief tools)

  • grounding and slow breathing during grief waves
  • one tiny care task (water, shower, simple food)
  • name the experience: “This is a grief surge”
  • contact one safe person
  • delay major decisions when overwhelmed

7) Longer-term self-help strategies

  • gentle routines for sleep and meals
  • grief journaling or writing letters to the person
  • memory rituals (photo, candle, walk, music)
  • support groups or bereavement counselling
  • gradual re-engagement with life, one small step at a time

8) Treatment options (what usually helps)

Support may include:

  • bereavement counselling
  • peer or group support
  • talking therapies if grief links with depression or anxiety
  • specialist grief therapy for prolonged or complicated grief

NHS can guide access to appropriate services.

9) Medication overview (plain-English)

Medication does not treat grief itself.

However, it may help if there is severe depression, anxiety, or significant sleep disruption, guided by a GP or specialist.

10) Work, relationships & daily life tips

  • ask for compassionate adjustments at work
  • tell trusted people what helps (talking, practical help, quiet presence)
  • set boundaries with unhelpful comments such as “be strong” or “move on”

11) When to seek urgent help

Seek urgent help if there is:

  • suicidal thoughts
  • inability to eat or sleep for prolonged periods
  • feeling unable to keep yourself safe

12) Trusted help & resources

Get help (National support)

  • NHS: Grief after bereavement or loss
  • Cruse Bereavement Support: Helpline and bereavement support
  • NHS: Mental health services and urgent help
  • Samaritans: 116 123 (24/7)
  • Shout: text SHOUT to 85258 (24/7)