Spiritual doubt & struggles
Questioning is part of many spiritual lives. You don’t have to have the answers to deserve support.
When beliefs feel shaken
Doubt, change and spiritual crisis are part of many journeys.
Beliefs can change. A loss, an illness, a betrayal or just growing older can shake what you once felt sure of. Some people feel abandoned by the sacred, angry, guilty, or lost without the beliefs that once held them. This is sometimes called spiritual struggle or spiritual distress.
Spiritual struggles are common. Researchers say they can be found in people of any gender, religion, age, social, cultural or ethnic group, and they are especially common during serious illness or grief.
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Struggles can come up for people who follow a major religion, a smaller or less familiar path, a personal spirituality, or no religion at all. A non-religious person might struggle with questions of meaning, or with what they owe to others. The feelings are just as real.
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- Anger or disappointment with the sacred, a deity or the universe
- Feeling far away from something that used to feel close
- Guilt, or fear of being punished
- Not knowing what you believe any more
- Tension with family or your community about beliefs
- Wondering whether life has a purpose
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Struggling with your beliefs doesn’t mean your faith or path is weak, or that you are doing something wrong. Many traditions see doubt and dark times as part of a spiritual life.
Kinds of spiritual struggle
Six common kinds researchers describe.
Psychologists Julie Exline, Kenneth Pargament and colleagues describe six common kinds of religious and spiritual struggle. Naming which kind you’re facing can make it feel less confusing, and help you find the right support.
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This means inner conflict about belief and how you understand the sacred: feeling angry at a higher power, abandoned, or punished.
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Doubt struggles are about difficulty knowing whether religious or spiritual teachings are true.
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Moral struggles happen when people feel their behaviour doesn’t fit their own values and beliefs. This can bring guilt or shame.
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These struggles are about inner conflict and tension around a person’s deepest purpose in life: “Does my life matter? What is it for?”
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These are conflicts with others around religious themes, relationships and leadership: feeling judged by a community, hurt by a leader, or at odds with family.
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Researchers call this a “demonic” struggle: the feeling of being harassed or attacked by the devil or evil spirits. It is described in many traditions and can be very frightening.
How struggles can affect you
Struggles can weigh on the mind, and can also lead to growth.
Research finds that strong or growing spiritual struggles are linked to more emotional distress, so it really helps to have support while you work through them.
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Studies link spiritual struggles with depression, anxiety, stress and lower wellbeing. Strong or growing struggles seem to weigh most heavily.
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Researchers also note that spiritual struggles can sometimes lead to psychological growth and a more mature faith. Some people return to an old path with new understanding, some find a new one, and some live peacefully with open questions.
Gentle questions
- What has this taught me about what really matters?
- Who has shown up for me?
- What strength have I found that I didn’t know I had?
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Spiritual struggles are common during serious illness and loss. You can expect a health care team to respect your beliefs, and you can ask for spiritual support, like a chaplain, at any time.
Ways to cope
Practical steps while your beliefs settle.
There is no deadline for working through a spiritual struggle. These steps can help you care for yourself while you find your way.
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Prompts
- What I used to believe is…
- What feels different now is…
- What I miss is…
- What I feel relieved about is…
- A question I am carrying is…
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Talking about struggles helps more than carrying them alone. Chaplains in hospitals, the military, colleges and veterans’ care are trained to support people of every belief and none.
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When big questions feel unsettled, small everyday routines can keep you steady. Being active and connecting with other people are two of the NHS’s five steps to mental wellbeing.
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You may not know what you believe right now, but you probably still know what you value: kindness, honesty, family, courage. Doing one small thing each day that fits your values can bring steadiness.
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Some people keep practices from their path that still bring comfort, like a candle, music or time in nature, even while beliefs are uncertain. Others try practices that don’t need any belief, like mindfulness or gratitude.
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Remind yourself that questioning is a normal part of a spiritual life. Many people find that beliefs settle slowly, over months or years.
When faith has hurt you
Healing after harm in a religious or spiritual setting.
Some people have been hurt in religious or spiritual settings, through shame, fear, control or abuse. Religious trauma is not a formal diagnosis, but counselors take it seriously. One estimate suggests that between a quarter and a third of U.S. adults have likely experienced it.
It can shake your sense of identity and safety, your relationship with what you hold sacred, and your sense of community.
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- Go at your own pace. You don’t have to sort everything out at once.
- Notice old fears or guilt, and remind yourself they were taught, not facts about you.
- Use grounding habits when memories feel strong: slow breathing, a walk, a familiar object to hold.
- Look for a trauma-informed counselor who respects all beliefs.
- Keep people around you who accept you as you are now.
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Some people find a new path after leaving a faith that hurt them. Others step away from religion altogether, or return to their old faith in a new way. Each can be a valid outcome.
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Healthy groups let you ask questions, keep your relationships and leave without fear. If a group controls you, cuts you off from others or makes you afraid to leave, it is okay to step back and talk with someone you trust.
When a struggle needs extra care
Signs it is time to reach out for professional support.
