Existential Therapists in Keizer, OR
![Photo of Alexander P. Brock, MS, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/44ba80d7-1dd5-4fb2-a58c-69fc590b0807/3/320x400.jpeg)
Alexander P. Brock
Licensed Professional Counselor, MS, LPC
Verified Verified
2 Endorsed
Keizer, OR 97303 (Online Only)
I aspire to work with individuals in finding their most authentic self through self-exploration and identity work. I meet my clients where they are in the moment by providing empathy and understanding while also encouraging them to be the truest form of themselves with the inevitable highs and lows that life throws at us. I utilize various different therapeutic approaches to meet the goal of self-growth/evolution including cognitive behavioral therapy (CBT), person-centered therapy, acceptance and commitment therapy (ACT), existential therapy, and humanistic therapy.
I aspire to work with individuals in finding their most authentic self through self-exploration and identity work. I meet my clients where they are in the moment by providing empathy and understanding while also encouraging them to be the truest form of themselves with the inevitable highs and lows that life throws at us. I utilize various different therapeutic approaches to meet the goal of self-growth/evolution including cognitive behavioral therapy (CBT), person-centered therapy, acceptance and commitment therapy (ACT), existential therapy, and humanistic therapy.
![Photo of Hiilei Battistini, LPC, CCSOT, CADC-R, Licensed Professional Counselor](https://photos.psychologytoday.com/d6090fce-f1e2-49d0-92f1-3f1063637bda/1/320x400.jpeg)
Hiilei Battistini
Licensed Professional Counselor, LPC, CCSOT, CADC-R
Verified Verified
Keizer, OR 97303
Our therapists are trained in various modalities, including CBT, DBT, existential theory, narrative therapy, object relations, and REBT, among others.
We are available immediately to work with individuals looking for support and guidance in navigating life challenges. They may be struggling with mood disorders, severe persistent mental illness, grief and loss, or adjustment disorders with goals to find ways to cope with their challenges, improve their mental health and well-being, and lead a fulfilling life. They want to regain a sense of balance, peace, and purpose and are seeking understanding, intervention, and support to help them achieve these goals.
Our therapists are trained in various modalities, including CBT, DBT, existential theory, narrative therapy, object relations, and REBT, among others.
We are available immediately to work with individuals looking for support and guidance in navigating life challenges. They may be struggling with mood disorders, severe persistent mental illness, grief and loss, or adjustment disorders with goals to find ways to cope with their challenges, improve their mental health and well-being, and lead a fulfilling life. They want to regain a sense of balance, peace, and purpose and are seeking understanding, intervention, and support to help them achieve these goals.
![Photo of Martha Witt - Witt Health & Wellness, MS, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/a3b32579-f0b8-431d-a3da-6bbfe2007cfd/1/320x400.jpeg)
Witt Health & Wellness
Licensed Professional Counselor, MS, LPC
Verified Verified
1 Endorsed
Keizer, OR 97303 (Online Only)
With over a decade of experience in the mental health field, my experience is well rounded. My opportunities have allowed me the privilege to help persons of all backgrounds, ages, races and cultures. I believe with adequate support & resources all persons have the power, within them, to make changes needed for life satisfaction. Originally from Mexico I know all to well how life can present barriers. I believe, my experiences as an immigrant, a victim of trauma, a single parent and divorcee are at the root of my skills as a helper.
With over a decade of experience in the mental health field, my experience is well rounded. My opportunities have allowed me the privilege to help persons of all backgrounds, ages, races and cultures. I believe with adequate support & resources all persons have the power, within them, to make changes needed for life satisfaction. Originally from Mexico I know all to well how life can present barriers. I believe, my experiences as an immigrant, a victim of trauma, a single parent and divorcee are at the root of my skills as a helper.
