Existential counselling considers human living to take place in confrontation with three different dimensions – external world; other people; inner world.[2] Others would nominate four dimensions: physical, social, psychological and spiritual.[3] Each of these dimensions can be seen as constituted like a force field, within which predictable paradoxes, tensions and dilemmas play out. Human beings can learn to deal with these tensions and conflicts more effectively by facing up to the negatives as well as the positives of their lives, including the tensions of life and death, love and hate, strength and weakness and meaning and absurdity