What Keeps Death Anxiety Going?

The What Keeps Death Anxiety Going? handout presents key factors that maintain death anxiety.

Download or send

Professional version

Offers theory, guidance, and prompts for mental health professionals. Downloads are in Fillable PDF format where appropriate.

Client version

Includes client-friendly guidance. Downloads are in Fillable PDF format where appropriate.

Overview

The “What Keeps It Going?” series is a set of one-page diagrams explaining how common mental health conditions are maintained. Friendly and concise, they provide an easy way for clients to understand at a glance why their disorders persist, and how they might be interrupted.

What Keeps Death Anxiety Going? is designed to help clients experiencing death anxiety understand more about their condition.

Why Use This Resource?

Understanding what keeps death anxiety going is crucial for effective intervention. By identifying these factors, therapists can develop idiosyncratic models of clients' experiences and focus their interventions.

  • Highlights and explains key factors that maintain death anxiety.
  • Provides a visual model that to facilitate discussion and inform case conceptualization.
  • Helps clients better understand the difficulties they are experiencing.

Key Benefits

Insight

Provides insights into what perpetuates death anxiety.

Guidance

Serves as a roadmap for therapeutic discussions and formulations.

Understanding

Helps clients comprehend their difficulties and the ways to address them.

Engaging

Simplifies complex ideas and explanations, enhancing understanding and communication.

Who is this for?

Death Anxiety

Designed to help clients affected by death anxiety.

Integrating it into your practice

01

Introduce

Explain to the client that certain difficulties persist due to cycles that maintain them.

02

Discuss

Use the handout to discuss what might be keeping the client's difficulties going.

03

Identify

Pinpoint and personalize maintaining factors that are relevant to the client.

04

Strategize

Explore how these maintaining cycles can be interrupted.

Theoretical Background & Therapist Guidance

Concerns about dying or losing a loved one are a normal part of life. However, if concerns about death (or dying) are extremely distressing, time-consuming, or stop individuals from doing important things, it could be a sign of death anxiety. Some of the key signs of death anxiety include feeling extremely distressed about death and dying; spending considerable time dwelling on one's death or other people dying; and having unwanted and distressing images related to death (‘intrusions‘).

Research studies indicate that cognitive behavioral therapy (CBT) is an effective treatment for death anxiety. CBT therapists work a bit like firefighters: while the fire is burning they’re not so interested in what caused it, but are more focused on what is keeping it going, and what they can do to put it out. If they can work out what keeps a problem going, they can treat the problem by interrupting the cycles that maintain it.

The What Keeps Death Anxiety Going? information handout describes some of the key factors which act to maintain death anxiety, illustrating them in a vicious cycle or 'flower' format in which each ‘petal’ represents a separate maintenance cycle. Helping clients to understand more about these processes is an essential part of cognitive therapy for death anxiety. Therapists can use this handout as a focus for discussion, or as a template from which to formulate an idiosyncratic model of a client’s experiences.

What's inside

  • Introduction and overview of death anxiety.
  • Guidance for introducing the resource to clients.
  • Template for developing personalized maintenance cycles.
  • Key references for learning more about death anxiety.
Get access to this resource

FAQs

It can serve as a discussion point and a template for creating personalized formulations, helping clients understand what maintains their difficulties.
Introduce it as a framework for gaining a deeper understanding of their difficulties and the reasons why they persist.
Use it as a starting point to explore unique factors that are specific to the client's experience, and tailor the diagram accordingly.

How This Resource Improves Clinical Outcomes

This resource aims to:

  • Increase insight into the processes maintaining clients' difficulties.
  • Support collaborative formulation and treatment planning.
  • Present key information in a structured, understandable format.

Therapists benefit from:

  • A clear framework that helps explain why problems persist.
  • A visual tool to enhance communication and understanding.
  • An adaptable resource that can be tailored to clients' unique experiences.

References And Further Reading

  • Agras, S., Sylvester, D., & Oliveau, D. (1969). The epidemiology of common fears and phobia. Comprehensive Psychiatry, 10, 151-156. DOI: 10.1016/0010-440X(69)90022-4.
  • Fairburn, C. G. (2008). Cognitive behavior therapy and eating disorders. Guilford Press.
  • Menzies, R. E., Zuccala, M., Sharpe, L., & Dar-Nimrod, I. (2018). The effects of psychosocial interventions on death anxiety: A meta-analysis and systematic review of randomised controlled trials. Journal of Anxiety Disorders, 59, 64-73. DOI: 10.1016/j.janxdis.2018.09.004.
  • Noyes Jr, R., Hartz, A. J., Doebbeling, C. C., Malis, R. W., Happel, R. L., Werner, L. A., & Yagla, S. J. (2000). Illness fears in the general population. Psychosomatic Medicine, 62, 318-325.