USMLE (Fach) / Psychiatry (Lektion)

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The five stages of grief per Kubler-Ross model (may occur in any order):- Denial- Anger- Bargaining- Depression- Acceptance

- Other normal grief symptoms: shock, guilt, sadness, anxiety, yearning, and somatic symptoms that usually occur in waves.- Simple hallucinations of the deceased person are common (eg, hearing the deceased speaking).- Any thoughts of dying are limited to joining the deceased (vs pathological grief).- Duration varies widely; usually within 6-12 months.

- Pathologic grief is persistent and causes functional impairment. Can meet criteria for major depressive episode.

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