A Study of Medication With or Without Psychotherapy for Complicated Grief

Inclusion Criteria: * Diagnosed with Complicated Grief and this is the patient's most important (primary) problem * Ability to give informed consent * Fluent in English * Willingness to have sessions audiotaped * Willingness to undergo random assignment Exclusion Criteria: * Diagnosis of one or more of the following disorders: Schizophrenia or other psychotic disorder, current (past 6 months) substance abuse, Bipolar Disorder, current manic episode, Dementia * Pregnant or lactating women and women of childbearing potential not using medically accepted forms of contraception * Acute, unstable or severe medical illness such as (but not limited to) stroke, epilepsy, or other neurodegenerative disorders, metastatic or active cancer, hepatic disease, or primary renal disease requiring dialysis * Prior intolerance of citalopram * Pending or active disability claim or lawsuit related to the death