Patients with chronic critical illness (defined as a critical illness that requires prolonged mechanical ventilation) are at high risk for death or severe functional impairment.1 The surrogate decision makers for these patients face challenging decisions about whether to continue life-prolonging treatments given uncertain outcomes. A growing body of research indicates that surrogates often experience symptoms of depression, anxiety, and posttraumatic stress in the months following the intensive care unit (ICU) admission of a family member.2