Prolonged Grief Disorder in the DSM 5 TR | Symptoms and Diagnosis
Вставка
- Опубліковано 10 чер 2024
- Dr. Dawn-Elise Snipes is a Licensed Professional Counselor and Qualified Clinical Supervisor. She received her PhD in Mental Health Counseling from the University of Florida in 2002. In addition to being a practicing clinician, she has provided training to counselors, social workers, nurses and case managers internationally since 2006 through AllCEUs.com Prolonged Grief Disorder DSM 5 TR Revisions
#DSM #diagnosis #ProlongedGrief #complicatedgrief
📢SUBSCRIBE and click the BELL to get notified when new videos are uploaded.
💲 AllCEUs.com Unlimited continuing education CEUs $59
💻 Online course ( #masterclass ) based on this video can be found at allceus.com/member/cart/index...
⭐ Specialty Certificate Programs for Case Management and Counselor Certification beginning at $89 AllCEUs.com/certificate-tracks
Join this channel to get access to perks:
/ @docsnipes
NOTE: ALL VIDEOS are for educational purposes only and are NOT a replacement for medical advice or counseling from a licensed professional.
Video by Dr. Dawn Elise Snipes on integrative behavioral health approaches including counseling techniques and skills for improving mental health and reducing mental illness.
AllCEUs provides multimedia counselor education and CEUs for LPCs, LMHCs, LMFTs and LCSWs as well as addiction counselor precertification training and continuing education.
Unlimited Counseling CEs amd Social Work CEUs for $59
Specialty Certificates and #MasterClass starting at $89
AllCEUs courses for counselor continuing education are accepted in most states because we are an approved education provider for NAADAC, the States of Florida and Texas Boards of Social Work and Mental Health/Professional Counseling, the California Consortium for Addiction Professionals and Professions, the Australian Counselling Association, CRCC, Canadian Counselling and Psychotherapy Association and more.
Dr. Dawn-Elise Snipes teaches adults how to use cognitive behavioral therapy tools for building resilience at work, among staff and in children.
Many of the skills in the videos are the same ones that are taught in a basic counselling course and can be used as a CBT therapist aid. CBT techniques are helpful tools for self counseling for major depressive disorder, anger management, confidence, self esteem, anxiety, abandonment issues, self improvement
Dr. Snipes' videos have been used by thousands for developing clinical skills for substance abuse counseling, cbt interventions for substance abuse, and skills needed for mental health counselor
TIMESTAMPS
00:00 Objectives
00:35 Criteria for prolonged grief disorder in the DSM5TR New diagnosis
21:52 Associated features | treatment targets
28:20 Prevalence of PGD
33:38 Development and course
38:05 Differential diagnosis
40:50 Cooccurring diagnoses
47:35 Other perspectives on prolonged grief from the American Academy of Family Physicians AAFP
👌More videos can be found on this topic at
ua-cam.com/play/PLcB3trehXswipDAep8JRwLy8DLgk5qhmE.html&si=-iYO2ULjhE-KIPKN
❤️Self help activities and worksheets and concierge coaching with Dr. Snipes can be accessed at DocSnipes.com
👍Online Courses for Continuing Education (CEU, OPD, CPD) and Substance Abuse Counselor Certification
I by no means mean to be rude… but I wish they would use a different microphone. I hate hearing her swallowing!! It drives me nuts!!!! Good grief! Some people love ASMR & some people loathe noises. It’s an actual disorder. I loathe it. They need to either move the mic or change something. You can not, not hear her every time she swallows. GAH!! 🤢🤢🤢
I by no means mean to be rude but I wish they would use a different microphone. I hate hearing her swallowing. It drives me nuts!!!! Good grief. Some people love ASMR & some people loathe noises. I loathe it. They need to either move the mic or change something. You can not, not hear her swallow every time. GAH!! 🤢🤢🤢
They need to acknowledge Complex Post Traumatic Stress Injury because the neurodivergence accompanying it hinders the processing of grief.
Sounds like me. I feel constatly sad since childhood and I´m traumatized.
Yes, especially when cptsd has more layers than ptsd and can look like psychotic disorder over cptsd combined with prolonged grief. My hallucinations that I get I can also hear other family members or feel stalked and like someone’s going to launch at me.
I wish they would stop equating grief with physical death only.
