When we are filled with sadness, sorrow or regret it is often described as doing something "with a heavy heart". However, there are several other ways to express these sentiments in a way that adds depth and emotion. Some synonyms to try instead include "weighed down mind", "heart in sorrow", "burdened spirit", "grieving soul", or "heavy laden heart". These expressions convey the same feelings, but using different words may also help to add a unique tone or feeling to the message being conveyed. Consequently, when seeking to communicate deep feelings of sadness or melancholy, these synonyms provide powerful alternatives to the word "with a heavy heart".