Narrative Clinical Review. This page provides the verified citation, abstract, and full-text PDF for the journal article.
Clinical boundary: Concern about genuine environmental danger should not be pathologized or minimized. Severe impairment, depression, trauma symptoms, or risk require individualized assessment.
Publication Details
- Author: Christian Jonathan Haverkampf
- Journal: The Journal of Psychiatry Psychotherapy and Communication
- Publication date: 2022-09-30
- Volume, issue, pages: 11(3), 81–90
- Article type: Narrative Clinical Review
Recommended citation: Haverkampf, C. J. (2022). Climate Anxiety and Ecological Grief: Distress, Impairment, and Care. The Journal of Psychiatry Psychotherapy and Communication, 11(3), 81–90.
Abstract
Climate anxiety and ecological grief arise in response to unfolding threats and losses; their presence does not by itself establish a psychiatric disorder. This narrative clinical review examines literature available through 30 August 2022 and offers a framework for distinguishing proportionate concern, constructive worry, grief, trauma-related responses, and disabling anxiety or depression. Distress may follow direct exposure to fire, flood, heat, drought, displacement, or livelihood loss, or arise through anticipated futures, repeated information, political inaction, moral conflict, and damage to a valued place or species. Assessment therefore requires two forms of realism at once: external danger must not be minimized, and impairment, suicidality, sleep disruption, compulsive information seeking, avoidance, and loss of function must not be overlooked. Evidence for climate-specific psychotherapy was limited at the cutoff. Clinicians should use established treatments for diagnosable conditions while adapting formulation to environmental context, culture, age, inequality, and collective responsibility. Useful work may include emotional differentiation, recognition of grief, calibrated media boundaries, restoration of daily function, values-guided action, relational support, and tolerance of uncertainty without false reassurance. Action may strengthen agency, but it is neither a prescription nor proof of recovery, and institutional responsibility cannot be transferred to distressed individuals. A clinically appropriate response acknowledges the basis of the distress, assesses its effects on functioning and safety, and helps the person remain engaged with life while uncertainty and loss continue.
Keywords
climate anxiety; eco-anxiety; ecological grief; solastalgia; psychotherapy; climate communication
Full Text
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Website copy first made available on 26 August 2026. The journal citation retains the article’s issue date.
