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At some point in our lives, we all think about death. Some people may have a fear or anxiety about it. This is called death anxiety. If you have extreme anxiety about death you may need to talk to someone to deal with your feelings and find new perspectives.

What is death anxiety?

Death anxiety is a deep and often overwhelming feeling of fear or anxiety related to the idea of death or dying. Worrying about death occasionally is part of life, but for some, it can develop into a more intense, persistent anxiety that affects daily life.

Symptoms of death anxiety

Death anxiety symptoms can vary, but they often include:

  • Palpable fear of death or dying
  • Anxiety attacks, especially in the evening
  • Avoidance of thinking or talking about death
  • Sleep problems due to fear or anxiety

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Death anxiety in children and adolescents

In children and young people, death anxiety can manifest itself through:

  • Concerns about the well-being of parents or loved ones
  • Questions about death and what happens afterwards
  • Difficulty sleeping or nightmares related to death

Managing death anxiety

There are several ways to deal with death anxiety:

  • Talk therapy: Talking to a psychologist can help process feelings and thoughts related to death anxiety.
  • Cognitive Behavioural Therapy (CBT): This form of therapy can help identify and change negative thought patterns.
  • Mindfulness and relaxation techniques: These can reduce anxiety and improve sleep quality.
  • Support groups: Sharing experiences with others who have similar feelings

Medication and treatment

In some cases, medication, such as anti-anxiety or anti-depressants, may be recommended by a doctor. It is important to remember that medication should be used as part of a broader treatment plan, which includes lifestyle changes and therapy.


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When to seek help?

If the fear of death becomes so overwhelming that it prevents you from living a normal life, it is important to seek professional help.

This includes:

  • Significant impact on your daily functioning
  • Physical symptoms such as heart palpitations or difficulty breathing
  • Suicidal thoughts (please call the National Suicide Crisis Line at 0800 567 567 if you or someone you know are suicidal)

We make the difficult easier

On our website, we have experienced psychologists and therapists who can help you deal with your fear of death. By creating a safe and understanding environment, we aim to make the journey through death anxiety less frightening and more manageable. Our experts are available for sessions both online and in person.

Help is closer than you think

If you recognize the symptoms of death anxiety or know someone who may have death anxiety, don’t hesitate to contact us. By understanding and confronting these feelings, we can find ways to live a more harmonious and less anxious life together.

Understanding and accepting death anxiety

Accepting and understanding death anxiety is an important step in the coping process. It is not about getting rid of the fear completely, but rather learning to live with it in a way that does not limit your daily life.

Existential death anxiety

Existential death anxiety relates to deeper questions about the meaning of life and what happens after death. It can be particularly pronounced at the end of life or after the death of a loved one. Talking to a therapist can help you navigate these complex feelings.

Medication

In some cases, medication such as antidepressants or beta-blockers can be part of the treatment. Medication can help manage the symptoms of anxiety and make it easier to participate in therapy and other activities.

Death anxiety in the evening

Many people find that their death anxiety worsens in the evening. This may be due to reduced distraction and an increased tendency to reflect on existential issues. Therefore, it can be helpful to establish a relaxing evening routine that includes, for example, meditation or mindfulness exercises.


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Special circumstances

Death anxiety after major changes

Major life changes, such as having children or being diagnosed with a life-threatening illness such as cancer, can trigger death anxiety. It is important to acknowledge these feelings and seek support when needed.

Death anxiety in PTSD and hypochondria

For people with PTSD or hypochondria, death anxiety can be particularly intense. Specialized treatment, such as trauma-focused therapy, may be necessary.

Practical steps to deal with death anxiety

  • Education: Learn more about death anxiety and its causes, this will help you gain perspective on both anxiety and death.
  • Write down your thoughts: Writing can help you process and understand your feelings.
  • Create a supportive environment: Talk to family and friends about your feelings. Most of us deal with different types of emotions around death in some way.
  • Explore relaxation techniques: Meditation and yoga can help relieve anxiety.

Seek professional help

It is important to seek professional help promptly. Our psychologists and therapists are specialized in dealing with different forms of anxiety, including death anxiety. They can offer customized treatment plans and support strategies to help you manage your feelings.

