Grief is experienced somewhat differently when the loss occurs after a long illness rather than suddenly. When someone is terminally ill, their loved ones often start to grieve before the death because they know that the loss is going to happen. This is called "anticipatory grief" and it is a normal response. It helps to prepare the person for the actual loss.

Usually, the period just before the person's death is a time of physical and emotional preparation for those close to them. At this stage, loved ones may feel the urge to withdraw emotionally from the person who is ill.

Many people think they are prepared for the loss because death is expected. But when their loved one actually dies, it can still be a shock and bring about unexpected feelings of sadness and loss. For most people, the actual death starts the normal grieving process.

Last Medical Review: 01/17/2009
Last Revised: 01/17/2009