Mental health and existential motivation are deeply intertwined
The study of mental health has long been approached from clinical, biological, and psychological frameworks, focusing on diagnoses, treatments, and behavioral interventions. However, in recent decades, scholars and practitioners have increasingly recognized the value of integrating existential perspectives into the understanding of psychological well-being. Existential motivation—rooted in the philosophical traditions of Søren Kierkegaard, Friedrich Nietzsche, Jean-Paul Sartre, and Viktor Frankl—offers a profound framework for exploring how individuals confront meaning, freedom, authenticity, and mortality in shaping their mental health. Mental health is not merely the absence of pathology but also the presence of resilience, vitality, and purpose. Existential motivation highlights the deep human drive toward meaning-making and self-transcendence, even in the face of suffering and despair (Frankl, 2006).
This essay explores the intersection of mental health and existential motivation, emphasizing how existential thought enriches psychological frameworks and therapeutic practices. It examines theoretical foundations, the role of meaning in resilience, the tension between freedom and anxiety, and the practical implications for psychotherapy. By exploring these themes, this paper argues that existential motivation provides a vital dimension to understanding and promoting mental health, especially in contexts where individuals grapple with suffering, uncertainty, and existential crises.
Existential Foundations of Mental Health- Kierkegaard and Anxiety
Søren Kierkegaard (1844/1980) introduced the concept of angst—a form of existential anxiety that arises when individuals confront the possibility of freedom and the responsibility to choose. Unlike fear, which is directed toward specific objects or events, existential anxiety is a confrontation with one’s own potentiality. In mental health contexts, anxiety is often framed as a disorder to be managed, but Kierkegaard’s analysis suggests it is also a necessary condition for growth. Anxiety, in this sense, can catalyze self-awareness and motivate authentic choices, making it both a challenge and an opportunity for existential motivation.
- Nietzsche and the Will to Power
Friedrich Nietzsche emphasized the will to power as a fundamental human drive, an impulse toward growth, creativity, and self-overcoming (Nietzsche, 1887/1994). For Nietzsche, mental health involves the capacity to affirm life, embrace suffering, and transform challenges into opportunities for growth. His perspective resonates with modern views of resilience and post-traumatic growth. In clinical terms, Nietzsche’s notion suggests that existential motivation is not about eliminating suffering but about integrating it into a broader narrative of meaning and self-development.
- Sartre and Authenticity
Jean-Paul Sartre argued that human beings are “condemned to be free” (Sartre, 1943/1993). This radical freedom confronts individuals with responsibility for defining their existence, often provoking anxiety and despair. For Sartre, mental health is tied to authenticity—the capacity to live in alignment with one’s freely chosen values rather than conforming to societal expectations or “bad faith.” Existential motivation, therefore, involves the courage to exercise freedom authentically, even in the face of uncertainty.
- Frankl and the Will to Meaning
Existential Motivation and the Psychology of MeaningViktor Frankl’s logotherapy provides a bridge between existential philosophy and psychotherapy. As a Holocaust survivor, Frankl (2006) emphasized that the primary motivational force in human beings is the “will to meaning.” When individuals cannot find meaning, they may experience existential vacuum, manifesting as depression, anxiety, or apathy. However, even in suffering, individuals retain the freedom to choose their attitude and discover purpose. Frankl’s insights remain highly influential in contemporary psychology, underscoring the inseparability of meaning and mental health.
- Meaning as a Protective Factor
Empirical research supports the idea that meaning in life is a protective factor for mental health. Studies demonstrate that individuals who report higher levels of meaning experience lower rates of depression, anxiety, and suicidal ideation (Steger, 2017). Meaning provides coherence, direction, and significance, enabling individuals to endure adversity. From an existential perspective, meaning is not given but created through engagement, choice, and responsibility. Thus, existential motivation fosters resilience by orienting individuals toward projects, values, and commitments that transcend immediate suffering.
