This journal article is a systematic review that examines the significance of including grief in the DSM – V. Although grief presents with a specific criteria and unique set of coping strategies, the article argues that the requirements may be too vague and over-diagnose patients. Furthermore, it argues that there may be little benefit in including the diagnosis in the DSM – V as so many symptoms overlap with major depression. Based on the findings of longitudinal cohort studies, the article advocates for the rejection of “complicated grief” and the inclusion of prolonged grief disorder. In doing so, more criteria is included such as identify disruption, marked sense of disbelief about death, avoidance of reminders that person is dead, intense emotional pain related to death, difficulty with reintegration, emotional numbness, feeling that life is meaningless, and intense loneliness must be met. In doing so, this would prevent over-diagnosis. I also believe it is important to distinguish prolonged grief disorder from major depressive disorder as it provides the language for patients and their loved ones to understand what they are going through. A more specific approach in psychotherapy may also be initiated to treat the symptoms of grief such as providing more emotional support and cognitive behavior therapy in preventing ruminating thoughts.