The site already covers what happens at the appointment, how to keep a dog comfortable at home, and how to track good days against bad ones. This covers the part nobody mentions, which is what happens to you in the months before any of that.
What it tends to look like
Crying about a dog who is asleep in the next room. Watching her constantly for signs. Finding ordinary moments unbearable because you are aware they are finite. Rehearsing the appointment repeatedly. Withdrawing from her slightly, then feeling guilty about that too.

Or the opposite: feeling nothing much, which people find equally alarming. Numbness in the middle of a long illness is common and is not indifference.
Why it makes decisions harder
Anticipatory grief distorts the thing you most need to judge clearly, which is how she is doing. Fear of losing her makes some people minimise every bad day. Exhaustion makes others read every bad day as the end.

That is the practical argument for writing observations down rather than carrying them. A dated record of eating, mobility and comfort is a check on your own state of mind, and it is the thing a veterinarian can work with. Buddylio has a weekly log and a symptom urgency reference for exactly this, and a notebook does the job equally well.
What tends to help
- Separate the two jobs. Today's job is her comfort. The decision is a different job, on a different day, made with a veterinarian.
- Ask your practice what they expect to happen next. Not knowing the shape of it is a large part of the dread.
- Tell someone. Anticipatory grief is isolating precisely because the dog is still alive and it feels absurd to mourn her.
- Decide the practical things early, while you can think. Where, who is present, what happens afterwards.
- Let ordinary days be ordinary. Not every remaining afternoon has to be significant.
The guilt is worth naming
Two things people rarely say aloud: that part of them wants it to be over, and that they feel relief alongside grief when it is. Both are extremely common among people caring for a dog through a long decline, and neither means you loved her less.
Caring for a dying animal is genuinely exhausting. Wanting the exhaustion to end is not the same as wanting her gone.
When to get support
Pet loss support lines and counsellors exist and many are free. Ask your veterinary practice what they recommend locally, because they usually have a list.
If you are not sleeping, not eating, unable to work, or having thoughts of harming yourself, that is beyond what a pet loss line is for. Speak to your own doctor. Grief this heavy sometimes needs medical support and there is nothing disproportionate about seeking it.