![Photo of Dusty Destler, PhD, LMHC, LPC, BC-TMH, NCC, Licensed Professional Counselor](https://photos.psychologytoday.com/26faf94a-6f00-468b-b155-58f7c723cf51/3/320x400.jpeg)
Dusty Destler
Licensed Professional Counselor, PhD, LMHC, LPC, BC-TMH, NCC
Verified Verified
1 Endorsed
Keizer, OR 97303
Waitlist for new clients
Whatever your reason for seeking counseling, my aim is to join you so you're not alone. I can help with immediate pressing needs, highlight strengths and areas for growth, and collaborate on goals until they are achieved. What kind of therapeutic space do you prefer? I can hold the gentle, provide a light push, or be direct. We can move through your current issue together and learn how to boost your awareness, confidence, and skills. Let's team up and help you grow and thrive beyond counseling. I currently have limited availability, but please feel free to inquire. I'm glad to meet with you for a free consult.
Whatever your reason for seeking counseling, my aim is to join you so you're not alone. I can help with immediate pressing needs, highlight strengths and areas for growth, and collaborate on goals until they are achieved. What kind of therapeutic space do you prefer? I can hold the gentle, provide a light push, or be direct. We can move through your current issue together and learn how to boost your awareness, confidence, and skills. Let's team up and help you grow and thrive beyond counseling. I currently have limited availability, but please feel free to inquire. I'm glad to meet with you for a free consult.
![Photo of Heather Sly-Haley, MS, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/3f2295a8-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Heather Sly-Haley
Licensed Professional Counselor, MS, LPC
Verified Verified
1 Endorsed
Keizer, OR 97303
When working with clients, I see people as unique individuals who are trying to find their own meaning for their lives and a purpose in life. Through therapy we can learn so much about ourselves and our goals which we might not even be aware of up to this point. Part of my belief in therapy is centered in the idea that each person is capable of reaching their desired self or achieving self actualization. I believe individuals and relationships are trying to find their best possible versions of self. In my practice I emphasize promoting communication and emotional awareness.
When working with clients, I see people as unique individuals who are trying to find their own meaning for their lives and a purpose in life. Through therapy we can learn so much about ourselves and our goals which we might not even be aware of up to this point. Part of my belief in therapy is centered in the idea that each person is capable of reaching their desired self or achieving self actualization. I believe individuals and relationships are trying to find their best possible versions of self. In my practice I emphasize promoting communication and emotional awareness.
![Photo of Elizabeth Jensen, MA, QMHP](https://photos.psychologytoday.com/1bf04d34-ca80-4418-81c6-437ac77a3324/2/320x400.jpeg)
I provide individual, couples, and family counseling. I believe in a collaborative relationship exploring issues and creating ways to improve personal growth. I have a Person Centered approach to reflect, validate, and support each client as they journey through their counseling experience. I enjoy working with Client to identify their goals and support them as they heal.
I provide individual, couples, and family counseling. I believe in a collaborative relationship exploring issues and creating ways to improve personal growth. I have a Person Centered approach to reflect, validate, and support each client as they journey through their counseling experience. I enjoy working with Client to identify their goals and support them as they heal.
![Photo of Leah Mangis, MSW, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/9ec5f3ce-034f-4891-a77a-80504779b94b/2/320x400.jpeg)
There is hope! Starting therapy takes a lot of courage and bravery, especially if you are wanting to heal from trauma(s). I utilize a mind-body-spirit, holistic approach to therapy. Whether this be your first time coming to therapy or you are coming back again, welcome. My approach is strength-based and client focused. I believe in order to achieve your goals, practice of coping skills is imperative. Light homework is assigned if you choose a trauma therapy or specialized treatment.
There is hope! Starting therapy takes a lot of courage and bravery, especially if you are wanting to heal from trauma(s). I utilize a mind-body-spirit, holistic approach to therapy. Whether this be your first time coming to therapy or you are coming back again, welcome. My approach is strength-based and client focused. I believe in order to achieve your goals, practice of coping skills is imperative. Light homework is assigned if you choose a trauma therapy or specialized treatment.
