Morning mist above a quiet jade river pool beneath cedar trees

Grief medicine · The body after loss

Grief lives
in the body, too.

Medical care for the physical effects of grief.
For widows and women after the loss of a partner.

Explore this careMedicine. Lived experience. Room for all of you.

What no one prepares you for

You may be grieving.
And feeling unlike
yourself.

Perhaps you are exhausted, but sleep will not come. Your appetite has changed. Your thoughts feel harder to gather. The ordinary work of being in a body asks more of you than it once did.

Grief can be physical as well as emotional. Those experiences deserve attention, without assuming that every new symptom is caused by loss.

We make space for your story.
And look carefully at your health.

Wild grasses and white yarrow on linen beside a smooth river stone
There is no single way to carry loss.

More than an emotion

The physical
effects of grief.

01

Sleep & exhaustion

Difficulty settling, interrupted nights, or feeling depleted even after rest.

02

Appetite & nourishment

Changes in appetite, digestive discomfort, or the challenge of caring for yourself day to day.

03

Concentration & “grief brain”

Feeling foggy, distracted, or unable to gather your thoughts. Everyday decisions may take more effort.

04

Tension & a body on alert

Restlessness, muscle tension, headaches, or a sense that your body cannot settle. New symptoms still deserve their own evaluation.

05

Mood & interest in life

Feeling overwhelmed or disconnected, with less energy for people, routines, and activities that once felt familiar.

06

The rest of your health

Existing conditions, medications, cycle changes, and other symptoms still need their own clinical attention.

New, persistent, or worsening symptoms deserve assessment, even when they begin after a loss.

Widowhood & your health

Life has changed.
Your body is
living it, too.

Losing a spouse or partner can change the most ordinary parts of caring for yourself: the meal you used to share, the person beside you at night, the reminder to rest. You may be managing work, children, finances, or the aftermath of caregiving while trying to understand what your own body needs.

When I care for a widow, I begin with those realities. I make room for exhaustion, interrupted sleep, changes in appetite, and difficulty concentrating, alongside the health concerns that were present before your loss. You do not need to have a clear explanation, or to be “doing better,” to ask for support.

Our next step may be small: a more manageable eating routine, a plan for sleep, a review of medications, or an assessment of symptoms that have continued. I want your care to fit the capacity you have today.

You are more than what happened.
And your health still matters.

What the research is exploring

The biology
of bereavement.

I bring research into our conversation to help us understand the physical experience of loss. It informs my questions; your history and experience guide your care.

01 / Stress & inflammation

Connections, still being understood.

A 2020 conceptual review describes possible pathways between bereavement, stress responses, and immune activity. These mechanisms are still being studied. They do not mean that every grieving person has abnormal inflammation or needs an immune panel.

Seiler et al. · Frontiers in Psychiatry, 2020 ↗

02 / Sleep & recovery

Rest belongs in the conversation.

A longitudinal study of recently bereaved spouses examined sleep and inflammation over the first six months. Associations varied with socioeconomic circumstances. The findings support attention to sleep and daily resources; they do not establish that poor sleep alone caused the observed changes.

Wu et al. · Comprehensive Psychoneuroendocrinology, 2021 ↗

03 / Heart health

Keep in contact
with your care team.

A large Swedish cohort study published in 2026 found an association between partner loss and cardiovascular disease. It does not establish that grief alone caused the difference. When we work together, I encourage you to stay in contact with me and your other clinicians, and to tell us when something changes.

Yang et al. · JAMA Network Open, 2026 ↗

New chest pain, severe shortness of breath, fainting, or stroke symptoms need urgent medical attention. Do not assume they are grief.

Research links updated October 23, 2026. I use this research as context; your care begins with an individual clinical assessment.

The approach

Support for the body.
Space for the grief.

I use the therapeutic order to guide these four areas of care, beginning with your foundations and adding targeted treatment according to your needs.

01 / Regulate

A little more
steadiness.

I begin by understanding your sleep, daily rhythms, and stress, then help you find practical ways to rest.

02 / Restore

Care for your
foundations.

I help you attend to nourishment, hydration, movement, and the everyday needs that can become difficult after loss.

03 / Stabilize

Understand
what has changed.

I evaluate persistent symptoms through your history, examination, and appropriate testing, then discuss treatment for what we identify.

04 / Support

Keep care
connected.

I build a realistic plan with you, revisit your response, and coordinate with your other clinicians or grief counselor when appropriate.

Clinical & functional evaluation

Your symptoms
deserve curiosity.
Not assumptions.

We begin with your history: how you are sleeping and eating, what has changed, your medications, prior laboratory results, and the health concerns you want help understanding.

When clinically indicated, testing may help explore contributors such as anemia, thyroid disease, or nutritional deficiencies. Additional testing is considered only when the result could meaningfully inform your care.

There is no laboratory test for grief.
There is a person to understand.

The therapies I draw from
Dr. Michele Burklund in a forest-green dress arranging purple flowers
Dr. Michele Burklund, ND · Physician & widow

Medicine meets lived experience

I have lived
this, too.

I am a licensed naturopathic primary care physician. I am also a widow.

After losing my husband, I experienced how grief could alter the most ordinary parts of life. My clinical training taught me to investigate. My own experience deepened the way I listen.

I bring both to this work: thoughtful medical care and respect for a loss that cannot be reduced to a diagnosis. Here, my clinical focus is the physical experience of grief and women’s health.

The story behind my medicine

A few things to know

Before
we begin.

How long do the physical effects of grief last?

There is no single timetable. Symptoms can change over time and return around anniversaries or reminders. Persistent exhaustion, disrupted sleep, weight change, or difficulty managing daily life deserves assessment; you do not have to wait for grief to be over to seek care.

Why am I so tired after losing my spouse?

Interrupted sleep, changes in eating, stress, caregiving, and the practical work of widowhood may all contribute. Fatigue can also have other causes, including anemia, thyroid disease, medication effects, or depression. Your history helps guide an appropriate evaluation.

Can a blood test measure grief?

No. Research on stress and inflammation does not create a diagnostic blood test for grief. Testing is chosen for a specific clinical question and should help guide care.

Will you be my primary care doctor?

I am a licensed naturopathic primary care physician. In this practice, I focus on women’s health, functional medicine, and the physical effects of grief; I do not provide ongoing general primary care here. I ask you to maintain a primary care clinician for routine preventive care and needs outside our work together. With your permission, I coordinate with your other clinicians.

Is this grief counseling?

I provide medical care focused on your health and physical symptoms. Our work can complement grief counseling or psychotherapy, and I coordinate with those clinicians when appropriate.

Who is this care for?

I focus this part of my practice on widows and women navigating the loss of a partner who want help understanding changes in their health. Your initial inquiry helps me understand what you need and whether my practice is a fit.

Can we meet virtually?

I offer virtual care in California, Washington, and Montana when your location, clinical needs, and my licensure allow. Your physical location at the time of a visit matters. Read about care in these states.

How do I inquire?

I am welcoming wait-list inquiries for future availability. Use the link below to tell me a little about what brings you here.

Further reading & clinical context

When you’re ready

You don’t have to have
the words yet.

We can begin with what you are experiencing.

Inquire about grief care
Another way to beginThe FeminineGatherings