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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Hello Beautiful

Read: March 2023

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Hello Beautiful

by Ann Napolitano

Hello Beautiful by Ann Napolitano is a gorgeous, profoundly moving portrait of what’s possible when we choose to love someone, not despite who they are but because of it. Although several sources recommended Hello Beautiful, I chose the novel based on the title as it is how I always greeted Jan. I highly recommend this book as it is one of the best I have ever read.

Hello Beautiful is an exquisite homage to Louisa May Alcott’s timeless classic, Little Women. Knowing it was not him, William Waters’s experience growing up as an only child was an engaging character in the early portion of the novel. However, my hero was Sylvie, the dreamer who pursued true love and found it in a place one would less expect to find it. The consequences of her love reverberate over decades in their families

The following passage is one example of a well-written book.

We’re separated from the world by our own edges,” Charlie Padavano says to Sylvie in “Hello Beautiful.” He continues, “We’re all interconnected, and when you see that, you see how beautiful life is.

The interconnections of the characters make this novel one of the best I have read. If only more of us could learn the lessons that Charlie Padavano shared with Sylvie.

As a man on a lifetime grief journey, this exchange echoes my experience.

When an old person dies,” Kent said, “even if that person is wonderful, he or she is still somewhat ready, and so are the people who loved them. They’re like old trees, whose roots have loosened in the ground. They fall gently. But when someone like your aunt Sylvie dies—before her time—her roots get pulled out and the ground is ripped up. Everyone nearby is in danger of being knocked over.”

Grief is love.” Now Alice thought: Forgiveness is too.

The Goodreads summary provides an overview,

William Waters grew up in a house silenced by tragedy, where his parents could hardly bear to look at him, much less love him. So it’s a relief when his skill on the basketball court earns him a scholarship to college, far away from his childhood home. He soon meets Julia Padavano, a spirited and ambitious young woman who surprises William with her appreciation of his quiet steadiness. With Julia comes her family; she is inseparable from her three younger sisters: Sylvie, the dreamer, is happiest with her nose in a book and imagines a future different from the expected path of wife and mother; Cecelia, the family’s artist; and Emeline, who patiently takes care of all of them. Happily, the Padavanos fold Julia’s new boyfriend into their loving, chaotic household.

But then darkness from William’s past surfaces, jeopardizing not only Julia’s carefully orchestrated plans for their future, but the sisters’ unshakeable loyalty to one another. The result is a catastrophic family rift that changes their lives for generations. Will the loyalty that once rooted them be strong enough to draw them back together when it matters most?


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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Fair Play

Read: June 2025

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Fair Play: A Novel

by Louise Hegarty

Fair Play” by Louise Hegarty is a captivating and playful novel that is both insightful and profoundly moving. It delves into the complexities of the human heart while challenging our perceptions of a beloved genre. Fans of Anthony Horowitz and Lucy Foley will appreciate this wonderfully original and genre-defying debut from Ireland. The book pays tribute to the brilliant detective novels of the early twentieth century but with a modern twist that will keep readers on the edge of their seats.

A group of friends, each with their quirks and secrets, gathers at an Airbnb to celebrate New Year’s Eve. It’s Benjamin’s birthday, and his sister, Abigail, is hosting a Jazz Age Murder Mystery-themed party. As the night unfolds, they enjoy champagne, devour hors d’oeuvres, and form or strain relationships. Someone kisses the wrong person, and someone else’s heart breaks. The setting, a grand mansion with its mysteries, adds an extra layer of intrigue to the story.

By morning, everyone wakes up—except for Benjamin.

As Abigail struggles to come to terms with her brother’s death, an esteemed detective arrives, determined to find Benjamin’s killer. The mansion is now filled with a butler, gardener, and housekeeper, making everyone a suspect, and nothing is quite as it seems. The detective’s arrival not only adds a layer of suspense but also brings a sense of hope as the characters cling to the possibility of justice and closure.

Will the culprit be revealed? And how can Abigail, feeling lost and alone, begin to piece her life back together in the wake of this tragedy?

Gripping yet playful, sharp yet profoundly moving, *Fair Play* explores the depths of the human heart while subverting one of our most beloved genres. It’s a twisty murder mystery that’s both classic and contemporary, along with a poignant exploration of grief and loss.


Louise Hegarty‘s work has appeared in Banshee, The Tangerine, The Stinging Fly, and The Dublin Review. It has also been featured on BBC Radio 4’s Short Works. She was the inaugural winner of the Sunday Business Post/Penguin Ireland Short Story Prize. Her short story “Getting the Electric” has been optioned by Fíbín Media. Louise resides in Cork, Ireland.



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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We the Animals

Read: July 2024

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We the Animals

by Justin Torres

Today, I embarked on the literary journey of We the Animals by Justin Torres. This novel, listed among the New York Times’ 100 Best Books of the Century, is a groundbreaking work of art. The author of Blackouts immerses us in the tumultuous heart of a family, the intense bonds of three brothers, and the mythic impact of this fierce love on the individuals we are destined to become.

The narrative unfolds as three brothers navigate their way through childhood, a journey filled with emotional highs and lows, from playful acts like smashing tomatoes on each other to finding solace in each other’s company during their parents’ conflicts and even tiptoeing around the house as their mother rests after her graveyard shift. Paps and Ma, hailing from Brooklyn—he’s Puerto Rican, she’s white—share a profound and challenging love, shaping and reshaping the family numerous times. Life in this family is intense and all-consuming, filled with disorder, heartache, and the ecstasy of belonging to each other.

From the intense familial unity, a child feels to the profound alienation he endures as he begins to see the world, this beautiful novel doesn’t just tell a coming-of-age story; it reinvents it in a sly and punch-in-the-stomach powerful way. It delves into themes such as love, the meaning of family, and heartache, adding another layer of depth and complexity to the story.

