Showing posts with label Mental Illness. Show all posts
Showing posts with label Mental Illness. Show all posts
Soh

Also see: Prioritizing Professional Mental Health Care: Understanding When to Seek Help Before Exploring Spirituality

Question:
A reader wrote in sharing their experience with extended bouts of depression, including low energy, negative thoughts, sadness, and feelings of self-doubt. They noted that while they have explored spiritual practice, they are not convinced that these difficult states are necessarily spiritual in nature, but rather suspected they might simply be part of the human condition. They asked for perspective on how to navigate this.

Response: Hi [Reader],

Good to hear from you.

To answer your thought directly: I agree with you. It is very important not to "spiritualize" everything. While it is true that a deeply realized awakening eventually brings an end to suffering, it is dangerous to bank on some special breakthrough happening soon as a "cure-all," while putting off the necessary immediate steps to deal with the condition. Do not neglect addressing these feelings from conventional perspectives—whether that means psychiatric help, lifestyle changes, or therapy. Sometimes, these states are simply part of the human condition (biological or psychological) and require human solutions, not just spiritual ones.

That said, it is still important to maintain a routine meditation practice. We often approach meditation with the same "wanting" mind that causes our stress—trying to force the inner chatter to stop. In this article, Quietening Inner Chatter, the author explains why this backfires and points to the principle of Dependent Arising.

Basically, nothing exists on its own; everything relies on supporting conditions to survive. Clouds need moisture; flowers need water. Similarly, our inner chatter is fueled by our constant activity of "building." The author explains that we are constantly wanting, conceptualizing, judging, and pushing away experiences. We act like builders trying to construct a "better house" or frantically trying to move out of our current one. Paradoxically, even the desperate want for the thoughts to stop is just another form of this "building." This reactivity provides the very conditions that keep the chatter alive.

Meditation, then, isn't about forcefully stopping thoughts; it is about withdrawing that fuel. By simply returning to awareness (the breath) without engaging or trying to "fix" the noise, you remove the conditions that support it. Like stopping the water supply to a plant, the chatter eventually withers on its own.

The author also emphasizes that consistency is key because of "momentum." If you are 30 or 40 years old, your mind is like a heavy freight train that has been gathering speed for decades. You cannot just slam on the brakes and expect it to stop instantly. It takes time for that momentum to slow down, which is why a sporadic practice won't work—you need the daily regularity of "removing the fuel" to counter that lifetime of momentum.

On the mundane level, you may need to make some practical adjustments to improve your stability. I highly recommend watching this video in full:

Jordan Peterson's Advice For People With Depression

In the video, Peterson makes a few crucial points that might help you navigate this:

  1. Don't refuse the "rope": If you are truly deep in depression, don't arbitrarily rule out antidepressants. If society offers you a tool that works biologically to keep you afloat, take it so you have the stability to do the deeper work.

  2. Structure is sanity: Depression often stems from a lack of order. You need specific "pillars" to rest your life on: a job, friends, and an intimate relationship. Peterson warns that if you are missing three or more of these foundational elements (e.g., no job, no friends, no partner, plus a health or drug problem), it becomes almost impossible to help you, because the chaos on one front constantly pulls you down on the others. You must stabilize these pillars—get a job (any job) for the routine, reconnect with friends, and establish relationships—to create a floor to stand on.

  3. Negotiate, don't tyrannize: Instead of beating yourself up for not being perfect, ask yourself: "What is one small thing I am willing to do today that I actually will do?" Small, accruing gains are incredibly powerful.

It is not always necessary to put off self-inquiry and meditation aimed at discovering the deepest truth of your being, identity, and consciousness (unless there is a serious mental health issue, in which case it is advisable to focus on psychological stabilization and grounding with a professional therapist or psychiatrist before engaging in intensive spiritual practice and inquiry). However, you must also take care of yourself and your life, because a healthy mind and body are important supports for that inquiry.