- The Role of Freedom and Responsibility
Existential psychology emphasizes the interplay of freedom and responsibility in shaping mental health. While freedom offers the possibility of self-determination, it can also produce overwhelming anxiety. Mental health challenges often arise when individuals avoid this responsibility through denial, conformity, or distraction—manifestations of Sartrean “bad faith.” Conversely, embracing responsibility fosters authenticity and existential growth. Therapy informed by existential motivation seeks to empower clients to face freedom courageously and assume responsibility for shaping their lives.
- Existential Anxiety versus Clinical Anxiety
It is important to distinguish existential anxiety from pathological anxiety. Existential anxiety is an inevitable aspect of human existence, rooted in awareness of mortality, freedom, and isolation. Clinical anxiety, by contrast, involves disproportionate or maladaptive responses that impair functioning (Yalom, 1980). Misinterpreting existential anxiety as pathology risks pathologizing normal human experiences of doubt and uncertainty. Recognizing this distinction allows for a more nuanced understanding of mental health, where anxiety can be reframed as a catalyst for meaning-making rather than solely as a symptom to be eradicated.
- Depression and the Loss of Meaning
Depression often involves a collapse of meaning structures, leaving individuals unable to find purpose in daily life. Frankl (2006) described this as an “existential vacuum.” From an existential perspective, treating depression involves more than symptom reduction; it requires reorienting individuals toward sources of meaning and transcendence. Practices such as narrative therapy, logotherapy, and existential analysis encourage clients to reconstruct personal narratives that affirm their capacity for freedom and purpose.
- Anxiety and the Confrontation with Freedom
Anxiety disorders may be exacerbated when existential anxiety is mismanaged. For example, avoidance behaviors may reflect an unwillingness to confront uncertainty and responsibility. Existential motivation reframes anxiety as a signal of human possibility: by acknowledging freedom and uncertainty, individuals can learn to tolerate ambiguity and channel anxiety into purposeful action. Thus, existentially informed therapy promotes resilience by guiding individuals to reinterpret anxiety as a motivator for authentic living rather than as a purely negative condition.
- Trauma and Post-Traumatic Growth
Trauma profoundly disrupts assumptions about safety, predictability, and meaning. Survivors often struggle with existential questions about suffering, justice, and the value of life. However, existential motivation can facilitate post-traumatic growth by helping individuals reframe suffering as an opportunity for transformation. Research suggests that those who find meaning in trauma report higher levels of psychological well-being (Tedeschi & Calhoun, 2004). Existential therapy thus provides tools for integrating traumatic experiences into a broader narrative of purpose and resilience.
- Suicide and Existential Crisis
Suicidality often arises when individuals experience unbearable suffering coupled with a perceived absence of meaning. Existential thinkers such as Albert Camus (1942/1991) framed suicide as the central philosophical problem, emphasizing the tension between the absurdity of life and the human search for significance. While Camus rejected suicide as an escape, he argued for embracing life’s absurdity through defiance and creative engagement. Contemporary mental health approaches informed by existential motivation aim to help individuals rediscover meaning and reestablish connections that sustain life.
- Principles of Existential Therapy
Existential psychotherapy, pioneered by Rollo May, Irvin Yalom, and Viktor Frankl, integrates existential philosophy with clinical practice. It emphasizes personal freedom, authenticity, responsibility, and meaning-making as central therapeutic goals (Yalom, 1980). Unlike purely symptom-focused therapies, existential therapy seeks to deepen self-awareness, enabling clients to confront existential realities such as death, isolation, freedom, and meaninglessness.
- Logotherapy and Meaning-Centered Therapy
Frankl’s logotherapy remains a cornerstone of existentially informed practice. It focuses on helping individuals identify sources of meaning through creative work, relationships, and attitudes toward suffering. More recent developments, such as meaning-centered therapy, extend Frankl’s insights into contexts such as palliative care, emphasizing dignity and existential fulfillment at the end of life (Breitbart et al., 2015). These approaches demonstrate how existential motivation can enhance mental health interventions, especially for those facing mortality and loss.
- Integration with Contemporary Psychotherapy
Existential principles are increasingly integrated with other therapeutic modalities, including cognitive-behavioral therapy (CBT), acceptance and commitment therapy (ACT), and mindfulness-based interventions. ACT, for instance, emphasizes values-based living, acceptance of distress, and committed action—resonating strongly with existential motivation (Hayes et al., 2012). Such integrations illustrate how existential insights can enrich mainstream therapies by addressing the deeper motivational dimensions of human existence.
