Complicated grief is a persistent form of intense grief in which maladaptive thoughts and dysfunctional behaviors are present along with continued yearning, longing and sadness and/or preoccupation with thoughts and memories of the person who died. Grief continues to dominate life and the future seems bleak and empty. This manual has been developed as a guide for those who encounter individuals reacting to trauma related grief reactions in the course of their outreach work. It is hoped that this document will be helpful for both licensed mental health practitioners with limited experience working with individuals who are grieving as well as for Anxiety is a common and even expected part of the grieving process, but people with a syndrome known as complicated grief are at higher risk for developing an anxiety disorder. People who experience intense grief symptoms that interfere with daily life and occur more than 6 months after a loss may have complicated grief, which is frequently Premise of Complicated Grief Therapy. The underlying premise of complicated grief therapy stems primarily from attachment theory, interpersonal therapy, and cognitive behavioral therapy. It also draws from other theories and treatment approaches including positive psychology and motivational interviewing (often used in addiction treatment). If a friend or loved one seems to have a complicated bereavement disorder, you don't want to shake them out of their denial or tell them to snap out of it. The grief process needs to be prolonged grief disorder (PGD), alternatively called complicated grief, pathological grief, or traumatic grief. We begin with an overview of normative bereavement reactions. We then describe diagnostic criteria for PGD, the distinction between PGD and other disorders, and assessment instruments that can help clinicians identify PGD. Psychiatry has used the term "schizoaffective disorder" for more than 60 years, but its specific meaning remains uncertain.