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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When Grief Is A Threat to Mental Health
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Absolution: A Novel

Read: November 2023

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Absolution: A Novel

by Alice McDermott

I started reading “Absolution: A Novel” by Alice McDermott today. The opening line immediately grabbed my attention: “You have no idea what it was like. For us. The women, I mean.” In most literature about the Vietnam War, American women, particularly wives, have been minor characters. However, in “Absolution,” they take center stage.

The book follows the story of two women, Tricia, a shy newlywed, and Charlene, a practiced corporate spouse and mother of three. They both found themselves in Saigon in 1963, forming a wary alliance. They balance the era’s mandate to be “helpmeets” to their ambitious husbands with their inchoate impulse to “do good” for the people of Vietnam.

Sixty years later, Charlene’s daughter reaches out to Tricia after encountering an aging Vietnam vet. Together, they look back at their time in Saigon, carefully considering that pivotal year and Charlene’s altruistic machinations. They discover how their lives as women on the periphery have been shaped and burdened by the same unintended consequences that followed America’s tragic interference in Southeast Asia.

This virtuosic new novel from Alice McDermott, one of our most observant and affecting writers, explores themes of folly and grace, obligation, sacrifice, and, finally, the quest for absolution in a broken world.


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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The Fraud: A Novel

Read: December 2023

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The Fraud: A Novel

by Zadie Smith

I started reading The Fraud: A Novel by Zadie Smith today. The book is a kaleidoscopic work of historical fiction that revolves around a legal trial that divided Victorian England. The story is set in 1873, where Mrs. Eliza Touchet, a Scottish housekeeper and cousin by marriage of a once-famous novelist, William Ainsworth, lives with him for thirty years. Mrs. Touchet is interested in literature, justice, abolitionism, class, and her cousin’s wives.

However, she is skeptical of her cousin’s talent, Mr. Charles Dickens’ character, and England’s facades, in which nothing is as it seems.

On the other hand, Andrew Bogle grew up enslaved on the Hope Plantation in Jamaica. He knows that every lump of sugar comes at a human cost, that the rich deceive the poor, and that people are more easily manipulated than they realize. When Bogle finds himself in London, a star witness in a celebrated case of imposture, he knows that his future depends on telling the right story.

The “Tichborne Trial” captivates Mrs. Touchet and all of England. The trial involves a lower-class butcher from Australia who claimed he was the rightful heir of a sizable estate and title. The question is whether Sir Roger Tichborne is genuinely who he says he is or whether he’s a fraud. In a world of hypocrisy and self-deception, deciding what’s real is complicated for Mrs. Touchet and Mr. Bogle.

The Fraud is a dazzling novel about truth and fiction, Jamaica and Britain, fraudulence and authenticity, and the mystery of “other people.” It’s based on historical events.


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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A Guardian and a Thief

Read: October 2025

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A Guardian and a Thief

by Megha Majumdar

Set over the course of one week, A Guardian and a Thief, by Megha Majumdar, a finalist in the fiction category for the 2025 National Book Award, tells two stories: Ma’s frantic search for the thief while keeping hunger at bay amid a worsening food shortage. The tale of Boomba, the thief, whose desperation to care for his family drives him to commit a series of escalating crimes whose consequences he cannot fathom.

With stunning control and command, Megha Majumdar paints a kaleidoscopic portrait of two families, each operating from a place of ferocious love and undefeated hope, each discovering how far they will go to secure their children’s future as they stave off encroaching catastrophe.

In a near-future Kolkata, Ma, her two-year-old daughter, and her elderly father are just days from leaving the collapsing city behind to join Ma’s husband in Ann Arbor, Michigan. After procuring long-awaited visas from the consulate, they pack their bags for the flight to America. But in the morning, they awaken to discover that Ma’s purse, containing their treasured immigration documents, has been stolen.

A masterful new work from one of the most exciting voices of her generation.


Megha Majumdar is the author of the bestselling novel A Burning, which has been recognized by the New York Times and nominated for several prestigious awards, including the National Book Award, the National Book Critics Circle’s John Leonard Prize, and the American Library Association’s Andrew Carnegie Medal. The book “A Burning” was recognized as one of the best of the year by various media outlets, including The Washington Post, The New York Times, NPR, The Atlantic, Vogue, and TIME Magazine.

In 2022, she received a Whiting Award. Born and raised in Kolkata, India, Majumdar holds degrees in anthropology from Harvard University and Johns Hopkins University. She is the former editor-in-chief of Catapult Books and currently resides in New York.



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Weather

Read: March 2022

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Weather: A Novel

by Jenny Offil

Weather: A Novel by Jenny Offil was a book that I was confused and uncertain if I wanted to finish for the first few pages. I am delighted that I did, and I highly recommend this book. Its brief diary-like dispatches about life in our time when we sense that we may all be doomed to a climate catastrophe made this a book I truly enjoyed reading. The subtext of the rise of right-wing strongmen in the USA and abroad adds to the crisis her dispatches describe.