I think grief can be experienced about a lot of things besides death; however, I also know from a lot of life experiences that the grief experience is different for different losses and this should be acknowledged.
I remember looking it up in a dictionary once and it said it was in response to the loss of good or the occurrence of evil.
I wish they would stop doing a lot of things I've been nonstop grieving du to narcissistic abuse lost everything and everyone I loved while they where still alive narcissists think it's so fuking funny
So fucking funny I'm sure one of the sociopathic narcissists in my life liked that know every FUCKING Gmail account I have
People leave out the siblings. When siblings grow up sharing bedrooms, they are the most intertwined. You literally know everything about each other. Siblings let each other know things and talk about things that would never be known or talked about with grandparents and parents. Yet, continually siblings are rarely mentioned during grieving of a lost child.
Yes, I lost my brother 15 years ago, and suddenly in an accident. I can't recover, we were so close. We are called the disenfranchised mourners.
I've been trying to get on your videos. My Mother was killed when I was 13. My Dad Failed as a parent. I feel like im still 13. My only living relative my Brother died March 15, 2012. My Father died March 15, 2010. Other people are dying too. I feel like I have been grieving my Mother all this time since 1976. People tell me that I should be over it by now. I found out my Aunt died March 15th. Her Daughter, Also died on March 15. I know this is too much info. My best friends birthday is Also March 15. I have a lot more problems. Thanks for your videos. This one is Perfect. 👌
I am so sorry for all your suffering ❣️
I understand your feelings, my dad died in 2005, I was 5 and he was raising me as a single parent. I feel stuck at the same age and it's been over a decade.
.... I'm sorry that your life gave you almost the same heaping pile of b.s. that mine did. I also was 28 when I lost my daddy to brain cancer. My mom hated me my entire life for no reason. Thanks for telling your story. You have no idea how nice it is to know that I'm not the only one without family that is still here in this life.... But at the same time .. I would never wish this shit on anyone. Ever. Wishes of healing to you, lone warrior.
Thanks so much for sharing! Wishing you peace, health, and happiness.
I have this over an abortion I had in 2008. This is messed up, but I feel more hurt and distressed about it now than about my Dad who died a year ago. And I LOVED my Dad. But for some reason, I cant get over it. I was forced into it, not ready and now I have no idea what to do about it. She would be 13 today. I think about the day she would have been born. I don't feel like it was my choice. I don't know how to heal. Its like it happened last week.
My condolences on the loss and what you have went through.. You may want to work with a professional counselor on hurt you can't get over. Thanks for watching. Wishing you peace, health, and happiness.
My mom talked a doctor into giving me an abortion at age 16. I missed my period and told her. I ended up in the doctors office not understanding why his "exam" was taking so long. The nurses eyes were huge as she was looking at me and down at what he was doing. Even though at the time I didnt know what he did I afterward became so depressed I was almost suicidal. My mother did nothing to help or consol me. Today doctors tell me they can see an abortion cut scar. I try not to blame myself for being stupid and trusting her. I know this is not what you went tbrough but I thought it might help that you are not alone. I would have wanted to keep my baby too.
Omg, I'm so sorry, I wish I could hug you..
it wasnt your fault, dont blame yourself.
IMHO we need to get away from using the term "disorder" Anxiety, depression, bipolar, ADH, PTS etc. are self explanatory. Yes, everything is on a continuum and those that seek treatment are often at one end of the continuum, however, i think it also prevents people from seeking help because they wait until they think it is bad enough to be a "disorder." It also pathologizes, in some cases, differences in neurocircuitry and even typical reactions to atypical or traumatic events. What are your thoughts?
I agree VERY MUCH!! So glad people are talking about this problem in the system now, because it urgently NEEDS to be addressed. I'm a therapy student and going through the DSM manual worried me and some others soooo much as to how easily was atypical behavior labeled as a full disorder!! We all carry some symptoms here and there. None of us are symptom-free. When that cluster of symptom becomes bigger or if someone already has it bigger we move forward/place higher on the continuum you're talking about. Sometimes it becomes big enough for a syndrome. Which again, is NOT a disorder. Across many cultures, having some syndromes is accepted, not pathologized, because under many of these conditions people still function fully within their daily lives, albeit with a few glitches. And they're able to continue functioning BECAUSE of the normalization, understanding and support. Under the American mental health systems however, these are "disorders". This is very damaging to neurodiversity and its acceptance. People are unique and beautiful and prone to different sorts of problems on different elevation levels. And having problems doesn't make somebody automatically problematic. The problem is the problem, the person is not the problem. So yes, the term 'disorder' should now be replaced with 'syndrome', for MANY (not all) conditions listed under the DSM. The severity should definitely be taken into account. And thank you for all your great work Doc!! 👍🏽 👏🏽👏🏽👌🏽
I made mine as a comment above. Sorry.
