Existential Therapy: What It Is And How It Works

By: Julia Thomas

Updated January 27, 2021

Medically Reviewed By: Lauren Fawley

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What do you think of when you hear the word "existential?" For many people, the word conjures up thoughts of pessimism, negativity, intellectualism, impracticality, and even atheism. Yet, these words have little to do with the true nature of existential-humanistic therapy. Existential therapy is a valid form of psychotherapy that can provide positive benefits for people with mental health problems. Its basis is on finding meaning and purpose. Before you can determine whether existential therapy is right for you, it helps to know what it is and how it works.

What Is Humanistic Existential Therapy?

Long ago, Soren Kierkegaard suggested that mental conditions could only be adequately dealt with by developing internal wisdom. This philosophy laid the foundation of existential thought. Since then, psychologists have sought to put this philosophy to use to help people recover from mental health problems.

Is It Therapy Or Philosophy?

While there are some similarities between existential philosophy and existential therapy, the latter is indeed a type of psychotherapy. It relies on wisdom from the philosophy, but expands it and refines it to a specific set of concepts. Existential therapy focuses on techniques that can be used in practical ways to help people overcome their deepest issues.

Conditions Treated With Existential Therapy

Therapists can use existential techniques to help people with a variety of mental health conditions. These include problems like depression, anxiety, addictions, and PTSD that may arise from life-threatening experiences such as combat or other forms of violence. In addition, if you experience fear, isolation, grief, or feel that your life has no meaning, existential therapy is an effective method for helping you deal with these issues. With this type of therapy, you can find a healthy way forward by learning from your past and present experiences and deciding from that information what you can choose next.

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Existential 'Givens'

Existential therapy recognizes that life comes with certain mental health challenges that are 'givens' for everyone alive. These existential givens are simply a part of the human experience. We all must find a way to deal with the certainty of death, sadness, and avoid isolation. If we accept freedom, we must also face the responsibility that goes along with it. Finally, we must find meaning in our lives to truly enjoy the time we're alive and make the most of it.

Also, existential therapy focuses on starting from a particular perspective. It views everyone as being capable of self-awareness. Each of us is in our own way unique, and it is through our relationships that we understand what that uniqueness is. Although we may find meaning at some points, the world continues to move forward. People change, and the meaning of their lives changes, too. Lastly, because we must find a balance between ignorance and despair, we all deal with some amount of anxiety.

Intrapsychic Conflicts

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The anxiety we feel stems from what existential therapists call intrapsychic conflicts. These are the deep issues we struggle with within ourselves. Centuries ago, William Shakespeare put into words perhaps the central theme of our existence: "To be or not to be, that is the question." Whether we face this or not, it is indeed a crucial question that lies at the core of how we choose to think, behave, and exist in the world. Other intrapersonal conflicts might be posed as:

  • Does my life have any meaning?
  • Am I free to do as I choose?
  • Am I responsible for my actions?
  • Who am I and how can I remain true to myself?
  • Is isolation better than the struggle of being in relationships?

Existential Anxiety

We all have existential anxiety, as mentioned earlier. Intrapersonal conflicts may haunt us to the point that we lose touch with our ability to make changes. We may feel we have no power to prevent terrible things from happening, and to a certain extent, that is true. However, we can reduce the level of anxiety we feel by facing our fears and acting in ways that promote our well-being. As we do this, we create a better, happier, more fulfilling life for ourselves through our positive actions.

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About Awareness

Although we all have the capacity for self-awareness, not everyone chooses this path. Many choose instead to be drawn into whatever is distracting, ignoring the intrapsychic battle that is raging within us. Through existential therapy, we can become more attuned to our inner lives. As we become more aware, we can choose to do things that increase our understanding of the foundational issues at hand. The more we understand, the easier it is to make wiser choices.