Best, Soh


P.S. Something well said by Kyle Dixon/Krodha:

"...The anatta definitely severed many emotional afflictions, for the most part I don't have negative emotions anymore. And either the anatta or the strict shamatha training has resulted in stable shamatha where thoughts have little effect and are diminished by the force of clarity. I'm also able to control them, stopping them for any amount of desired time etc. But I understand that isn't what is important. Can I fully open to whatever arises I would say yes. I understand that every instance of experience is fully appearing to itself as the radiance of clarity, yet timelessly disjointed and unsubstantiated.." — Kyle Dixon, 2013

“The conditions for this subtle identification are not undone until anatta is realized. Anatta realization is like a massive release of prolonged tension, this is how John put it once at least. Like a tight fist, that has been tight for lifetimes, is suddenly relaxed. There is a great deal of power in the event. The nature of this realization is not often described in traditional settings, I have seen Traga Rinpoche discuss it. Jñāna is very bright and beautiful. That brightness is traditionally the “force” that “burns” the kleśas. The reservoir of traces and karmic imprints is suddenly purged by this wonderful, violent brightness. After this occurs negative emotions are subdued and for the most part do not manifest anymore. Although this is contingent upon the length of time one maintains that equipoise.” — Kyle Dixon, 2019

“Prajñā “burns” karma, only when in awakened equipoise. Regular meditation does not.” — Kyle Dixon, 2021

“I’m not qualified to give any sort of medical advice but sounds like you’d benefit from either continuing with some sort of medication schedule or if you choose to go without meds, at the very least have a therapist you can engage with on a regular basis.

Buddhadharma is great, and in certain degrees of realization does actually eliminate negative emotions so that they aren’t experienced at all. They are “tamed” (damya) so that you form a deep mental and emotional resilience once you reach the level of “patience” (kṣānti). This occurs on what is called the third bhūmi, negative emotions no longer manifest at all. I only say that to share that buddhadharma is in fact a means to an end in terms of conquering emotional turmoil. That said, those are higher realizations, and you shouldn’t bet your mental wellbeing on that type of attainment at this present time. It is better to take measures to find some emotional equanimity and overall peace, even if that means medication and therapy.” — Kyle Dixon

Soh

Also See: Prioritizing Professional Mental Health Care: Understanding When to Seek Help Before Exploring Spirituality


Shared to a group I am moderating:


To the anonymous user who posted earlier about having thoughts of self-harm: even though you decided to remove your post, please know that we are still thinking of you. This message is for you and for anyone else going through a difficult time. We also want to use this as an opportunity to remind everyone how to support others who may be showing signs of distress.

