Existential Motivation Application in Mental Health and Psychology
"Existential motivation represents a profound dimension of human psychology grounded in meaning, authenticity, and the confrontation with existential realities such as freedom, choice, isolation, and mortality. In the context of mental health, existential motivation provides a framework for understanding the individual's drive toward purpose and self-realization amid suffering, uncertainty, and anxiety. This paper examines the theoretical foundations of existential motivation derived from existential and phenomenological philosophy—particularly the works of Viktor Frankl, Rollo May, Martin Heidegger, and Søren Kierkegaard—and explores their practical application in mental health treatment. The discussion outlines how existential motivation informs psychotherapeutic approaches, enhances self-awareness, and aids recovery from conditions such as depression, anxiety, and existential crises. The paper concludes by emphasizing the therapeutic value of meaning-making, authentic living, and existential courage in promoting psychological resilience and well-being.
1. IntroductionMental health care increasingly recognizes the importance of addressing the subjective, meaning-centered aspects of human experience. Traditional biomedical and behavioral models often conceptualize mental illness through symptoms, deficits, and diagnostic categories, whereas existential approaches foreground the person’s lived experience, values, and purpose (Van Deurzen, 2012). Within this paradigm, existential motivation refers to the inner drive that compels individuals to find meaning, direction, and authenticity in life (Frankl, 1969). It is the motivation to exist fully—despite uncertainty, suffering, and the inevitability of death.
Existential motivation is particularly relevant to mental health practice because it engages the human capacity for meaning and freedom. When this motivation is stifled or distorted, psychological distress often follows, manifesting as depression, anxiety, or existential vacuum (Yalom, 1980). Thus, applying existential motivation in mental health treatment involves fostering awareness, responsibility, and authenticity so that individuals can live meaningfully in alignment with their values.
This paper explores the philosophical foundations, psychological interpretations, and clinical applications of existential motivation within mental health contexts. Drawing on existential-phenomenological thinkers, it outlines how meaning-making and authenticity serve as central therapeutic aims and discusses their relevance for modern psychotherapeutic practice.
2. Philosophical and Theoretical Foundations2.1 Existential Philosophy and Motivation
Existential motivation originates from existential philosophy’s concern with being, freedom, and meaning. Søren Kierkegaard (1844/1980) first articulated the existential struggle between despair and authenticity, emphasizing that individuals must choose to live passionately and meaningfully in the face of uncertainty. This decision constitutes a fundamental act of motivation—the leap toward authentic existence.
Friedrich Nietzsche (1886/1968) further deepened the concept by proposing the will to power—a creative, life-affirming drive to overcome limitations and actualize one’s potential. Similarly, Martin Heidegger (1927/1962) viewed existence (Dasein) as fundamentally projective, oriented toward possibilities that express one’s being. For Heidegger, motivation arises from the awareness of finitude: by confronting death, individuals are compelled to live more authentically.
In each case, existential motivation is not merely a desire for pleasure or survival; it is a drive toward meaningful being—to become what one essentially is through free and responsible choice (Binswanger, 1947). This existential orientation later formed the foundation for existential psychology.
2.2 Existential Psychology and the Dynamics of Meaning
Existential psychology translates these philosophical ideas into psychological principles. Viktor Frankl’s logotherapy (1969) is the most explicit articulation of existential motivation in clinical terms. Frankl proposed that the will to meaning is the primary human motivational force. Unlike Freud’s pleasure principle or Adler’s will to power, Frankl’s model situates meaning as the central drive that sustains mental health. When meaning is frustrated, individuals experience existential frustration, often manifesting as depression, apathy, or anxiety.
Rollo May (1969) expanded this view by describing existential motivation as the courage to be, emphasizing the will to affirm life in the presence of anxiety and non-being. May argued that mental health involves integrating anxiety as a constructive signal of growth rather than as pathology. Similarly, Irvin Yalom (1980) identified the four “givens of existence”—death, freedom, isolation, and meaninglessness—as sources of both existential anxiety and potential motivation. Through confronting these givens, individuals can transform anxiety into creativity, compassion, and purpose.
Existential motivation thus involves accepting existential anxiety as a natural part of being and using it to propel self-awareness and growth. This transformation—from avoidance to engagement—lies at the core of existential psychotherapy.
3. Existential Motivation and the Experience of Mental Illness3.1 Depression and the Loss of Meaning
Depression often entails a profound loss of existential motivation. Individuals feel disconnected from purpose, value, and future possibilities (Van Deurzen & Kenward, 2005). Frankl (1969) described this as the “existential vacuum,” a state where individuals feel inner emptiness despite material or external success. The absence of meaning leads to apathy and despair, as the person loses the capacity to find significance in everyday experience.