![Photo of Miranda Featherstone, MS, LPC, CRC, Licensed Professional Counselor](https://photos.psychologytoday.com/0ed97f3d-6b66-4091-b91b-a2502a7abebb/3/320x400.jpeg)
Miranda Featherstone
Licensed Professional Counselor, MS, LPC, CRC
Verified Verified
1 Endorsed
Keizer, OR 97307
There are periods in life when it is difficult to see a way forward. If you are here, my guess is that you're struggling--you may be grieving a loss or struggling to accept difficult life changes. Or maybe you've been feeling stressed out and lost for a long time and aren't sure where to turn. Whatever the circumstances, it is my deep desire to see you rediscover happiness and purpose-- I wholeheartedly believe that counseling can help you get there. In the midst of darkness and chaos, it can be hard to see the road ahead. In therapy, I will journey beside you as you find your path and support you in building the courage to walk it.
There are periods in life when it is difficult to see a way forward. If you are here, my guess is that you're struggling--you may be grieving a loss or struggling to accept difficult life changes. Or maybe you've been feeling stressed out and lost for a long time and aren't sure where to turn. Whatever the circumstances, it is my deep desire to see you rediscover happiness and purpose-- I wholeheartedly believe that counseling can help you get there. In the midst of darkness and chaos, it can be hard to see the road ahead. In therapy, I will journey beside you as you find your path and support you in building the courage to walk it.
![Photo of Sharon Cooper-Barth, MS, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/abea135a-2cbe-4b5a-ad35-07a0a475f420/1/320x400.jpeg)
Sharon Cooper-Barth
Licensed Professional Counselor, MS, LPC
Verified Verified
Keizer, OR 97303 (Online Only)
Abuse is something that affects a lot of people and in various different ways. It is something that can be hidden from the world and no one will know the pain the individual is going through. It is quiet and insidious, leaving lasting effects. It can creep up on you and make you feel alone in the world full of people. It can leave you feeling misunderstood, alone, and/or broken. There are ways to work through the trauma, safeguard yourself, and heal from parts of the abuse. You will rebuild yourself esteem, sense of self, and confidence in the process of healing. Everyone's journey is different.
Abuse is something that affects a lot of people and in various different ways. It is something that can be hidden from the world and no one will know the pain the individual is going through. It is quiet and insidious, leaving lasting effects. It can creep up on you and make you feel alone in the world full of people. It can leave you feeling misunderstood, alone, and/or broken. There are ways to work through the trauma, safeguard yourself, and heal from parts of the abuse. You will rebuild yourself esteem, sense of self, and confidence in the process of healing. Everyone's journey is different.
![Photo of Ami McNab, MA, LPC, NCC, QMHP, Licensed Professional Counselor](https://photos.psychologytoday.com/a4e30932-6034-4ddc-ab93-3c61ee135e68/1/320x400.png)
Ami McNab
Licensed Professional Counselor, MA, LPC, NCC, QMHP
Verified Verified
Keizer, OR 97303 (Online Only)
Not accepting new clients
Hello! In my years of experience, I have found that my primary method of working with others is to come from a person-centered point of view. We work together to better understand your point of view. I've worked with folks who struggle with anxiety and depression, life stressors, and those who may have a history of trauma. My goal is to come alongside you during your journey and help you discover ways to cope with what has been going on in your life, and to help you address any unhelpful patterns of thought or behavior that may, at times, get in the way of you achieving your personal goals.
Hello! In my years of experience, I have found that my primary method of working with others is to come from a person-centered point of view. We work together to better understand your point of view. I've worked with folks who struggle with anxiety and depression, life stressors, and those who may have a history of trauma. My goal is to come alongside you during your journey and help you discover ways to cope with what has been going on in your life, and to help you address any unhelpful patterns of thought or behavior that may, at times, get in the way of you achieving your personal goals.
More Therapists Nearby
![Photo of Apryl Pense, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/2d6b4ae5-35df-4ecb-8e06-e32f56d36b82/1/320x400.jpeg)
I work with adults, to support challenges including life transitions, parenting, identity formation, and trauma work. I believe that we each have a story with a unique perspective and voice. I enjoy working with people as they come back to a place of joy and fulfillment after an experience that has left them emotionally tired.
I work with adults, to support challenges including life transitions, parenting, identity formation, and trauma work. I believe that we each have a story with a unique perspective and voice. I enjoy working with people as they come back to a place of joy and fulfillment after an experience that has left them emotionally tired.
