When Grief Is A Threat to Mental Health

Mental Health and Grief

Estimated reading time: 0 minutes, 42 seconds

Celebrate JanAlthough I have always felt Jan’s death impacted my mental health, I have never been in a crisis.

Julie Halpert’s article in The New York Times, “How to Help a Loved One Through Sudden Loss,” was a reminder of the multiple risks and of how we can help each other.

Jan’s death was only a sudden loss if hearing that she only has weeks to live meets the definition of sudden.

But the impacts on my mental health were clear, and it altered my support network drastically.

Grieving is difficult. Because Jan’s will never die, my grief is manageable.

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When Grief Is A Threat to Mental Health

April 2, 2021

Estimated reading time: 0 minutes, 42 seconds

My mental health was at risk on April 2, 2021. Jan had been home for four days, and I could not assist her in getting to the bathroom. Mike and Elyssa came by in the morning, and we reached out to the visiting nurse.

The nurse took Jan’s blood pressure, and it was 70 over 40, and her temperature over 100.

Consulting with Dr. Strair, we agreed the only option was to take Jan by ambulance to Overlook Hospital. “Make sure you read her advance directive; you may need to use it,” he said.

My heart stopped beating. Would I lose Jan without a chance for one last kiss?

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When Grief Is A Threat to Mental Health

Emergency Surgery

Estimated reading time: 0 minutes, 42 seconds

Mike drove me to the hospital, but I could not stay with Jan due to the COVID diagnosis. I asked Mike to call family and critical friends, and I called Rabbi Renee the drive home. I sleepwalked back to my car.

My Rabbi reassured me, but the thought of losing Jan made the journey home a frightening drive.

By midnight the triage nurse called to tell me that a CAT scan had determined that she had a life-threatening infection in her kidneys backing up fluid. Had Jan not been hospitalized, it would have been fatal.

I approved emergency surgery to insert a stent in her kidney to drain the fluid. The surgery was successful.

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When Grief Is A Threat to Mental Health

She Was OK Until She Wasn't

Estimated reading time: 0 minutes, 42 seconds

Friday night, I barely slept. The night before had been sleepless. But I knew my wife was still alive.

When I arrived at the hospital and walked into her room, I was welcomed by Jan’s smiling face. She was alive and healthy. She asked for her iPhone, and it rang as I handed it to her. It was our oldest son, Jon. She told him not to when he said he was about to fly to see her. “I will be OK,” she said.

When I left her, I was sure she would be OK. Four days later, Jan’s doctors told her there was nothing more than they could do for her.

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The Vaster Wilds: A Novel

Read: September 2023

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The Vaster Wilds: A Novel

by Lauren Grof

Today, I started reading The Vaster Wilds: A Novel by Lauren Groff, a three-time National Book Award finalist. It is a taut and electrifying novel about a servant girl who escapes from a colonial settlement in the wilderness. One spirited girl alone in nature, trying to survive.

She carries nothing with her but her wits, a few possessions, and the spark of god that burns hot within her. What she finds in this terra incognita is beyond the limits of her imagination and will bend her belief in everything that her civilization has taught her.

Lauren Groff’s new novel is a thrilling adventure story and a penetrating fable about trying to find a new way of living in a world succumbing to the churn of colonialism. The Vaster Wilds is a work of raw and prophetic power that tells the story of America in miniature, through one girl at a hinge point in history, to ask how—and if—we can adapt quickly enough to save ourselves.


The Jan Lilien Education Fund sponsors ongoing sustainability and environmental awareness programs. Gifts made this month; I will match dollar-for-dollar. All donations are tax-deductible.

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Last House: A Novel

Read: May 2024

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Last House: A Novel

by Jessica Shattuck

I started reading “Last House: A Novel” by Jessica Shattuck today. She is an esteemed New York Times bestselling author known for her work “The Women in the Castle.” This sweeping narrative, perfect for “The Dutch House” and “Great Circle” fans, explores a nation’s rise to power and a family’s complex ties to the resources that shaped their wealth. It also delves into the events that led to their greatest tragedy, a secret that threatens to tear them apart.

