Anything can be discussed in therapy. There is great flexibility about topics and existential questions can be the main focus for a particular client. With that said, we will be goal focused. If the goal is to come to a greater understanding or acceptance of existential issues, then we will spend the appropriate time on that. Without being overly rigid, we will navigate back to the goals and the agenda when we go off course. If something new comes up though, we will simply add it to the agenda in order to incorporate it into the longer-term goals.