Denna essä har som syfte att undersöka hur diagnosen klimatångest hos unga har dimensioner som kan vara svåra att möta i en klassisk vårdmiljö. Det finns frågor av etisk och existentiell natur som behöver bemötas och besvaras. Det är inte bara hos klienten som dessa uppstår utan även hos den behandlande terapeuten. Denna essä är ett försök att rikta ljuset mot några av de aspekter som en behandlande terapeut eller annan personal kan behöva ta hänsyn till i sitt praktiska handlande till vardags.   Den belyser frågor som neutralitet, objektivitet, autenticitet och medkänsla. Den andra delen av essän behandlar frågan om professionellt och personligt ansvar och resonerar kring frågor om skuld, kollektiv ansvar, utvidgat ansvar och om terapirummets offentlighet och avskildhet. / The purpose of this essay is to examine how the diagnosis of climate anxiety in young people has dimensions that can be difficult to meet in the classic healthcare environment. There are questions of an ethical and existential nature that need to be addressed and answered. This essay is an attempt to shed light on some of the aspects that a clinical therapist or other clinical professions may need to take into account in their everyday practical actions. It highlights issues such as neutrality, objectivity, authenticity and compassion. The second part of the essay deals with the question of professional and personal responsibility and reasons around issues of guilt, collective responsibility, extended responsibility and about the publicness and privacy of the therapy room.

Climate change is perceived as one of the most serious threats to humanity. Overthe last decade self-reported anxiety has increased in the Swedish population,especially among children and young adults. In the context of perceived secularity of the Swedish population, the existential questions in the community and inindividuals might be difficult to address. Therefore, the purpose of this qualitative study was to explore existential perspectives within the scope of climate anxiety, and how young adults cope withthe existential concerns. The study also investigated how professionals support young people experiencing existential questions connected to climate change. The design of the study is holistic including micro, meso and macro levels. Empirical data was collected within the framework of the project Terra-Pi/Klimatkraft, developing methods to support young people to better deal with climate-related thoughts and feelings. Phenomenologically inspired interviews were conducted with three young adults and two professionals whose work involves dimensions of young people´s climate worry. An observation was conducted at a Climate Power Group meeting in the project. Further, the study investigated the meaning of existential health, resilience and climate change in the proposal for a new national strategy for mental health, through a content analysis and an interview with anexpert at the Public Health Agency of Sweden. In this study, a deductive thematic analysis was performed to explore the applicability of the “givens of existence” (Yalom 1980), developmental resilience theory (Masten 2021; Ungar 2021) and the connection between meaning making, health and culture according to psychology of religion in Scandinavia. Participants described experiences of existential dimensions adhered to death anxiety, existential quilt, meaninglessness and meaning, existential isolation and future orientation/temporality. Most important coping strategies were climate activism, support from attachment relationships and finding a personal meaning.The project Terra-Pi/Klimatkraft boosts important protective factors for resilience in the participants, and supports the capacity of the professionals to do so. The proposal for a new national strategy for mental health confirms the connection between existential issues and mental health as well as the importance of increased knowledge and interventions within that field. Society would benefit from social actors providing spaces, contexts and competence for addressing existential issues that the climate crisis evokes.