Mike Lubofsky, Licensed Psychotherapist and Attorney

Psychotherapy for Individuals and Couples


Existential Psychotherapy

As people progress into their later years, they often confront existential concerns head-on. These may include a search for purpose, feelings of isolation, the inevitability of death, and questions surrounding personal freedom and responsibility. Existential psychotherapy, with its roots in existential philosophy, offers significant insights into these life quandaries.

Existential psychotherapy emerged from the works of prominent philosophers such as Soren Kierkegaard, Friedrich Nietzsche, Jean-Paul Sartre, and Martin Heidegger. Its focus lies in understanding the human condition, emphasizing authenticity, freedom, responsibility, and the search for meaning.

  1. Death and Finitude

The inevitability of death is one of the most significant existential concerns that many older adults face. Yalom (1980) identified death as a “basic anxiety,” one that forces individuals to confront their mortality. Rather than fostering fear, existential psychotherapy helps individuals embrace the finite nature of life. This acceptance allows individuals to live more fully in the present, realizing that each moment is precious and non-repeatable.

  1. Freedom and Responsibility

Sartre’s notion of radical freedom emphasizes that individuals are free to make their choices and shape their lives. However, this freedom brings a burden of responsibility. In older adulthood, people often face decisions about health care, living arrangements, and end-of-life choices. Existential psychotherapy encourages individuals to embrace their freedom and responsibility, offering them autonomy and control over their lives, even in their later years.

  1. Existential Isolation

Another central theme in existential psychotherapy is existential isolation, which involves the awareness that each person is fundamentally alone in their experience. This isolation can be particularly pronounced in older adulthood due to the loss of loved ones, health changes, or shifts in social roles. Existential therapists help individuals navigate this isolation, fostering connections where possible, while also empowering them to find solace and strength in solitude.

  1. Search for Meaning and Purpose

Finally, Frankl’s (1959) logotherapy emphasized the search for meaning as a critical aspect of human life. As people age, they may grapple with questions about the value of their lives or their purpose moving forward. Existential psychotherapy can help older adults explore these questions, aiding them in creating or finding meaning and purpose in their lives, even amidst change and loss.

Applying Existential Psychotherapy in Later Life

Understanding these existential concerns can help older adults navigate the unique challenges they face. Therapists can provide spaces for dialogue, reflection, and exploration, assisting individuals in confronting these existential realities. Through this process, older adults can develop greater resilience, authenticity, and sense of purpose. They may find solace in the acceptance of their mortality, empowerment in their freedom, companionship in their solitude, and purpose in their continued existence.

Existential psychotherapy offers valuable perspectives for navigating life as an older adult. By grappling with existential concerns, individuals can find a deeper sense of purpose, connection, and understanding. As we age, these existential insights are not only beneficial but essential to cultivating a life that is rich, meaningful, and authentic.