Dealing with Complex Grief

Losing a loved one is one of life's most difficult experiences. Coping with grief

presents its own unique challenges and can be overwhelming.  Maybe you’re

feeling a deep, relentless sense of sadness, longing, and despair? You may even

know that what you’re experiencing is grief. However, you also know that while

uncomfortable, grief typically becomes more bearable with time, and you are able

to resume your usual activities and responsibilities. 

But what if these intense feelings don’t decrease? What if they actually stay the

same, or worse, get more intense with time? What if the impact on your life begins

to feel increasingly out of control? These are indications that you might be dealing

with complex grief. Complex grief symptoms may become increasingly pronounced

over time, which is why recognizing the signs of complex grief in yourself and

others is essential. 

What is Complex Grief? 

Complex grief involves prolonged, persistent distress following a significant loss.

Basically, this form of

grief is more severe, more prolonged, and influences your ability to function,

therefore impacting your health, relationships, and occupational obligations.  

Common symptoms of complex grief include: 

  • Intense feelings of sadness 

  • Rumination over the loss

  • Extreme focus on OR avoidance of reminders of the loss

  • A persistent sense of emptiness 

  • Difficulty engaging in previously enjoyable activities

  • Feeling numb, detached or disconnected from others 

  • Long-term denial or anger 

  • Feeling a loss of meaning or purpose

  • Suicidal ideations 

  • Relational difficulties 

  • Substance abuse 

  • Insomnia 

  • Fatigue and general malaise 

RISK FACTORS FOR COMPLEX GRIEF

A History of Mental Health Challenges 

If you already struggle with depression, anxiety, or bipolar disorder, it can increase

your chances of experiencing complex grief. A history of PTSD or complex trauma

can also increase the likelihood of experiencing complex grief. To illustrate,

depression and grief usually involve sadness, hopelessness and a disinterest in

once pleasurable activities. Not to mention, both can be associated and deeply

intertwined with the layers of pain in losing someone with whom you had a

confusing, painful, or difficult but close relationship. The many layers involved in

such a loss can create an interplay between pain of the past alongside the present

grief, causing a level of pain and discomfort that makes everything about the grief

more complicated.  

A Lack of Social Support 

An older woman sitting on a chair, by herself and looking out the window.

Human connection is crucial when it comes to moving past loss. Loved ones ideally

offer practical assistance such as cooking meals, and they provide emotional

support by providing opportunities for storytelling, reminiscing, and reflecting on

the loss. Not to mention, loved ones can usually tell when what we are

experiencing seems out of the norm and can help encourage you to seek

professional help.  In general, connections are key to maintaining mental health, so

the absence of connection coupled with grief makes you more vulnerable to

psychological distress. The fewer close relationships you have, the more severely

you might feel the impact of losing a loved one. 

Narcissistic Relationships

The loss of a complicated relationship often leads to equally complicated grief. For

example, losing a parent can be a painful experience for anyone, but losing a

narcissistic parent tends to be even more difficult. Because narcissistic parents are

preoccupied with themselves and engage in behaviors that harm their children, you

are likely to have mixed feelings like love, anger, relief, and despair when a parent

dies.

Then these ambivalent feelings can cause guilt or confusion, further complicating

your grief. Plus, you probably have multiple things to grieve for: you may, for

instance, not only grieve the loss but also the missed experiences that would have

come with a loving parent. Recognizing how destructive the relationship was can be

a painful reality to face, not to mention the many ways in which it caused issues of

negative self image and difficulty in other areas of your life. The death of a

narcissistic parent could bring up past feelings of shame and inadequacy, meaning

you might have more to process than someone who lost a healthier relationship. 

HOW TO COPE WITH COMPLEX GRIEF

Join a Support Group

Connecting with others who are grieving can allow you to feel less alone. It can feel

like a breath of fresh air when you otherwise feel like you’re drawing if you receive

the validation, understanding and empathy from others who actually get it. Support

groups help create an environment where you get these benefits as the people in

your life who haven’t experienced a significant loss may not be able to grasp the

depth or intensity of your pain. Even those who experienced the loss with you may

not understand why or how it is hitting you so differently. Now only do support

groups help you feel more connected, most support groups provide coping

strategies and resources, and equip you with long-term tools that can help you in

your day to day life. 

A person’s hand on the back of another person, comforting them.

Take Care of Yourself

Grief takes a toll on your physical health by increasing fatigue, suppressing your

immune system, and heightening your stress response, Therefore, prioritizing

nutrition, rest, and exercise can go a long way.

Paying extra attention to your mental health is just as important as caring for your

body. Given that grief can easily trigger a bout of anxiety or depression, consider

incorporating additional self-care, mindfulness, or meditation into your routine. 

Try Bereavement or Grief Counseling

While self-care can make a major difference, sometimes professional help is

necessary. If you are struggling to pull yourself out of a rut, talking to a mental

health professional can help you get back on track as therapy provides a safe space

to express emotions, process loss, and gain new coping tools.

Fortunately, the therapists at HavenMHC are well trained in grief counseling and

would be grateful for the opportunity to be part of your recovery journey. Please

reach out for a free consultation to learn more. 

References

Degges-White, Suzanne. (2023). Grieving Twice: Adult Children of Narcissistic

Parents. Psychology Today. 

Mayo Clinic Staff. (2022). Complicated Grief, Mayo Clinic.