Suffering at the end-of-life is a substantial issue that can affect many individual’s dying journeys or trajectories. Much of the research on suffering at the end-of-life focuses on the concept of physical suffering. Psychosocial suffering is also an important factor that needs to be considered when working with individuals at the end-of-life. Most of the research on end-of-life focuses on the older adult population and the caregivers of those individuals. Research on middle-aged adults at the end-of-life phase is minimum but this population is important to look at in this phase of life. This paper will be focusing on psychosocial suffering in middle-aged adults and ways to alleviate that form of suffering. This paper will also be focusing on how different developmental phases and other factors can cause psychosocial suffering in middle-aged adults and what interventions can be used to alleviate that suffering to promote a peaceful dying trajectory.