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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We Were Eight Years in Power

Read: September 2020

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We Were Eight Years in Power

by Ta-Nehisi Coates

We Were Eight Years in Power by Ta-Nehisi Coates is a collection featuring the landmark essay The Case for Reparations he wrote for The Atlantic. Even though I am a subscriber to The Atlantic and have read many of the pieces, this is a must-read book as it reflects on race, Barack Obama’s presidency, and its jarring aftermath, including the election of Donald Trump.

We were eight years in power as the lament of Reconstruction-era black politicians as the American experiment in multiracial democracy ended with the return of white supremacist rule in the South. In this sweeping collection of new and selected essays, Ta-Nehisi Coates explores the tragic echoes of that history in our own time: the unprecedented election of a black president followed by a vicious backlash that fueled the election of the man Coates argues is America’s first white president.

But the story of these present-day eight years is not just about presidential politics. This book also examines the new voices, ideas, and movements for justice that emerged over this period and the effects of the persistent, haunting shadow of our nation’s old and unreconciled history. Coates powerfully examines the events of the Obama era from his intimate and revealing perspective:” the point of view of a young writer who begins the journey in an unemployment office in Harlem and ends it in the Oval Office, interviewing a president.

We Were Eight Years in Power features Coatesa’s iconic essays first published in The Atlantic, including Fear of a Black President, The Case for Reparations, and The Black Family in the Age of Mass Incarceration, along with eight fresh essays that revisit each year of the Obama administration through Coate’s own experiences, observations, and intellectual development, capped by a bracingly original assessment of the election that fully illuminated the tragedy of the Obama era. We Were Eight Years in Power is a vital account of modern America, from one of the definitive voices of this historic moment.

I recommend this book to all readers.

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Come and Get It

Read: February 2024

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Come and Get It

by Kiley Reid

I recently started reading “Come and Get It” by Kiley Reid, a celebrated New York Times bestselling author known for her book Such a Fun Age. The novel is about a senior resident assistant named Millie Cousins, who, in 2017, attended the University of Arkansas. Millie aspires to graduate, get a job, and buy a house.

She is offered an unusual opportunity by Agatha Paul, a visiting professor and writer, which she accepts. Unfortunately, Strange new friends, dorm pranks, and illicit behavior undermine Millie’s ambition.

Overall, “Come and Get It” is a gripping story about desire, consumption, and recklessness. It explores themes of money, indiscretion, and bad behavior through Millie’s eyes. The novel is highly anticipated, given that Kiley Reid is an acclaimed and award-winning author.

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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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Tom Lake

Read: August 2023

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Tom Lake: A Novel

by Ann Patchett

Today, I began reading Tom Lake by Ann Patchett. The novel beautifully explores family, love, and growing up. Patchett once again proves herself as one of America’s finest writers. Both hopeful and mournful, it explores happiness even when the world falls apart.

The story follows Lara’s three daughters, who return to the family’s orchard in Northern Michigan in the spring of 2020. While picking cherries, they ask their mother about Peter Duke, a famous actor with whom she had a romance years before at a theater company called Tom Lake.

As Lara reminisces, her daughters are confronted with their own lives and relationships with their mothers, leading them to reevaluate everything they thought they knew. With its hopeful and mournful tone, the novel is a testament to the transformative power of understanding what happiness truly means, even amid chaos. Patchett’s compelling narrative artistry and profound insights into family dynamics weave a rich and luminous story, showcasing why she is one of our time’s most revered and acclaimed literary talents.

I have also read Patchett’s Bel Canto, a compelling tale that explores themes of strength, vulnerability, love, and confinement. It ultimately tells an inspiring story of transcendent romance.


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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Sleep: A Novel

Read: May 2025

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Sleep: A Novel

by Honor Jones

Sleep: A Novel” by Honor Jones captivates readers with its heartfelt narrative and deep insights into the human experience. This debut novel offers a genuine insight into the complex dynamics of motherhood and childhood, weaving together themes of love, secrets, and the vast array of possibilities that life can hold beyond silence.

