Help Test DSM-5-TR Consensus Criteria for Prolonged Grief Disorder

1. How often have you felt yourself longing or yearning for the person who died?

2. How often have you been preoccupied with thoughts or memories of the deceased person?

3. How often have you felt confused about your role in life or feel like you don’t know who you are (i.e. feeling that a part of yourself has died) because of this person’s death?

4. How often have you felt a sense of disbelief about the death?

5. How often have you tried to avoid reminders that your significant other is dead?

6. How often have you felt intense emotional pain related to the death?

7. How often have you felt it would be difficult, or experienced difficulty, moving forward after the death? (e.g., making new friends, pursuing new interests)

8. How often have you felt emotionally numb since the death?

9. How often have you felt that life is meaningless since the death?

10. How often have you felt alone or detached from others since the death?

11. Have changes in your thoughts, emotions, or behaviors as a result of the death made you feel significantly distressed?

Yes

No

12. Have you experienced a significant reduction in social, occupational, or other important areas of functioning (e.g., domestic responsibilities)?

Yes

No