![Photo of Adrienne Wiens, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/0b08572d-5bbe-4447-b615-38924cd136e4/1/320x400.jpeg)
Adrienne Wiens
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Salem, OR 97303 (Online Only)
Welcome, I'm glad you've stopped by. Please note I do not offer couples therapy, only individual therapy for adults. If you've been struggling lately to feel good about yourself, your relationships, manage your mood, or you've noticed past trauma is sneaking its way into your current life, things can quickly become overwhelming. It can make it hard to get through the day-to-day grind, and that can leave anyone feeling unfulfilled and even hopeless.
Welcome, I'm glad you've stopped by. Please note I do not offer couples therapy, only individual therapy for adults. If you've been struggling lately to feel good about yourself, your relationships, manage your mood, or you've noticed past trauma is sneaking its way into your current life, things can quickly become overwhelming. It can make it hard to get through the day-to-day grind, and that can leave anyone feeling unfulfilled and even hopeless.
![Photo of Heather Cassandra Blessing, MA, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/49392b57-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Heather Cassandra Blessing
Marriage & Family Therapist, MA, LMFT
Verified Verified
3 Endorsed
Salem, OR 97305 (Online Only)
Waitlist for new clients
Being a person who is transgender, gender expansive, or on the gender spectrum is not easy. It is never easy when you are different from societies' norms. Whether you are seeking help for your child or yourself, together we can explore who you are, who you hope to be and how to help you get there. Everyone deserves to live life to their fullest ability and authentically. If you are struggling give me a call. We can talk on the phone and if you feel comfortable we can meet for a session and see how we work together.
Being a person who is transgender, gender expansive, or on the gender spectrum is not easy. It is never easy when you are different from societies' norms. Whether you are seeking help for your child or yourself, together we can explore who you are, who you hope to be and how to help you get there. Everyone deserves to live life to their fullest ability and authentically. If you are struggling give me a call. We can talk on the phone and if you feel comfortable we can meet for a session and see how we work together.
![Photo of Lisa M Bizon - Hope Springs Counseling, LPC, NCC, Licensed Professional Counselor](https://photos.psychologytoday.com/489dc246-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Hope Springs Counseling
Licensed Professional Counselor, LPC, NCC
Verified Verified
1 Endorsed
Salem, OR 97301
You already possess the ability to reach your full potential. My job as your therapist is to listen, walk alongside you, and help you move toward this potential. People seek therapy because they desire happiness. Let's begin by discovering what happiness looks like for you. Do you feel unheard, dismissed and over-ridden by a parent or partner even though you are an adult? Do you feel as though attempting to set new boundaries for yourself is next to impossible because important others will simply disregard them? Therapy can help you learn to fully validate within yourself what it is you feel and believe, and what it is you consider to be important. Peace, authenticity, and balance are springboards to happiness. My goal is to offer you individualized help in overcoming the obstacles that are blocking that happiness. Taking a step, reaching out for some help, will lead you to the change and growth you are hoping for. And whether you are seeking thriving relationships or simply greater contentment, I will help you tap into your own innate strengths to bring about a fuller, happier life.
You already possess the ability to reach your full potential. My job as your therapist is to listen, walk alongside you, and help you move toward this potential. People seek therapy because they desire happiness. Let's begin by discovering what happiness looks like for you. Do you feel unheard, dismissed and over-ridden by a parent or partner even though you are an adult? Do you feel as though attempting to set new boundaries for yourself is next to impossible because important others will simply disregard them? Therapy can help you learn to fully validate within yourself what it is you feel and believe, and what it is you consider to be important. Peace, authenticity, and balance are springboards to happiness. My goal is to offer you individualized help in overcoming the obstacles that are blocking that happiness. Taking a step, reaching out for some help, will lead you to the change and growth you are hoping for. And whether you are seeking thriving relationships or simply greater contentment, I will help you tap into your own innate strengths to bring about a fuller, happier life.
