When Grief Feels Like It Isn't Easing: Understanding Prolonged Grief

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Grief & Loss

When Grief Feels Like It Isn't Easing: Understanding Prolonged Grief

Grief has no fixed timeline. But sometimes grief remains so intense and consuming that everyday life becomes difficult. A compassionate look at prolonged grief and when additional support may help.

By Andrea O'Reilly, MSW, RSW5 min read
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When Grief Feels Like It Isn't Easing: Understanding Prolonged Grief

Grief does not follow a schedule.

There is no point at which someone should be "over" the death of a person they love, and there is no universal timeline for when grief should feel lighter. A significant loss can continue to shape us for years — sometimes for the rest of our lives.

For many people, grief changes over time. The loss remains important, but there may gradually be more space around the pain. Moments of connection, interest, rest, or even joy may begin to coexist with longing and sadness.

For some people, however, grief remains intensely consuming. The person who died may feel present in nearly every thought. Daily life may become increasingly difficult to navigate, and the world can feel profoundly altered long after others expect things to have returned to "normal."

Sometimes this experience is described clinically as Prolonged Grief Disorder.

Grief itself is not a disorder

This distinction matters.

Deep sadness, longing, crying, anger, numbness, guilt, difficulty concentrating, disrupted sleep, and waves of intense emotion can all be part of grief. Experiencing these things does not mean that you are grieving incorrectly or that something is wrong with you.

Grief is a human response to losing someone who mattered.

It is also not linear. A person can feel relatively steady for weeks and suddenly find themselves overwhelmed by an anniversary, a familiar song, an empty chair, a medical appointment, or an ordinary moment they would once have shared with the person who died.

The passage of time alone does not determine whether grief is healthy or unhealthy.

What is Prolonged Grief Disorder?

Prolonged Grief Disorder, sometimes shortened to PGD, is a diagnosis included in the current Diagnostic and Statistical Manual of Mental Disorders, the DSM-5-TR.

In adults, clinicians may consider this diagnosis when at least 12 months have passed since the death and grief continues to involve persistent, intense longing for the person who died or a strong preoccupation with the loss, together with other significant difficulties.

These can include experiences such as:

  • feeling as though part of your identity disappeared with the person who died
  • difficulty accepting or fully comprehending the reality of the death
  • avoiding reminders of the loss
  • intense emotional pain related to the death
  • feeling disconnected from other people
  • difficulty returning to relationships, interests, or everyday activities
  • emotional numbness
  • feeling that life has lost meaning
  • profound loneliness

The experience must also cause significant distress or interfere with important areas of daily life.

Just as importantly, clinicians are expected to consider a person's cultural, social, and religious context. There is no single way that grief is supposed to look.

A diagnosis cannot be determined from a checklist or a blog article. It requires thoughtful assessment by a qualified professional.

When grief affects everyday life

You do not need to meet criteria for a diagnosis before grief deserves support.

Sometimes people reach out because they feel exhausted from carrying their grief privately. Others are functioning at work, caring for family, attending appointments, and doing everything that needs to be done — while internally feeling as though life has stopped.

You might notice that:

  • almost all of your emotional energy is centred on the loss
  • relationships or responsibilities are becoming increasingly difficult to manage
  • you feel profoundly disconnected from the life around you
  • you avoid people, places, conversations, or situations connected to the death
  • you feel unable to imagine a life that includes both the loss and a future
  • the intensity of your grief is frightening or difficult to carry alone

None of these experiences means that you have failed to grieve properly.

They may simply mean that what you are carrying deserves more support.

Therapy does not have to be about "moving on"

People sometimes hesitate to seek grief therapy because they worry that therapy will ask them to let go, find closure, stop talking about the person who died, or move forward before they are ready.

That is not how grief support needs to work.

Grief therapy can offer a place where the relationship, the loss, and the life that changed are allowed to matter.

It may involve making room for feelings that have been difficult to express elsewhere, understanding how the loss has affected your identity and relationships, finding ways to live with reminders and painful moments, and exploring how connection with the person who died may continue even as life changes.

For some people, therapy also provides support with traumatic aspects of a death, guilt, unanswered questions, caregiving experiences, family conflict, or the disorienting task of discovering who they are in a life they did not choose.

The goal is not to erase grief.

It is to help make the experience more possible to carry.

There is no deadline for needing support

People seek grief therapy at many different points.

Some reach out soon after a death. Others come months or years later, when they realize that they have been surviving rather than truly having space to understand what happened.

There is no required level of suffering and no particular timeline you have to meet before asking for help.

If grief continues to feel overwhelming, isolating, or difficult to carry, you are allowed to seek support — whether or not anyone would give your experience a diagnostic name.

At Therapy Bee, grief-focused psychotherapy is grounded in a relational, trauma-informed and grief-literate approach. We make room for what happened, what changed, and what remains, without rushing you toward closure, acceptance, forgiveness, or a version of "moving on" that does not fit.

Your grief does not need to disappear for life to become more livable.

Sometimes the work is learning how both can exist.

If you would like support

Therapy Bee offers grief-focused psychotherapy for adults virtually across Ontario and in person in Oakville.

This article is intended for general reflection and educational purposes. It is not a substitute for individualized medical or mental health care. If you are in distress or crisis, please reach out to a qualified professional or a crisis service in your area.

Andrea O'Reilly, therapist and author

About the author

Andrea O'Reilly, MSW, RSW

Registered Social Worker, Psychotherapist

Andrea O'Reilly is a grief- and trauma-informed therapist based in Oakville, Ontario, offering individual therapy across Ontario. She specializes in supporting people through grief, trauma, anxiety, and life transitions — with warmth, depth, and a deep respect for each person's story.

Meet Andrea

Therapy does not require you to arrive with the right words or a clear explanation. We can begin with what is here.