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Grief & Loss Treatment Long Island: Healing Through Life's Most Painful Moments
Compassionate support for grief and bereavement from board-certified psychiatrists. Distinguishing normal mourning from complicated grief at two Nassau County locations.


When Grief Feels Unbearable

The death of someone you love changes everything. One day you’re laughing together, making plans, living ordinary life. The next, there’s an absence so profound it takes your breath away. You find yourself reaching for the phone to call them before remembering they’re gone. Their chair sits empty. Their voice exists only in memory.
Grief is the price we pay for love. It’s not an illness to be cured but a natural response to loss that must be lived through. And yet, sometimes grief becomes so overwhelming, so persistent, so immobilizing that it requires professional support to navigate.
At Anxiety & Depression Psychiatry, we provide compassionate grief and loss treatment on Long Island that honors your loss while helping you find a path forward. Our board-certified psychiatrists understand the difference between normal mourning and complicated grief, and we offer appropriate support for wherever you are in your bereavement journey.
Understanding Grief
Grief is a universal human experience, yet deeply personal. No two people grieve the same way, and there’s no “right” timeline for healing. What feels overwhelming in the first months may gradually become bearable, though the loss never disappears entirely.
Normal Grief
Most people who experience a significant loss go through a period of intense grief that includes sadness, yearning for the deceased, preoccupation with memories, difficulty accepting the death, and temporary disruption to daily functioning. These responses are normal and expected.
Over time, usually months to a year or more, the acute intensity of grief typically softens. You begin to adapt to life without your loved one. You can remember them without overwhelming pain. You find meaning in activities again, reconnect with others, and establish a “new normal” that incorporates the loss.
This doesn’t mean you stop missing them or that grief doesn’t resurge at anniversaries, holidays, or unexpected moments. It means grief integrates into your life rather than consuming it.
When Grief Becomes Complicated
For approximately 10% of bereaved individuals, grief doesn’t follow this adaptive course. Instead, it becomes stuck, persistent, and severely impairing. The DSM-5-TR now recognizes this as Prolonged Grief Disorder, a condition distinct from depression and PTSD that requires specific treatment.
According to research published in the Journal of Affective Disorders, approximately 10% of bereaved adults develop prolonged grief disorder. The American Psychiatric Association added this condition to the DSM-5-TR in 2022, recognizing that some grief responses require clinical attention.
Signs that grief may have become prolonged or complicated include:
Intense yearning or longing for the deceased that dominates your thoughts and doesn’t diminish over time, persisting at a disabling level for at least 12 months.
Preoccupation with the deceased or circumstances of the death to the extent that it consumes most of your mental energy.
Identity disruption such as feeling like a part of yourself has died or that life has no meaning without the person.
Marked difficulty accepting the death even after considerable time has passed, as if you can’t fully believe it happened.
Avoidance of reminders of the loss, or conversely, excessive proximity seeking to reminders (such as spending excessive time at the grave or keeping the deceased’s room exactly as they left it).
Intense emotional pain including numbness, bitterness, anger, or feeling that life is empty.
Difficulty moving on with life, engaging in activities, planning for the future, or forming new relationships.
Social withdrawal and isolation from people who care about you.
These symptoms must persist for at least 12 months after the death (6 months in ICD-11 criteria) and cause significant impairment in daily functioning to meet criteria for prolonged grief disorder.
Risk Factors for Complicated Grief
Certain factors increase the likelihood that grief will become complicated:
- Loss of a spouse, child, or particularly close relationship
- Sudden, unexpected, or violent death
- Death by suicide
- Multiple losses in a short period
- Prior mental health conditions, especially depression or anxiety
- Limited social support
- Highly dependent relationship with the deceased
- Prior traumatic experiences
- Finding the deceased or witnessing the death
If any of these apply to your situation, professional support during bereavement may help prevent grief from becoming prolonged.
Grief and Loss Treatment Options
Treatment for grief depends on where you are in the bereavement process and whether grief has become complicated. We tailor our approach to your specific needs.
Supportive Care During Acute Grief
In the early months after loss, you may benefit from supportive psychiatric care that helps you navigate the intense emotions of acute grief. This isn’t about rushing healing or pathologizing normal grief. It’s about having a professional who understands bereavement available as you process your loss.
Supportive care might address sleep disturbances that often accompany early grief, anxiety about being alone or facing the future, or simply provide a space to talk about your loss with someone trained to listen.
Treatment for Prolonged Grief Disorder
When grief has become complicated and meets criteria for prolonged grief disorder, specific evidence-based treatments can help:
Complicated Grief Treatment (CGT)
is a specialized therapy developed by Dr. Katherine Shear at Columbia University. It combines elements of cognitive behavioral therapy and attachment theory to help mourners process their loss, manage painful emotions, and rebuild a meaningful life while honoring their loved one’s memory. Research shows CGT effectively reduces symptoms of prolonged grief disorder.
Cognitive Behavioral Therapy (CBT)
addresses unhelpful thought patterns that can perpetuate grief, such as excessive guilt, rumination about “what ifs,” or avoidance of grief-related situations.
Interpersonal Therapy
focuses on relationship patterns and helps mourners navigate changes in their social world following loss.
Medication for Grief-Related Symptoms
Grief itself isn’t treated with medication. However, medication may help address symptoms that accompany grief:
Antidepressants
may be appropriate when grief triggers a major depressive episode that goes beyond normal bereavement. The distinction matters because grief with depression requires different treatment than grief alone.
Sleep medications
may be used short-term when severe insomnia accompanies grief and interferes with daily functioning.
Anti-anxiety medications
may help manage acute anxiety symptoms during particularly difficult periods.
