What should I do if I'm experiencing anticipatory grief?
Grief & Loss
Anticipatory grief—the grief you experience before an actual loss occurs—can be just as intense and challenging as grief after death.
Anticipatory grief" target="_blank" rel="noopener noreferrer">Grief—the grief" target="_blank" rel="noopener noreferrer">Grief you experience before an actual loss occurs—can be just as intense and challenging as Grief after death. This type of Grief often happens when someone you love has a terminal illness, is in hospice care, or is facing other life-threatening situations where death seems inevitable.
Understand that anticipatory Grief is a normal response to impending loss and doesn't mean you're giving up hope or wishing for someone's death. Your mind and heart are naturally beginning to process the reality of losing someone important to you, which is a protective mechanism that can help prepare you for the actual loss.
Recognize that anticipatory Grief can include many of the same emotions as Grief after death, including sadness, anger, Anxiety disorder, guilt, and even relief. You might feel guilty about feeling relieved that suffering will end, or angry that you're losing time with your loved one.
Allow yourself to grieve the losses that are already occurring, such as changes in your loved one's personality, abilities, or role in your life. You may be grieving the loss of future plans, dreams, and experiences you'll never share together.
Spend quality time with your loved one while you can, focusing on connection and meaning rather than trying to pack in everything you've ever wanted to say or do. Sometimes the pressure to make every moment perfect can interfere with natural, comfortable interactions.
Have important conversations while your loved one is still able to communicate effectively. This might include expressing your love and thankfulness, sharing favorite memories, asking questions about family history, or discussing their wishes for end-of-life care and memorial services.
Take care of practical matters such as advance directives, wills, funeral planning, and other end-of-life arrangements if your loved one is willing and able to participate in these discussions. Having these conversations can provide peace of mind for everyone involved.
Balance time spent caregiving or visiting with taking care of your own needs. Anticipatory Grief can be exhausting, and you need to maintain your physical and emotional health to be present for your loved one and to cope with the eventual loss.
Seek support from others who understand what you're experiencing, such as other family members, friends who have faced similar situations, support groups for families dealing with terminal illness, or professional counselors who specialize in Grief and loss.
Consider joining a caregiver support group if you're involved in caring for your loved one, as these groups can provide practical advice and emotional support for the unique challenges of caring for someone who is dying.
Be patient with family dynamics and conflicts that may arise during this difficult time. Anticipatory Grief can intensify family tensions, and people may cope differently or disagree about care decisions. Try to focus on what's best for your loved one while protecting your own emotional wellbeing.
Prepare yourself for the possibility that your loved one may die when you're not present, and try to make peace with this possibility. Many people worry about not being there at the moment of death, but being present for the relationship throughout their life is what matters most.
Document memories and create keepsakes while you can, such as recording your loved one's voice, taking photos, or asking them to write letters for future occasions. These tangible reminders can provide comfort after they're gone.
Understand that experiencing anticipatory Grief doesn't necessarily make the actual loss easier to bear. While it may help you process some emotions in advance, you'll still need to grieve the finality of death when it occurs.
Be aware that anticipatory Grief can sometimes lead to emotional exhaustion or a sense of being "grieved out" by the time death actually occurs. This is normal and doesn't mean you loved the person any less or that you're relieved they died.
Seek professional help if anticipatory Grief is overwhelming your ability to function, if you're having thoughts of self-harm, or if you're struggling with complicated emotions like wishing for your loved one's death to end their suffering. These feelings are understandable but may benefit from professional support.