She lives with her father and two younger siblings, aged 9 and 6. Her father reports that Sarah has become increasingly withdrawn, irritable, and seems to have lost interest in activities she once enjoyed. Sarah had a close relationship with her mother, who was her primary caregiver. Since her mother’s passing, Sarah has been helping to take care of her younger siblings, as her father works long hours. She feels overwhelmed by her new responsibilities and guilty that she sometimes resents them. At school, Sarah's grades have declined, and she has stopped spending time with her friends. She reports feeling "numb" and finds it hard to concentrate.

Questions:

1. Sarah's belief that she should have done more to help her mother is an example of:

a) Rational thinking

b) Grief acceptance

c) Realistic concern

d) Irrational guilt

2. In children and adolescents, Prolonged Grief Disorder may particularly interfere with which of the following?

a) Physical development

b) Academic and social functioning

c) Motor skills

d) Appetite and sleep exclusively

3. Which of the following symptoms is NOT commonly associated with Prolonged Grief Disorder in children and adolescents?

a) Persistent yearning for the deceased

b) Difficulty accepting the death

c) Hallucinations of the deceased person

d) Emotional numbness

Answers:

1. d) Irrational guilt

2. b) Academic and social functioning

3. c) Hallucinations of the deceased person