Existential Therapy: The Existential Approach And How It Helps Mental Health
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Our modern way of life doesn't often leave much time for sitting around discussing philosophy, but philosophy can be an important part of coping with rapid changes in technology and other global issues. Based on the ideas of such great philosophers as Nietzsche and Kierkegaard, existential therapy can be relevant and helpful for many living with mental conditions or trying to improve their everyday functioning. In general, existential therapy works to help clients come to terms with “the givens of life” and work through internal conflicts. It often places emphasis on making good choices for the future and finding meaning in life. You may find an existential therapist online or in your local area.
Existential therapy is a type of counseling that generally recognizes everyone's struggles with inner conflict surrounding what existentialists call the “givens” of life. Existential therapists tend to steer clients toward a here-and-now solutions for coping with inner conflicts related to the deeper issues we all typically face. This therapy normally aims to find meaning that can inform your understanding of yourself and help you make better decisions.
Who can benefit from existential therapy?
Existential therapy is typically best used for people in their teen years and older. Anyone old enough to contemplate the deeper issues of their life may benefit from this therapy. Many people have found this therapy helpful when experiencing conditions like addiction, anxiety, and depression.
Existential approach: The four realms of existence and experience
Existential therapy may help anyone who experiences problems that come with difficulty resolving inner conflicts. These problems are often categorized into what therapists call “the four realms of existence and experience,” which generally include the following:
- The physical realm of birth, death, and physical symptoms
- The social realm of culture, language, work, relationships, emotions, race, family, and attitudes toward authorities
- The personal realm of intimacy, identity, sense of self, and awareness of our strengths and limitations
- The making realm or transcendence realm of religion, values, and beliefs
The givens
The givens of life are usually issues inherent to the human condition, which can include:
- Death
- Freedom and the responsibility that comes with it
- Isolation
- Meaninglessness
You may be consciously aware of one or more of the givens at any point in your life, or they may lie below your level of full awareness but still inform the choices you make. Typically, we become aware of a given when we're confronted with a crisis.
For example, if you have a near-death experience, you might become aware of your mortality. Students often struggle with meaninglessness when their long-held childhood beliefs are debunked. Whatever brings you into awareness of the givens, facing and dealing with them successfully can improve your life dramatically.
Inner conflicts
Inner conflicts usually come from our difficulty to accept and cope with the reality of givens such as death. You might have the intellectual knowledge that you will die someday, but until you confront death personally, that knowledge may be mixed with feelings of invincibility. When that is happening, it can be easy to take incredible risks without any concern.
Once you realize that you're vulnerable, the inner conflict usually begins. You may still have the knowledge you will die, but too much focus on that can keep you from living your life fully in the here and now. This can lead to existential anxiety.
Existential anxiety
This anxiety is often a part of the human condition. You may feel an overwhelming fear of death, isolation, meaninglessness, or freedom and responsibility. This may be crippling, or it may simply be a nagging fear that causes you to hesitate and doubt yourself.
After all, believing that you'll never die, for example, would be so far from reality that you likely wouldn't be able to function in your daily life. Instead, existential therapy generally aims to help you find a balance between being aware of one of the givens and being overwhelmed by it.
This anxiety, also called existential angst, doesn’t usually constitute a mental disorder. It's something anyone can feel when they contemplate one of the givens. It typically only becomes a problem if you can't resolve your thoughts and feelings about a given in a meaningful and positive way. When that happens, you may either become overwhelmed or careless.
How existential therapy can help with existential fears
This anxiety often lies at the heart of our human existence. We may not be able to wish the givens away, and if we try to pretend they don't exist, our subconscious mind may still hold those fears. So, what can you do? How can you live your life in fear or denial? The answer for existential therapists is usually that you must balance awareness of the given and overwhelming fear.
Focus on the here and now and the future through the existential approach
This therapy generally focuses on the present but also on the future. You may talk briefly about the past, but usually only as a tool for making better decisions now and in the future. An important aspect of making those current and future choices can be accepting responsibility for past choices and being aware of the consequences of those choices. However, the primary work in this therapy is normally to examine your current beliefs and awareness to prepare yourself to make better decisions when they arise.
Consider the example of a person who nearly died in a car accident. They might be suddenly overwhelmed by the fear that they will die someday. Knowledge of that given in life may now be very real and immediate. That person might be so frightened by their experience that they stop driving altogether. This therapy could help them face that fear of death and decide what they want to do about driving in light of the meaning they make of their life.
