没有任何语言可以形容失去你爱的人的痛苦。虽然这是很难看到的时候，悲痛的过程实际上有助于头脑调整到损失的悲哀，接受它的终结，并找到一个方法来适应新常态。
But for some people—including 10 percent of bereaved women older than 60—those feelings of loss don’t improve over time. For individuals experiencing what’s called complicated or prolonged grief, traditional grief counseling doesn’t always help, and experts are investigating other emerging types of therapy to relieve prolonged grief, with some success.
What makes grief complicated?
如果悲伤持续时间超过6个月，你是无法接受的损失或调整生活没有你爱的人，表示你可能遇到复杂的悲痛。
复杂性悲伤可以高过一切，就不可能有一天到一天的生活长期进行后心爱的人走了。二，以3％的人全球经验复杂性悲伤。人们哀悼孩子谁死于意外死亡，年轻的人，或者有人更倾向于复杂性悲伤，因为是人谁曾与死者家属一个特别的依赖关系。
心理健康历史也起着谁从遭受了部分人depression或过去的类似情况更有可能发展复杂性悲伤。
“正常”悲伤和复杂性悲伤之间的差的强度和持续时间。复杂性悲伤持续很长一段时间，并会干扰日常生活的任务。这是经常被误认为抑郁症是因为它类似的症状，这会延迟获得有效的治疗方法，因此，重要的是正确的诊断为早期。
复杂性悲伤是一个相对较新的名词，而临床医生不都同意如何将它与正常的悲伤，或同时合并有重度抑郁悲伤区分。每个条件都有一个有些不同的方法。在悲痛与抑郁症的极端情况下，抑郁症具体治疗应该是第一步。
Complicated grief is typically diagnosed if you have intense yearning for the deceased and at least four of the following symptoms for at least six months:
•难以继续前进•麻木/分离•苦味•感情生活是没有空死者•难以接受死亡•未来持有不死者•作为边缘或分心•困难后失去信任别人没有意义感
You may also feel unable to re-engage with life and socialize with others. Complicated grief can cause physical symptoms that mimic the illness or injury of the person who died, alcohol or drug abuse, problems sleeping, thoughts of suicide, and an inability to carry out normal tasks.
Complicated grief therapy
复杂性悲伤不应该被忽视。随着病情的个体不太可能得到更好的自己，再加上他们在物理健康问题的风险，并有较高的自杀率。
Complicated grief is typically treated with psychotherapy and sometimes antidepressants, although evidence for drug use to relieve prolonged grief is weak. However, a more targeted therapy called complicated grief treatment is proving to be more beneficial.
Complicated grief treatment aims to restore function by helping the bereaved individual talk about his or her loss, which includes discussing the loved one’s death, engaging in imagined conversations with the person who died, and thinking about the death without intense feelings of anger, guilt or anxiety.
治疗师指导的个人发展为自己的未来和把这些目标转化为具体的行动计划的目标。复杂性悲伤治疗是基于相似的治疗原则创伤后应激障碍and helps patients confront their loss through exposure.
In a study published in the的2014年11月发行JAMA Psychiatry, Columbia University researchers investigated the effectiveness of complicated grief treatment。他们随机分为151分死难者的个人分成两组，从50到91。大多数人受过高等教育的白人妇女与复杂性悲伤的年龄范围。
丧亲之痛的平均时间为三年左右的时间，虽然范围相差很大，从半年到45年。大多数已经失去配偶或合伙人（46.4％），其次是父母（27.2％），孩子（18.5％），或其他亲戚或朋友（7.9％）。略的损失超过13％是暴力的。
一组被分配到一系列复杂性悲伤治疗16周的会议。第二组接受悲伤聚焦人际关系治疗的时间长度相同。人际关系治疗，常用来治疗抑郁症，专注于个人与死者家属和他人的关系，并帮助他或她了解丧亲和人际交往活动是如何影响情绪和心情。虽然它可以对待谁具有复杂性悲伤的人抑郁症的症状，一般不减轻悲痛的症状。这两种治疗方法都给出一个对一，个体化治疗。
After 20 weeks, 71 percent of the participants receiving complicated grief treatment were much better, compared with 32 percent of the participants who received interpersonal therapy. From a smaller sample of people evaluated six months later, benefits from both treatments were maintained for those who had responded well at 20 weeks.
寻求帮助
重要的是要找到一个精神卫生专业l or grief counselor who knows how to recognize and treat complicated grief.
在哥伦比亚大学的中心复杂性悲伤维护医生谁非常了解的情况和复杂性悲伤治疗的列表。该网站还列出了组织，可以帮助你找到一个治疗师执照，如果你不能找到您所在地区的复杂性悲伤治疗。