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What Can Grief Do to Your Body?

A doctor explains the physical and mental health issues of grief and how to begin healing from complicated grieving


illustration of a grieving person sitting alone
James Yates

My spouse died a few years ago, and I’m still grieving. I feel as if it’s affecting my health. Is that possible?

First, I’m sorry for your loss. I understand the power of grief. I’ve seen the way it can affect our physical and mental health both in my personal life and with patients. Years after a loved one’s death, grief can unexpectedly rise like a wave, particularly if an event reminds us of our loss. If it ebbs in a day or two and you go on with your life, there’s no reason to be concerned. But, from your question, it seems as if your grief is ongoing. 

Medically speaking, a “normal” period to be in the throes of grief is between three and six months. By throes, I mean that during this time, you may experience deep sadness. Life can feel less safe and anxiety can creep in. You may be overwhelmed or confused about your identity without your spouse. I’ve had many patients say, “Dr. Adam, I don’t know who I am without my partner.”

You can have difficulty sleeping or sleep too much. You may lose interest in food, hobbies, current events, social connections and plans for your future. These reactions are normal, provided they don’t last too long.

Grief is a journey, so I don’t want to be too rigid about the timeline. That said, if it’s prolonged, you can put your health at risk. For this reader, who is still deeply grieving three years after their loss, I want to be specific: You might have “complicated grief.” Between 7 and 10 percent of older adults who lose a loved one experience this.

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Ask Dr. Adam

Adam B. Rosenbluth, M.D., is an internist and cardiologist in New York City. Each Monday, he’ll weigh in on your questions about how to make your body work better for you. His AARP book will be published in 2027. Join in on the conversation on social media @dradamrosenbluth to learn to move the needle on your personal health in an achievable way.

Email your questions for Dr. Adam to dradam@aarp.org

I’ll talk about what might help, but first, let’s look at the potential health problems brought on by long-term grief. One study out of Rice University found that widows and widowers with elevated grief — pining for the deceased, difficulty moving on, a sense that life is meaningless — suffered up to 17 percent higher levels of inflammation than those who did not have those signs. Those in the top one-third of that group had 53.4 percent higher inflammation than those in the bottom third of the group.

Inflammation is linked to many chronic health conditions, from rheumatoid arthritis, Crohn’s disease, lupus and asthma to some cancers and heart problems. A heart condition that mimics a heart attack, called Takotsubo cardiomyopathy, also known as “broken heart syndrome,” is sometimes triggered by extreme emotions like grieving.

Complicated grief can weaken the immune system, making older people, especially, more vulnerable to infectious diseases, such as colds, pneumonia, the flu, COVID, urinary tract infections and skin infections.  

Everyone’s grief is unique. Multiple losses, particularly over a short period of time, increase the likelihood of complicated grieving. In some cases, a person who is suffering deep despair may not be aware of the level of their despondency. Sometimes family, friends or extended community need to identify that they need help.

There isn’t a one-size-fits-all path to healing. For instance, support groups aren’t for everybody, but they can be helpful for some. Your local hospital, hospice organization or community center may offer one. There are also online resources such as W Connection, Griefshare and the National Widowers Organization. AARP has a grief and loss forum. Many women also find advice and solace in the AARP Ethel Circle Facebook group.

Therapy is another choice. A 2023 study found Cognitive Behavioral Therapy to be effective. CBT helps identify and change negative thought patterns and behavior. Medication may be necessary. Speak with your therapist or physician about this option.

Even though it’s a tough conversation, I speak to my older patients about the importance of preparing for a future on their own. When a partner dies, the world for the survivor shrinks. They can feel isolated and alone. So, don’t wait to increase your social network — do it now. Consider joining a church, synagogue or community center, volunteer with an organization or become a member of a pickleball group, walking club or gym.

You’ll never forget your loved ones. But if you work with your grief, you’ll be able to stay healthier and move on. That’s my hope for this reader and everyone dealing with loss.

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