If it was the person's loved one who nearly died, they might suddenly fear losing them. They might face their fear through therapy so that they allow their loved ones to live freely without trying to shelter them too much.
On the other hand, if a person had near-death experiences without accepting the reality of their eventual death, their therapy would likely focus on becoming more aware of this reality and the unexpressed fear associated with it. Then, they might be able to make better decisions about taking risks.
Learn about planning and decision-making skills with your existential therapist
When you're in existential therapy, you often learn to plan for the future. Your therapist may guide you in evaluating your options in light of the existential givens. You may learn from your past decisions and their consequences on making better decisions now and in the future.
Identity issues for your mental health
Existential therapy theory generally assumes you are capable of self-awareness. As you become more self-aware, you can resolve self-esteem issues and learn more about who you are as a person. You can learn what makes you different from other people, as well as where your commonalities lie. At the same time, you may come to understand that you aren't unique. When you understand that, you may feel sad for a while. You may eventually come to accept that truth and allow it to help you feel less isolated from others.
Relationship issues
Contemplating your existence isn't necessarily a selfish thing. When you understand yourself better, you can relate to other people on a more meaningful level. You can learn to communicate more effectively. You may learn specific communication skills as well as how to understand others better.
Finding your meaning
Meaninglessness may be one of the existential givens, but it's also one of the main subjects you may explore as you cope with the other three givens. Usually, difficulties with meaning fall into two main categories. First, you may have never created a comprehensible meaning for yourself. As you face your existential fears, you can then develop the meaning that makes sense to you.
Second, you may have been taught about meaning early in life, especially if you grew up in a religious household or developed meaning for your life early on. At some point, an existential crisis may call that meaning into question or refute it together. In this case, you can resolve the inconsistencies in the meaning you've found for your life in the past and reformulate your meaning based on what you're aware of now.
Finding an existential therapist for your mental health
Existential therapy may have a lot to offer people who are facing serious inner conflicts in their lives. While treatment methods like cognitive-behavioral therapy have become very popular with patients, therapists, and even insurance companies, they may fail to address the larger issues. Existential therapy techniques, on the other hand, often address both concrete behaviors and universal meanings.
Whether you choose to face your challenges in existential therapy or limit your therapy experience to working through your behavior, you can find a suitable therapist through an online therapy platform. These platforms can make it simple to match with a therapist with a particular background or experience in a specific area, such as existential therapy. In contrast, it can often be challenging to find an existential therapist locally.
As this study shows, online therapy is generally as effective as traditional in-office therapy. If you believe you’d benefit from working with a licensed mental health professional, we encourage you to reach out for the help you deserve.
Takeaway
Existential therapy typically operates on the four realms of existence and experience, with the goal of alleviating the existential anxiety that often comes with “the givens of life.” It often focuses on working through internal conflicts, finding meaning in life, and making good choices now and in the future. If you’re interested in connecting with an existential therapist, you may match with one on an online therapy platform or find one locally.
Frequently asked questions (FAQs)
What is the main goal of existential therapy?
In a typical existential therapy session, the existential therapist’s main goal is to utilize existential theory, existential philosophy, and existential psychology to help the client realize their true potential and address inner conflicts regarding the givens of life and the core question addressed in existential therapy, how we view life and find meaning.
What does an existential therapist do?
In an existential therapy session, an existential therapist may help their client determine and explore what their future looks like and address any inner conflicts that may keep them from reaching their goals. Existential psychotherapy, which often uses a philosophical method, focuses on understanding major themes in life and how they relate to a person’s mental health symptoms. It plays an important and vital role in addressing the core question addressed by existential therapy: how we view life and find meaning. This approach often incorporates existential personality theory and existential analysis to explore specific issues. Unlike other forms of therapy, existential therapy examines what divides humanity and encourages self-actualization as part of the healing process. As a fellow traveler, the therapist may use individual or group therapy sessions to work through the client’s specific concerns and help overcome their inhibited ability to achieve personal growth.
What are the key concepts of existential therapy?
Existential and humanistic types of therapy, such as existential psychotherapy, tend to focus on each person’s potential. There are generally six key concepts of existential therapy, which can include:
Capacity for self-awareness
Freedom and responsibility
Striving for identity and relationships with others
Search for meaning
Anxiety and its influence as a living condition
Awareness of death and non-being
How effective is existential therapy?
