Can You Medicate Meditation?

Via on Aug 27, 2013

Vipassana Meditation

The use of anti-depressants by those involved in meditation practice is a very hot topic.

Students often ask me things like, “If I take Prozac, isn’t that as good as giving up? Aren’t I admitting that meditation doesn’t work?”

Those who’ve been advised by a doctor to consider medication tell me they are afraid of becoming dependent on it, afraid they’ll never function again without it. Some wonder if taking medication doesn’t directly undercut the process of spiritual awakening.

They ask, “Don’t medications numb the very experiences we are trying to unconditionally accept? Wouldn’t liberation be impossible if we were on medication?”

One student even quipped, “It’s hard to imagine the Buddha reaching for Prozac while under the Bodhi Tree.”

It’s true that some of the most widely used anti-depressants can create a sense of distance from acute fear, and a degree of emotional numbing. I

t’s also possible to become at least psychologically dependant on any substance that provides relief.

Yet, for some people, no matter how hard they try something else is needed to engender safety and bring anxiety to a manageable level. Whether the cause is life trauma or genetic predisposition, the brain chemistry and nervous system of some people lead to intolerably high levels of fear.

For them, prescribed medication for depression and anxiety may provide additional—and possibly critical—aid in finding the safety that enables them to trust others and to pursue spiritual practices.

At least for a period of time, in these cases medical intervention may be the most compassionate response.

I’ve seen students who were utterly incapacitated by anxiety and fear finally able to face it with mindfulness and lovingkindness once they started on medications. As a psychiatrist friend says, medications make it possible for some people to “stop anxiously doing, and just sit there.”

Medication and meditation can work together. As medications shift the biological experience of fear, mindfulness practice can help undo the complex of reactive thoughts and feelings that sustain it.

One of my meditation students, Seth, a composer and pianist, took anti-depressants after struggling unsuccessfully for years with debilitating anxiety, shame and depression. Seth dreaded performances and the expectation of perfection that surrounded them.

He told me, “Knowing how to write and play music is my life. When I feel like I’m blowing it, I lose it completely. I feel totally worthless.”

When Seth began taking anti-depressants his fear level dropped significantly. The familiar stories and self-judgments would still arise, but because the fear was less intense, he was able to see that his thoughts were just thoughts, not the truth about how things were.

Gradually, as Seth deepened his meditation practice, he became familiar with a new and different sense of himself. Rather than rejecting himself as sick and broken, he began wanting to care for and comfort himself.

After two years, Seth decided to stop taking anti-depressants. While his fear had decreased, he had also lost a certain degree of his natural sensitivity and empathy, and his libido was diminished. Within a few months of discontinuing the medication, Seth began to experience once again waves of acute fear and, at times, oppressive depression. But now when the old stories made their appearance, he could note them mindfully rather than getting lost in them.

Taking medication had driven a wedge into the trance of fear, and it no longer was so engulfing. While Seth’s emotions were still intense, his fear wasn’t fueled by overwhelming self-judgment and shame. He no longer identified himself as a broken person.

Perhaps from time to time he might seek relief again from medications, but Seth now had a strength to his spiritual practice and a faith in himself that gave him a genuine sense of inner freedom.

There are no absolute recipes for working with this issue of taking medications. In making choices on our path, it’s important to ask ourselves whether or not they will serve awakening and freedom.

Our best answers are found by honestly looking into our intentions.

For instance: What is our intention in doing therapy, in taking medication or doing a particular style of meditation? Are we using meditation as a way of escaping from painful relationships or unwanted responsibilities? Do we truly intend to face and accept fear? Are our choices helping us relax and become more kind?

As we honestly explore these questions, we can experiment through our practice to discover which of our choices are the most compassionate, and will best bring an end to our suffering.

Adapted from Radical Acceptance (2003)

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Ed: Bryonie Wise

About Tara Brach

Tara Brach is a leading western teacher of Buddhist meditation, emotional healing and spiritual awakening. She has practiced and taught meditation for over 35 years, with an emphasis on vipassana (mindfulness or insight) meditation. Tara is the senior teacher and founder of the Insight Meditation Community of Washington. A clinical psychologist, Tara is the author of Radical Acceptance: Embracing Your Life With the Heart of a Buddha and the upcoming book, True Refuge: Finding Peace & Freedom in Your Own Awakened Heart (Bantam, February 2013). For more information on Tara go to: www.tarabrach.com.

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6 Responses to “Can You Medicate Meditation?”

  1. Lisa B says:

    Thank you, Tara. I would not have been able to complete my two-year yoga teacher training without the support of an anti-depressant. The inner work was grueling. Medication allowed me to get out of my own way, learn techniques to deal with chronic depression, and imbibe the teachings without being distracted and deceived by my own despair. I have been on and off again since, but my awareness of myself even in the midst of depression has changed in a significant way. I can see the spiral downwards rather than just sinking into it, even if I can't always stop it. Am I anti-depressant free for life? I don't know. I will allow myself that support if and when I need it. But it does not interfere with my sadhana. It helped me arrive here.

  2. Concerned_Doctor says:

    I disagree, respectfully and enthusiastically, with this post. If you have not read Anatomy of an Epidemic by Robert Whitaker and read the research from Harvard's Drs Irving Kirsch, Paula Caplan, and David Healy or perhaps examined the acute and long term effects of psychiatric medications based on empirical evidence (not funded by a pharmaceutical company), then I highly recommend you conduct such research yourself. The iatragenic and disabling outcomes from long-term psychiatric medication are quite well documented in the field. I'm reminded of the Hippocratic Oath and how we have wantonly decried it.

  3. oz_ says:

    Fascinating. I posted a comment which made a very strong argument that the recommendations in this article are inconsistent not only with Buddhist ethics, but with current psychiatric research, and thus could lead, in fact, to serious harm being done. This comment included numerous links, several to peer reviewed journal articles, which demonstrate that the premises the author is using above are ill informed and inaccurate.

    That comment appears to have been deleted.

    This comment was written without any anger, nor harsh verbiage. It was not an attack – it was a plea to do the due diligence apparently NOT done prior to making recommendations, and asking that the author reconsider her position based on evidence rather than myth.

    Awesome censorship move, EJ.

    • Concerned_Doctor says:

      I'd suggest you repost it Oz. I'd like to hear what you have to say.

      • elephantjournal says:

        Oz, just saw this. We don't censor anything unless it's mean. But this comment system (Intense Debate) auto-censors posts that are long. I've just looked through your comment history (because of another comment you made about electric vs. gas-powered autos, I was hoping to invite you to write an article based on your clearly informed comments) and saw this comment.

        Honestly, you're an example of what we want in commenters–critical intelligence, not mean, informed, love it.

        Here's what I wrote on your other comment:

        @Oz, I missed your replies–would you be willing to email me, and make this an article on elephant? I haven't owned a car for six years now, just ride a bike, but when I do get a car I'd like to make an informed choice. It's been my slightly-informed assumption that electric + solar while far from perfect would be better, when they become sufficiently affordable, good range, and batteries become more efficient. publisher@elephantjournal.com if you're willing to share further, I'd love to feature you.

  4. Moni says:

    Thank you Oz. This truth resonates deeply. I have seen the short cuts fail over and over and have seen the disabling effects of the medication cycle.

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