Every parent exists in two families simultaneously: the one they were born into and the one they have created.

Ten-year-old Margaret, much like many of us, hides beneath a blackberry bush in her family’s lush backyard while her brother searches for her in a game of flashlight tag. Her childhood is filled with sunlit swimming pools, Saturday morning pancakes, and a devoted best friend. However, her family life requires careful navigation. Her mother can be as brittle and demanding as she is loving, while her father and brother embody familiar, if uncomfortable, models of masculinity. Then, late one summer, everything changes. After a series of confusing events, the simple joys of girlhood begin to fade away.

Twenty-five years later, Margaret hides under her parents’ bed, waiting for her young daughters to find her in a game of hide and seek. Newly divorced, she is learning to navigate her life as a co-parent while also discovering the pleasures of a new relationship. Yet part of her remains under the blackberry bush, frozen in time. As she strives to be a mother to her daughters and a daughter to her mother, she must confront the echoes and reflections of her past in light of her present. She grapples with what it means to keep a child safe and how much of our lives we experience in solitude.

Jones presents these emotional cycles with generosity and unflinching honesty, making the novel a compelling read that resonates on multiple levels.


Honor Jones, a senior editor at The Atlantic and formerly at The New York Times, brings her wealth of experience and insight to this novel. She lives in Brooklyn with her three children, a life experience that undoubtedly enriches her storytelling.



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Don’t miss out on this exciting opportunity! Enjoy a limited-time offer of 20% off your next book purchase at Bookshop.org! It’s the perfect chance to add this compelling novel to your collection.


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On the Rooftop: A Novel

Read: November 2022

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On the Rooftop: A Novel

by Margaret Wilkerson Sexton

On the Rooftop: A Novel by Margaret Wilkerson Sexton, is a stunning novel about a mother whose dream of musical stardom for her three daughters collides with the daughters’ ambitions for their own lives—set against the backdrop of gentrifying 1950s San Francisco. The first few pages moved glacially and then the story unfolded fully and became a page-turner that I highly recommend.

After hearing Ms. Sexton’s interview on Get Lit with All Of It, a monthly on-air, social media, in-person, and live-stream book club hosted by Alison Stewart of WNYC’s All Of It, I picked up the book. The novel had been on my to-read list.

The novel was loosely based on Fiddler on the Roof and it worked exceedingly well. Vivian is the overbearing mother and the daughters who have their own dreams and goals. With urban renewal, AKA Urban Renewal, as the backdrop, the novel was one that I could not put down.

The small section of the song that Esther writes so she can sing for her people, was a song I wish I could hear in its entirety. That Chole choose to sing it for final audition made it even more powerful.

You put words to the music inside my heart You showed me the world could be its own art I’d never felt myself so whole before I’d never known how much I could reach for.

The Goodreads summary provides an overview,

At home they are just sisters, but on stage, they are The Salvations. Ruth, Esther, and Chloe have been singing and dancing in harmony since they could speak. Thanks to the rigorous direction of their mother, Vivian, they’ve become a bona fide girl group whose shows are the talk of the Jazz-era Fillmore.

Now Vivian has scored a once-in-a-lifetime offer from a talent manager, who promises to catapult The Salvations into the national spotlight. Vivian knows this is the big break she’s been praying for. But sometime between the hours of rehearsal on their rooftop and the weekly gigs at the Champagne Supper Club, the girls have become women, women with dreams that their mother cannot imagine.

The neighborhood is changing, too: all around the Fillmore, white men in suits are approaching Black property owners with offers. One sister finds herself called to fight back, one falls into the comfort of an old relationship, and another yearns to make her voice heard. And Vivian, who has always maintained control, will have to confront the parts of her life that threaten to splinter: the community, The Salvations, and even her family.


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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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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