From the name of the icon of th itself, Her main mission is to help in any sadness that worries the heart of an Orthodox Christian, and most often we are worried about unrepentant sins or punishments for them.
Most often they turn to her if some kind of misfortune suddenly occurs or a serious illness suddenly strikes. Then the icon, along with other celibate images of the Seven Sorrows, can be placed in the hospital room where the patient is.They also offer prayers when there is an undeserved insult, or if they themselves have offended someone, but there is no longer an opportunity to ask for forgiveness.
The scroll held in the hands of the Divine Infant contains words from the text of the prophet Zechariah (Old Testament) about mercy for the orphaned and poor, about righteous judgment, especially for widows and the poor, which gives us the opportunity to ask the Mother of God for protection from poverty, for a fair decision in a court.
They also pray before the icon for help in the forgiveness of sins, since the Blessed Virgin always prays before Jesus Christ for repentant sinners. Having received forgiveness, people often get rid of their illnesses, both physical and spiritual.