EXISTENTIAL THERAPY IN DC

Existential Therapy in Washington DC

Find meaning, embrace responsibility, and live authentically.

4 core existential concerns addressed in therapy — death, freedom, isolation, meaninglessness
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Existential therapy starts from a different premise than most therapy. It treats you as someone actively creating meaning in your life, and it works mainly through your relationship with your therapist.

At its core, existential therapy invites you to examine the choices you’re making and the person you’re becoming. It acknowledges that life presents unavoidable realities — that we will face loss, that we must make choices, that we exist fundamentally alone in some ways, and that we must create our own meaning. Existential therapy helps you face these truths directly.

In Washington DC, you may recognize it from your own life. Many people come to DC driven by ambition — the career, the achievement, the external validation. Then something shifts. The promotion doesn’t deliver what you thought it would. The relationship that felt like it would complete you doesn’t. You wake up and ask: is this all there is? That moment is existential therapy’s starting point.

From Our Practice

What we see most often is people who’ve organized their entire lives around achievement and then hit a wall where achievement isn’t enough. The life they’ve built has stopped feeling like theirs. Existential therapy helps you sort out what matters to you, apart from what you’ve been told should matter, and ambition can stay on that list.

Our Existential Therapists
Existential, humanistic & person-centered approaches for meaning and identity
Paul Rizzo Paul
Robert Drinkwater Robert
Kevin Malley Kevin
Kevin Isserman Kevin
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Ready to explore what matters?
Our existential therapists in Washington DC create space for genuine dialogue about the questions that matter most to you.

Is Existential Therapy Right for You?

Consider these questions. If several resonate, existential therapy may be particularly helpful.

You’re successful by conventional measures but feel empty or disconnected
You’re facing a major life transition and unsure who you are on the other side
You notice you’re living according to other people’s expectations, not your own
You experience anxiety that doesn’t attach to a specific feared outcome
You’ve experienced loss or are aware of your own mortality in a way that shifted your perspective
You’re searching for meaning or purpose that goes beyond accomplishment
You’ve tried other therapies and want to go deeper into the philosophical questions beneath the symptoms
You want a therapist who will be direct with you, not just supportive

What Is Existential Therapy?

Existential therapy is a form of talk therapy that helps you face the basic facts of being alive (death, freedom, isolation, and the search for meaning) and make choices that fit your own values. It grew out of existential philosophy — thinkers like Søren Kierkegaard, Friedrich Nietzsche, and Martin Heidegger who explored freedom, responsibility, authenticity, and the search for meaning. In the 20th century, therapists like Viktor Frankl, Rollo May, and Irvin Yalom began applying these ideas to clinical work.

4
ultimate concerns of human existence identified by Irvin Yalom
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studies: therapy focused on meaning helped people feel their lives had more purpose—and eased anxiety and depression
DC
where achievement meets the search for something deeper
Source: Vos et al., 2015

There are no standardized techniques. You won’t be given homework, assigned a thought record, or asked to challenge your beliefs through a worksheet. Instead, your therapist creates conditions for genuine discovery through Socratic questioning, reflective dialogue, authentic presence, and exploration of your personal narrative. Many people feel better along the way. The larger goal is a life that feels like your own.

The Four Core Concerns of Existential Therapy

Existential therapy addresses what therapist Irvin Yalom calls the four ultimate concerns of human existence. Existential therapy helps you face each one directly.

Death & Mortality

We are finite. We will die. Facing that fact tends to clarify things. When you accept your mortality, your priorities shift. The things that seemed to matter endlessly suddenly look different. Existential therapy helps you move from denying this reality to living in light of it.

Freedom & Responsibility

You are far more free than you probably feel. But that freedom comes with weight. You cannot blame your circumstances entirely or wait for someone to fix things for you. Existential therapy helps you recognize where you have choice and helps you make choices that align with your values, not just your habits.

Existential Isolation

Even in the deepest relationships, you are ultimately alone. No one can fully know your inner world. No one can live your life for you. Existential isolation is different from loneliness. It’s a basic condition of existence, and facing it can become the ground for real connection and for taking full responsibility for yourself.