Don’t wait: seek professional help early when these symptoms show up
If you (or someone you love) feels persistently numb, hopeless, detached, or suicidal, please treat that as a health issue—not a character flaw and not a “practice problem.” Early, professional help saves lives.
  • Globally, more than 720,000 people die by suicide each year; among 15–29 year-olds it’s a leading cause of death. World Health Organization factsheet: https://www.who.int/news-room/fact-sheets/detail/suicide
  • In the U.S., suicide remains one of the leading causes of death; see the most recent data: https://www.cdc.gov/suicide/facts/data.html
Why early help matters
  • Delays are common—and harmful. Large cross-national research shows years-long delays between first symptoms and first treatment for mood and anxiety disorders; earlier contact is associated with better outcomes. Overview: https://europepmc.org/article/pmc/pmc3271938
  • Brief, evidence-based care reduces risk. A simple Safety Planning Intervention given in emergency departments reduced subsequent suicidal behavior and increased outpatient engagement over 6 months:
    JAMA Psychiatry (Stanley et al., 2018): https://jamanetwork.com/.../jamapsych.../fullarticle/2687370
     (open PDF from Royal College summary: https://www.rcpsych.ac.uk/.../comparison-of-safety...)
  • Therapy works—including online. Meta-analyses show CBT/DBT and internet-based CBT lower suicidal ideation (and in many studies, attempts) vs usual care:
    JAMA Network Open (systematic review/meta-analysis): https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2765056
    (Another recent systematic review – abstract/landing: https://www.sciencedirect.com/org/science/article/pii/S1438887123004788)
  • Health-system guidance supports fast assessment. NICE (UK) recommends a timely psychosocial assessment after any self-harm to reduce future risk and connect people to care: https://www.nice.org.uk/guidance/ng225
  • Screening context (what primary care can do): The U.S. Preventive Services Task Force recommends depression screening for all adults and notes evidence is insufficient for universal suicide-risk screening itself—so clinicians screen for depression, then assess suicide risk when indicated:
    USPSTF recommendation (JAMA summary): https://jamanetwork.com/journals/jama/fullarticle/2806144
    Task Force page: https://www.uspreventiveservicestaskforce.org/uspstf/draft-recommendation/screening-depression-suicide-risk-adults
“Isn’t it dangerous to ask about suicide?” (No.)
Evidence shows that asking about suicide does not plant the idea or increase risk; in some contexts it’s associated with small benefits (more disclosure, reduced distress/ideation).
Warning signs that mean act now
Recognized red flags from national agencies include: talking about wanting to die; feeling like a burden; unbearable pain; severe agitation/rage; reckless behavior; heavy substance use; withdrawing; giving away possessions; saying goodbye; or a sudden calm after turmoil.
What “getting help” actually looks like
  • Primary-care / GP visit: brief screening and referral. (USPSTF depression screening recommendation above — helps catch issues early.)
  • Licensed mental-health care: psychologist, psychiatrist, clinical social worker. Evidence-based options include CBTDBT, medication when appropriate, safety planning, and follow-up.
  • Health-system playbook: WHO LIVE LIFE prevention package (for clinicians, systems, communities): https://www.who.int/initiatives/live-life
If you’re on a spiritual path: practice can support recovery, but when major depression or suicidality is present, pair practice with clinical care and social support (WHO guidance above).
What to do today
  1. If you’re in immediate danger: call your local emergency number.
  2. Tell a professional plainly: “I’m having thoughts of harming myself.” Directness gets you the right level of care faster (NICE guidance: https://www.nice.org.uk/guidance/ng225).
  3. Use 24/7 crisis support (free, confidential):
    • United States & Canada: 988 call/text/chat — official site: https://988lifeline.org/ (what to expect: https://988lifeline.org/get-help/)
    • United Kingdom & Ireland: Samaritans 116 123 — https://www.samaritans.org/ (how to contact: https://www.samaritans.org/how-we-can-help/contact-samaritan/)
    • Australia: Lifeline 13 11 14 — https://www.lifeline.org.au/ (info page also via Lifeline International: https://lifeline-international.com/member/australia/)
    • New Zealand: Call/Text 1737 — quick info: https://mentalhealth.org.nz/resources/download/244/yyob5wbpz4md3kui or directory: https://findahelpline.com/countries/nz
    • Anywhere else: Find A Helpline (vetted, global directory): https://lifeline-intl.findahelpline.com/
  4. Make a simple safety plan (warning signs, coping steps, people to call, removing means) with a clinician or trusted supporter—this is part of the evidence base:
    JAMA Psychiatry study showing benefit of Safety Planning + follow-up: https://jamanetwork.com/journals/jamapsychiatry/fullarticle/2687370
  5. Follow up—first weeks matter. Keep appointments; if one option isn’t a fit, try another (different therapist, modality, or digital program). (See evidence on early response predicting better outcomes: https://psychiatryonline.org/doi/10.1176/appi.focus.20170011)
A note to our community
This group discusses awakening; we are not a crisis service. When acute risk shows up in a post or comment, we’ll lock discussion and help the poster reach professional care. That keeps everyone safer—and follows public-health guidance.
If this describes you today: you’re not broken, and you’re not alone. Reach out now.