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The goal of existential therapy is not to eliminate all anxiety. After all, the theory behind this therapy states that anxiety is a given for humans. If we were to get rid of all our anxieties, we might fail to do the things we need to do to survive. At the same time, too much anxiety can paralyze us so that we also do nothing. So, what is the answer? For existential therapists, the answer lies in striking a balance. When we feel some anxiety but not too much, we can move more comfortably and positively in the world.

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Existential Therapy Techniques

The theory and ideas behind existential therapy are accepted. Yet, to someone who has never had existential therapy, they may sound a bit cerebral. Where is the practicality of this therapy? What do existential therapists do? Actually, there are several existential therapy techniques. Your therapist may use any or all of them as they help you deal with your intrapsychic conflicts.

Focus On Upcoming Decisions

Existential therapy focuses on the future. As you go through therapy, you gain wisdom that will prepare you for decisions you have to make in the present moment, and especially later, after you have achieved balance and found your life's path.

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Using The Past As A Tool

If you are in existential therapy, your therapist will likely guide you in reflecting on your past. Yet, in this form of therapy, the past is not the focus. Instead, exploring your past serves two purposes. First, it helps you understand yourself better as a unique person. Second, you can examine the consequences and results of the choices you've made in the past so that you can make better choices now and in the future.

Developing Self Awareness To Embrace Life More Fully

A part of the work in existential therapy is to increase your self-awareness. Right now, you may go through life paying more attention to others than you do to your own sensations, thoughts, and beliefs. Through this therapeutic modality, you learn to notice what is happening within your body and mind and pay more heed to your own sense of what is beneficial for you. This may sound like a selfish practice, but existential therapists believe it is the healthiest perspective you can take. When you take care of your own needs, you do not have to rely on others totally for contentment. Also, when you feel more satisfied with your life, you become a more genuine and caring person, better able to help others when needed.

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Promoting Freedom

The very core of existential therapy is everyone's ability to choose their own actions. It stands to reason, then, that existential therapists guide you to a better understanding and acceptance of your own personal freedom. Freedom can be a scary thing, so your therapist will help you work on balancing your level of anxiety as you become more aware of your freedom to choose. At the same time, realizing your freedom helps you access your own personal power and feel more alive in the process.

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Teaching Individual Responsibility

It is often said that freedom comes with responsibility. An existential therapist can help you determine what you're responsible for as a consequence of your freedom. They can teach you how to accept responsibility for your own actions without becoming overwhelmed by a sense of burden.

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Helping You Find Meaning In Action

Existential therapy is essentially a form of talk therapy, but the goal is to choose more positive ways to behave. Your existential therapist may prompt you to follow insight with action. Through this values-based action, you can find the meaning you need to become outwardly the best possible version of yourself.

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Encouraging Your Positive Attitudes

To many, existential means a negative, pessimistic, gloomy attitude. When we hear the word “existential,” many of us unconsciously attach the word “crisis” to the end of it. Nothing could be farther from the truth. Once you identify and acknowledge the intrapsychic conflicts that are holding your back, you feel greater joy and a greater sense of meaning in each day that passes. So, after you've come to terms with these deeper issues, your therapist encourages you to find freedom from them and adopt more positive attitudes. In a sense, we find ways to balance the darkness of existence with the lighter side of life. Through grief comes gratitude.

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Existential Therapy As A Part Of An Eclectic Mix

Therapists typically combine existential therapy with other types of talk therapy as a means of helping the client find meaning, purpose, joy, and their own unique path in life. Existential therapy recognizes that life is not just a series of unrelated and often disastrous incidents, but it is a path you walk each day of your life. Therapists who use existential therapy as one of many methods can help you find and follow a positive path for your life.

Is Existential Therapy Right For You?

Chances are, if you're interested in existential therapy, you're either thinking about a career as a therapist or considering whether it will help you overcome the problems and/or mental disorders you struggle with now. Existential therapy in itself is not a quick fix in most cases. However, if you're serious about finding meaning and purpose in your life, it may be beneficial for you.