In existential terms, depression represents not merely a biochemical imbalance but an ontological crisis—a breakdown in one’s capacity to relate meaningfully to existence. The therapeutic task, therefore, involves reawakening existential motivation by helping the client rediscover personal values, sources of significance, and the freedom to act despite suffering.
3.2 Anxiety and the Confrontation with Freedom
Existential anxiety arises when individuals become aware of their freedom and responsibility for shaping their lives. Kierkegaard (1844/1980) termed this the “dizziness of freedom,” a recognition that one’s choices define one’s being. In mental health contexts, anxiety disorders often reflect an avoidance of this awareness—people seek certainty and control to escape the responsibility of choice (Yalom, 1980).
However, existential therapy reframes anxiety as a sign of growth. Anxiety indicates that one is facing the unknown and moving toward authenticity. By confronting rather than evading existential anxiety, individuals cultivate courage and self-determination. The therapist’s role is to guide clients toward accepting uncertainty as intrinsic to existence and using it as motivation for change (May, 1977).
3.3 Trauma, Isolation, and the Need for Connection
Existential isolation—the awareness that no one can fully share one’s inner world—can intensify following trauma or loss. Survivors often face shattered assumptions about meaning and security (Janoff-Bulman, 1992). Existential motivation becomes the drive to rebuild coherence and trust in the world. Therapists working from an existential perspective emphasize relational presence, empathy, and authentic dialogue to help clients rediscover belonging and meaning within human connection (Spinelli, 2007).
4.1 Meaning-Centered Therapy
Meaning-centered approaches draw directly from Frankl’s logotherapy and emphasize the discovery of personal significance. Techniques include Socratic dialogue, reflection on values, and the exploration of life narratives to identify sources of meaning (Wong, 2012). Therapists help clients reconnect with what gives their life purpose—be it relationships, creativity, spirituality, or service.
In treating depression or existential despair, meaning-centered therapy helps individuals reinterpret suffering as a challenge to find deeper purpose. For example, a person recovering from grief might find motivation in caring for others who have endured similar loss. This reorientation transforms suffering from an obstacle into a source of growth.
4.2 Existential–Humanistic Psychotherapy
Existential–humanistic therapy integrates existential awareness with humanistic emphasis on empathy, self-actualization, and personal growth (Bugental, 1981; Schneider & Krug, 2017). Therapists encourage clients to explore their lived experience, identify restrictive patterns, and exercise authentic choice. The aim is not symptom removal but expansion of awareness and freedom.
Existential motivation emerges as clients discover their agency—the realization that they can shape their existence even under constraints. The therapeutic relationship itself models authentic encounter: the therapist’s presence and openness foster trust and existential courage.
4.3 Acceptance, Commitment, and Existential Flexibility
Contemporary approaches such as Acceptance and Commitment Therapy (ACT) also integrate existential motivation implicitly. ACT encourages clients to live according to their values while accepting life’s inherent suffering (Hayes et al., 2012). This mirrors the existential notion of meaning through acceptance. By clarifying values and committing to purposeful action, clients cultivate resilience and psychological flexibility.
ACT’s emphasis on mindful awareness parallels phenomenological methods of attending to lived experience without avoidance. Thus, existential motivation manifests as the willingness to act authentically despite uncertainty, pain, or fear.
Consider a 40-year-old client experiencing chronic depression following a career collapse. The client reports feeling purposeless, stating, “Nothing matters anymore.” Traditional cognitive-behavioral interventions partially reduce negative thinking but fail to address the deeper void of meaninglessness.
An existential approach begins by validating the despair as a legitimate response to loss. The therapist invites the client to explore values previously tied to career success—such as creativity, competence, and contribution—and to reimagine how these might be expressed anew. Through reflective dialogue, the client identifies a passion for mentoring young professionals. This discovery rekindles existential motivation: the will to live authentically and contribute meaningfully despite changed circumstances.
Over time, the client’s depressive symptoms lessen as life regains direction and coherence. The therapeutic outcome demonstrates how existential motivation, once reawakened, restores vitality and mental health.
6. Existential Motivation and Mental Health RecoveryMental health recovery involves more than symptom remission; it encompasses re-establishing a sense of agency, identity, and meaning (Deegan, 1988). Existential motivation underlies this process by inspiring individuals to envision a life worth living. Whether in recovery from addiction, trauma, or chronic mental illness, the pursuit of meaning provides direction and resilience.
Research supports the role of meaning and purpose in mental health outcomes. Studies show that higher levels of meaning in life correlate with lower depression, anxiety, and suicidal ideation (Steger et al., 2008). Meaning also predicts greater well-being and life satisfaction (Martela & Steger, 2016). These findings confirm Frankl’s hypothesis that existential motivation sustains psychological vitality even under suffering.
In recovery-oriented practice, therapists help clients articulate their values, find belonging, and integrate painful experiences into coherent life narratives. This aligns with the existential goal of authenticity—living in accordance with one’s deepest commitments and confronting existence with openness rather than avoidance.
