The existential psychotherapy approach posits that the inner conflict bedeviling us issues not only from our struggle with suppressed instinctual strivings or internalized significant adults or shards of forgotten traumatic memories, but also from our confrontation with the "givens" of existence.And what are these "givens" of existence? [...] Four ultimate concerns, to my view, are highly salient to psychotherapy: death, isolation, meaning in life, and freedom.

-Irvin D. Yalom

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