I was hoping the DSM-5-TR used continuous ratings vs dichotomous ones. They were talking about doing that like 20 years ago.
@TheDoogieT I'm so sorry for your experience. Its terrible anyways but 19 is too young for that. When I moved to Canada, I developed a skin allergy of some kind and I went to see the doc. He just asked me if I'm allergic to any meds and I said no. He prescribed me a capsule to take every day for 10 days. I started on it and things became better BUT my mental health started declining and gradually I started feeling horrible and getting bad dreams. One night I felt like banging my head on the bed headboard and the next day I thought u know what, this is berzerk!! I need to look into the meds, and so I googled the name. I came across various tests done on the drug and results showed it made subjects suicidal after a while!!! Ofc I immediately stopped it. I cannot stress enough how much the American and Canadian pharma, medicine and psychiatry systems are built to be harmful to people's health! Labeling people, discarding them and pumping drugs into their systems to only treat symptoms is so common. Common example, if a young female gets acne, they're immediately put on birth control pills, which in turn, mess up their hormonal systems completely in the longer run. This is totally irresponsible and money-controlled! Gets me mad every time. Anyways, I send best wishes to you and your friend. Tc
@TheDoogieT Yes, I get you. People won't believe it because they also want to be symptom-free. Nobody has the time to understand what's REALLY happening inside the body, coz everyone's got to make a living and run with life. Until and unless someone has catastrophic side effects or other problems emerging with a drug, they believe their medical practitioner because "hey, that's what they're there for, right? Why would they want me all messed up?" And after all its just a small pill! It's hard to explain the concept of total wellness and mental hygiene being tied into medical prescriptions we put into our physical bodies. Thanks for the suggestion, will definitely check it out. I need to also finish the book "Crazy like us" about how the American mental health systems and DSM etc. "exported" their definitions of mental health and illness all across the world to different cultures, creating conditions that didn't even exist before in those cultures. Insane, right? These topics go wayyyyy deeper than what meets the eye. Media cultures of fast money, fast food, fast gratification, fast entertainment, sex and power make sure everyone is brain dead to even pay attention to these things. Sigh.
So ready to hear about this!
Executive DYSFUNCTION IMPAIRMENT IS the REWARD RESULT.
UNABLE TO SELF-CORRECT, SELF REGULATING, NOT ABLE TO MAKE DAILY PLANS. SKILLS STIFLED.
Thank you so much I have been researching trying to find out information on this. Your video is definitely one of the most explanatory. The fact that it also does not only happen with death is very helpful after years of suffering I have just been diagnosed with this Disorder and it has been getting worse, before I knew what I was suffering from along with PTSD.
I have tried so many therapies and meds. I’m hoping that since this is a new diagnosis more attention will be given to help heal this very debilitating condition and therapies that work.
I would love for you to do a series on this since there are so many layers. And include modules of therapies teaching people to heal would be a big help and other resources.
Thank you,
I have watched you for a long time very very informative videos
I will add it to my suggested videos list. Thanks for watching. Wishing you peace, health, and happiness.
Doc Snipes! I watched this yesterday, very well done. Actually all of your videos are well done. I have mental illness and I started a vocation as a Peer Specialist not too long ago. I found you and have been watching your videos on topics pertaining to my job. I just want to thank you for all of your wisdom and research. Also, it would be cool to get your thoughts, or a video, on Peer Specialty. It's really a very cool field. People touch people everyday, you are one of them that touches people. Thanks so much for your education.
Doc Snipes is a rare jewel 💎
Thank you so much for this video. I am grieving the loss of Health to reoccurrence of lung cancer. I have absolutely no emotional support I fell through the cracks because of covid. I am extremely depressed I do have possibilities of surviving but it's so hard to think positively. I also have severe complex trauma and anxiety.
Sorry to hear. My family has had it's share of cancer. Wishing you strength through your recovery. Thanks for watching. Wishing you peace, health, and happiness.
