Prolonged Grief Disorder After Pet Loss: Key Signs and Criteria

Close-up of an older brown dog peacefully sleeping on the floor in a patch of sunlight

In a previous article, we explored what Prolonged Grief Disorder (PGD) is and how it differs from other mental health conditions. In this article, we look at the key signs and diagnostic criteria for Prolonged Grief Disorder after pet loss.

Every loss is unique, but when the death of a pet leaves you unable to function months later, you might be experiencing something more than expected grief. Mental health professionals use specific criteria to identify Prolonged Grief Disorder (PGD). Only a licensed professional can diagnose it, but understanding the symptoms of Prolonged Grief Disorder can be a first step toward getting the support you need.

The Core Event in Prolonged Grief Disorder: Bereavement

PGD begins with a bereavement—the loss of someone significant. For many people, the death of a pet fits this definition fully.

Primary PGD Symptom: Separation Distress 

  • Daily yearning, longing, or craving for your pet 

  • Intense physical or emotional pain caused by their absence 

Additional Symptoms of Prolonged Grief Disorder 

(Five or more, present daily or to a disabling degree): 

  • Feeling like a part of you has died 

  • Difficulty accepting the loss 

  • Avoiding reminders of the loss 

  • Inability to trust others 

  • Bitterness or anger about the loss 

  • Difficulty moving on 

  • Emotional numbness 

  • Feeling life is empty or meaningless 

  • Feeling stunned or shocked 

Timing and Impact of PGD Symptoms

  • DSM-5-TR (2022): At least 12 months since the loss in adults 

  • ICD-11: At least 6 months since the loss in adults

Symptoms must significantly disrupt social, occupational, or personal life and cannot be better explained by depression, anxiety, or PTSD.

DSM vs. ICD-11 – What’s the Difference? 

The DSM-5-TR is widely used in the United States and Canada to provide detailed mental health diagnostic criteria. The ICD-11, developed by the World Health Organization, is used worldwide and often applies broader, more flexible definitions. For Prolonged Grief Disorder after pet loss, the DSM-5-TR requires symptoms to last 12+ months after the loss in adults, whereas the ICD-11 allows diagnosis at 6+ months

Understand Your Grief Better

Take our Prolonged Grief Disorder Interactive Questionnaire to see if your grief patterns align with PGD. It’s quick, private, and may help you decide whether to seek professional support. This questionnaire was developed by Wendy G. Lichtenthal, Ph.D., Holly G. Prigerson, Ph.D. (Weill Cornell Medical College), Jiehui Xu, M.S., and Paul K. Maciejewski, Ph.D. 

Better Understand My Grief

How Euthabag Supports Healing After Pet Loss

Euthabag is not a licensed mental health professional and cannot diagnose PGD. Our goal is to support grieving pet owners with clear, compassionate information about Prolonged Grief Disorder after pet loss and the many ways grief can show up.

We also help families create personalized end-of-life rituals for pets—a meaningful way to honor your companion and support your healing. Writing a message on your pet’s Euthabag can be part of that ritual, offering comfort and reminding you that you are still accompanying them on the next part of their journey, caring for them as you always have.

Close-up of a grey EUTHABAG decorated with colorful hand-drawn flowers with markers resting at the bottom