ABSTRACT
Psychiatry and spirituality are closely tied together in the palliative care context. A diagnosis of life-threatening illness often raises existential concerns such as ‘Why me?’ or ‘What have I done to deserve this?’ Patients may have difficulty finding meaning in their suffering and their relationship with God might be called into question (how could God allow this to happen?), even to the extent that they lose their faith. Issues frequently arise about death and dying, and patients often seek reassurance about the existence of an afterlife. Spiritual issues about meaning can significantly impact upon mood. 1 Though patients might discuss these spiritual concerns with doctors, these health professionals frequently lack the confidence to answer these questions and refer them to clergymen. However, a full spiritual assessment of the patient is essential and should ask what the illness means to them and whether there are any issues relating to God or dying.