Really great!
Not sure I understand the distinction. A woman that gave up a child for adoption and felt grief would not meet the criteria because the child is still alive. Or parents targeted by Parental Alienation. The rejected parent 20 years down the road rarely feels much better.
Grief of a loss is grief of a loss.
Thankyou Dear.. I just emailed this to my mental health provider...
A particularly hot area for me . Kind of goosebumps forming as I listen as it's all applicable.
I'm considered mdd,ptsd dysthymia in my diagnosis, yet the exclusion of term disorders echos my Drs rhetoric.
Oodles upon oodles of post trauma unresolved vs disorder..call it long term freaking aggravated of epic grand proportion lifes vicissitudes never ending ..for all I care...arthritic outbreaks, gout,panic, myriads of physical issues act up, oh yeah.. it has cost me 2 decent careers now years behind me...... Thankyou again for this template Dr Snipes...
Thanks for watching and commenting.
Thank you for speaking up for other kinds of losses.
You’re most welcome. Thank you for watching the video. I am grateful to be of help
Thank you! This was very informative.
Glad it was helpful! Thanks for watching.
DSM is no longer the gold standard. Just the fact that they refuse to recognize Parental Alienation Syndrome is proof that this manual should be considered nearing obsolescence.
My experience of alienation is that you're killed while having to live it.
What are your thoughts about creating a diagnosis for Prolonged Grief?
I have a loved one possibly experiencing Prolonged Grief. I’m not sure about creating a diagnosis because it seems to be a symptom of a disorder. I’m very interested to hear your thoughts. Thanks very much for all you do!
I wish the term grief would not only refer to the physical death of another person. A person close to you can have a sudden personality change where they no longer are supportive and can even be contrary or abusive to you. It is like the person "died" but you now have to deal with this "new person" for life. The grief can be unbearable.
@@sr2291 agree! Alzheimer’s & Dementia are also devastating
@@kimlarso And your loved one becomming Narissistic. Gaslighting, name calling, and causing arguments.
When I've lost relatives and friends? Very difficult. Some hit harder than others. But when my dog passed, I experienced shooting back pains and I'm pretty sure I came close to losing my job due to my unhappy self.
My condolences. Thanks for watching. Wishing you peace, health, and happiness.
@@DocSnipes Thanks!
This is very true, saw this happen to my mom when her beloved dog went missing. I'd never seen her grieve even close when her parents, her dear friends passed away. I thought she would die of a broken heart.
In 2018, My Mother died and I still never got over it.
I'm very sorry for the death of your Mother❣️. Mine died in 1993 and I've never gotten past it.
@@shelsea7245 So sorry to hear about this.
hello, I would have to say that it all depends on who dies, when its prolonged it varies circumstances change , i really like your videos thank you
Thanks for watching. Wishing you peace, health, and happiness.
I agree that not only a death can qualify as a traumatic loss.
Thanks for watching. Wishing you peace, health, and happiness.
Thank you, Dr. Snipes! I think grief among those excluded groups could meet criteria for adjustment disorder with anxiety and/or depressed mood.
Thanks for watching. Wishing you peace, health, and happiness.
I was diagnosed with adjustment disorder with mixed depression and anxiety over dealing with the loss of my father to a terminal illness. However, I think this might be a more accurate diagnosis.
I am sorry about your loss and I appreciate you watching the video. Other videos you might be interested in can be found at ua-cam.com/users/DocSnipessearch?query=grief
MY beloved father died of a painful cancer 6 years ago, i cant think about him without bursting into tears, he was such a good man and i loved him so much.
I am sorry for your loss, Diego. The feeling of losing a loved one to cancer is so traumatic.
@@DocSnipes Thanks for your kindness, in my case its like emotional Hemophilia, the wound just keeps bleeding. I might have a Prolonged grief disorder (PGD)
EMDR from my female Christian Therapist is helping me. Thank you Dr Snipes
Im glad you found a therapist you can personally relate to.
Feeling HOW DARE them to leave forever. Blame someone else. Disbelief.
Wow. Triggers intense emotions escape. Like hot flashes, Hormonal Rushes.
My mom is a child that was born after the stillborn deaths of her sisters. She has been so grieved forever. She will not stop being sad about it. It happened in 1957, the death of her sisters and her subsequent birth. It's really strange.