Remember: you are not alone

Death anxiety is a universal experience, and you are not alone in your feelings. By seeking help and using available resources, you can find ways to manage your anxiety and live a more fulfilling life.

Creating a new relationship with death

An important aspect of dealing with death anxiety is reshaping our relationship with death. This may involve accepting death as a natural part of life and then finding ways to live more fully with the awareness of our mortality.

Reflecting on the meaning of life

Exploring and defining what gives life meaning can be a powerful counterbalance to death anxiety. It can include:

  • Appreciating and celebrating the small moments in everyday life
  • Engaging in activities that feel meaningful and enriching
  • Cultivating close and supportive relationships

Deepening spirituality and personal beliefs

Spiritual or philosophical reflections can provide comfort and perspective regardless of religious affiliation.

This can involve:

  • Exploring personal beliefs
  • Participating in religious or spiritual activities
  • Meditating or practising mindfulness to feel more connected to the present moment

Creating a plan for the future

For some, planning for the future, including after-death matters, can reduce anxiety.

This can include:

  • Writing a will
  • Discussing wishes with family and friends
  • Planning for health care at the end of life

Celebrating life

Choosing to focus on and celebrate life can be a powerful way to manage death anxiety.

It can involve:

  • Engaging in activities that bring joy and fulfilment
  • Appreciating and expressing gratitude for the good things in life
  • Creating and maintaining positive relationships

Death anxiety is a complex and deeply personal experience, but there are many ways to manage and reduce its impact on your life. By exploring these different aspects – from professional help to personal reflection and acceptance – you can find your path to peace and meaning.


20 FAQs about Death Anxiety

What is death anxiety?

Death anxiety is a strong fear of the idea of death or dying. It is a natural feeling but can become overwhelming and affect your everyday life. It often involves thoughts about the meaning of life, existential questions and fear of the unknown after death.

How do you know if you have death anxiety?

Signs of death anxiety include constant worry about death, avoidance of conversations about death, panic attacks, difficulty sleeping, and a general sense of fear that cannot be explained. It is important to seek professional help if these feelings become overwhelming.

Can death anxiety be cured?

While death anxiety is part of the human experience, there is treatment for severe forms. Therapy, mindfulness exercises and medication can be used to manage these feelings. Talking to a psychologist or therapist can be the first step in dealing with your fear of death.

Why do I think about when I die?

This feeling can be part of death anxiety. It may be due to internal concerns or external influences such as news or personal experiences. It is important to understand that these thoughts are often irrational and a reflection of underlying anxiety.

How do I manage death anxiety?

Managing death anxiety often means learning to accept death as part of life. Practical steps include talking about your feelings, writing down your thoughts, participating in relaxation exercises and seeking professional help. Keeping busy and maintaining a healthy lifestyle can also be helpful.

Can death anxiety affect my physical health?

Yes, death anxiety can have physical effects such as heart palpitations, breathing difficulties, or stomach problems. Anxiety can also affect the immune system and cause other long-term health problems. It is important to take care of both your mental and physical health.

Is it normal to experience death anxiety?

Yes, it is completely normal. Many people experience some form of death anxiety during their lifetime. It is a natural part of being aware of your mortality. These thought processes become problematic when these feelings become overwhelming and interfere with everyday functions.

Can lifestyle changes help alleviate death anxiety?

Absolutely. Regular exercise, a balanced diet, adequate sleep and stress management techniques can all help reduce symptoms of anxiety. Maintaining social contacts and engaging in meaningful activities can also be helpful.

How can I talk about my death anxiety with loved ones?

It is important to open up about your feelings in a safe environment. Choose a quiet time and place, and explain how you feel honestly. Sharing your feelings can reduce feelings of loneliness and create understanding and support from others.

Are there any specific therapies that are effective for death anxiety?

Yes, Cognitive Behavioural Therapy (CBT) is often effective in dealing with anxiety-related conditions, including death anxiety. Existential therapy can also be helpful as it addresses the fundamental issues of life, death and meaning.

Can creative expressions such as art or music help in the management of death anxiety?

Yes, creative expressions such as art, music, writing, or dance can be very effective in dealing with death anxiety. These activities offer a way to express feelings nonverbally, which can be particularly useful for those who have difficulty expressing their feelings. Creative expression can also provide a sense of calm and presence that can reduce anxiety.