Meaninglessness

The universe doesn’t hand you meaning. Your life won’t automatically feel purposeful. That leaves the work of making meaning to you. Existential therapy helps you do that work. This is where purpose, values, and authentic living emerge.


Existential vs. Humanistic Therapy

Existential therapy and humanistic therapy are closely related — they share philosophical roots and an emphasis on the therapeutic relationship. But they differ in important ways.

Existential Therapy

Leans into life’s constraints and challenges. Acknowledges that some things cannot be fixed — you will die, you will face loss, you will be alone in some sense. The work is not to escape these realities but to face them with honesty and courage. Tends toward the direct, even stark. Your therapist might name the difficulty clearly and challenge your avoidance patterns.

Humanistic Therapy

Emphasizes your inherent capacity for growth, self-direction, and self-healing. Trusts in your organism’s wisdom. Emphasizes what’s good in you and what you can become. While it acknowledges difficulty, it emphasizes your resilience and potential. The atmosphere is often more nurturing, less stark.

In practice, many therapists — including several at Therapy Group of DC — integrate both approaches. Humanistic warmth and existential directness can work together. You might experience your therapist’s deep belief in your capacity (humanistic) alongside their willingness to name hard truths (existential).

What Brings People to Existential Therapy

Existential therapy is relevant whenever you’re facing questions about who you are and how you want to live.

Life transitions. Starting a new job, ending a relationship, becoming a parent, facing retirement — these transitions shake your sense of identity. Existential therapy helps you choose who you become in the new role.

Identity crises. You’ve been following a path — the career, the relationship, the life plan — and now you’re asking: is this actually me? Existential therapy creates space to question this genuinely and to make new choices if you need to.

Anxiety and existential dread. Sometimes anxiety has no specific feared outcome. It’s about existence itself: being responsible for your life, the uncertainty of the future, mortality. Standard anxiety management might miss what’s really happening.

Depression without a clear cause. You have what should be a good life — achievement, relationships, stability. Yet you feel empty, purposeless, or disconnected. This is often existential depression, and existential therapy helps you build genuine purpose.

From Our Practice

In DC, we see this pattern constantly: someone who’s “successful” by every external measure arrives in therapy saying they feel hollow. Often they don’t meet the criteria for clinical depression. What they’ve run into is the fact that achievement alone doesn’t create meaning. That realization is painful, and it’s also where more authentic choices begin.

Searching for Something Deeper?

Talk with an existential therapist about meaning, identity, and the choices in front of you.


What Existential Therapy Looks Like

Existential therapy moves through recognizable phases as you and your therapist build trust and go deeper.

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Arriving with Your Questions

You come in with something — maybe it’s a transition, an emptiness, a creeping sense that the life you’ve built doesn’t feel like yours. Your therapist starts by listening. The first sessions create safety for genuine honesty about what brought you here and what you’re actually feeling beneath the surface.

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Examining the Patterns

As trust develops, you begin to look at the choices you’ve been making and the assumptions driving them. Where are you living on autopilot? Where are you avoiding something? Your therapist uses Socratic dialogue — not to challenge your thinking, but to help you see it more clearly. Patterns that felt invisible become visible.

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Facing the Core Realities

This is where the existential work deepens. You begin to engage with the ultimate concerns — mortality, freedom, isolation, meaning — not as abstract ideas but as lived realities shaping your choices. This phase can be uncomfortable. It’s also where the most significant shifts happen.

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Creating Authentic Direction

With greater clarity about who you are and what matters to you, you begin making different choices — ones that reflect your own values. The change is usually gradual: how you live starts to line up with who you are.


Why Existential Therapy Is Particularly Relevant in DC

Washington DC attracts a particular kind of person. You come here driven by purpose, by ambition, by the desire to build something meaningful. Many of you have organized your identities around achievement and external validation. You define yourself by what you do — your career, your title, your accomplishments.

For a while, that works. Then something happens. The promotion comes and doesn’t deliver what you thought. You look around at your success and ask: why doesn’t this feel like enough? Who am I when I’m not working? What happens when I can’t achieve anymore?