In 1953, a World War II veteran turned company lawyer, Nick Taylor, saw oil as the key to the future. He commutes to the city for work and returns to the peaceful suburbs to be with his wife, Bet, a former codebreaker now a housewife, and their two children, Katherine and Harry. Nick, who comes from humble origins, can provide for his family, including their secluded country escape called Last House, thanks to his work for American Oil. Last House, deep in the Vermont mountains, offers the Taylors a retreat from the stresses of modern life. Bet no longer worries about the Russian H-bombs that haunt her dreams, and the children can roam freely in the woods. Last House is a place that seems capable of surviving the end of the world.

1968, a turning point in American history, where the nation teeters on the brink of transformation. The streets pulsate with protestors challenging everything from the Vietnam War to racism and even the country’s reliance on Big Oil. As Katherine enters adulthood, she finds herself caught in the era’s tide, struggling to reconcile her ideals with the privileged upbringing her parents, part of the Greatest Generation, toiled to provide. But when the Movement takes a secure, more radical turn, each member of the Taylor family must face the repercussions of their choices for the causes they believed in. This rich historical backdrop infuses the Taylor family’s narrative with depth and intrigue, leaving us hungry for more about this transformative era.

Last House” spans multiple generations and nearly eighty years, telling the story of one American family during a time of grand ideals and significant downfalls. It explores themes of family dynamics, the impact of wealth, and the societal changes that shaped America. Set against the backdrop of our nation’s history, this emotional tour de force delves deeply into questions of inheritance and what we owe each other. It captures the gravity of time, the double edge of progress, and the hubris of empire to stunning effect.

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The Catch

Read: June 2025

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The Catch: A Novel

by Yrsa Daley-Ward

In “The Catch,” her captivating debut novel, Yrsa Daley-Ward creates a vibrant multiverse that delves into the complexities of daughterhood and mother-want. She explores the sacrifices women often make in their pursuit of self-actualization. The result is a remarkable novel that boldly poses the question: “How can it ever be a crime to choose yourself?”

Twin sisters Clara and Dempsey have always struggled to connect, their familial bond severed after their mother vanished into the Thames. As infants, they were adopted by different families: Clara went to live with a successful, upper-class couple, while a distant and unaffectionate city councilor took in Dempsey. As adults, the sisters have settled into a comfortable estrangement until Clara spots a woman on the streets of London who looks exactly like their mother. The twist? This version of Serene appears ageless and has lived a childless life — the very life she might have had if the girls had never been born.

As with most things, Clara and Dempsey cannot agree on the strange appearance of this woman. Clara, a celebrity author with a penchant for excessive drinking and one-night stands, is eager to welcome the confident and temperamental Serene into her home. In contrast, reclusive Dempsey, who makes a modest living doing menial data entry work from her apartment, is suspicious of the entire situation, believing it to be a cunning scheme by a con woman.

As the sisters clash over this stranger who increasingly intrudes into their lives, they hurtle toward a confrontation that threatens their very existence, ultimately forcing them to face their shared past together.


Yrsa Daley-Ward is a poet, writer, and actress. She is the author of The Howbone, and The Terrible, for which she won the PEN Ackerley Prize. She lives in Los Angeles.



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Stone Yard Devotional: A Novel

Read: February 2025

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Stone Yard Devotional: A Novel

by Charlotte Wood

Today, I dove into Charlotte Wood‘s captivating novel, “Stone Yard Devotional.” I couldn’t resist picking it up after discovering a glowing review by Joumana Khatib. She expressed her fondness for the book in the New York Times Book Review Newsletter, saying, “I’m still so enamored of Charlotte Wood’s novel.” It’s impressive that this work was a finalist for the Booker Prize last year! I’m eager to read the book to determine if it is a “love story,” as Ms. Khatib believes.

Burnt out and needing a retreat, a middle-aged woman leaves Sydney to return to her childhood home, taking refuge in a small religious community hidden away on the stark plains of rural Australia. She does not believe in God and is unfamiliar with the concept of prayer, finding herself living this strange, reclusive existence almost by accident.

