Treatment of Grief
Key Points for This Section
- Normal grief may not need to be treated.
- Complicated grief may be treated with different types of psychotherapy (talk therapy).
- Depression related to grief is sometimes treated with drugs.
Most bereaved people work through grief and recover within the first 6 months to 2 years. Researchers are studying whether bereaved people experiencing normal grief would be helped by formal treatment. They are also studying whether treatment might prevent complicated grief in people who are likely to have it.
Researchers are studying the treatment of mental, emotional, social, and behavioral symptoms of grief. Treatment methods include discussion, listening, and counseling.
Complicated grief treatment (CGT) has three phases:
- The first phase includes talking about the loss and setting goals toward recovery. The bereaved are taught to work on these two things.
- The second phase includes coping with the loss by retelling the story of the death. This helps bereaved people who try not to think about their loss.
- The last phase looks at progress that has been made toward recovery and helps the bereaved make future plans. The bereaved's feelings about ending the sessions are also discussed.
In a clinical trial of patients with complicated grief, CGT was compared to interpersonal psychotherapy (IPT). IPT is a type of psychotherapy that focuses on the person's relationships with others and is helpful in treating depression. In patients with complicated grief, the CGT was more helpful than IPT.
Cognitive behavioral therapy (CBT) works with the way a person's thoughts and behaviors are connected. CBT helps the patient learn skills that change attitudes and behaviors by replacing negative thoughts and changing the rewards of certain behaviors.
A clinical trial compared CBT to counseling for complicated grief. Results showed that patients treated with CBT had more improvement in symptoms and general mental distress than those in the counseling group.
There is no standard drug therapy for depression that occurs with grief. Some health care professionals think depression is a normal part of grief and doesn't need to be treated. Whether to treat grief-related depression with drugs is up to the patient and the health care professional to decide.
Clinical trials of antidepressants for depression related to grief have found that the drugs can help relieve depression. However, they give less relief and take longer to work than they do when used for depression that is not related to grief.