Dec
The pandemic has given rise to pervasive feelings of grief and mourning for many individuals, leading to the inclusion of prolonged grief disorder as an official mental health disorder by the American Psychiatric Association (APA). This disorder can manifest when someone close has passed away within the last 12 months, causing intense longing and preoccupation with thoughts about the deceased for most of the day, nearly every day, lasting for at least a month. Prolonged grief disorder is not limited to the death of a loved one; it can also emerge after traumatic events such as natural disasters and mass shootings. Seeking professional help is recommended when grief persists for weeks and months, according to David H. Rosmarin, director of the spirituality and mental health program at Harvard-affiliated McLean Hospital.
See the signs
Prolonged grief disorder can manifest in various ways, and the symptoms experienced, as well as their severity, may differ among individuals. The common symptoms include:
1. Identity disruption (feeling as though part of oneself has died)
2. A marked sense of disbelief about the death
3. Avoidance of reminders that the person is dead
4. Intense emotional pain (anger, bitterness, sorrow) related to the death
5. Difficulty moving on with life, such as problems engaging with friends, pursuing interests, and planning for the future
6. Emotional numbness
7. Feeling that life is meaningless
8. Intense loneliness and feeling alone or detached from others.
If left unaddressed, prolonged grief disorder can lead to an overproduction of cortisol (the stress hormone) in the body over time. Elevated cortisol levels can contribute to increased blood pressure and higher blood sugar and cholesterol levels. Additionally, the disorder may indirectly impact healthy habits, such as reduced exercise and neglect of routine screenings. Individuals with prolonged grief disorder are also at a higher risk of alcohol and drug abuse. Without intervention, the condition may progress into more serious concerns, such as chronic depression, warns David H. Rosmarin, director of the spirituality and mental health program at Harvard-affiliated McLean Hospital.
Talk it out
Men may find it challenging to recognize or address the signs of prolonged grief disorder, potentially influenced by gender-specific approaches to grieving. Men often struggle with being honest about their difficulties in coping with loss. David H. Rosmarin emphasizes the importance of men understanding that it’s acceptable to acknowledge their struggles and seek help.
Expressing feelings can be difficult for men, but discussing their grief is a crucial step in confronting it. Rosmarin suggests that opening up to a close friend or someone trustworthy can provide relief. However, for those who may not feel comfortable with this approach, professional talk therapy is recommended. Therapy sessions with a licensed psychologist, psychiatric nurse, counselor, social worker, or psychiatrist offer a safe environment to explore feelings without fear of judgment.
Professional therapy can help individuals examine the depth of their grief and initiate the healing process. Rosmarin notes that, in many cases, a few therapy sessions may be sufficient. Going through this process prepares individuals for potential triggers of prolonged grief disorder in the future, enhancing their coping mechanisms. Rosmarin emphasizes the value of seeking professional support as a proactive step toward healing.
Do men and women grieve differently?
Research indicates that men and women often exhibit differences in how they cope with grief. Men, in particular, may tend to grieve in isolation, seeking distractions like work and engaging in addictive or risk-taking behaviors. The reluctance to admit or show grief may be linked to societal notions equating such expressions with weakness. This mindset could contribute to the higher likelihood of men resorting to self-destructive behaviors and even suicide after the death of a spouse.
David H. Rosmarin, the director of the spirituality and mental health program at Harvard-affiliated McLean Hospital, emphasizes the importance of overcoming this mindset. Recognizing the need for assistance and acknowledging the impact of grief can be crucial for men in managing their grief before it escalates. Seeking help and support can be a proactive step toward healthier coping mechanisms and emotional well-being.
