This period is sparked by the realization that their lives are halfway over, and that death isn’t just something that happens to someone else: It will happen to them, too.
He described a depressed 36-year-old patient who told his therapist, “Up till now, life has seemed an endless upward slope, with nothing but the distant horizon in view. Now suddenly I seem to have reached the crest of the hill, and there stretching ahead is the downward slope with the end of the road in sight—far enough away, it’s true—but there is death observably present at the end.”
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