20/03/2026
The idea of existential anxiety has been crossing my radar very frequently recently. It is something that generally affects all of us at some point in our lives, but, because of the nature of its experience, it is often ignored, suppressed and denied.
It’s characterised by an almost-paralysing state of discomfort and fear, usually around issues such as death, ageing, guilt, freedom, failure and a loss of meaning. This unexpected realisation that to be human involves inevitable limitations can really take our breath away.
It’s often at this point that people decide to come for therapy, because the up until now really effective distractions provided by work or play are just no longer successful. Trying to fill the emptiness with food or alcohol has stopped working. Now that these thoughts and the accompanying body sensations have raised their heads, it is impossible to keep pushing them away. But, with the right support, they can be met with, communicated with and lived with.
There are several things that can trigger existential anxiety: World events such as war, pandemics and the climate crisis, an alteration in personal circumstances, like emigration and career change, the death of someone close to us, watching our parents age, “big birthday” milestones or becoming unwell ourselves can all lead to a sense of screeching to a halt, looking around us, as if seeing reality for the first time and asking ourselves “Now what?”
And this is where the paradox happens. Because we can only find true psychological wellbeing (what we might term peace, or happiness) once we have reached this deeply troubling place. Wellbeing has been described as the ability to face the disturbing facts of life, and, as long as we are denying these, we can’t face them, so we can’t be well!
Recognising where we are, acknowledging our freedom to choose, accepting the fragility of our lives enables us to live with authenticity, making the most of the lives that we have.