||There is a recognized loss
||A specific loss may or may not be identified.
||Focus is on the loss. Preoccupation with deceased, implications of loss, the future.
||Focus is on self. Persistent, distorted and negative perception of self.
|Dreams, Fantasies or Imagery
||Vivid, clear dreams - sometime of the loss; dreamer feels comforted.
||Negative imagery that contributes to negative perception of self.
||Modulated physical response: the body is allowed to collapse and person admits to exhaustion.
||Un-modulated response: Bodily damage and increased vulnerability to illness - via lack of sleep, anorexia or weight gain, unnecessary physical risk.
||A connection felt to something beyond, e.g. God; continued dialogue with emotions allows challenges to previously held beliefs.
||Especially a year or more past the loss, a persistent failure to find meaning; focus on "why me" and unfairness of loss; no answers to questions.
||Variable: Shifts in mood from anger to sadness to more normal status in same day.
||Fixed: Withdrawl, despair, reports feeling immobilized or stuck; difficult to "read" emotions.
||Responds to warmth, touch, reassurance.
||Responds to promises and urging or is unresponsive.
||Variable restriction of pleasure.
||Persistent restriction of pleasure.
||Feels reassured by the presence of close friends or someone who is willing to listen to their story.
||Loss of connection with self and/or others.