The Pain of Losing a Best Friend

"I never experienced such immense pain in my life." Valeria reflects on finding out about when her best friend, Spencer, passed away from fentanyl poisoning.

What is Grief?

Grief is a natural response to loss. It’s the emotional suffering you feel when someone or something you love is taken away. While we most often associate grief with the loss of a loved one, we can also experience grief from the loss of connections, places, and things that we feel define us and connect to how we see ourselves. 

Grief is complex and no two people experience it in the same way, to the same degree, or on the same timeline. The pain of loss can feel overwhelming, but understanding grief can help you navigate through it. (3)

You may grieve the loss of:

  • A relationship: friend, pet, partner, family member 

  • Places: Your home, neighborhood, or community

  • Culture

  • Your job or career

  • Financial stability

  • A dream or goal

  • Health

  • Your youth (4)

Grief is a natural response to loss.

What Are the Stages of Grief?

These are the common stages of grief, but how you move through them will be very individual – some people will experience them all, in order. Others may only experience some of the stages, in no particular order. 

The American Psychological Association (APA) defines grief as lasting from six months to two years, but every person responds differently to grief and will have a different timeline.

What Are Some of the Types of Grief?

There is no formula for the types of physical and emotional symptoms a person will feel while experiencing grief.

What Are the Symptoms of Grief?

There is no formula for the types of physical and emotional symptoms a person will feel while experiencing grief. Support from friends, family, and professional counselors can be crucial in navigating these symptoms and finding ways to cope with the loss.

Emotional Symptoms

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You may feel a range of emotions, and they may even seem to compete with one another – for example, you could very well feel both anger and sadness at the same time. These emotional symptoms are a natural part of the grieving process, and everyone experiences them differently.

  • Sadness

  • Anger

  • Guilt

  • Anxiety

  • Loneliness

  • Despair

  • Hopelessness

Physical Symptoms

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Grief can manifest physically in various ways, often reflecting the intense emotional and psychological stress experienced. Seeking medical advice is important if symptoms persist or are severe.

  • Fatigue

  • Changes in Appetite

  • Sleep Disturbances

  • Aches and Pains

  • Digestive Issues

  • Weakened Immune System

  • Tightness in the Chest

  • Shortness of Breath

  • Heart Palpitations

  • Weight Changes

  • Dizziness

  • Muscle Weakness

Behavioral Symptoms

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Grief can significantly impact behavior, leading to noticeable changes in how a person acts and interacts with the world around them.

  • Social Withdrawal

  • Crying

  • Restlessness

  • Neglecting daily responsibilities (work and personal)

  • Difficulty maintaining routines

  • Changes in Activity Levels

  • Sleep Disturbances

  • Changes in appetite

  • Substance Use

Coping with grief involves finding healthy ways to manage the intense emotions and adjustments that come with loss.

Coping with Grief

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The American Psychological Association (APA) defines grief as lasting from six months to two years, but every person responds differently to grief and will have a different timeline. Most often, people begin to find relief from symptoms as time passes. Coping with grief involves finding healthy ways to manage the intense emotions and adjustments that come with loss.

Allow Yourself to Grieve

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  • Permit yourself to feel sad, angry, or whatever emotions rise to the surface.

  • Understand that grief is a process and everyone experiences it differently.

  • Recognize that healing takes time and there’s no “right” way to grieve.

  • Allow yourself to move through the stages of grief at your own pace.

Seek Support & Connection

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  • Talk to friends and family about your feelings.

  • Join a support group for people who are also grieving.

  • Consider professional help from a therapist or counselor specializing in grief.

Acknowledge & Express Your Emotions

  • Write in a journal about your thoughts and feelings.

  • Create art or music, or engage in other creative outlets.

  • Avoid holding in the emotion – cry and vent when you need to.

Maintain Routine

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  • Keep up with daily routines to provide a sense of normalcy.

  • Set small, manageable goals for each day.

Practice Self-Care

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  • Eat a balanced diet and stay hydrated.

  • Exercise regularly, even if it’s just a short walk.

  • Ensure you’re getting enough sleep.

  • Engage in hobbies and activities that bring you joy.

Avoid Unhealthy Coping Mechanisms

  • Limit alcohol and avoid using drugs to numb the pain.

  • Be mindful of any tendencies to withdraw from loved ones excessively.

Honor Your Loss

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  • Create a memorial or engage in activities that remind you of your loved one.

  • Celebrate their life through shared stories, photos, or rituals.

  1. Debra Kissen. (2017, September 19). How to prevent trauma from becoming PTSD. Anxiety and Depression Association of America, ADAA. https://adaa.org/learn-from-us/from-the-experts/blog-posts/consumer/how-prevent-trauma-becoming-ptsd

  2. Gillette, H. (2022, December 19). 9 Different Types of Grief. Psych Central. https://psychcentral.com/health/types-of-grief#prolonged

  3. Grief. American Psychological Association. (2024). https://www.apa.org/topics/grief

  4. Grief. Cleveland Clinic. (2023a, February 22). https://my.clevelandclinic.org/health/diseases/24787-grief

  5. Mayo Foundation for Medical Education and Research. (2022, December 13). Post-traumatic stress disorder (PTSD). Mayo Clinic. https://www.mayoclinic.org/diseases-conditions/post-traumatic-stress-disorder/symptoms-causes/syc-20355967

  6. PTSD (post-traumatic stress disorder): Symptoms & treatment. Cleveland Clinic. (2023b, October 6). https://my.clevelandclinic.org/health/diseases/9545-post-traumatic-stress-disorder-ptsd