Her Obligatory Note of Hope challenges all of us to engage in solutions instead of accepting doom.

How can we contribute to the common good? There are people all over the world trying to answer these questions. In big ways but also in small ways. In grand leaps but also in fits and starts.

I always thought it was ridiculous to try and fight for social change when I couldn’t even get my own house in order. How could a meat-eating, plane-flying, march-hating person like me ever find a place in the climate justice movement? But then I started to read about all the different ways ordinary people were refusing to give into fatalism and were exploring the possibilities of what they could do, what they might fight for in this half-ruined world of ours.

There were saints among these accidental activists, but also stone-cold hypocrites like me. Slowly, I began to see collective action as the antidote to my dithering and despair.

There’s a way in for everyone. Aren’t you tired of all this fear and dread?

Goodreads provides an overview of the book if you are not yet convinced to read it.

 Lizzie Benson is a very relatable woman who slid into her job as a librarian without a traditional degree. But this gives her a vantage point from which to practice her other calling: a fake shrink. She has tended to her God-haunted mother and her recovering addict brother for years. They have both stabilized for the moment, but Lizzie has little chance to spend her new free time with her husband and son before her old mentor, Sylvia Liller, proposes. She wants to hire Lizzie to answer the mail she receives: left-wingers worried about climate change and right-wingers concerned about the decline of western civilization. Sylvia has become famous for her prescient podcast, Hell and High Water, and wants to hire Lizzie to answer the mail she receives: from left-wingers worried about climate change and right wingers worried about the decline of western civilization.

As Lizzie dives into this polarized world, she begins to wonder what it means to keep tending your own garden once you’ve seen the flames beyond its walls. When her brother becomes a father and Sylvia a recluse, Lizzie is forced to address the limits of her own experience. But she still tries to save everyone, using everything she’s learned about empathy and despair, conscience and collusion, floundering the library stacks her years of wa.. And all the while the voices of the city keep floating in—funny, disturbing, and increasingly mad.

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Parable of the Talents

Read: January 2024

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Parable of the Talents

by Octavia E. Butler

This morning, I completed reading Octavia E. Butler‘s acclaimed post-apocalyptic novel Parable of the Sower and immediately started reading its sequel, Parable of the Talents, initially published in 1998. This second book is even more relevant today than it was back then. The novel’s timely message of hope and resistance in the face of fanaticism is shockingly prescient.

In 2032, Lauren Olamina survived the destruction of her home and family. She envisioned a peaceful community in Northern California, which she established based on her newly founded faith, Earthseed. This new settlement provides a haven for outcasts who face persecution following the election of an ultra-conservative president. The new president pledges to “make America great again,” but the country becomes increasingly divided and dangerous. Lauren’s subversive colony, a minority religious faction led by a young black woman, becomes a target for President Jarret’s oppressive regime characterized by terror and discrimination.

In the future, Asha Vere discovers the journals of her mother, Lauren Olamina, whom she never met. As she delves into her mother’s writings, she grapples with the conflict between Lauren’s responsibilities to her chosen family and her mission to guide humanity toward a brighter tomorrow.


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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Beautiful World, Where Are You

Read: July 2022

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Beautiful World, Where Are You

by Sally Rooney

Beautiful World, Where Are You by Sally Rooney, a writer recommended to me, but I have always kept them on the to-read list, not the current reading. Does a beautiful word exist? Is it possible to live in a beautiful world despite the loss of the love of my life? Perhaps reading  Beautiful World, Where Are You, will help me in my grief journey.

Ms. Rooney’s book was a page-turner, and I highly recommend it.

One of the quotes from the book echoed my dream of a beautiful world.

“When I try to picture for myself what a happy life might look like, the picture hasn’t changed very much since I was a child – a house with flowers and trees around it, and a river nearby, and a room full of books, and someone there to love me, that’s all. Just to make a home there, and to care for my parents when they grow older. Never to move, never to board a plane again, just to live quietly and then be buried in the earth.” ― Sally Rooney, Beautiful World, Where Are You

It also helped remind me how unique and memorable the love that Jan and I shared was. We could quickly fall into a life lived separately as friends, or we might not have ever fallen in love and married.

As Sally Rooney in Beautiful World, Where Are You, wrote:

“If God wanted me to give you up, he wouldn’t have made me who I am.”

The Goodreads summary provides an overview.

Alice, a novelist, meets Felix, who works in a warehouse, and asks him if he’d like to travel to Rome with her. In Dublin, her best friend, Eileen, is getting over a breakup and slips back into flirting with Simon, a man she has known since childhood. Alice, Felix, Eileen, and Simon are still young—but life is catching up with them. They desire each other, they delude each other, they get together, and they break apart. They have sex, they worry about sex, and they worry about their friendships and the world they live in. Are they standing in the last lighted room before the darkness, bearing witness to something? Will they find a way to believe in a beautiful world?


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