Extended illness, disability, severe accidental injury, a terminal diagnosis, or the aging and decline of an elderly family member can produce anticipatory grief. We are reacting and continually adapting not only to an expected loss, but to all the losses -- past, present, and future -- we encounter in that experience. These cumulative losses can shatter our assumptive world, cause us great confusion and challenge our most basic spiritual and philosophical beliefs. The resulting grief can affect us physically, emotionally, cognitively, socially and spiritually. Here we will comfort and support one another as we identify, confront and mourn these many losses.