A 42-year-old male client tells the PMHNP he is experiencing anxiety about death, and is asking himself questions about the meaning of his life. "Why am I here and what does it matter if I am just going to die?" The PMHNP should recommend which of the following forms of therapy?

Choice A reason: Dialectical Behavioral Therapy (DBT) is primarily used for emotion regulation and managing self-harm behaviors, often in borderline personality disorder, rather than addressing existential questions about meaning and mortality. Choice B reason: Rational Emotive Behavioral Therapy (REBT) focuses on challenging and changing irrational beliefs to reduce anxiety and depression. While it can address anxiety, it does not directly explore the philosophical concerns about life’s purpose that this patient presents. Choice C reason: Existential therapy directly addresses questions about the meaning of life, death, freedom, and isolation. It helps individuals explore existential anxiety and personal responsibility, making it the most appropriate therapy for this patient’s concerns. Choice D reason: Group therapy provides support and interpersonal feedback but may not allow for focused exploration of deep existential questions. While beneficial for social support, it is not the primary therapeutic approach for this type of existential anxiety.