How Online Therapy Can Help

Online therapy platforms, such as BetterHelp, have been found to be just as effective in treating a very broad range of conditions (including anxiety, depression, PTSD, addiction, phobias, and many others) as in-person therapy. Specifically, those dealing with anxiety and depression not only benefit from existential therapy, but by extension experience greater benefits from online therapy, according to a University of Zurich study, over the medium- and long-term than those utilizing in-person therapy.

BetterHelp is particularly helpful in its ability to be accessed anytime, anywhere – you just need an internet connection to get started! You’ll be matched with a therapist (though you can switch at any time), and from there sessions can be held via video chat, phone call, texting/instant messaging, or live voice recording. It’s truly a personalized and convenient experience, whether you have an incredibly busy schedule or live somewhere far away from traditional in-person counseling facilities. See below for some reviews of our board-certified therapists from people seeking to better understand themselves and their lives.

Counselor Reviews

“I was initially apprehensive about starting counselling but within only a few weeks of speaking with Derylene she helped me not only understand myself better but she helped me on the road to become the person I always wanted to be. A truly inspirational and motivating person. Thank you for all the advice and positivity from our talks.”

“Megan was positive and a good listener. We often planned what the focus would be for the next session but I liked how she always checked in at the beginning of our session if there was anything else that came up during the week that we should handle first. I've dug some into my childhood which has helped me better understand myself, my behavior, my responses, and perspectives.”

Frequently Asked Questions About Existential Therapy (FAQs)

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What Kind Of Therapy Involves Using An Existential Humanistic Approach? Existential humanistic therapy emphasizes helping clients become their true selves to lead more fulfilling and happy lives. This therapy revolves around the belief that everyone views the world from their own unique lens.

Who Are The Most Important Existential Philosophers? Some of the most famous existential philosophers include Jean-Paul Sartre, Soren Kierkegaard, Albert Camus, Martin Heidegger, and Simone de Beauvoir.

What Are The Key Concepts Of Existential Therapy? The key concepts of existential therapy include the belief that humans have the ability to find the meaning of life, establish meaningful relationships with each other, and learn to accept their anxieties.

Where Do I Find A Therapist Who Focuses On Existential Psychology? Do you want to find a therapist that offers services in existential counseling? Your primary care physician may have a list of suggestions for you. You can also find a therapist near you via a quick online search. 

What Does The Existential Approach In Psychology Focus On? The existential approach to psychology focuses on humanity’s position in the world as well as what makes someone consider themselves to be alive.

Is Existential Therapy Effective? For some people with mental health disorders, an existential therapist can play a significant role in helping them improve and manage their conditions. If you think existential therapy may be the mental health solution you need, contact your primary care physician to see what treatment options are available to you.

Can Existential Psychology Be Used In Group Therapy? In the context of group therapy, using methods from existential psychology can be beneficial for all participating members. If the group perceives the therapist as a fellow traveler in life, they can learn effective methods for grappling with feelings of loneliness or meaningless.

What Types Of Therapy Use Existential Psychology?  Some types of therapy, such as cognitive-existential therapy and supportive-expressive therapy use existential psychology to help guide their methods and techniques.

What Role Does Irvin Yalom Play In The History Of Therapy? Existential psychotherapist Irvin Yalom published a book titled Existential Psychotherapy in December of 1980. Drawing from years of clinical experience and research, Yalom offers helpful information on the existential-humanistic approach to psychology, different existential psychotherapies, and existential concerns that humans experience in his book Existential Psychotherapy. To this day, many students still study his bookExistential Psychotherapy.  

What Are The Different Branches Of Existential Therapy? There are several branches of existential therapy, including existential-humanistic psychology, cognitive-existential therapy, and supportive-expressive therapy.

Are you ready to find a therapist? You can search your local community, asking each therapist if they use existential therapy as one of their methods. Or, you can find a therapist online who uses existential therapy techniques. At BetterHelp, you can choose from many counselors using a variety of therapy methods. Choosing the online option is convenient, private, and completely within your control. Even better, you can quickly find a therapist trained to assist your unique needs and get started right away.

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