Frankl, the creator of Logotherapy, explains that survival is based on meaning and that the absence of meaning is attributed to the vast array of mental health concerns which individuals can experience, such as depression, anxiety and substance abuse. Fundamental elements of human existence involve pain, guilt and death or as Frankl termed it, the Tragic Triad . Logotherapy promotes that individuals embody a Tragic Optimism, that is, despite what they are faced with, their stance or attitude towards the experience can dramatically change their interpretation of the experience. An individual who struggles to embody this optimism instead suffers and becomes stuck in what Frankl termed as an Existential Vacuum