The phrase “grief before loss” often refers to the loss one feels when someone is a caregiver for a person with a slowly degenerative disease like MS or Alzheimer’s(AD) or Parkinson’s(PD). The changes and disease process may be gradual with a slow loss of whom the individual used to be, i.e., your spouse. Anyone going through this process is experiencing grief. It is the slow loss of the person you once knew. As the disease progresses in the cases of AD and PD, the loved one may even begin to forget who you are.