Our psychiatrists carefully distinguish between symptoms that are part of normal grief (which don’t require medication) and symptoms indicating a separate condition like depression that benefits from medication treatment.
Treatment for Grief-Related Depression
Grief and depression can look similar but aren’t the same. In grief, painful feelings come in waves often triggered by reminders of the deceased, and self-esteem typically remains intact. In depression, the low mood is more constant, and feelings of worthlessness are common.
However, grief can trigger depression, especially in people with prior depressive episodes. When this occurs, treating the depression with medication and/or therapy can help, even while grief continues.
Types of Loss We Help With
While death is the most recognized cause of grief, significant loss takes many forms:
Death of a spouse or partner fundamentally changes your daily life, identity, and future plans. The loss of your most intimate relationship requires substantial adjustment.
Death of a parent whether expected or sudden, changes your place in the world. Even adult children can feel suddenly “orphaned.”
Death of a child is often described as the most painful loss a person can experience. It violates the expected order of life and can profoundly affect parents, siblings, and extended family.
Death of a sibling means losing someone who shared your history, your childhood, your family stories.
Death of a close friend can be as devastating as family loss but may receive less social recognition and support.
Pregnancy loss and infant death are losses that others may minimize but that can cause profound grief.
Death by suicide adds layers of guilt, anger, confusion, and stigma to the grief process.
Ambiguous loss when someone is physically present but psychologically absent (such as with dementia) or vice versa (missing persons, estrangement).
Whatever your loss, your grief is valid and deserves compassionate support.
What to Expect at Your First Appointment
Your initial consultation provides space to share your story and discuss how you’ve been coping since your loss. We’ll want to understand the nature of your loss, how long ago it occurred, and how it’s affecting your daily life.
We’ll assess whether what you’re experiencing falls within normal grief or whether it may have become complicated. We’ll also evaluate for depression, anxiety, PTSD, or other conditions that sometimes accompany or complicate bereavement.
Based on this assessment, we’ll recommend an appropriate level of care. For some people, this might be periodic check-ins during the grief process. For others, it might be referral for grief-focused therapy, medication for co-occurring depression, or more intensive treatment for prolonged grief disorder.
There’s no judgment here about how you’re grieving or how long it’s taking. We meet you where you are.
Why Choose Anxiety & Depression Psychiatry for Grief Support
Understanding the Difference
Not all mental health providers understand the distinction between normal grief and complicated grief, or between grief and depression. Our psychiatrists can accurately assess your situation and recommend appropriate care, not just prescribe antidepressants for every bereaved person who walks through the door.
Comprehensive Approach
We offer psychiatric evaluation, medication management when appropriate, and coordination with grief therapists. If depression or anxiety complicates your grief, we can treat both.
Respect for Your Process
We won’t rush your grief or imply you should be “over it” by now. At the same time, if grief has become stuck and professional intervention could help, we’ll recommend appropriate treatment.
Long-Term Support
Grief doesn’t follow a linear path. We provide ongoing support as you navigate the ups and downs of bereavement, adjusting our approach as your needs change.
Long Island Location
Anxiety & Depression Psychiatry
300 Old Country Rd, Suite 351 Mineola, NY 11501
(646) 830-0131help@tomerlevin.comOffice Hours: Monday to Friday: 8am – 5pm
Our Mineola location is convenient to Garden City, Westbury, and central Nassau County. We’re close to NYU Winthrop Medical Center and Northwell Health’s Long Island Jewish Medical Center and Zucker Hillside Hospital.
Frequently Asked Questions
How do I know if my grief is "normal" or needs treatment?
Normal grief, even when intense, gradually softens over time and allows you to function despite the pain. Warning signs that grief may need professional attention include symptoms that worsen rather than improve over time, inability to function at work or in daily life after several months, persistent thoughts of wanting to die or join the deceased, or grief that remains at the same intense level more than a year after the loss.
Is it too soon to seek help?
It’s never too soon. Seeking support early in grief can help prevent complications later. Even if what you’re experiencing is normal grief, having professional support during a difficult time can be valuable.
Will I be put on medication?
Not necessarily. Medication isn’t typically indicated for grief itself. However, if grief has triggered depression or severe anxiety, medication might help. We’ll discuss options and make recommendations based on your specific situation, but the decision is always yours.
How long does grief treatment take?
This varies significantly. Some people benefit from a few supportive sessions during acute grief. Treatment for prolonged grief disorder typically involves several months of specialized therapy. Co-occurring depression may require longer-term medication management. We’ll give you a better estimate after your initial evaluation.
What's the difference between grief and depression?
In grief, painful feelings come in waves and are usually connected to thoughts of the deceased. You can still experience positive emotions and moments of joy. In depression, the low mood is more constant, you may feel worthless, and positive emotions feel inaccessible. Grief can trigger depression, and when both are present, both need to be addressed.
Do you offer grief support groups?
We provide individual psychiatric care rather than group therapy. However, we can refer you to grief support groups in the Long Island area if that would be helpful as part of your overall support system.
What if my loved one died by suicide?
Grief after suicide is particularly complex, often involving guilt, anger, confusion, and stigma in addition to the pain of loss. We have experience supporting people bereaved by suicide and understand the unique challenges involved.
Moving Forward with Your Loss
Grief changes you. The person you were before the loss isn’t the person you’ll be after. But with time, support, and sometimes professional help, you can integrate your loss into a life that still holds meaning, connection, and even joy, while carrying your loved one with you always.
If you’re struggling with grief, call us at (646) 830-0131 to schedule a consultation. We’ll listen to your story, assess your needs, and help you find the appropriate support for wherever you are in your journey.
Your grief matters. Your healing matters. Let us help.
Monday – Friday 8am – 5pm
Board-certified psychiatrists • Grief-informed care • Two Long Island locations
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