I am sorry about that and I appreciate you watching the video. Other videos you might be interested in can be found at ua-cam.com/users/DocSnipessearch?query=grief
Significant degree PROLONGED.EPISODIC
Condition. Difficult to CARRY ON, Continue feeling, feeling, memories of ALL THE EXPERIENCES. Correct?
How about 20 yrs. of daily LOSS IS HEAVY. LACK ENERGY, LACK OF ABILITY OF ADAPTATION.
STUCK, STIFLED TRAUMATIC EXPERIENCES. SHOCKED 😲👎😩😥😳🤔😳 SERIOUSLY
W/miscarriage, there is also a biochemical reaction in the body that contributes. I agree w/you in calling an end to the term, 'disorder'. I agree w/May Davies comment re. cPTSD injury too
Yes, it is. Thanks for watching. Other videos you might be interested in can be found at ua-cam.com/users/DocSnipessearch?query=grief
@@DocSnipes 100%. I'm studying for the NCMHCE ... your videos helped so much. We all appreciate you putting them out there.
I have empty nose syndrome. All the symptoms of prolonged grief never go away. Every time I breathe, it reminds me of the loss of turbinates, through gasping for breath, dry nose, and extreme anxiety. Talk therapy doesn't work. A nose that doesn't function properly doesn't respond.
I. Am. Such. A. Fan. Of. Your. Videos............... if i had a million €, you could have it all!!!
Awwww. That’s so nice. I appreciate you being here, appreciate your kind words and appreciate you watching the video. What did you find most useful from it?
Hello DocSnipes. Would you mind referencing the 2021 study which shows that the prevalence of PGD is now up to 13.8% of the general population. You mention it at 28:45 of the video. I was just wondering what the study was
Resentment exhausted. Death of a cherished dog & CAT ETC.
I lost my 38 year old daughter to an overdose and less than a year later my husband of 46 years died. This happened 3 years ago. I was diagnosed with trauma and PTSD and prolonged grief. I did not feel like this when both parents and a sister died previously. I continue to feel devastated and get triggered easily feel my purpose in this life is gone. I have had a stroke and bladder tumor surgery and could care less. My memory is dream like and I just don't care. I feel like you want to downplay the prolonged grief disorder. I've also been divorced and had a miscarriage and this doesn't come close. The youth probably are losing friends and family shot senselessly. I just feel like I'm being discounted.
That’s awful and I am sorry it happened to you. You can find other videos on grief at: ua-cam.com/users/DocSnipessearch?query=grief
You can also find videos on grief at: ua-cam.com/users/DocSnipessearch?query=grief
I am so sorry that you have had so much loss in your life. The grief seems cumulative. There is no amount of stress management practices or "new interests" that can take the places of your daughter and your husband. Thank you for sharing. I hope and pray that you will find the strength to take care of yourself.
What is the code for PGD? I dont have the new addition to check. Thanks!
There is a Left & RIGHT AMYGDALA GLAND???
What is the DSM 5 - TR CODE for this PGD ? I can't find the code for billing purposes anywhere!
Thank you for this, Doc. I think the current criteria for this diagnosis is WAY too narrow (or whatever the proper term is). I’m suffering what I consider prolonged grief from an utterly devastating divorce. He dropped the D-bomb on me in July 2011 and I’m STILL grieving. I feel dumb about it but it isn’t like I’m choosing to be like this. *sigh*
Anyhoo, big hugs from 808 State
My condolences on the loss of that relationship. You may want to work with a professional counselor to help you get over this lost relationship. Thanks for watching. Wishing you peace, health, and happiness.
This is way too narrow. People have prolonged grief for many reasons. Divorce, parental alienation (severe pa is just like the death of a child), loss of home resulting in homelessness, etc. Death in life is something that we all know and expect to happen at some point. Other live altering traumas can blindside a person, and are not expected in everyone’s life.
Is it prolonged grief disorder if I feel like I died after I moved somewhere new? I’ve felt like crap since I moved away from my hometown at age 14. I’m 22 now. Haven’t been able to live correctly since. I was always anxious and depressed but my life has straight up been on hold since early 2015.
So sorry to hear. It is a tough world for young people now. A lot coming at you from many different directions. Loosing your social support network in the middle of that is hard. Thanks for sharing. Wishing you, peace, health, and, happiness.