- Mental Health in a Fragmented World
Modern society presents unique existential challenges. Global crises, rapid technological change, and social fragmentation often exacerbate feelings of isolation, uncertainty, and meaninglessness. Rising rates of depression and anxiety worldwide underscore the urgency of addressing these existential concerns (World Health Organization, 2022). Existential motivation provides a framework for resilience, emphasizing the importance of cultivating meaning, authenticity, and connection in turbulent times.
- The Role of Creativity and Transcendence
Existential motivation is not limited to survival but extends to flourishing through creativity, love, and transcendence. Nietzsche’s emphasis on artistic creation and Frankl’s focus on self-transcendence highlight the potential for individuals to transcend suffering through creative and spiritual engagement. In mental health contexts, fostering creativity, community, and transcendent experiences can provide powerful avenues for healing and growth.
- Authenticity in the Digital Age
The digital age introduces new existential dilemmas, including the tension between authentic self-expression and curated online identities. Social media often encourages comparison, conformity, and performance, which can exacerbate mental health challenges. Existential motivation emphasizes authenticity as a corrective: cultivating selfhood rooted in freely chosen values rather than external validation. For contemporary mental health, this means empowering individuals to resist the pressures of digital conformity and embrace authentic forms of being.
Mental health and existential motivation are deeply intertwined. While traditional mental health frameworks often focus on symptom reduction and behavioral management, existential perspectives illuminate the deeper human drive toward meaning, freedom, and authenticity. Existential motivation reframes anxiety as an opportunity for growth, suffering as a pathway to transformation, and meaning as the cornerstone of resilience.
From Kierkegaard’s exploration of anxiety to Frankl’s emphasis on the will to meaning, existential thought provides invaluable insights for understanding and enhancing mental health. Existential psychotherapy demonstrates the practical applications of these insights, helping individuals navigate depression, trauma, and existential crises with renewed purpose. In contemporary society, where uncertainty and fragmentation are pervasive, existential motivation offers a vital resource for cultivating resilience, authenticity, and flourishing.
Ultimately, mental health cannot be fully understood without acknowledging the existential dimensions of human life. By integrating existential motivation into psychological theory and practice, individuals and societies can move beyond mere survival toward deeper, more meaningful forms of well-being.
ReferencesBreitbart, W., Poppito, S., Rosenfeld, B., Vickers, A. J., Li, Y., Abbey, J., Olden, M., … Cassileth, B. R. (2015). Pilot randomized controlled trial of individual meaning-centered psychotherapy for patients with advanced cancer. Journal of Clinical Oncology, 33(7), 749–754. https://doi.org/10.1200/JCO.2014.57.2198
Camus, A. (1991). The myth of Sisyphus (J. O’Brien, Trans.). Vintage International. (Original work published 1942)
Frankl, V. E. (2006). Man’s search for meaning. Beacon Press.
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.
Kierkegaard, S. (1980). The concept of anxiety (R. Thomte, Trans.). Princeton University Press. (Original work published 1844)
Nietzsche, F. (1994). On the genealogy of morals (W. Kaufmann, Trans.). Vintage International. (Original work published 1887)
Sartre, J.-P. (1993). Being and nothingness (H. E. Barnes, Trans.). Washington Square Press. (Original work published 1943)
Steger, M. F. (2017). Meaning in life and well-being. In M. Slife & S. O. Lilienfeld (Eds.), The APA handbook of humanistic and existential psychology (pp. 205–216). American Psychological Association. https://doi.org/10.1037/0000034-013
Tedeschi, R. G., & Calhoun, L. G. (2004). Posttraumatic growth: Conceptual foundations and empirical evidence. Psychological Inquiry, 15(1), 1–18. https://doi.org/10.1207/s15327965pli1501_01
World Health Organization. (2022). World mental health report: Transforming mental health for all. WHO.
Yalom, I. D. (1980). Existential psychotherapy. Basic Books.
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