Anticipatory Grief: How to cope and prepare?

Preparing for the death of a loved one who is terminally ill can be an emotionally taxing experience. Anticipatory grief or the emotional pain experienced before someone passes can make this time even more challenging.
By illume Editorial Team
Last updated: Apr 5, 2023
7 Minute Read

Dealing with anticipatory grief for a loved one is undoubtedly one of the most challenging experiences we can face in life. Anticipatory grief is the emotional response to knowing that the death of someone close is imminent. It can significantly impact our mental health and overall well-being. 

In this blog, we will explore what anticipatory grief is, especially looking at its effects on family members and caregivers. We’ll also provide practical strategies for coping with anticipatory grief.

Understanding Anticipatory Grief:

Defining Anticipatory Grief: 

Simply, anticipatory grief refers to the emotional process that occurs when we anticipate and prepare for the loss of a loved one. This is often due to a terminal illness or impending death.

Recognizing the Signs:

By understanding the signs and symptoms of anticipatory grief, individuals and family members can better navigate the grieving process.

Signs of anticipatory grief include:

  • Intense sadness or feelings of impending loss
  • Anxiety and worry about the future
  • Increased irritability or anger
  • Disturbed sleep patterns, such as insomnia or nightmares
  • Changes in appetite, including loss of appetite or overeating
  • Fatigue and low energy levels
  • Difficulty concentrating or making decisions
  • Preoccupation with the impending death or loss
  • Social withdrawal or isolation
  • Feeling detached or disconnected from others
  • Guilt or self-blame regarding the illness or impending loss
  • Heightened sensitivity to reminders of the impending loss
  • Physical symptoms, such as headaches, body aches, or digestive issues
  • Emotional ups and downs, experiencing a wide range of emotions
  • Conflicting feelings of relief and guilt about the impending death
  • Difficulty in maintaining usual responsibilities or routines


Effects on Family Members and Caregivers:

Emotional Impact: 

Anticipatory grief encompasses a wide range of emotional responses, each carrying its own significance and impact. Recognizing and understanding these emotions is crucial for individuals who are experiencing anticipatory grief. It’s also important for those who wish to support their loved ones going through this challenging time.


The impending loss of a loved one can evoke profound feelings of sadness and sorrow. Grieving the anticipated separation and the loss of future experiences together can be overwhelming.


Anticipatory grief often brings about a sense of anxiety and worry about the future. From thoughts about how life will change, to concerns about the well-being of the loved one – can all contribute to heightened anxiety levels. 


Anger can be directed towards the illness, the situation, oneself, or even towards the loved one who is dying. It is essential to understand that anger is a natural and valid response to the complex emotions involved in anticipatory grief. 


Guilt can accompany anticipatory grief as people may feel guilty about things they did or did not do. Commonly people feel guilt for feeling relief or a sense of burden being lifted when the loved one eventually passes away. 


Witnessing a loved one’s suffering or being burdened by caregiving responsibilities can lead to a conflicted sense of relief. The anticipation of potential loss can be emotionally draining. It can lead to feelings of sadness, hopelessness and overwhelm. It is important to understand that experiencing relief does not diminish the love or the grief felt.

Physical and Mental Health:

 Anticipatory grief can have a significant impact on both mental and physical health.

Emotionally, individuals experiencing anticipatory grief may be more prone to depression, anxiety, and other mental health conditions. 

The constant anticipation of loss can lead to feelings of sadness, hopelessness, and overwhelm. This emotional distress can also manifest in physical symptoms such as fatigue, sleep disturbances, changes in appetite, and weakened immune function. 

The prolonged stress and emotional strain of anticipatory grief can take a toll on one’s overall well-being. In the next section, we explore strategies to maintain self-care and seek support.

Coping Strategies for Anticipatory Grief:

Open Communication: 

By encouraging open and honest conversations, family members can process their emotions and find comfort during this difficult time. Creating a safe space for sharing thoughts, fears, and concerns allows everyone to better understand each other and provide support. 

Through open communication, memories can be shared, love can be expressed, and the significance of the impending loss can be acknowledged. Actively listening and being present for one another strengthens family bonds as they navigate the complexities of anticipatory grief together.

Seeking Professional Support: 

Engaging the assistance of healthcare professionals, such as social workers or therapists, offers essential guidance and emotional support. Professionals have the knowledge and experience to understand anticipatory grief. They give people and families the tools and strategies to manage it.

People can gain a better understanding of their emotions by accessing professional support. They can receive validation for their experiences and develop effective ways to cope with the challenges ahead. The compassionate guidance and expertise of healthcare professionals can make a significant difference in navigating the journey of anticipatory grief.

If you need help finding a suitable therapist – this guide can help. 

Joining Support Groups: 

Connecting with others who are going through similar experiences can be immensely comforting. Support groups offer a safe space to share stories, offer advice, and find solace. 

There are a range of groups you can choose to be a part of. From specific anticipatory grief support groups through to local communities or faith based groups too. It might take visiting a few to see which ones provide you with the most comfort. 

Preserving Quality of Life: 

Focus on the present moment. Intentionally create meaningful memories. This enhances the well-being of the patient and their loved ones.

Embracing the time together and cherishing special moments can bring comfort and joy amidst the challenges. Engage in activities that bring fulfillment. Hobbies, sharing stories, or spending quality time, can foster a sense of connection and create lasting memories.

Preparing Practical Matters: 

Addressing practical matters can alleviate some of the burdens during the grieving process. 

Often these are the tasks: financial planning, legal arrangements, and end-of-life preferences.

Less formal tasks make a difference too. Helping your loved one write cards and get gifts for family members after their death can provide solace. This can help to ease the pain in the long-term.

The Role of Family Caregivers:

Supporting Family Caregivers: 

Family caregivers play a vital role in providing care and emotional support to their loved ones. It is crucial to recognize the immense responsibilities they shoulder and acknowledge their needs. 

Offering assistance, whether practical or emotional, can make a significant difference in their well-being. Help with daily tasks can lighten their load. Lastly, having someone to listen and provide a supportive presence can make a big difference.

By recognizing and supporting family caregivers, we contribute to their resilience and ability to provide the best possible care during this challenging time of anticipatory grief.

Self-Care for Caregivers: 

Prioritizing self-care is essential for family caregivers to maintain their own physical and mental well-being, enabling you to better support your loved ones. 

Our guide on self care for grieving can help you to navigate this difficult time and make space for your own needs too. 

The Grieving Process: From Anticipatory Grief to Conventional Grief:

Transitioning to Conventional Grief: 

Anticipatory grief most commonly merges into conventional grief after the loss of a loved one. Understanding this transition and seeking additional support during this phase is crucial.

Embracing the Grieving Process:

 Grief is a unique and personal journey for everyone. Allowing ourselves and others to experience and express grief in their own way is essential for healing.

Find Grief Support with Grief Works by Illume

Getting support when grieving is essential. It can be challenging, but you don’t have to worry!

The Grief Works app helps you overcome grief and connect with a community that cares for you. It also offers live monthly calls and the ability to chat with a therapist when needed.

Moreover, it has a built-in journal book for your daily diary and the Grief Works Curriculum to guide you in your healing journey.