Existential Anxiety in Adults: Causes, Symptoms & Treatment

What is the point of life? What happens when we die? Does anything we do actually matter? 

Many people brush thoughts like these aside as they go about their day-to-day life. But some people find these questions deeply disturbing and heavy to live with. Existential anxiety is what happens when the large questions of human existence stop feeling philosophical and start feeling threatening. 

The unique anxiety people experience from existential dread and questioning is very real and can be debilitating – but it can also be successfully treated. If you’re experiencing existential anxiety, a mental health professional can help you find relief and increased meaning in the here and now. 

This page can also help you better understand existential anxiety in adults, including: 

  • What existential anxiety is and how it tends to develop
  • Common causes and triggers for adults
  • The symptoms of existential anxiety to look out for
  • How existential anxiety differs from depression and other anxiety-based disorders
  • Treatment options, including therapy and residential care
man in orange shirt, sitting pensively with hands under chin, experiencing existential anxiety

What Is Existential Anxiety?

Existential anxiety, at its core, deals with the unavoidable uncertainties of being a human being. Death, freedom, isolation, and the search for meaning are all universal experiences that everyone grapples with from time to time. Oftentimes, these experiences and concepts surface and fade throughout the years. For others, they can become a persistent source of dread. 

The term “existential anxiety” has roots within existential philosophy. It started with the work of thinkers like Søren Kierkegaard and psychologist Rollo May, who thought that confronting life’s inherent uncertainties could result in true psychological and emotional suffering.[1]

Existential dread in adults can develop gradually or surface after major life events, such as the loss of a loved one, a health issue, or a milestone birthday. Some people describe it as a sudden sense that the life they’ve created somehow feels “hollow,” or that they feel “paralyzed” by questions they can’t hope to answer. 

This anxiety tends to get worse when your life feels uncertain or disrupted. And, without support, it can also deepen into something that quickly affects your relationships, sleeping patterns, and ability to function day to day. 

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Common Causes of Existential Anxiety in Adults

Existential anxiety might seem to come out of nowhere, but it’s typically caused by something that can make the big questions of life seem impossible to look away from. 

The following are some common causes of this type of anxiety:

Confronting Your Mortality

The fear of death can be one of the most common drivers of anxiety. A serious illness or the death of someone close to you can bring your mortality into a whole new focus. And, for some adults, that awareness never fades into the background, coming up again and again throughout the day. 

Major Life Transitions

Major milestones in life can often cause you to become increasingly reflective. Turning 30, 40, or 50, ending a longstanding relationship, changing careers, or becoming a parent can all prompt a deeper questioning of your identity and purpose in this world. Even experiencing a quarter-life crisis can cause this level of reflection in younger adults.

Feeling a Loss of Meaning or Purpose

When your work begins feeling pointless, your relationships feel empty, or daily life feels lacking, meaning of life anxiety can quickly take hold. This is particularly common after someone achieves the goals they always believed would bring them true fulfilment, but still leaves them feeling wanting. 

Experiencing Isolation and Disconnection From Others

Feeling fundamentally alone can be a primary driver of anxiety about whether true connection is even possible. This existential dread involves feeling deeply and existentially separate from others, not just lonely. It also tends to add to feelings of other existentially based fears. 

Spiritual Disruption

Losing your faith and questioning long-held beliefs and traditions can leave you without the framework you once used to make sense of life and death. Spiritual anxiety symptoms can bring about disorientation that can be extremely emotional and also signal deeper questions to be reckoned with. 

Experiencing Trauma and Uncertainty

Going through an ongoing exposure to uncertainty in the world – be it from trauma, chronic illness, or fears about global instability – can make existential fears feel relentless and inescapable. When the future feels genuinely uncertain and threatening, anxiety about your mortality and life’s meaning can increase exponentially. 

The Potential Symptoms of Existential Anxiety

Existential anxiety symptoms don’t always look the way you might expect. There’s rarely a single moment of panic that fades away. More often, it can show up as a slow, omnipresent uneasiness that’s hard to name and even harder to shake off. It can affect your emotions, thought patterns, physical well-being, and behavior. 

Some of the signs and symptoms of existentially-based anxiety can include:[2]

  • Dread: A low-level sense that something in your life is deeply wrong, even when most aspects of your life appear to be going just fine at first glance
  • Ongoing, intrusive thoughts about death: Recurring and unwanted thoughts about mortality, the afterlife, and the inevitability of losing those you care about
  • Difficulty finding meaning in things: Feeling as if your daily activities and pursuits, relationships, or goals are lacking in purpose. 
  • Emotional numbness: Feeling disconnected from joy, excitement, or engagement with life. 
  • Paralysis and indecision: Struggling to make choices because nothing feels meaningful enough to commit to or see through
  • Rumination: Cycling through the same, seemingly unanswerable questions without progress
  • Sleep disturbances: Having trouble falling or staying asleep due to distressing or racing thought patterns
  • Social withdrawal: Pulling back from your relationships because connection feels temporary or even pointless
  • Physical symptoms: Tension, fatigue, chest tightness, or nausea
  • Depersonalization: Feeling detached from yourself or your life, almost as if you are watching it from a distance

Depression vs. Existential Anxiety

Both depression and existential anxiety can look similar and share many of the same symptoms. They can also occur at the same time, known as “dual diagnosis.” However, they ultimately aren’t quite the same thing. 

