An existential therapist works with how you position yourself in the world and how you view the world and those around you.
What is existential psychotherapy?
Strictly speaking, existential psychotherapy and counselling is more akin to an approach to the therapeutic work (and to life) rather than a type of therapy. However, this does in no way to minimise the importance and benefits of an existentially orientated psychotherapy.
One way of thinking about existential psychotherapy is to see it as a philosophical stance, rather than a rigid framework within which the clinician works. As such it rejects the deterministic view of human nature found in more traditional psychoanalysis and the behaviour school approach. Existential psychotherapy concerns itself with the problems of existing, or living, and sees clients’ suffering as their inability to accept life as it really is, rather than that their symptoms are manifestations of mental illness.
In existential psychotherapy, the clinician works with the client to help them to find purpose and meaning in their lives, and through the therapeutic alliance works with the client to live a more ‘authentic’ life. In existential therapy, it is through the therapeutic relationship that ‘inauthentic’ ways of being in the world come to light. Put more simply, it is within the therapy that the client finds safety and trust to explore the myriad of ways that they hide from themselves and others; how they avoid the realities of life. Whilst these realities can be hard to accept, it is only through embracing them that clients can find authentic – meaningful and purposeful – way of living their lives.
And, it is through the courage of accepting life as it is and embracing ones limitations, that many clients find their suffering and symptoms disappear; what in other types of therapy may be termed symptoms, or mental health problems.
Benefits of existential psychotherapy
In the existential approach, both counsellors and psychotherapists seek to come alongside the client as human beings. What this means is that they seek to understand the client’s subjective experience of the world and their place in it. If all neuroses and psychoses are fundamentally solutions to the problem of life and how to find meaning, then the dilemma is one faced by us all, the psychotherapist included.
Existential psychotherapy seeks to help clients find more constructive ways of creating meaning and alleviating their suffering. For example, existential psychotherapy can be particularly useful in helping former addicts construct more meaningful and multi-faceted lives, where they can bear their distress and seek a wider range of healthy relationships and behaviours in lieu of their behaviour or drug of choice.
In the modern world where prescribed meaning is increasingly absent – religion, family, career – the existential approach can be extremely helpful in grounding clients and enabling them to firstly recognise the ordinariness of their humanity – all human beings must find purpose and meaning. Secondly, the therapeutic relationship can be a vital collaboration helping clients to work out what will enable them to feel fulfilled and that they have meaning.
In essence, existential psychotherapy is about finding meaning in a world increasingly devoid of meaning. A life lived without substantial meaning causes suffering, often experienced as anxiety and depression.
What can existential therapy help with?
Existential therapy can help you navigate times of uncertainty, transition, or emotional struggle. Rather than focusing on your symptoms, it explores how you relate to yourself, others, and the world around you. It’s a highly reflective process that encourages you to understand yourself and your personal responsibilities, helping you to confront life’s big questions about meaning, choice, mortality, and much more.
Through a supportive and therapeutic relationship, existential psychotherapy helps you to examine what truly matters to you and begin to live with greater honesty and purpose. Whether you’re facing anxiety, loss, or a sense of disconnection, existential therapy offers a path towards a more grounded and authentic existence.
What happens during existential therapy?
Existential therapy is a collaboration between the therapist and client where the therapist helps the client to explore the meaning and purpose of their life. This may involve examining their values, beliefs and goals as well as their relationships and sense of identity. Existential psychotherapy is premised on an enquiry into what makes your life meaningful.
The first meeting
The purpose of the initial meeting is to determine whether you and your therapist are a good fit for each other. It’s a time to discuss why you’re there, what you hope to gain from the process and your background. It’s also a time for you to ask as many questions as you feel necessary to make your decision to continue. This first meeting is important for your therapist to better understand you so they can tailor their approach to your specific needs.
Confidentiality in existential therapy
Confidentiality is important in any part of therapy. It’s important you feel comfortable sharing personal and often sensitive information with your therapist knowing they will keep this information private. Your therapist will explain their approach to confidentiality and outline what is expected of you and what you can expect from them. In general, everything discussed in your sessions is confidential, unless there are rare instances when there is a need to break confidentiality. For example, if you are at risk to yourself or others.
The frame
The frame in therapy refers to the physical and contractual boundaries that create a safe and structured environment for the therapeutic process. This includes the length, frequency, and overall structure of the sessions and the process. Your therapist will work with you to establish a framework that feels safe and supportive, whilst focused on achieving the goals you have set out in coming to therapy.
Ongoing sessions
Existential therapy can be conducted over a period of weeks, months, or even years depending on the needs of the individual and whether you, as the client, continue to find the work and the process useful. Ongoing sessions are designed to provide ongoing support and guidance as you explore your inner world. Many of our clients, once getting into the flow of therapy, enjoy the intimate relationship and opportunities to make deep changes to their life.
