Many of our assumptions about life that once provided stability and meaning are now being profoundly challenged. Climate change, artificial intelligence, geopolitical conflict, social fragmentation, and declining trust in institutions have created a world that often feels increasingly uncertain and unpredictable. As familiar frameworks begin to shift, questions of identity, purpose, belonging and how to live well can move from the background to the foreground of experience. Existential dread is more than anxiety about an uncertain future. It is a lived, embodied disruption to our sense of self, our relationships with others, and our understanding of the world. Even seemingly small changes can unsettle our experience of continuity, security and meaning. Increasingly, clients are bringing these concerns into the therapeutic space - sometimes explicitly, but often in ways that are difficult to recognise or articulate. How do we meet clients when certainty cannot be restored? How do we remain present with existential suffering without rushing to explain, reassure or resolve it?