![Photo of Natalie (Nat) Day, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/eea70679-f8b2-4bd5-8071-a5d608ce2b85/1/320x400.jpeg)
Natalie (Nat) Day
Clinical Social Work/Therapist, LCSW
Verified Verified
Salem, OR 97301 (Online Only)
Waitlist for new clients
Natalie (Nat) Day, LCSW graduated from Boise State University with a Masters in Social Work in 2018. Over the last decade she's worked in residential treatment, on-campus college counseling, substance abuse treatment, inpatient psychiatric care, and community mental health. Specializing in the treatment of trauma, addictions, couples counseling, and sexuality (kink/BDSM/sex work), her approach to therapy is eclectic, drawing on a variety of evidenced based practices. Nat serves the othered/isolated; supports self acceptance, connection, and community; and believes in individuals' innate power and resilience.
Natalie (Nat) Day, LCSW graduated from Boise State University with a Masters in Social Work in 2018. Over the last decade she's worked in residential treatment, on-campus college counseling, substance abuse treatment, inpatient psychiatric care, and community mental health. Specializing in the treatment of trauma, addictions, couples counseling, and sexuality (kink/BDSM/sex work), her approach to therapy is eclectic, drawing on a variety of evidenced based practices. Nat serves the othered/isolated; supports self acceptance, connection, and community; and believes in individuals' innate power and resilience.
![Photo of Laney Kibel, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/451f5d07-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
Laney Kibel
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Salem, OR 97303 (Online Only)
After 25+ years of providing counseling I find my philosophy has grown simpler and more to the point.
Successful counseling is built on a positive and trusting relationship, much as successful living is dependent on trusting, healthy relationships. I bring a broad array of treatment tools to my work including gestalt, object relations and psychodynamic theory. Most importantly I bring myself; my heart, my humor, my understanding, knowledge and years of experience. I work with adults and children, couples and groups(this includes families).
After 25+ years of providing counseling I find my philosophy has grown simpler and more to the point.
Successful counseling is built on a positive and trusting relationship, much as successful living is dependent on trusting, healthy relationships. I bring a broad array of treatment tools to my work including gestalt, object relations and psychodynamic theory. Most importantly I bring myself; my heart, my humor, my understanding, knowledge and years of experience. I work with adults and children, couples and groups(this includes families).
![Photo of Benjamin Thomas Munson, LPC, CADCII, QMHP, MA, Licensed Professional Counselor](https://photos.psychologytoday.com/19f49644-802c-4d89-b7f6-46023f045e36/2/320x400.jpeg)
Benjamin Thomas Munson
Licensed Professional Counselor, LPC, CADCII, QMHP, MA
Verified Verified
2 Endorsed
Salem, OR 97303 (Online Only)
Sometimes our thoughts, our feelings, and our circumstance can be hard to put together. When we try to connect with others, or we have no one to connect with, we’re left feeling misunderstood and lost. A memory that we have a hard time letting go of, a loss of energy, seemingly with no explanation behind it. Trauma, grief, loss. These burdens can build up over time. Having a partner as we journey through and process these experiences can be invaluable in finding peace within ourselves and our story.
Sometimes our thoughts, our feelings, and our circumstance can be hard to put together. When we try to connect with others, or we have no one to connect with, we’re left feeling misunderstood and lost. A memory that we have a hard time letting go of, a loss of energy, seemingly with no explanation behind it. Trauma, grief, loss. These burdens can build up over time. Having a partner as we journey through and process these experiences can be invaluable in finding peace within ourselves and our story.
![Photo of Jonathan West-Gray, MS, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/297208d1-c706-44ff-bd20-55a2c052d991/2/320x400.jpeg)
Jonathan West-Gray
Licensed Professional Counselor, MS, LPC
Verified Verified
2 Endorsed
Salem, OR 97303 (Online Only)
Sometimes life can present us with enormous challenges. Other times it might be life’s cumulative little difficulties that slowly weigh us down over time. Perhaps you have been experiencing sadness or anxiety and are unsure of how to address such discomfort. Maybe you believe that you could benefit from embracing a new perspective. In therapy we can work on issues of depression, anxiety, grief, minority stress, and identity issues. I also specialize in religious abuse/trauma in gender and sexual minority populations, and am passionate about helping clients heal from their pasts and learn to live lives consistent with their values.