However, her secluded life is disrupted by three significant events. First, a terrible mouse plague marks a new battle against the growing infestation daily. Second, the skeletal remains of a sister who disappeared decades ago and was presumed murdered return. Finally, a troubling visitor brings her further into her past.

Meditative, moving, and finely observed, “Stone Yard Devotional” is a seminal novel from a writer of rare power. It explores the meaning of retreating from the world, forgiveness’s true nature, and grief‘s lasting effects on the human soul.



When you purchase a book through one of my links, I earn a small commission that helps support my passion for reading. This contribution allows me to buy even more books to share with you, creating an incredible cycle of discovering great reads together! Your support truly makes a difference!


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The Unfolding

Read: October 2022

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The Unfolding: A Novel

by A.M. Homes

The Unfolding by A.M. Homes is a darkly comic political parable braided with a Bildungsroman that takes us inside the heart of a divided country. The Unfolding is an alternative history that is terrifyingly prescient, profoundly tender, and devastatingly funny. Will this novel help me to understand how we became a nation that no longer shares the same definitions of truth, freedom, and democracy, much less a shared vision of the future?

Although I understand more clearly the crisis facing the US, I highly recommend this novel.

Ms. Homes has written a must-read book that compliments the January 6th Committee report and should make us all more vigilant.

The characters are so well defined that at the end of the novel, I wanted to continue to read about them, especially Meghan.

The Goodreads summary provides an overview,

The Big Guy loves his family, money, and country. Undone by the 2008 presidential election results, he taps a group of like-minded men to reclaim their version of the American Dream. As they build a scheme to disturb and disrupt, the Big Guy also faces turbulence within his family. His wife, Charlotte, grieves a life not lived, while his 18-year-old daughter, Meghan, realizes that her favorite subject–history–is not exactly what her father taught her.

In a story that is as much about the dynamics within a family as it is about the desire for those in power to remain in force, Homes presciently unpacks a dangerous rift in American identity, prompting a reconsideration of the definition of truth, freedom, and democracy–and exploring the explosive consequences of what happens when the exact words mean such different things to people living together under one roof.

In her first novel since the Women’s Prize award-winning May We Be Forgiven, A.M. Homes delivers us back to ourselves in this stunning alternative history that is both terrifyingly prescient, deeply tender, and devastatingly funny.


The Jan Lilien Education Fund sponsors ongoing sustainability and environmental awareness programs. Gifts made this month; I will match dollar-for-dollar. All donations are tax-deductible.

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Midwives

Read: June 2022

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Midwives: A Novel

by Chris Bohjalian

Midwives by Chris Bohjalian is “a compulsively readable novel that explores questions of human responsibility that are as fundamental to our society now as they were when the book was first published.” Forty years after the book was published, it is just as relevant, if not more so. Indeed, the book’s topics are more relevant today with the current set of decisions by the Supreme Court.

After reading The Pull of the Stars and watching every season of Call the Midwivesthis was the logical next book for me to read. It is also one that I know Jan read and liked. 

I highly recommend this book!

The Goodreads summary provides a concise overview. 

The time is 1981, and Sibyl Danforth has been a dedicated midwife in the rural community of Reddington, Vermont, for fifteen years. But one treacherous winter night, in a house isolated by icy roads and failed telephone lines, Sibyl takes desperate measures to save a baby’s life. She performs an emergency Caesarean section on its mother, who appears to have died in labor. But what if—as Sibyl’s assistant later charges—the patient wasn’t already dead, and it was Sibyl who inadvertently killed her?

As recounted by Sibyl’s precocious fourteen-year-old daughter, Connie, the ensuing trial bears the earmarks of a witch hunt except that all its participants are acting from the highest motives—and the defendant increasingly appears to be guilty. As Sibyl Danforth faces the antagonism of the law, the hostility of traditional doctors, and the accusations of her conscience, Midwives engages, moves, and transfixes us as only the best novels ever do


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