Picture this, a father is physically present, like clockwork he comes home every night, seats at the same corner with the remote by his side yet he has been emotionally absent for so long that his children grieve him while he is still alive.

Imagine that!

In another scenario, a wife has been in the Middle East for years seeking greener pastures and while she may be present in video calls she is absent from the actual texture of daily life. In the shadows, something is fading away but no one around them calls it a loss and yet it is one.

Family therapist Dr. Pauline Boss, an expert dealing with unresolved loss, coined the term ambiguous loss to describe exactly this kind of grief, one without the closure that a death or a clean break provides. She identified two forms it typically takes.

In the first, a person is physically absent but psychologically still present, as with a missing relative, a parent who left and was never heard from again or a family member lost to migration for work.

In the second case, the one that tends to go most unacknowledged, a person is physically present but psychologically gone, hollowed out by addiction, dementia, depression or simple emotional withdrawal.

What makes ambiguous loss so exhausting is its lack of resolution. While conventional grief may gradually move towards acceptance, ambiguous loss leaves people suspended between hope and mourning.

With no clear ending, family and friends may respond with confusion or impatience, leaving the person feeling that their pain is not valid or real.

Left unspoken, this kind of grief tends to surface sideways and before you know it, it manifests as chronic irritability, a flatness that those around you mistake for coldness or a fatigue that no amount of rest resolves.

Naming it changes that. Research shows that people cope better with ambiguous loss not by forcing resolution onto a situation that has none, but by learning to hold two conflicting truths at once that someone can be both present and gone, both loved and mourned, without needing the contradiction to be tidied up.

Allow yourself to grieve a relationship that still exists, without needing permission to call it a loss. Accept the relationship as it is rather than clinging to what it was or could have been.

Lean on someone you trust to listen, and if anxiety begins affecting daily life, consider professional support. A lack of closure does not make the pain any less real or deserving of attention