Most spiritual struggles can be worked through with time, reflection and people who care. Sometimes, though, a spiritual crisis comes with signs that your mind needs extra support too. Getting help doesn’t mean giving up your beliefs.
Reach out to a professional soon if a struggle comes with…
- Feeling hopeless, or thinking about not wanting to be alive
- Hearing or seeing things others don’t, especially if it frightens you or tells you to do things
- Not sleeping for days
- Sadness, worry or numbness lasting more than two weeks
- Thoughts of harming yourself or someone else
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You can expect a health care team to respect your beliefs. Many people see a counselor or doctor and also talk with a chaplain or spiritual leader. Each can help in different ways.
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- “My beliefs are really important to me, and I’m going through a hard time with them.”
- “I’ve been having experiences that scare me, and I’d like help.”
- “Can you help me in a way that respects my faith or path?”
Supporting someone
Caring for someone whose path, doubts or beliefs differ from yours.
You may want to support someone whose beliefs are different from yours, who has lost their faith, or who is exploring a new path. You don’t have to share their beliefs to care for them well. Respect and listening matter most.
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SAMHSA suggests telling the person you care, expressing concern and support, and talking where they feel safe and comfortable.
Try saying
- “What gives you strength right now?”
- “I may not see it the same way, but I want to understand what it means to you.”
- “It sounds like your beliefs are shifting. That can feel lonely. I’m here.”
- “Is there a practice or place that helps you feel at peace? Can I join you?”
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- Turning their pain into a debate about who is right
- Pushing your own beliefs or practices on them
- “That’s not a real religion,” or mocking their path
- “You’re just going through a phase.”
- Telling them their struggle is caused by their beliefs, or by losing them
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- Invite them on an awe walk or to sit in nature together
- Offer to come along to a meditation class, gathering or ritual they value
- Help them find a counselor who respects their beliefs, or a chaplain
- Keep inviting them to plans, even if they pull back
- Help with everyday tasks when life feels heavy
SAMHSA suggests offering help with everyday tasks and continuing to include people in plans without being overbearing.
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Spiritual struggles, like feeling abandoned, angry or lost, are common during illness and loss, and research links strong struggles with more emotional distress. Talking about them helps more than carrying them alone.
Let the person set the pace. Some find their way back to an old path, some find a new one, and some live with open questions. Each can be a valid outcome.
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NIMH warning signs include talking about wanting to die or being a burden, feeling hopeless, empty or trapped, withdrawing and giving away belongings. Act quickly if these are new or getting worse.
The 5 action steps (988 Lifeline)
- Ask: “Are you thinking about suicide?”
- Be there.
- Help keep them safe.
- Help them connect to 988 or other support.
- Follow up.
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Supporting someone through a spiritual or emotional crisis can stir up your own questions. Keep up whatever restores you, whether that is prayer, meditation, time outdoors or friends, and talk to someone you trust.
When and where to get help
Signs it is time for more support, and where to find it.
It is time to reach out if sadness, worry, fear or numbness last more than two weeks, get in the way of daily life, or if you feel hopeless or think about not wanting to be alive.
People who can help
- A chaplain, for people of all beliefs and none
- A licensed therapist or counselor who respects your beliefs
- A trusted leader or friend from your spiritual community
- Friends and family who care about you
- Your doctor or clinical provider
Free, confidential support (U.S.)
- 988 Suicide & Crisis Lifeline: call or text 988, or chat at 988lifeline.org
- Crisis Text Line: text HOME to 741741
- In an emergency, call 911
📝 Worksheets for this guide
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Sources
- National Cancer Institute (NIH). Spirituality in Cancer Care (PDQ®), Patient Version
- National Cancer Institute (NIH). Spirituality in Cancer Care (PDQ®), Health Professional Version
- Counseling Today, American Counseling Association (2023). Helping clients navigate religious trauma (Walsh D., Koch G.)
- International Cultic Studies Association (ICSA) (2015). Characteristics Associated with Cultic Groups (Langone M.D.)
- NHS (UK National Health Service). 5 steps to mental wellbeing
- Substance Abuse and Mental Health Services Administration (SAMHSA). For Friends and Family Members (How to Talk About Mental Health)
- National Institute of Mental Health (NIMH). Warning Signs of Suicide
- 988 Suicide & Crisis Lifeline. Help Someone Else
- National Institute of Mental Health (NIMH). Caring for Your Mental Health
- U.S. Department of Veterans Affairs. National VA Chaplain Service
- Peer-reviewed study via PubMed Central (U.S. National Library of Medicine) (2023). Battles of the Soul: Validation of the Scale of Religious and Spiritual Struggles (RSS) for the Portuguese Population (Tomás C., Moreira A.), Journal of Religion and Health
- 988 Suicide & Crisis Lifeline. 988 Suicide & Crisis Lifeline
- Crisis Text Line. Crisis Text Line
- Find A Helpline (ThroughLine). Find A Helpline
This guide is for education and self-care. It is not a diagnosis or a substitute for professional care. Please talk to a counselor or clinical provider about your health. Reviewed October 2026.

