What are manifestations of prolonged grief disorder?

• A. Persistent thoughts of the deceased, guilt, anger, and difficulty engaging in new activities.
• B. Sudden joy and energy.
• C. Improved functioning.
• D. Loss of vision.

Answer: (A)

The main idea is that prolonged grief disorder involves grief that remains intense and disabling long after the loss, with ongoing preoccupation with the deceased and clear impairment in daily life. Persistent thoughts of the deceased, along with guilt, anger, and trouble engaging in new activities, fit this pattern because they show enduring emotional pain and difficulty moving forward. This combination signals that the grief is not just a normal, passing reaction but a persistent state that interferes with functioning. The other options don’t match this pattern: sudden joy and energy would indicate relief or recovery rather than persistent distress; improved functioning suggests improvement, not impairment; and loss of vision is unrelated to grief reactions.