Depression (including major depressive episodes, dysthymia, and other depressive disorders) usually involves ongoing low mood, loss of interest in things you previously found enjoyable, and a diminished sense of self. Depression can have a biological component and often responds well to medication and structured, evidence-based therapy like cognitive-behavioral therapy (CBT).[3]

Existential anxiety and depression tend to be more cognitive-based and philosophical in nature. The difficulties come more from a confrontation with life’s questions that have no clear answers and typically cannot be helped by examining errors in thinking patterns, like in CBT. 

Below, we also take a look at existential anxiety’s similarities to generalized anxiety and panic disorders. 

Existential Anxiety vs. Generalized Anxiety Disorder

Generalized anxiety disorder (GAD) is all about worrying – about your health, finances, relationships, safety, and more. It’s future-focused and usually tied to specific, nameable fears in everyday life, although it can also occur without an inherent, identifiable cause. Existential dread in adults, however, is about the nature of existence itself, often expressed by grappling with the givens of existence like freedom and death. 

Existential Anxiety vs. Panic Disorder

Panic disorder and panic attacks produce acute, physical episodes of intense fear. Existential anxiety is rarely episodic and is typically more longitudinal, affecting large swaths of time. 

However, chronic anxiety disorders and existential anxiety can also co-occur, with ongoing existential dread prompting panic attacks, depressive episodes, and social isolation.

Find Anxiety Treatment Programs

A Mission For Michael (AMFM) provides treatment for adults experiencing various conditions. Anxiety support is a phone call away – call 866-478-4383 to learn about our current treatment options.

See our residences in Southern California’s Orange County & San Diego County.

Take a look at our homes on the east side of the Metro area in Washington County.

View our facilities in Fairfax County, VA within the DC metro area.

Treatment for Existential Anxiety in Adults

Existential anxiety is, unfortunately, not something most people can simply think or reason their way out of. It does, thankfully, respond well to treatment, especially approaches that directly engage you with meaning, identity, and the emotional weight of uncertainty. 

Therapy for Existential Anxiety

Talk therapy is the usual starting point for treatment of existential anxiety. Existential therapy works to address the givens of existence – mortality, freedom, isolation, and meaning – and helps you develop a grounded relationship with uncertainty. It focuses on building your capacity to live alongside these questions and more deeply explore them. 

For example, logotherapy for anxiety, developed by Viktor Frankl, takes the stand that our drive to find meaning is a fundamental human need.[4] When this need goes unmet, it can cause great emotional and psychological suffering. Logotherapy then helps people to identify and go after what they find is genuinely most important in their lives. 

Acceptance and commitment therapy, or ACT, emphasises that we can accept things we cannot control, including uncertainty and death. It encourages commitment to acting in accordance with our values in spite of life’s inherent discomfort to find new meaning. 

Residential and Inpatient Care

For some adults, existential anxiety can become severe enough that it interferes with their ability to live day to day. Or it can become entangled with dual diagnosis issues like depression, anxiety, and other mental health disorders. 

Inpatient anxiety treatment can provide the support necessary to remove daily distractions and a therapeutic environment to meet these challenges head-on with daily therapy and psychiatric care. 

A Mission for Michael builds its own residential programs around evidence-based treatment and holistic therapies. Our approach includes mindfulness, breathwork, and experiential activities that can be meaningful for those facing challenges with purpose and identity. 

Let AMFM Help You Find Meaning in Healing

If you’re not sure what you need for existential anxiety, let A Mission For Michael help you find your path. We offer free, confidential insurance verifications to help you decide, and can give you an overview of all our treatment programs to assist you in finding your best fit.

Call us today or contact us via our secure online form to learn more about what we can offer, and we’ll help you take your next best step. 

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Frequently Asked Questions About Existential Anxiety

Existential anxiety is all about questions. So you may naturally have some ongoing ones about the condition after the information on this page. To help make it as understandable as possible, we’ve provided the following answers to FAQs about existential anxiety. 

No, existential anxiety is not a category in the Diagnostic and Statistical Manual of Mental Disorders. But that doesn’t mean it’s any less real than generalized anxiety disorder or major depression. Let our clinicians help you identify the source of your distress and assist you on the path to recovery. 

For some people, existential anxiety and dread gradually ease after a period of reflection. For others, it can deepen over time without the proper support. 

Everyone is different, and it often comes down to whether your underlying questions feel workable or completely overwhelming. Therapy can accelerate the process of healing for those who are struggling. 

It can, unfortunately. Chronic stress, regardless of where it comes from, places major demands on the body. Ongoing existential anxiety can cause disrupted sleep patterns, fatigue, and a weakened immune response over a lengthy period of time. 

Absolutely. Just like how midlife and later life can bring life questions to be reckoned with, people in their early 20s and 30s can find it hard to cope with the expectations and realities of life. Call AMFM today, and we’ll help you explore these issues with care and compassion. 

Many insurance plans offer some level of coverage for anxiety treatment, including inpatient or outpatient care depending on medical need. Coverage can vary by plan, so we can help you verify benefits, understand authorizations or limitations, and explore private pay options if needed.

At AMFM, we strive to provide the most up-to-date and accurate medical information based on current best practices, evolving information, and our team’s approach to care. Our aim is that our readers can make informed decisions about their healthcare.

Our reviewers are credentialed medical providers specializing and practicing behavioral healthcare. We follow strict guidelines when fact-checking information and only use credible sources when citing statistics and medical information. Look for the medically reviewed badge on our articles for the most up-to-date and accurate information.

If you feel that any of our content is inaccurate or out of date, please let us know at info@amfmhealthcare.com