Nice bunny 🐰🐇
I’m curious about cptsd and prolonged grief interaction
Interesting thought. People with prolonged grief often are struggling with the trauma of the loss
persistent complex bereavement disorder?
My Grandpa died in 1995 and my Grandma died in 2006. My Mom will not recover from this. She has to be the martyr. Always suffering and always in pain. It's so disturbing
I am sorry about that and I appreciate you watching the video
How does this work for Parental Alienation? I have not seen my daughter then (13 now 15) for 2 years the anniversary was the 30th last month. I just found out yesterday that the court case is now extended to this November. This has moved 6 times. In the past 2 years. Nobody here in the local Seattle area recognizes parental alienation. Not the law nor the mental health. This includes Children's hospital...
I have been diagnosed with generalized anxiety. Then depression and now PTSD.
Right here with you. My daughter has not communicated with me in 15 years. We had a very close bond. Her sociopathic father continues the campaign of hate.
Same here. She and her psycho dad got a bogus restraining order when she was 14. She’s 32 now.
@@kimlassiter1603 I am so sorry. My daughter did the same to me. She filed an A&B charge on me. She lied under oath. Her sperm donor backed her up. It has literally driven me crazy. I go back and forth between contacting her by mail and no contact due to what she's done to me. They say the child is not to blame, but it is so hard everyday. I will keep you in my thoughts.
I am glad they finally added this. My dad died when I was 4 and my mom never truly recovered from her grief. I also struggled with this until my mid 20s. I could write a book on what prolonged grief looks like.
I also think that prolonged grief from a death is different than any other grief so don’t think we should be clumping other losses in with death loss. Miscarriage is a death, imo, but divorce and other losses are not.
Thanks for watching. Wishing you peace, health, and happiness.
When you loose your spouse who you love is traumatic no matter what the cause how death occurred. You never can prepare for it. It changes how life is forever not just for a brief period.
This is true, it is just whether the person experiencing the trauma ends up developing PTSD in addition to grief or prolonged grief.
What about the death of 5 close people within 10 years?
People have told me I need to move on. I don't know how.
That’s awful and I am sorry it happened to you
Hey Doc Snipes! Maybe a focus on how Western culture has a phobia of death would be helpful for people to understand. Death is natural and is really a beautiful thing too.
🙋♀️
All bereaved parents are going to be then diagnosed with prolonged grief disorder. This is pathologizing a normal experience because it’s a “disorder” and in DSM VTR . I’ve just been diagnosed with PTSD, next will be Prolonged Grief Disorder, followed by Complicated Grief. In essence, all of these are absolutely normal things for a mother whose child died. Lost my daughter on 10/2/21 from glioblastoma. She went from fine to gone in 8 weeks, she passed at home, on hospice, in my arms. I am ok with all of this because I understand you need to bill for services but I find it a bit silly because a) my feelings are normal and b) all of these diagnoses overlap and, in that, they are meaningless. In terms of meds and therapy, or how can you help us depending on which diagnosis we have is also the same so, I guess at the end it doesn’t really matter which of these diagnoses is picked as THE ONE or whether they are co-morbid, like I anticipate they will be in my case. I am also a former refugee with trauma from being in a civil war for 4 years and then was uprooted and had to adjust to live and function in a new world in the US. Revising DSM is OK when truly new discoveries are made that will add more clarity and more effective/different treatments but in these 3 are find that the revision is adding to confusion and unnecessary complexity that’s not really meaningful. You touched on many of these anyway, so appreciate the video.
I think if the person has a dissociative disorder that would prolong it greatly. If the dissociation is great maybe they can't recover.
Thanks for watching and commenting.
LMMAAOOO!! 🤣🤣🤣 18:22-18:34! Fifteen Doc?! Fifteen years old having kids?! Let's pray the parent wasn't fourteen going on fifteen! 🤣🤣👏👏👏
All alone. #1 must carry ON ONE STEP IN FRONT OF THE OTHER, NO ONE TO LEAN ON. NO IDENTITY, ROLES. MISSING. 👎👎👎👎👎
Need needy people needy CAREGIVERS. Changes. Prolonged grief 😥. Need peers. Executive functioning disorder develop.
Explain
THE WORLD IS FULL OF GRIEF because it is a total, collapsing wreck of society.
Thanks for watching the video