Manifestations of normal grief

I. FEELINGS 

  • Shock 
  • Numbness
  • Relief
  • Emancipation
  • Sadness
  • Yearning
  • Anxiety (fear)
  • Anger
  • Guilt and self-reproach
  • Loneliness 
  • Helplessness
  • Hopelessness
  • Abandonment
  • Feeling out of control

III.        PHYSICAL SENSATIONS

  • Hollowness in stomach
  • Tightness in chest
  • Tightness in throat
  • Heart palpitations
  • Oversensitivity to noise
  • Sense of depersonalization (nothing seems real, including self)
  • Breathlessness
  • Weakness and/or tension in muscles
  • Lack of energy
  • Dry Mouth
  • Gastrointestinal disturbances
  • Loss of sexual desire

 II. COGNITIONS (Thoughts)

  • Disbelief
  • Confusion
  • Inability to concentrate 
  • Preoccupation with thoughts of the deceased
  • Sense of presence
  • Visual and auditory hallucinations
  • Dreams of the deceased
  • Sense of going crazy

IV. COMPLEX BEHAVIORS 

  • Sleep disturbance
  • Appetite disturbance
  • Searching and calling out
  • Crying
  • Sighing
  • Absent-minded behavior
  • Restless overactivity
  • Visiting places or carrying objects that remind one of the deceased
  • Treasuring objects that belonged to the deceased
  • Avoidance of reminders of the deceased
  • Social withdrawal
  • Lack of capacity to initiate and to maintain organized patterns of activity
  • Identification with the deceased
adapted from Grief Counseling and Grief Therapy  by J. W. Worden and Bereavement, by C. M. Parkes