Our existential psychotherapists Brighton and Lewes
We have a number of highly trained and experienced existential psychotherapists here at Brighton and Hove Psychotherapy. We understand how vital it is to work with a therapist you trust and feel comfortable with, so we take great care to ensure you’re well matched with your therapist so that you can get the most out of your sessions.
Mark Vahrmeyer, UKCP Registered
Mark is a psychoanalytically and existentially informed psychotherapist with a wide range of clinical experience from both the public and private sectors. He currently sees both individuals and couples, primarily for open-ended depth psychotherapy.
Dr Simon Cassar, UKCP registered, DProf(Psych)
Simon is an experienced integrative existential psychotherapist with a professional doctorate in this field providing long- and short-term psychotherapy to individuals.
Susanna Petitpierre, UKCP registered, DPsych
Susanna is an experienced psychotherapist with a professional doctorate, providing long- and short-term counselling and psychotherapy. Her approach is primarily grounded in individual existential therapy.
David Keighley BACP Accredited
David is a counsellor/psychotherapist offering short and long term therapy to individuals and couples using a variety of techniques such as EMDR, CBT and schema therapy. Existential psychotherapy formed part of his core psychotherapy training at Regents College. He is also a trained clinical supervisor.
Existential psychotherapy is offered by Mark Vahrmeyer, Dr Simon Cassar, Susanna Petitpierre and David Keighley.
If you are unsure of the type of therapy you need, you can search for a therapist here.
Why choose Brighton and Hove psychotherapy?
Brighton and Hove Psychotherapy provides high quality psychotherapy and consultancy services in Brighton and Hove, Lewes, and online. With over a decade of experience and a talented team of skilled associates, we have built a solid reputation for excellence.
Unlike so many directory sites that purport to be clinics, or large operations comprising of a high number of clinicians, we have purposefully kept our team small enough to ensure we can all work together on a personal basis, whilst being large enough to cater to the diverse needs of our client base.
To find out more about how Brighton and Hove Psychotherapy can help you through existential therapy,get in touch with us today to arrange your initial consultation.
Frequently Asked Questions
What kinds of issues can existential therapy help with?
Existential therapy can help with a wide range of emotional and psychological concerns, including anxiety, depression, relationship difficulties, loss, life transitions, and feelings of emptiness, particularly when you’re questioning your identity or purpose.
How is existential psychotherapy different from other types of therapy?
Unlike approaches that focus on diagnosis or changing specific behaviours, existential therapy looks at the whole person and their lived experience. It explores how you make sense of life’s challenges and supports you in taking responsibility for creating a more fulfilling, meaningful existence.
How do I know if existential psychotherapy is right for me?
If you’re questioning your direction in life, seeking deeper meaning, or struggling to fully connect with yourself or others, existential therapy may be a good fit for you. An initial consultation can help you decide whether this approach feels like the right one.
What happens in a first session?
The first session with one of our practitioners is an opportunity for you both to work out whether you feel able to work together. Your psychotherapist or psychologist will likely ask you various questions relating to what has brought you, and explain the process of therapy to you. The first session is a two-way process where you have the opportunity to ask questions and to decide whether you feel ‘safe enough’ working with your therapist.
How do I find a psychotherapist or psychologist I want to work with?
At Brighton and Hove Psychotherapy, we have two physical practices, one in Hove and one in Lewes, where we offer a full range of psychological therapies. On our website you can view each profile of our associates and contact them directly using the form on their profile page. You can also use our handy search function to find the right practitioner for your needs.
How long will it take for me to see a psychologist or psychotherapist?
We aim to respond to all enquiries within twenty-four hours. You may either contact one of our practitioners directly via their profile page, or you can contact us directly and we will assist you in finding the right person to see as soon as possible. If the practitioner you wish to see has space then an appointment can usually be arranged within a week and sometimes much sooner.
Do you offer couples or group sessions?
We offer counselling and psychotherapy for individuals, couples, families and groups. To find out about the types of session we can offer, get in touch with us today. We will find a date and time that works best for everyone involved and we will make sure everyone feels as comfortable as possible.
How can I get in touch with you?
You can contact our practitioners directly via the contact forms on their profile pages. They will then reply to you directly.
What age groups of clients do you work with?
We have psychotherapists and psychologists trained to work with most age groups from children through to adults.
Do you offer evening and/or weekend sessions?
We offer sessions every day of the week including on Saturdays and sessions are available into the evening.
What are your fees?
Our fees are set by each practitioner depending on the type of therapy.
All the content on this page has been reviewed and vetted by Mark Vahrmeyer UKCP Registered Psychotherapist, Supervisor and Co-Founder of Brighton and Hove Psychotherapy. For any questions or more information about the subjects discussed on this page please contact us.