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This article invites conversation regarding what is seen as a pivotal problem in existential psychotherapy today: the loss of its language of being, its foundational understanding of ontology, Being, and the human being, Dasein. The article begins by introducing the disciplinary challenges of being an existential psychotherapist. This is followed by a systematic, multiperspectival discussion of ontology and its language of being and the challenges an ‘ontological eye’ presents for the theory and practice of existential psychiatry, psychology, and psychotherapy. Historical and cultural factors contributing to America’s conceptual and clinical dispersity and disarray in existential thought and practice are summarized before presenting a brief overview of existential psychotherapy’s present standing, especially with respect to its prospects for developing a regional ontological understanding of the human as human and as a whole.