Anticipatory Grief

• Anticipated loss of one’s self, prepare for separation from world
• Progression of changes (emotional, social, spiritual, physical, cognitive, behavioral) through which a person attempts to recognize and resolve or adjust to loss of his/her own place
  • Withdrawal from family, friends
  • Sadness, crying
  • Anxiety
  • Ruminations about past

MDD = Major Depressive Disorder

• 2 weeks of depressed mood or loss of interest (anhedonia) + at least four symptoms:
  • Sleep disturbance – insomnia or hypersomnia
  • Guilt, worthlessness
  • Lack of energy
  • Loss of concentration, difficulty making decisions
  • Anorexia and/or weight loss
  • Psychomotor agitation or retardation
  • Suicidal ideation
  • symptoms are either new or worse than before the depressive episode, and they persist for most of the day, nearly every day, for 2 consecutive weeks
  • episode is accompanied by clinically significant distress or impairment in social, occupational, or other important areas of functioning
  • symptoms are NOT due to bereavement or to physiological effect of medication, general medical condition, or substance abuse
  • mood described as “depressed”, “sad”, “hopeless”, “doen in the dumps”
• Dysthymia = depressed mood + hopelessness (not suicidal) 2 years or more
• Depression NOS = does not meet other criteria but with significant impairment of functioning

PTSD = Post-Traumatic Stress Disorder

• Re-experiencing traumatic event
• Avoidance of situations associated with event
• Increased arousal
• Social/occupational impairment