7. The Role of the TherapistThe existential therapist functions not as a problem-solver but as a companion in exploration. Presence, empathy, and authenticity form the core of the therapeutic stance (Spinelli, 2007). The therapist models existential courage by engaging clients in genuine dialogue about freedom, responsibility, and mortality.
Rather than pathologizing distress, existential therapists treat it as a natural response to the human condition. Their role is to guide clients toward self-awareness, helping them uncover the motivations that sustain meaning and choice. By doing so, therapy becomes a process of existential awakening—restoring vitality to a life that has lost direction.
8. Challenges and IntegrationsWhile existential motivation offers profound insights, integrating it within mainstream mental health care presents challenges. Existential therapy’s non-prescriptive and philosophical nature can seem incompatible with evidence-based models emphasizing measurable outcomes (Cooper, 2016). However, contemporary integrations, such as meaning-centered cognitive therapy (Vos et al., 2015), demonstrate that existential constructs can complement empirical frameworks.
Additionally, cross-cultural applications must account for diverse conceptions of meaning, spirituality, and selfhood. Existential motivation may manifest differently across cultural contexts where communal rather than individualistic values predominate (Wong, 2016). Thus, therapists must remain sensitive to cultural expressions of meaning and identity.
9. ConclusionExistential motivation represents the fundamental drive toward meaning, authenticity, and self-transcendence. In mental health practice, it provides a vital framework for understanding suffering not merely as pathology but as a potential path toward growth. By fostering awareness of freedom, responsibility, and purpose, therapists help clients rediscover motivation amid despair and uncertainty.
The application of existential motivation in mental health thus reorients therapy from symptom control to existential engagement. It invites individuals to confront the givens of existence, transform anxiety into vitality, and live authentically despite limitations. As Frankl (1969) asserted, even when all else is lost, the freedom to choose one’s attitude remains—and within that freedom lies the essence of existential motivation.
ReferencesBinswanger, L. (1947). Being-in-the-world: Selected papers of Ludwig Binswanger. Basic Books.
Bugental, J. F. T. (1981). The search for authenticity: An existential-analytic approach to psychotherapy. Irvington.
Cooper, M. (2016). Existential therapies (2nd ed.). Sage.
Deegan, P. (1988). Recovery: The lived experience of rehabilitation. Psychosocial Rehabilitation Journal, 11(4), 11–19.
Frankl, V. E. (1969). The will to meaning: Foundations and applications of logotherapy. New American Library.
Hayes, S. C., Strosahl, K. D., & Wilson, K. G. (2012). Acceptance and commitment therapy: The process and practice of mindful change (2nd ed.). Guilford Press.
Heidegger, M. (1962). Being and time (J. Macquarrie & E. Robinson, Trans.). Harper & Row. (Original work published 1927)
Janoff-Bulman, R. (1992). Shattered assumptions: Towards a new psychology of trauma. Free Press.
Kierkegaard, S. (1980). The concept of anxiety (R. Thomte, Trans.). Princeton University Press. (Original work published 1844)
Martela, F., & Steger, M. F. (2016). The three meanings of meaning in life: Distinguishing coherence, purpose, and significance. The Journal of Positive Psychology, 11(5), 531–545.
May, R. (1969). Love and will. Norton.
May, R. (1977). The meaning of anxiety. Norton.
Nietzsche, F. (1968). The will to power (W. Kaufmann & R. J. Hollingdale, Trans.). Vintage Books. (Original work published 1886)
Schneider, K. J., & Krug, O. T. (2017). Existential–humanistic therapy (2nd ed.). American Psychological Association.
Steger, M. F., Frazier, P., Oishi, S., & Kaler, M. (2008). The meaning in life questionnaire: Assessing the presence of and search for meaning in life. Journal of Counseling Psychology, 53(1), 80–93.
Spinelli, E. (2007). Practising existential psychotherapy: The relational world. Sage.
Van Deurzen, E. (2012). Existential counselling and psychotherapy in practice (3rd ed.). Sage.
Van Deurzen, E., & Kenward, R. (2005). Dictionary of existential psychotherapy and counselling. Sage.
Vos, J., Craig, M., & Cooper, M. (2015). Existential therapies: A meta-analysis of their effects on psychological outcomes. Journal of Consulting and Clinical Psychology, 83(1), 115–128.
Wong, P. T. P. (2012). Toward a dual-systems model of what makes life worth living. In P. T. P. Wong (Ed.), The human quest for meaning: Theories, research, and applications (2nd ed., pp. 3–22). Routledge.
Wong, P. T. P. (2016). Meaning-seeking, self-transcendence, and well-being. In A. Batthyany (Ed.), Logotherapy and existential analysis (pp. 311–321). Springer.
Yalom, I. D. (1980). Existential psychotherapy. Basic Books.