Despite Ernest Becker’s claim, nearly 40 years ago, that the denial of death has relevance to the depth of the individual psyche as well as to human bonding behaviors, death anxiety continues to be heavily denied in its clinical application. This denial largely persists in the field of psychology and the practice of psychotherapy as death anxiety is reserved for comprehensive, philosophical, and ontological concerns but rarely informs the organization of the therapeutic dyad or the treatment of patients. The purpose of this article is to illustrate that death anxiety acts as a bonding agent to the close psychotherapeutic relationship and that mortality salient dyadic encounters can be assessed and used by the psychotherapy practitioner. This article introduces death anxiety experiments and theories (mostly contributions of Terror Management Theory) that have more recently demonstrated the buffering and mitigating potential of close relationships on an individual’s death fears. Additionally, this article illuminates the significance of the close relationship, which is a commonly accepted psychotherapeutic agent of change and also, paradoxically, produces death fears. The article concludes by suggesting that death anxiety plays a dominant role in the socially constructed mind and should therefore play a prevalent role in clinical depth work.