Grief is typically thought of as occurring after a death; however, some individuals may experience grief relating to an impending loss. In the veterinary setting, this anticipatory grief experience may occur when an owner receives news about their animal’s health. Grief, and the experience of anticipatory grief, can impact individuals in many ways, including affecting their cognitive functioning. For the veterinary team this can be challenging, particularly when an owner needs to make treatment or end-of-life decisions, or if after a loss the owner needs to make decisions related to body disposal. This lecture provides helpful strategies for assisting clients in making some of those difficult decisions in the midst of their grief.