Understanding Ambiguous Grief: Coping with Loss in Uncertain Times

The experience of grief is often associated with the death of a loved one, a clear loss that comes with expected and validated feelings of grief and sadness. However, there are times when a significant loss occurs without a death, leading to a different form of grief known as ambiguous grief. Ambiguous grief is a profound sense of loss and sadness not associated with physical death. 

Ambiguous grief is not always recognized or validated by others, making it even more challenging to navigate. For example, there may be no formal recognition from others that a loss has occurred, or if there is acknowledgment, it may not be seen as significant. As a result, individuals experiencing ambiguous grief may feel intense sorrow, numbness, bitterness, persistent longing, pain, rumination, guilt, and anger.

Causes of Ambiguous Grief

Various situations can give rise to ambiguous grief, falling into two general categories according to grief expert Pauline Boss:

  1. Goodbye Without Leaving

    This occurs when the person you are grieving is physically alive but is no longer emotionally or relationally part of your life. Examples include divorce, estrangement, relocation to a new country, or a chronic illness like dementia. The relationship with the person has ended or significantly changed, resulting in a sense of loss and grief.

  2. Leaving Without Goodbye

    This type of ambiguous grief occurs when a person is physically absent, but there is uncertainty about whether they are alive or dead. Examples include situations where a person goes missing, abandonment due to addiction, or a parent abandoning the family. The lack of closure, such as a traditional funeral or mourning period, can intensify the grief experienced.

Additionally, ambiguous grief can arise from situational changes that affect individuals personally or in their broader environment. This could include the impact of changes in future plans, natural disasters, political unrest, or a loss of financial or personal security.

Coping with Ambiguous Grief

Coping with ambiguous grief is a highly individual process with no one-size-fits-all approach. However, some strategies can help individuals navigate their journey:

  1. Identify Your Grief

    Validate your ambiguous grief by acknowledging and naming it. Make a list of all the changes in your life resulting from the loss, no matter how small. Share this list with a trusted friend, family member, or therapist for further validation.

  2. Recognize Multiple Emotions

    Understand that it is common to experience multiple emotions simultaneously during the grieving process. You may feel a mix of relief and sadness or distress and gratitude. Embrace the complexity of your emotions and allow yourself to feel them without judgment.

  3. Avoid Comparisons

    Each person's grief is unique, and comparing or minimizing your grief based on others' experiences is unhelpful. Remember that grieving can compound when multiple losses occur simultaneously, further intensifying your ambiguous grief.

  4. Consider Ceremonies

    While closure may not be possible in ambiguous grief, creating your own ceremonial activities can provide therapeutic benefits. Write a letter to the person you have lost, plant a tree in their honor, or engage in a symbolic ritual representing your grief and healing process.

  5. Seek Support

    Reach out to supportive individuals or join peer groups, book clubs, or sports clubs where you can connect with others who may have experienced similar losses. Professional help from therapists or help lines can also be valuable, particularly if you feel hopeless, helpless, or experiencing distressing emotions.

  6. Embrace Self-Care

    Take care of yourself physically, emotionally, and mentally. Engage in activities that bring you joy and help you cope with your grief, such as exercise, meditation, journaling, or pursuing hobbies. Prioritize self-care and allow yourself moments of rest and rejuvenation.

Ambiguous grief is a complex and challenging experience that can arise from various circumstances, including relationship changes, uncertain losses, or situational changes. It is essential to recognize and validate this form of grief. By understanding the nature of ambiguous grief and implementing coping strategies like identifying your grief, embracing multiple emotions, avoiding comparisons, considering ceremonies, seeking support, and practicing self-care, you can navigate this difficult journey and find healing and meaning amid uncertainty. Remember that everyone's grief journey is unique, and seeking help and support along the way is acceptable.

Susan Derry