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The Letter Carrier

Read: July 2025

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The Letter Carrier: A Novel

by Francesca Giannone

In the bestselling novel that has captivated readers in Italy, The Letter Carrier by Francesca Giannone depicts a small town in southern Italy that reflects the experiences of many others. It portrays the lives of women and men—husbands and wives, fathers and sons, mothers and daughters—as they strive to navigate the world while remaining true to their hearts. The Letter Carrier explores the universal theme of connection and examines the consequences that arise when those connections occur at the wrong time.

Salento, Italy, June 1934: A coach stops in the main square of Lizzanello, a tight-knit village where everyone knows each other. A couple gets off: The man, Carlo, a Southerner, is happy to be back home after a long time away; the woman, Anna—his wife—is a Northerner. Carlo’s brother is there to meet them, and he, along with everyone else, can’t help but notice that Anna is as beautiful as a Greek statue.

But Anna is not like the other wives. She doesn’t gossip or attend church. She reads books no one else has ever heard of, exploring ideas that some find threatening. She even wears pants, just like a man, and thinks a woman should have rights, just like a man.

There aren’t many options for a woman with Anna’s sensibilities, so when she learns that the post office is hiring, she leaps at the opportunity. A female letter carrier? It is unthinkable! But Anna passes the postal exam and soon becomes the invisible thread connecting the town as she delivers letters between clandestine lovers, families waiting to hear news of loved ones away at war, and even helps those who can’t read.

Letters connect people, conveying both information and emotion. But for some in Lizzanello, letters are too little and too late.


Francesca Giannone holds a degree in communication science and studied at the CSC, the oldest film school in Europe, located in Rome. She has published several short stories in literary magazines, both in print and online. Currently, Giannone resides in Milan, but her heart remains in her hometown of Lizzanello, a seaside town in the Salento region of Italy. She hopes to return there to live one day.


Elettra Pauletto translated The Letter Carrier. After earning her MFA from Columbia University, she has split her time between writing about her experiences in Africa—specifically in the Democratic Republic of the Congo, Rwanda, and Senegal—and translating fiction and nonfiction works from Italian and French into English. In both her writing and translations, she heavily relies on her background as a former political risk analyst who covered Sub-Saharan Africa, the Middle East, and Europe.



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!

Enjoy a limited-time offer of 20% off your next book purchase at Bookshop.org!


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The Secret Hours

Read: January 2024

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The Secret Hours

by Mick Herron

Today, I started reading “The Secret Hours” by Mick Herron, a gripping spy thriller about a disastrous MI5 mission in Cold War Berlin. This book is a must-read for fans of “Slow Horses.” “The Secret Hours” is a standalone spy thriller that is both unnerving and poignant yet also has laugh-out-loud moments. It is the breathtaking secret history that Slough House fans have been waiting for.

Two years ago, a hostile prime minister launched the Monochrome inquiry, which aimed to investigate “historical over-reaching” by the British Secret Service. Griselda Fleet and Malcolm Kyle, two civil servants seconded to the project, were given unfettered access to all confidential information in the Service archives to ferret any hint of misconduct by any MI5 officer.

However, MI5’s formidable First Desk did not become Britain’s top spy by accident, and she has successfully thwarted the inquiry at every turn. The administration that created Monochrome has been ousted, and the investigation is a total bust. Griselda and Malcolm are stuck watching as the pounding London rain washes away their career prospects.

On the eve of Monochrome’s shuttering, an MI5 case file appears without explanation. It is the buried history of a classified operation in 1994 Berlin, which ended in tragedy and scandal, whose cover-up has rewritten thirty years of Service history.


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

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I receive a commission when you buy a book or product using a link on this page. Thank you for supporting Sharing Jan’s Love blog.



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The Payback: A Novel

Read: July 2025

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The Payback: A Novel

by Kashana Cauley

In “The Payback: A Novel,” Kashana Cauley delivers a witty and incisive examination of race, power, and the everyday struggles we all face. The story follows Jada Williams, who finds herself on the run from the relentless Debt Police. As she grapples with her daunting student loans, she teams up with two quirky coworkers from the mall who offer their unexpected support on a plan to exact revenge by erasing their student loan debt.

With sharp humor and captivating storytelling, Cauley highlights the complex web of financial struggles, making readers laugh while also encouraging thoughtful reflection.

Jada Williams has a talent for judging people by their appearance. From across the mall, she can determine not only someone’s inseam and pant size but also the exact style they need to transform their lives. Unfortunately, she is no longer using this superpower as a wardrobe designer for Hollywood stars; instead, she is earning minimum wage plus commission at the Glendale mall.

When Jada is fired yet again, she must outrun the newly instated Debt Police, who are pursuing her relentlessly. However, Jada, like any great antihero, isn’t going to wait for the authorities to come after her. With the help of two other debt-burdened coworkers at the mall, she devises a plan for revenge. Together, the three women formulate a plan to erase their student loans forever and exact revenge on the system that promised them everything and then tried to take it all back.

The Payback is a razor-sharp and hilarious examination of race, power, and the daily grind, from one of the most original and exciting writers working today.


Kashana Cauley is the author of The Payback and The Survivalists, which was named a best book of 2023 by the BBC, Today, Vogue, and more. Cauley is also a television writer, having worked on The Great North, Pod Save America on HBO, and The Daily Show with Trevor Noah. Her writing has also appeared in The New York Times, The Atlantic, Esquire, Rolling Stone, The New Yorker, and other notable publications. Find out more at KashanaCauley.com.



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!

Enjoy a limited-time offer of 20% off your next book purchase at Bookshop.org!


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