Just this morning, I and my sister were having a conversation around this area. It's really hard to deal with a permanent loss. The thought of it is just the memory of the person you have left with you; you can never get to see or hear from them again, is a different kind of pain you have to deal with.
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Yes, permeant losses are different and they feel different. Coming from someone who has experienced multiple of them, life feels unreal, like a different reality with the mind never remaining the same anymore.
Absolutely