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Symptoms of grief

Anger
Blaming yourself
Crying spells
Diarrhea
Dizziness
Fast heartbeat
Feeling like there's a lump in your throat
Feeling like what's happening around you isn't real
Headaches
Hyperventilating -- sighing and yawning
Nausea
Not being able to get organized
Not feeling hungry or losing weight
Restlessness and irritability
Sadness or depression
Seeing images of the dead person
Shortness of breath
Tightness in your chest
Tiredness
Trouble concentrating
Trouble sleeping

Grief is a normal, healthy response to loss. One of the greatest losses that can occur is the death of someone you love. Other losses include the loss of your health or the health of someone you care about, or the end of an important relationship, such as through divorce. Healing from a loss involves coming to terms with the loss and the meaning of the loss in your life.

As you face a loss, you may have different feelings at different times. These feelings include shock, denial, anger, guilt, sadness and acceptance. You may find yourself going back and forth from one feeling to another. For example, right when it seems that you're starting to accept your loss, you may find yourself feeling sad or guilty again. Your grief may never completely go away. But the pain you feel will lessen with time as you work through these feelings.

In the first hours or days after the loss, you may feel shocked, numb and confused. You may not remember what people are saying to you. You may feel dazed and as though you're going through things like a robot. You may think and act as though the loss hasn't occurred. This is called denial.

As your shock wears off, reality will slowly break through. You'll begin to realize that the loss has happened. It's normal to feel abandoned and angry. You may direct your anger toward God, religion, doctors and nurses, the one who has died or other loved ones, or even yourself.

After you get through some of the anger and denial, it's normal to try to pretend things are like they used to be. If someone you love has died, you may play memories over and over in your mind. You may also feel the presence of your loved one, think you see him or her, or think you hear his or her voice.

You may also find yourself talking to your loved one as though he or she were in the room with you. As you begin to realize that your loved one is gone and you can't bring him or her back, you'll begin to feel the full impact of your loss. These feelings may be scary because they're so strange and so strong. They may make you feel like you're losing control.

When you begin to realize the full impact of the loss on your life, you may feel depressed and hopeless. You may also feel guilty. You may find yourself thinking things like "if only" or "why me." You may cry for no apparent reason. This is the most painful stage of healing, but it won't last forever. In normal grief, the depression will begin to lift with time.

You may start to feel better in small ways. For example, you may find it's a little easier to get up in the morning, or you may have a small burst of energy. This is the time when you'll begin to reorganize your life around your loss or without your loved one.

Tips on dealing with a loss

Talk about how you're feeling with others.
Try to keep up with your daily tasks so you don't feel overwhelmed.
Get enough sleep, eat a well-balanced diet and exercise regularly.
Avoid alcohol. Alcohol can make you feel more depressed.
Get back into your normal routine as soon as you can.
Avoid making major decisions right away.
Allow yourself to grieve--to cry, to feel numb, to be angry or to feel however you're feeling.
Ask for help if you need it.

The last stage of accepting a loss is when you begin to reinvest in other relationships and activities. During this time, it's normal to feel guilty or disloyal to your loved one because you're moving on to new relationships. It's also normal to relive some of your feelings of grief on birthdays, anniversaries, holidays and during other special times.

You'll probably start to feel better in 6 to 8 weeks. The whole process usually lasts 6 months to 4 years.

If you feel like you're having trouble getting through the process at any point, ask for help. People who can help include friends, family, clergy, a counselor or therapist, support groups and your family doctor.

Be sure to talk to your family doctor if you have a lot of trouble eating, sleeping or concentrating for more than the first couple of weeks. These things can be signs of depression. Your family doctor can help you work through your depression and start to feel better about your loss.