In the United States, there are more than 5 million people living with Alzheimer's Disease or Related Dementias (ADRD). While a staggering statistic, it is expected that this number will more than double over the next three decades. Evidence suggests that familial caregivers of individuals diagnosed with ADRD experience considerable psychological strain, including grief. This presentation provides an overview of the extant literature exploring this phenomenon, specifically targeting concepts of anticipatory grief, ambiguous loss, chronic sorrow, complicated grief, and general grief reactions. Innovations in support services and treatment modalities are presented, along with implications for counselor educators and supervisors. Finally, potential points for the inclusion of grief care education within counselor training are identified.