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How to Cope With the Loss of a Spouse

Published: November 11, 2022 Updated: January 4, 2023
Published: 11/11/2022 Updated: 01/04/2023
Headshot of Lydia Angelica Antonatos, LMHC
Written by:

Lydia Antonatos

LMHC
Headshot of Trishanna Sookdeo, MD, MPH, FAAFP
Reviewed by:

Trishanna Sookdeo

MD, MPH, FAAFP
  • Grieving the Loss of a SpouseGrieving the Loss of a Spouse
  • What is Complicated Grief?What Is Complicated Grief?
  • Ways to Cope with the Loss of a Spouse9 Ways to Cope
  • How Counseling Can Help You Grieve Your SpouseCounseling Can Help
  • Final ThoughtsConclusion
  • Additional ResourcesResources
  • How to Cope With the Loss of a Spouse InfographicsInfographics
Headshot of Lydia Angelica Antonatos, LMHC
Written by:

Lydia Antonatos

LMHC
Headshot of Trishanna Sookdeo, MD, MPH, FAAFP
Reviewed by:

Trishanna Sookdeo

MD, MPH, FAAFP

The death of a spouse is a major life-event. Not only does it induce painful emotions, but also brings uncertainty about your future and how to cope without your beloved. However, you’re not alone in this experience. Although it’s a tough process, your grief will pass, and you can find new meaning in your life moving forward.

Grieving your spouse will take time. Therapy can help during this difficult period. BetterHelp has over 20,000 licensed therapists who provide convenient and affordable online therapy. BetterHelp starts at $60 per week. Complete a brief questionnaire and get matched with the right therapist for you.

Choosing Therapy partners with leading mental health companies and is compensated for marketing by BetterHelp

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Grieving the Loss of a Spouse

When you lose a spouse, your world suddenly shifts. It’s normal to undergo a whirlwind of emotions and feelings often associated with the seven stages of grief. Because grief is so unique to everyone, there isn’t a specific way to mourn. Yet, the grief from losing your spouse can impact your overall health and lead to symptoms of depression, loneliness, and other challenges.1,2,3

After the loss of a spouse, you may struggle with:

  • Depression
  • Anxiety
  • Stress
  • Making decisions
  • Concentrating
  • A Loss of appetite
  • Sleep issues
  • Weakened immune function

What is Complicated Grief?

Complicated grief resembles normal grief, except someone who develops this condition experiences grief more severely and persistently. Individuals with complicated grief suffer so deeply that they can get “stuck,” leaving them unable to process their loss and resume their lives. Complicated grief is also associated with high rates of suicidal thoughts, health-related issues like cancer and heart problems, substance or alcohol use, among other challenges.3,4,5,6,7

Symptoms of complicated grief include:

  • Intense, prolonged grief, sorrow, and longing
  • Inability to find meaning or life purpose after a loss
  • Feeling excessive negative emotions like sorrow, anger, or bitterness
  • Extreme disbelief or confusion about the death
  • Identity/role confusion, or feeling as though a part of oneself has died
  • Avoiding anything related to the deceased
  • Trouble reintegrating into ongoing life and/or social interests
  • Emotional numbness
  • Intense loneliness- feeling alone or disconnected from others

9 Ways to Cope with the Loss of a Spouse

Whether you’re struggling with or avoiding your grief, it will inevitably catch up to you. However, there are healthy ways to cope with the loss of your spouse. Acknowledging your grief, leaning on your supports, tending to your wellbeing, and engaging in new endeavors can all be helpful throughout this process. Keep in mind: just as healing takes time, so does discovering the things that can facilitate your recovery.

Here are nine tips for dealing with the death of a spouse:

1. Acknowledge Your Grief

Avoiding your grief can be a temporary means of coping with the loss of your spouse. But, ignoring it could make things worse. Eventually, your intense sorrow will resurface, perhaps even stronger. That is why facing your grief is an essential component to your healing and restoration process. While it may be challenging to acknowledge your feelings of anguish and emptiness, this basic step can encourage you to intentionally work through your discomfort and begin your journey of recovery.

2. Talk About It

Talking about your grief can be difficult, yet it can taper off some of your emotional burden. Initially, you may not feel like it or know how to. You could also find yourself in a spot in which you have no other choice but to talk to your children about death. Nevertheless, articulating the words to do so can get easier, and you’ll be able to discuss your grief openly. This may be done with a close friend, in a group of individuals experiencing grief, and/or in a professional setting like therapy. Expressing yourself freely with people that care and in a place that feels safe can help you make sense of your loss, and perhaps view it from a different angle.

3. Allow Yourself to Mourn

It is important that you let yourself feel the mixed emotions brought on by your spouse’s death, while also honoring your grief and their memory. Consider creating grief rituals, forming new traditions, or finding ways to deal with grief during the holidays and other difficult times in advance. Cry if you need to, light a candle in your spouse’s name, look at pictures (if you are ready), or talk about funny moments from when your spouse was alive. There is no specific way to mourn, because your experience is unique to you. What’s most important (when you are ready) is that you’re able to channel your anguish and grief-related distress in a healthy and meaningful way.

