Grief is usually associated with the experience of loss, but anticipatory grief can start as soon as you become aware that death is on the cards. Once death is even just a possibility, it wouldn’t be unusual to start grieving. 
 
Anticipatory grief can bring about many of the same symptoms of grief, including sadness, forgetfulness, lack of concentration, and feeling down. We may also grieve the person who is dying’s loss of independence, hopes, stability, and identity. 
 
You may also find yourself in a heightened state of alert, waiting for the phone to ring, or watching your loved one deteriorate a bit more. This can feel exhausting. If your loved one has had a long-term illness during the last few months when hospital visits are only permitted right at the end of life, this feeling of waiting for the phone to ring may have been even more heightened. 
Anticipatory Grief
When death eventually comes, it can cause a sense of relief, which can trigger feelings of guilt for feeling the relief. Please know these feelings are totally normal. It’s worth noting that the relief you feel doesn’t change the love you had for the person. 

Tips for dealing with anticipatory grief 

1. Acknowledge your feelings. By giving your feelings a label, you will take the sting out of them. Are you feeling nervous, anxious, sad, disappointed, vulnerable, angry...? If you’re struggling to get past your feelings once you’ve acknowledged them, do something that will make you feel better. Listen to music, dance, sing, phone a friend, or go for a walk. Acknowledging everything means having your thoughts one at a time and getting to the point of them being in the past and you being in the present. 
 
2. Anticipatory grief can feel isolating, especially if all your time and energy is taken up with looking after someone. Try and make time to tell someone you trust how you are really feeling. 
How to deal with anticipatory grief
3. Try and take some time for you to avoid burning out. Keep a good sleep routine by going to bed and getting up at the same time daily. 
 
4. Use your time left to say all the things that you want to say, things like thanks, apologies, and I love you. Also think of any questions you may have. 
 
5. In our work with grieving people we regularly hear that one of the painful ideas that keeps them stuck in their grief is that they didn’t get to say goodbye. Saying goodbye is an important signal to your heart. It also signifies that we can say goodbye and still be alright. However, if they do die before your next conversation, it is one less thing to feel guilty about. Resist the temptation to say goodbye then 'speak to you tomorrow' as this negates the benefit of the goodbye – leaving an assumption that tomorrow’s conversation will happen and while it probably will, try turning it around so that the goodbye is last: 'speak tomorrow, sleep well, goodbye'. This way you can still keep your assumption and hope that you’ll speak to them again soon AND complete the conversation. Think of goodbye as the full stop. It always comes at the very end. 

Other ways to help yourself with anticipatory grief 

We appreciate this may be a very painful time. It may be the perfect time to order a copy of the Grief Recovery Handbook or our other book When Children Grieve to help any children in your family. You can also read our free guide on loss. 
 
If you would like to speak with someone who can listen and help you heal - no matter what type of loss or when it occurred - we have Advanced Certified Grief Recovery Specialists who are available to work with you online. There are no waiting lists and there is no better time to begin your healing journey. Click here to see a directory of our Specialists working online or find your nearest Specialist here
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