Complicated grief therapy for clinicians: An evidence‐based protocol for mental health practice

  title={Complicated grief therapy for clinicians: An evidence‐based protocol for mental health practice},
  author={Alana Iglewicz and M Katherine Shear and Charles F. Reynolds and Naomi M. Simon and Barry Lebowitz and Sidney Zisook},
  journal={Depression and Anxiety},
  pages={90 - 98}
In the United States alone, about 10 million persons are newly bereaved each year. Most do not require professional intervention or treatment, but many can benefit from targeted support. However, a significant minority of bereaved persons experience intense, prolonged and disabling grief symptoms associated with considerable morbidity and mortality (aka, “Complicated Grief”). Individuals with Complicated Grief require more formal interventions. In this article, we describe a compassionate and… Expand
Introduction to thematic issue
This edition of Depression and Anxiety begins with a commentary orienting the reader to the background and current issues regarding a persistent grief condition in DSM, followed by a paper examining typical beliefs in the condition. Expand
Grief-related beliefs in shidu parents with and without prolonged grief disorder: psychometric properties of a Chinese version of the Typical Beliefs Questionnaire.
  • Xin Xu, Jun Wen, +4 authors M. Shear
  • Medicine
  • Clinical psychology & psychotherapy
  • 2021
The Chinese version of the TBQ (TBQ-C) showed acceptable internal consistency and satisfactory convergent and concurrent validity in both groups, and had good discriminant validity and can be helpful in distinguishing shidu parents with and without PGD. Expand
COVID-19: Counseling With Bereaved Parents
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Pandemics and Clinical Psychology
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  • Reference Module in Neuroscience and Biobehavioral Psychology
  • 2021
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Rising Tide: Responding to the Mental Health Impact of the COVID‐19 Pandemic
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Complicated grief and related bereavement issues for DSM‐5
Modifications in the bereavement V code and refinement of bereavement exclusions in major depression and other disorders are discussed. Expand
Grief and bereavement: what psychiatrists need to know
  • S. Zisook, K. Shear
  • Medicine
  • World psychiatry : official journal of the World Psychiatric Association
  • 2009
It is essential for psychiatrists to recognize their own vulnerabilities to the personal assaults that often accompany such losses, not only for their own mental health and well-being, but also to provide the most sensitive and enlightened care to their patients. Expand
Treatment of complicated grief
An integrative cognitive behavioral treatment manual for complicated grief disorder (CG-CBT) of 25 individual sessions is described, which allows patients to stabilize, explore, and confront the most painful aspects of the loss, and finally to integrate and transform their grief. Expand
Grief counseling and grief therapy: A handbook for the mental health practitioner
The task model has been modified to account for new thinking and research findings in the field, including meaning making, resilience, and continuing bonds, and the vital distinction between grief and trauma. Expand
Attachment, loss, and complicated grief.
This work proposes a provisional model of bereavement, guided by Myron Hofer's question "What exactly is lost when a loved one dies", and integrates insights about biobehavioral regulation from Hofer’s animal studies of infant separation, research on adult human attachment, and new ideas from bereavement research. Expand
This article considers the findings of C. C. Silver (this issue) and their implications for a meaning reconstruction approach to grief therapy, arguing that an expanded conception of meaning is necessary to provide a stronger basis for clinical intervention. Expand
Treating prolonged grief disorder: a randomized clinical trial.
A randomized clinical trial to determine the relative efficacies of CBT with exposure therapy (CBT/exposure) or CBT alone for PGD and found including exposure therapy that promotes emotional processing of memories of the death is an important component to achieve optimal reductions in PGD severity. Expand
The prevalence and characteristics of complicated grief in older adults.
The prevalence of complicated grief in older adults in the general population was noteworthy and it was demonstrated as a separate condition to anxiety and depression. Expand
Complicated grief therapy as a new treatment approach
  • J. Wetherell
  • Psychology, Medicine
  • Dialogues in clinical neuroscience
  • 2012
The conceptual underpinnings of CGT are summarized, the empirical evidence for its efficacy is discussed, its techniques are described, and a case example of a client treated in a 16-session manualized CGT protocol is presented. Expand
Pilot study on traumatic grief treatment program for Japanese women bereaved by violent death.
There was significant reduction in symptom severity at treatment end, and symptom levels remained low throughout the 12-month follow-up period, suggesting that the treatment model may be feasible for treating traumatic grief with PTSD in non-Western settings. Expand