4. Rely on Your Loved Ones

Identify areas in your life that demand attention, and reach out to a close friend or relative who you know you can rely on and is best suited for the task/s. Your loved ones can be a great source of support during moments in which you need encouragement, or simply don’t have the physical or emotional energy to make decisions, problem-solve, or tend to daily responsibilities.

Some examples of this include:

  • Venting with a relative who’s an empathetic listener
  • Relying on a family friend who’s willing or knows someone to assist in making funeral arrangements, going over legal and financial paperwork, etc.
  • Accepting home cooked meals from those who offer
  • Allowing a loved one to help or recommend a person who can take care of household chores

5. Set Realistic Expectations

You have suffered a great loss and there is no right or wrong way to react. As such, give yourself the space and time to mourn. Understanding what you are capable of and what your limitations are can be helpful. You may need all your strength to focus on what’s right in front of you, and that is okay. It is equally as important that you recognize any unhealthy outlets, and know when to distance yourself from those who aren’t helpful or are harming your emotional healing.

Help For Grief & Loss

Talk Therapy – Get personalized help in dealing with a loss from a licensed professional. BetterHelp offers online sessions by video or text. Try BetterHelp


Virtual Psychiatry – Get help from a real doctor that takes your insurance. Talkiatry offers medication management and online visits with top-rated psychiatrists. Take the online assessment and have your first appointment within a week. Free Assessment

Choosing Therapy partners with leading mental health companies and is compensated for marketing by Talkiatry and BetterHelp.

6. Take Care of Yourself

Grief is bound to impact your emotional and physical health. Thus, it is vital that you find the appropriate forms of self-care. Focus on activities and habits that will maintain and/or nurture your overall wellbeing, such as eating nutritiously, engaging in regular physical activity, getting plenty of sleep, and practicing mindfulness or meditation. Be sure to keep up with doctor’s appointments, too. Taking care of your entire wellness can provide you with the necessary strength to cope with your grief and start recovering.

7. Journal

Journaling is typically recommended as an effective tool to ease grief and express it externally. Although it may feel challenging to revisit your trauma and loss, the act of journaling can serve as a purging method to release your emotions. This will further allow you to process your grief and assist you in reducing the intensity of your distress. If you are not sure where to begin, there are a variety of grief journaling prompts available.

8. Write Your Story

When you experience the loss of a spouse, you’re also losing a part of yourself and your once anticipated future. Storytelling allows you to reflect on your life with your spouse and help you maintain a connection with them. Many people have found expressive writing to be cathartic. They may even go as far as writing essays, memoirs, or books. Plastering your story on paper gives you the space to healthily grieve as you relive special moments and maintain a bond with your loved one, even after death.6,8

9. Volunteer

Positive psychology tells us that engaging in volunteer work can enhance our mental health and overall happiness. What’s more, volunteering may be rewarding when you get involved with a cause close to your heart, or are helping others who are grieving, too. Thus, you may experience a new sense of purpose–something larger than you are. Furthermore, this offers an opening to a healthy pathway to distract yourself from your own suffering.

How Counseling Can Help You Grieve Your Spouse

You may be having difficulty processing the loss of your spouse, and feel completely devastated. At this point, reaching out for emotional support or professional help can assist you in coping and possibly prevent your grief from turning into something more serious. This is especially so if you have a history of a mental health condition or are at risk of developing one.2,3,5,7

If you are ready to take this step, browsing through an online directory where you can find the right therapist can be a great place to start. You can also consider other types of support that may not be offered by a credentialed specialist, but can enable you to effectively work through your loss and lessen the intensity of your anguish.

Some therapy and supportive options to deal with the loss of a spouse include:2,3,5,7

  • Individual therapy: In-person or online psychotherapy can help you address grief issues. These professionals utilize a variety of evidenced based techniques, one of such is cognitive restructuring. This teaches the person how to identify maladaptive grief-related thoughts and beliefs, so these can be reframed. The goal is to encourage acceptance of the loss, reduce avoidance, and develop more adaptive responses.
  • Complicated grief treatment: This structured method consists of three phases focusing on adapting to a loss and resolving grief. This specialized therapy is beneficial for those undergoing more severe and complex grief concerns. It encourages people to face their loss, while offering effective strategies to restore overall functioning.
  • Faith-based counseling: This form of therapy is typically provided by a professional who is educated in theology, as well as psychology. It follows the usual therapeutic model, while also incorporating religious or spiritual interventions in treatment. Pastoral counseling may be good for grievers who are seeking spiritual advice or religiosity in their psychotherapy.
  • Grief counseling: Grief counseling may also be found through less formal settings that center around grief/loss education and fostering emotional support. This type of bereavement support can be facilitated through a peer group (of people who have suffered a similar loss), a pastoral counselor, or other professional who hasn’t completed formal studies in behavioral health.
  • Support Groups: Whether in-person or on-line, a bereavement group can provide social connection and help you feel less alone. These can be facilitated by a professional as a part of group therapy, or by peers in a casual setting. What’s key is that you feel comfortable in this atmosphere, and that it endorses healthy ways to cope with your loss without judgment.