Existential therapy is typically beneficial for managing substance use disorder and other addictive behaviors. This may be because of the emphasis that existential psychology places on making good choices and reaping the benefits of those good choices.
This focus on the future and claiming responsibility for it can also help some people with anxiety, particularly those who also experience thanatophobia (the fear of death).
With its emphasis on setting goals, looking toward the future, introspection, and self-reflection, existential therapy can guide people toward a more positive outlook and attitude by discussing the core question addressed, on finding the meaning and purpose in life. However, it may not be an ideal fit for everyone.
What are the pros and cons of existential therapy?
The pros of existential therapy can include:
It can help patients gain meaning in their lives
It is often patient-centered rather than symptom-focused
It can help people learn to take responsibility for their actions
It’s constantly evolving and developing new techniques
It can be extremely helpful for analytical people
Existential psychotherapy emphasizes exploring individual experiences, focusing on personal freedom, and seeking meaning in life.
The cons of existential therapy can include the following:
It tends to take longer than cognitive-behavioral therapy to take effect
It’s considered by some to be too intellectual instead of emotion-based
It can conflict with religious beliefs
It’s largely up to each therapist, with no set techniques
It can be challenging for those who do not communicate well
Existential psychotherapy can also be challenging for those who prefer structured, solution-focused approaches.
How do we deal with existential loneliness?
Existential loneliness is a part of the human condition that arises when individuals grapple with the ultimate concerns of human existence. Existential therapy focuses on helping people confront and face these feelings by increasing self-awareness and fostering self-understanding, allowing them to take personal responsibility for their own lives. Drawing on existential and humanistic theories, many existential therapists encourage clients to explore their unique identity alone and engage in healing by addressing existential concerns such as existential anxiety and self-determination. By adopting an existential approach, individuals can navigate the challenges of being in the world, find meaningful life experiences, and work toward personal growth and well-being.
What is the best therapy for existential anxiety?
The best therapy for existential anxiety is existential psychotherapy, which addresses the ultimate concerns of human existence and encourages self-understanding and self-awareness. Many existential therapists use the phenomenological method to explore a client’s past experiences and current struggles, helping them take personal responsibility for their own existence. Rooted in humanistic psychology, this kind of approach integrates humanistic theories and the existential perspective to elicit insight and foster self-determination. By focusing on the core aspects of the human experience, existential therapy focuses on empowering human beings to make self-directed choices and discover their unique identity in the process of healing.
What is isolation in existential therapy?
In existential therapy, isolation refers to the experience of being fundamentally alone in one's existence, a core issue that many existential therapists address with clients. This sense of isolation is often inevitably confronted when individuals face existential concerns and reflect on the ultimate concerns of life, such as meaning and connection. Existential therapy focuses on helping clients develop and increase self-awareness and self-understanding, empowering them to take personal responsibility for their own lives. By exploring isolation in its relational context and through techniques like existential analysis, the therapist's role is to draw insight and guide the client toward self-determination and give clients a deeper connection to their unique identity and others.
How to apply existential therapy?
Existential therapy is a form of clinical psychology that emphasizes understanding a client's experience through the exploration of philosophical issues and specific concerns related to one's life. Drawing from existential personality theory and the works of thinkers like Jean-Paul Sartre, it helps clients view life more meaningfully and make self-directed choices. The therapist's role is to act as a fellow traveler, using specific techniques of existential analysis and existential psychotherapy to elicit insight into human nature and address the core question of what gives life purpose. Integrating existential-humanistic therapy and group therapy within a relational context aims to increase self-awareness, address mental health symptoms, and enhance the healing process. Influenced by reflections on World War II, existential therapy underscores humanity's innate capacity for self-actualization, even when an inhibited ability to make personal choices divides people. Major themes include the international community, freedom, and the search for meaning in the person's experience.
When to use existential therapy?
Existential psychotherapy is best used when a person's experience involves grappling with life's meaning, freedom, or specific concerns like anxiety, isolation, or identity struggles. Existential therapists focus on helping clients increase self-awareness and address the core question of what gives their lives purpose, particularly when they feel an inhibited ability to make self-directed choices. In this approach, the therapist's role as a fellow traveler is crucial for exploring major themes such as responsibility, freedom, and the search for self-actualization. By integrating existential analysis, group therapy, and a relational context, therapists aim to elicit insight and guide clients through a meaningful healing process, especially when they remain unaware of internal conflicts that divide humanity and impact their ability to view life authentically.
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