Can meditation and mindfulness help to reduce death anxiety?

Meditation and mindfulness exercises are known to reduce stress and anxiety by promoting relaxation. These practices can help create a new perspective on death and reduce the fear associated with it.

Is death anxiety more common in older people?

While death anxiety can affect individuals at any age, it is not uncommon for it to become more prominent as you get older. This may be due to more experiences of loss or an increased awareness of your mortality.

Can religious or spiritual beliefs influence the experience of death anxiety?

Yes, individuals’ religious or spiritual beliefs can have a significant impact on how they experience and cope with death anxiety. Some may find comfort in their faith, while others may experience additional conflicts or questions.

When to seek professional help for death anxiety?

If death anxiety begins to affect your daily functioning, causes overwhelming worry, or if you have thoughts of self-harm, it is important to seek professional help. Psychologists and therapists can offer strategies and treatment to deal with these feelings.

Can death anxiety be linked to other mental health conditions?

Yes, death anxiety can sometimes be linked to other mental health conditions such as depression, generalized anxiety disorder or post-traumatic stress disorder (PTSD). It is important to treat these underlying conditions along with death anxiety for a holistic treatment plan.

What role do family and friends play in managing death anxiety?

The support of family and friends is crucial. Sharing your thoughts and feelings with loved ones can provide emotional relief. Feeling understood and supported can also reduce feelings of isolation that often accompany death anxiety.

Can physical activity help reduce symptoms of death anxiety?

Regular physical activity has been shown to reduce symptoms of anxiety and depression. Exercise releases endorphins, which are natural mood enhancers, and help reduce stress associated with death.

How can I deal with sudden bouts of death anxiety?

In acute moments of death anxiety, try focusing on your breathing, using relaxation techniques or mindfulness exercises. Having a prepared plan for dealing with these attacks can be very helpful.

Is it possible to completely overcome death anxiety?

While death anxiety is part of the human experience, it is possible to learn to deal with it healthily. Therapy, lifestyle changes and personal growth can all help to reduce the intensity and frequency of these feelings.

Dealing with death anxiety: A step-by-step guide

Dealing with death anxiety can be a challenging journey, but it is important to remember that you are not alone. Here are some steps to help you start the process:

  1. Acknowledge and accept your feelings: Death anxiety is a natural part of life. Therefore, you must acknowledge and accept your feelings without judging yourself. It is perfectly normal to feel fear, sadness or confusion regarding your death.
  2. Understand the causes of your anxiety: Try to identify what is causing your anxiety. Is it fear of the unknown, concern about leaving loved ones, or perhaps fear of pain? Understanding the causes can provide insights for coping and give you something specific to focus on dealing with.
  3. Seek support: Talk to friends, family, or a therapist. Sharing your thoughts and feelings with someone can provide comfort and understanding, showing you that you are not alone.
  4. Explore relaxation techniques: Techniques such as mindfulness, meditation, and relaxation exercises can help manage anxiety. These practices can also reduce stress and promote inner peace.
  5. Inform yourself about death: Reading about and understanding death can reduce the fear of the unknown. Books, articles, and podcasts can provide a broader view of death. As other people’s perspectives can reflect your own, it could be a good idea to listen to other people’s thoughts on death.
  6. Create a life plan: Focus on living a meaningful life. Make a list of things you want to achieve, places you want to visit and relationships you want to nurture. This can provide perspective and reduce anxiety.
  7. Consider professional help: If your death anxiety is overwhelming, consider seeking professional help. A psychologist or therapist can offer strategies and support to deal with your feelings.
  8. Participate in support groups: Support groups can provide a sense of community. Sharing experiences with others who are going through similar feelings can be extremely healing.

Remember, each person’s journey is unique. Don’t hesitate to seek support if you need it. You can book a session with our therapists whenever you are ready. We at Lavendla are here to support you through this journey and want to make the hard things easier.


Written by Samantha Pieterse

Sr. Samantha Pieterse is a registered psychiatric nurse who is deeply committed to mental health and well-being. Samantha brings a unique and valuable perspective to her role as an editor for Lavendla South Africa. She has worked in Government and Private mental healthcare institutions in Gauteng and her expertise ensures that the articles on our website are accurate and accessible. Samantha is dedicated to enhancing mental health awareness and education in South Africa.