Final Thoughts

Facing a life-changing event like the loss of your spouse is devastating. How you experience your grief is very personal and it’s okay to cope with this at your own pace. While it’s normal to struggle through your bereavement, there are healthy ways to recover. If you’re grappling with grief, remember to practice self-care and seek social and professional support.

Additional Resources

Education is just the first step on our path to improved mental health and emotional wellness. To help our readers take the next step in their journey, Choosing Therapy has partnered with leaders in mental health and wellness. Choosing Therapy may be compensated for marketing by the companies mentioned below.

Online Therapy 

BetterHelp Get support and guidance from a licensed therapist. BetterHelp has over 20,000 therapists who provide convenient and affordable online therapy.  Complete a brief questionnaire and get matched with the right therapist for you. Get Started

Virtual Psychiatry

Talkiatry Get help from a real doctor that takes your insurance. Talkiatry offers medication management and online visits with top-rated psychiatrists. Take the online assessment and have your first appointment within a week. Free Assessment

Support Groups

Sesh – Sesh offers 100+ live, interactive webinars per month facilitated by mental health professionals. Topics included, “Managing Emotional Guilt and Shame”, “Building Healthy Relationships”, and “Pressing The Breaks On Gaslighting”. Free One Month Trial

Guided Psychedelic Journeys

Innerwell Ketamine is a prescription medication that clinicians can prescribe off-label to treat trauma, depression, anxiety, and OCD. Innerwell pairs ketamine with support from licensed psychotherapists. Find out if you’re a good candidate: Take Online Assessment

Choosing Therapy partners with leading mental health companies and is compensated for marketing by Sesh, BetterHelp, Innerwell, and Talkiatry.

For Further Reading

  • Mental Health America
  • National Alliance on Mental Health
  • MentalHealth.gov
  • Association for Death Education and Counseling
  • Heal Grief
  • Hope 360
  • The Center for Prolonged Grief
  • Grief Rituals Definition: Examples and Ideas to Try
  • 21 Best Books on Grief for 2022

How to Cope With the Loss of a Spouse Infographics

Grieving the Loss of a Spouse   Ways to Cope with the Loss of a Spouse   How Counseling Can Help You Grieve Your Spouse

8 sources

Choosing Therapy strives to provide our readers with mental health content that is accurate and actionable. We have high standards for what can be cited within our articles. Acceptable sources include government agencies, universities and colleges, scholarly journals, industry and professional associations, and other high-integrity sources of mental health journalism. Learn more by reviewing our full editorial policy.

  • Boelen, P. A., & Lenferink, L. I. M. (2019). Symptoms of prolonged grief, posttraumatic stress, and depression in recently bereaved people: symptom profiles, predictive value, and cognitive behavioural correlates. Social Psychiatry and Psychiatric Epidemiology, 55(6), 765–777. https://doi.org/10.1007/s00127-019-01776-w

  • Bui, E. (Ed.). (2018). Clinical Handbook of Bereavement and Grief Reactions (1st ed.). Cham Springer International Publishing.

  • O’Connor, M.-F. (2019). Grief: A Brief History of Research on How Body, Mind, and Brain Adapt. Psychosomatic Medicine, 81(8), 731–738. https://doi.org/10.1097/psy.0000000000000717

  • American Psychiatric Association. (2022). Diagnostic And Statistical Manual Of Mental Disorders, Fifth Edition, Text Revision (5th ed.). American Psychiatric Association Publishing.

  • The Columbia Center for Complicated Grief. (2021, April 27). The Center for Prolonged Grief. https://complicatedgrief.columbia.edu/professionals/complicated-grief-professionals/overview/

  • Matthews, A. (2019). Writing through grief: Using autoethnography to help process grief after the death of a loved one. Methodological Innovations, 12(3), 205979911988956. https://doi.org/10.1177/2059799119889569

  • Szuhany, K. L., Malgaroli, M., Miron, C. D., & Simon, N. M. (2021). Prolonged Grief Disorder: Course, Diagnosis, Assessment, and Treatment. FOCUS, 19(2), 161–172.  https://doi.org/10.1176/appi.focus.20200052

  • Marinella, S., & Baldwin, C. (2017). The story you need to tell : writing to heal from trauma,illness, or loss. New World Library.

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Headshot of Lydia Angelica Antonatos, LMHC
Written by:

Lydia Antonatos

LMHC
Headshot of Trishanna Sookdeo, MD, MPH, FAAFP
Reviewed by:

Trishanna Sookdeo

MD, MPH, FAAFP
  • Grieving the Loss of a SpouseGrieving the Loss of a Spouse
  • What is Complicated Grief?What Is Complicated Grief?
  • Ways to Cope with the Loss of a Spouse9 Ways to Cope
  • How Counseling Can Help You Grieve Your SpouseCounseling Can Help
  • Final ThoughtsConclusion
  • Additional ResourcesResources
  • How to Cope With the Loss of a Spouse InfographicsInfographics
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