Sometimes life can present us with enormous challenges. Other times it might be life’s cumulative little difficulties that slowly weigh us down over time. Perhaps you have been experiencing sadness or anxiety and are unsure of how to address such discomfort. Maybe you believe that you could benefit from embracing a new perspective. In therapy we can work on issues of depression, anxiety, grief, minority stress, and identity issues. I also specialize in religious abuse/trauma in gender and sexual minority populations, and am passionate about helping clients heal from their pasts and learn to live lives consistent with their values.
![Photo of Stephanie Lynn Vieu, MS, LPC, CADC, II, Licensed Professional Counselor](https://photos.psychologytoday.com/026db54a-af7a-46a7-af5d-ab27dda8aae0/1/320x400.jpeg)
Stephanie Lynn Vieu
Licensed Professional Counselor, MS, LPC, CADC, II
Verified Verified
Salem, OR 97303
I am a mental health therapist who specializes in trauma and addiction issues. I also often work from a family systems theory basis. I have combined experience as a counselor, educator and social worker for over 22 years. My therapeutic philosophy and approach is to offer empathy and compassion working to understand the whole person perspective and I am a strong advocate to help my clients empower themselves. I offer energy healing work and other alternative therapies as part of my practice such as Hypnosis to include traditional methods of therapeutic intervention.
I am a mental health therapist who specializes in trauma and addiction issues. I also often work from a family systems theory basis. I have combined experience as a counselor, educator and social worker for over 22 years. My therapeutic philosophy and approach is to offer empathy and compassion working to understand the whole person perspective and I am a strong advocate to help my clients empower themselves. I offer energy healing work and other alternative therapies as part of my practice such as Hypnosis to include traditional methods of therapeutic intervention.
![Photo of Bryan Hodson, MA, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/452b689b-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Now accepting Aetna, Cigna, Optum, and Unitedhealthcare. Also Canopy/Cascade Centers EAP and Optum EAP. Accepting new clients! I have 7 years experience and specialized training to assist individuals struggling with pornography and out of control sexual behavior. I am also trained to use EMDR for clients struggling with trauma memories, PTSD, and panic attacks. I can assist clients in all other general mental health areas, including anxiety, depression, relationship challenges, and conflict management.
Now accepting Aetna, Cigna, Optum, and Unitedhealthcare. Also Canopy/Cascade Centers EAP and Optum EAP. Accepting new clients! I have 7 years experience and specialized training to assist individuals struggling with pornography and out of control sexual behavior. I am also trained to use EMDR for clients struggling with trauma memories, PTSD, and panic attacks. I can assist clients in all other general mental health areas, including anxiety, depression, relationship challenges, and conflict management.
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How does existential therapy work?
Existential therapy focuses on a patient’s inner experiences. The therapist tries to help the individual comprehend and alleviate symptoms by exploring their interior life. By confronting negative disquiet and emotions, the individual will hopefully become more open to finding meaning and purpose. This therapy can be administered to individuals or groups.
Is existential therapy evidence-based?
Existential therapy is an evidence-based practice. Research has determined that existential therapy can lead to significant improvement in the mental health of patients, and for some people it can be just as effective as cognitive behavioral therapy. The benefits of existential therapy are enduring, even long after treatment has ended.
How long does existential therapy last?
The goal of existential therapy is to understand a person’s internal experiences, which may sound like a lengthy process, but it does not have to be so in-depth. However, sessions are not short-term, and therapy can continue for months or up to a year. And because patients learn the theory behind existential therapy during treatment, they can also practice its tenets throughout life after therapy sessions have been completed.
Is existential therapy effective?
According to research, many patients find success with existential therapy. Researchers note that the therapy is particularly useful in improving feelings of isolation, feelings of purposelessness, as well as conditions such as anxiety and depression. Improvements in problem areas can persist even after the end of existential therapy, as individuals can continue working on themselves by using the tools they’ve developed during treatment.