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Care Pathway

Grief Care Pathway

Understand the grief process, find bereavement support in NH, and access self-help tools for coping.

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Understand

Grief is the natural, multifaceted response to loss — most commonly the death of someone important, but also the loss of a relationship, health, identity, or way of life. There is no "right" way to grieve, and the experience varies enormously across individuals and cultures. Common grief responses include waves of sadness, yearning, anger, guilt, confusion, and physical symptoms like fatigue, appetite changes, and sleep disruption.

Most people move through grief without professional intervention, though the process is rarely linear and there is no fixed timeline. The DSM-5-TR introduced prolonged grief disorder (PGD) to describe a small but significant subset of bereaved people whose grief remains intense and functionally impairing 12 months or more after the loss (6 months for children). PGD is characterized by persistent, pervasive yearning for the deceased and a sense of being stuck or unable to move forward.

Professional support for grief ranges from bereavement support groups (widely available and often free) to individual grief counseling and specialized treatments like complicated grief therapy (CGT). Grief does not require treatment, but support can help — especially when grief is complicated by isolation, prior mental health conditions, traumatic loss, or lack of social support.

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Screen Yourself

No self-screener is available for grief

There is no widely used, validated self-report screener for grief comparable to the PHQ-9 or GAD-7. Grief is a normal process, not a disorder to screen for. If your grief feels unmanageable, has persisted beyond 12 months with intense yearning and functional impairment, or involves thoughts of suicide, consider reaching out to a grief-informed therapist. The self-assessment questions below can help you reflect on your experience.

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Find Help in New Hampshire

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Self-Help Tools

Worksheets

Wellness tools

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Learn More

What to expect in treatment

Most grief does not require clinical treatment, but professional support can help when grief is persistent, intense, or complicated by other factors. Bereavement support groups (often free through hospices, community organizations, or faith communities) provide connection and normalization. Individual grief counseling can help process the loss and rebuild meaning. For prolonged grief disorder, specialized treatments like Complicated Grief Therapy (CGT) have strong evidence. Medication may help with co-occurring depression or anxiety symptoms.

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