DC is also a transient city. People arrive with a specific identity or purpose and are now questioning it. Others have been here so long that they’re wondering if they’ve been living according to their own values or simply following the path laid down by the culture around them. Existential therapy addresses all of this — it helps you answer the question that many ambitious people in their 30s, 40s, and 50s find themselves facing: now that I’ve achieved what I said I wanted, why don’t I feel the way I thought I would?

Our Approach at Therapy Group of DC

We bring existential philosophy into conversation with other therapeutic traditions — humanistic, psychodynamic, relational, and systems-based approaches. This integration means you get both the existential emphasis on freedom, responsibility, and authentic living alongside other valuable tools and understandings.

Our existential-oriented therapists don’t operate from a protocol or manual. Each therapist brings their own training, style, and personality. What unites them is a commitment to genuine encounter, a willingness to name difficult truths, and a belief that your responsibility for your life is both a burden and a gift.

When you work with an existential therapist at Therapy Group of DC, you’re entering into a relationship with someone who believes that your capacity to examine your life, to make genuine choices, and to create meaning is your greatest strength.

Our Existential Therapists

Our therapists bring deep training in existential and humanistic approaches, combined with other modalities that enrich their work.


Individual Session Rate
$240–$300
Many clients receive partial reimbursement through out-of-network benefits.
View payment details and insurance information →

Frequently Asked Questions About Existential Therapy

What are the four pillars of existential therapy?
The four core existential concerns, articulated by therapist Irvin Yalom, are: death and mortality — the awareness that life is finite; freedom and responsibility — the recognition that you must choose and create your own life; existential isolation — the understanding that even in close relationships, you are fundamentally alone; and meaninglessness — the reality that the universe doesn’t hand you meaning.
What is an example of existential therapy?
A person comes to therapy successful by all external measures — good career, relationships, financial security — but feels empty and purposeless. An existential therapist might ask: What were you hoping this success would give you? What does a meaningful life look like to you, beyond achievement? Are you living according to your values or according to what you think you should want? Through this dialogue, the person might realize they’ve been chasing their parents’ vision, not their own — and begin making different choices.
What triggers an existential crisis?
Common triggers include life transitions (new job, ending a relationship, becoming a parent), achievement without fulfillment (reaching a goal that doesn’t deliver what you expected), loss or mortality awareness, recognition that you’re living someone else’s life, loss of external structure that defined your identity, and awareness of personal freedom and responsibility. These crises are often healthy awakenings, and existential therapy helps you work through them.
How is existential therapy different from CBT?
CBT focuses on the relationship between thoughts, feelings, and behaviors — it assumes changing your thinking improves your feelings. It’s solution-focused and practical. Existential therapy focuses on deeper questions: What are you avoiding? What would authentic living look like? What are you responsible for creating? It’s less focused on symptom reduction and more focused on authentic living. Both can be valuable — CBT is excellent for specific anxiety or depression symptoms, while existential therapy addresses meaning, identity, freedom, and responsibility.
Do I need to be in crisis to benefit from existential therapy?
No. While existential therapy is helpful during crises — when you’re facing major transitions or identity questions — it’s also valuable for anyone interested in living more authentically. Some people come because they’re in pain. Others come because they’re aware that their life could be more aligned with their values. All it takes is a willingness to look closely at your life.
How long does existential therapy usually take?
Existential therapy doesn’t follow a predetermined timeline. Some people work with an existential therapist for a few months around a specific transition. Others engage in longer-term work for deeper self-examination and personal growth. Many find that shorter-term work (3–6 months) helps navigate a particular transition, while others do deeper exploration over a year or more.
Who is the founder of existential therapy?
Existential therapy doesn’t have a single founder. It emerged from existential philosophy — Kierkegaard, Nietzsche, Heidegger. Key clinical figures include Viktor Frankl (logotherapy and meaning-making), Rollo May (existential psychology in America), and Irvin Yalom (the four ultimate concerns). Carl Rogers and the humanistic movement also contributed. Existential therapy is a philosophical orientation, not a single technique, and it prioritizes authenticity, responsibility, freedom, and meaning.

Begin Existential Therapy in Washington DC
If you're facing questions about meaning, identity, or authentic living — or if you're aware that something in your life needs to shift — existential therapy offers a space for genuine examination. Our therapists offer a real encounter with someone who believes in your capacity to make your own choices and create meaning.