Anticipatory Grief: Coping with Loss Before It Happens

Grief doesn’t always begin after someone dies. For many, it starts the moment a serious diagnosis is received or when the reality of a terminal condition sets in. This article explores anticipatory grief—what it feels like, how it impacts your emotional world, and ways to navigate it with compassion for yourself and others.

5/14/20252 min read

clear hour glass beside pink flowers
clear hour glass beside pink flowers

Anticipatory Grief: Coping with Loss Before It Happens

Grief doesn’t always follow death. Sometimes, it walks beside us in the days, weeks, or even years leading up to it. This type of grief, called anticipatory grief, is common among caregivers, family members, and friends who are preparing for the loss of a loved one. It is a quiet, often unspoken sorrow that begins long before the final goodbye.

What Is Anticipatory Grief?

Anticipatory grief refers to the feelings of mourning, anxiety, and emotional pain that arise when you expect to lose someone you care about. It’s especially common in cases of terminal illness, advanced age, or prolonged medical decline. People experiencing this kind of grief may feel waves of sadness, guilt, fear, or even anger, just as they might after the loss.

But unlike post-loss grief, anticipatory grief is often hidden. You may feel like you “shouldn’t” be grieving yet, or like you need to stay strong for the person who is ill. This can make anticipatory grief a lonely experience.

Signs You May Be Experiencing It

You may be going through anticipatory grief if you:

  • Feel emotionally numb or overwhelmed

  • Experience sudden bursts of sadness or anxiety

  • Have difficulty sleeping or concentrating

  • Replay memories or imagine future moments without your loved one

  • Begin distancing yourself emotionally as a way to prepare

These are natural responses to an unnatural situation, trying to emotionally prepare for a future you don’t want to face.

Why It’s Important to Acknowledge This Grief

Acknowledging anticipatory grief allows you to process your emotions in real time, rather than bottling them up. Ignoring it can lead to emotional exhaustion or delayed grief after the loss occurs. Talking about what you're feeling, even before the loss happens, helps you stay connected to your support network and validate your own emotional experience.

It’s also a chance to say what needs to be said. When you’re aware that your grief is already unfolding, you might be more intentional about creating meaningful moments with your loved one, sharing memories, expressing love, or resolving old tensions.

Ways to Cope

1. Give Yourself Permission to Grieve.

There’s no “right time” to start grieving. If it’s happening now, it’s real. Let yourself feel what you feel.

2. Talk to Someone You Trust.

Whether it’s a friend, therapist, or support group, having someone who will simply listen without trying to fix it can be incredibly comforting.

3. Journal Your Thoughts.

Writing can help you process emotions that are hard to say aloud. Try reflecting on what this person means to you, what you fear losing, and what you want to remember.

4. Make Space for Joy and Rest.

Caring for someone in decline is draining. Find moments, however small, to rest, laugh, or feel joy without guilt.

5. Seek Professional Support.

Grief counselling or therapy can provide a safe space to explore the complex emotions you’re facing, especially if you’re also a caregiver.

You Are Already Doing the Hard Work

Anticipatory grief is not a sign of weakness; it’s a sign of love. It means you are deeply connected, and that connection matters. You are already grieving in your own way, and that’s okay. Give yourself grace. There is no timeline, and no perfect way to do this. You’re not alone.