
Mental Health: Global Challenges Journal
https://reference-global.com/journal/MHGCJ
ISSN 2612-2138
indivisibility approaching his/her core” (Danylova
et al., 2024).
While positive well-being has received
particular attention today, the concept of
existential well-being remains understudied.
Facing and dealing with a borderline situation
such as illness, suffering, struggle, guilt or death,
people tend to reflect more intensely on
existential questions. Even if we are not physically
alone during these tough moments, in fact, we
are the only ones who experience them, reveal
our human existence, and most fully realize our
uniqueness. Only through the deepest personal
upheavals we comprehend the meaning of our
existence. Thus, existential dimensions of well-
being are closely connected to our existential
experiences and the ways we cope with
existential concerns (Koole et al., 2006).
Within the framework of existential
psychodynamics, the basic conflict of an
individual is determined by his/her confrontation
with the givens of existence. Yalom defines these
givens of existence as “certain ultimate concerns,
certain intrinsic properties that are a part, and an
inescapable part, of the human being’s
existence in the world” (1980, p. 8). He identified
four ultimate givens: death, freedom, isolation,
and meaninglessness. Wong added identity and
pursuit of happiness (2010). Existential conflicts,
which are linked to depression, anxiety, stress,
addiction, personality disorders (Menzies, 2024),
are generated by the individual’s confrontation
with any of these life facts.
For instance, death anxiety dramatically
undermines human experience of happiness;
causes mental health disorders; leads to a loss of
meaning in life. Iverach et al. argue that death
anxiety is a transdiagnostic construct that
underlies the “development and maintenance of
numerous psychological conditions” (2014). It is
related to illness anxiety, somatoform disorders,
panic disorder, common specific phobias,
obsessive compulsive disorder, agoraphobia,
post-traumatic stress disorder, depressive
disorder, social anxiety disorder, and eating
disorders (Goldenberg et al., 2005; Menzies &
Menzies, 2018; Strachan et al., 2007).
Meaning in life is viewed as a cornerstone of
well-being and a deep human motivation. F.
Nietzsche said: “If you have your why for life, you
can get by with almost any how” (1997, p. 6).
Frankl put it this way: “…human life, under any
circumstances, never ceases to have a
meaning, and… this infinite meaning of life
includes suffering and dying, privation and death”
(2006). Therefore, the loss of meaning is one of
the most dangerous situations, in which the very
existence of a human becomes really devalued,
with all the ensuing negative outcomes (Danylova
et al., 2023a). Today, meaninglessness has
become one of the biggest problems and is
associated with depression, suicide, eating,
substance use and anxiety disorders,
schizophrenia and post-traumatic stress disorder
(Steger, 2022; Volkert et al., 2014; Vanhooren,
2019).
Existential loneliness is one more challenge of
human existence (McKenna-Plumley et al., 2023).
It is an emotional experience of disconnection
from our own self, others, and the world itself,
which leads to emptiness and isolation.
According to existentialists, loneliness is an
integral aspect of the human condition, it is tied
to human very existence (Heidegger, 1962;
Sartre, 1956). The idea that we are alone in our
feelings, thoughts, and in our very death leads to
psychological distress, including anxiety, stress,
depression, suicidal ideation (Constantino et al.,
2019; Helm et al., 2020; Storey et al., 2022).
Existential loneliness can be further exacerbated
by social exclusion, which causes a global
decrease in the perception of life as meaningful
(Stillman et al., 2009).
Existential guilt is the feeling that we do not live
authentically, we do not realize out full potential,
we do not use opportunities, or even that we
“wrongly” exist in this world. It is something
connected deeply to human nature and is
related to freedom, authenticity and true
responsibility. According to Heidegger, the
deepest meaning of inauthenticity is the “fleeing
of [the human being] from itself” (1962). As Binder
put it, “the concept of existential guilt describes
preconditions for responsibility and accountability
in life choices and the relationship to the
potential given in the life of a human. It might
also be used as a starting point to examine an
individual’s relationship to the potential offered in
their life and life context and, in this way, the
hitherto unlived life of an individual” (2022).
Existential guilt can lead to a number of
problems, namely, sorrow, regret, anxiety, pain,
shame, anger, self-punishment, self-deprecation,
insomnia, thoughts about being a failure, crisis of
identity, etc. (Cherry, 2025; Existential Guilt, 2023;
Guilt, 2025; Saffrey et al., 2008; The Different
Types…, 2024). However, despite such
consequences, some researchers consider
existential guilt neither neurotic nor a symptom
that needs to be treated (Önol & Engin, 2022),
and it may be seen as a launching pad for the
individual’s return to the his/her true self and unity
with the world that helps us to discover and
create an autonomous personal identity.
To answer the question “Who am I?”, we need
to turn to the concept of identity. Although some
authors argue that it is a controversial concept,
and there is no consensus regarding the
17