Can you medicate meditation?

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September 24, 2013

Tara Brach is right. The use of psychiatric medication by those committed to spiritual practice is one of those topics that can get real heated, real fast. This is a complex issue and one that many of our authors and listeners have grappled with over the years. Is it possible for medication and meditation to work together, as allies on the path of healing and awakening? We hope you enjoy this short article by Tara and would love to hear your thoughts as always.

Can you medicate meditation? by Tara Brach

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. It’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) via Tara’s blog.

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Tara Brach

Tara Brach has been practicing and teaching meditation since 1975, as well as leading workshops and meditation retreats at centers throughout North America and Europe. She has a PhD in clinical psychology, is the founder of the Insight Meditation Community of Washington (IMCW), and is the author of Radical Acceptance, True Refuge, Radical Compassion, and Trusting the Gold. Tara’s weekly podcasts of talks and meditations are downloaded more than three million times each month. For more, visit tarabrach.com.

Author photo © Jonathan Foust

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In this podcast, Tara Brach speaks with Sounds True founder Tami Simon about rediscovering the inner “gold” of our intrinsic goodness, love, and purity. In addition, they discuss Tara’s teachings on the “trance of unworthiness” and how we can break free from it; recognizing the secret beauty in others and mirroring it back; relaxation for the go-getters; working with difficult emotions; how shame can become a portal to freedom; the RAIN practice for self-compassion; the power of the phrase “this belongs”; the practice of “softening” in response to contractions of fear or anger; and seeing the sacredness in all things.

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People once believed that emotions were the opposite of rationality, or that they were lower than or inferior to our allegedly logical processes. But decades of research on emotions and the brain have overturned those outdated beliefs, and we understand now that emotions are indispensable parts of rationality, logic, and consciousness itself. In fact, emotions contain their own internal logic, and they help us orient ourselves successfully within our social environments. Emotions help us attach meaning to data, they help us understand ourselves and others, and they help us identify problems and opportunities. Emotions don’t get in the way of rationality; they lead the way, because they’re vital to everything we think and everything we do. Emotions aren’t the problem; they’re pointing to the problem, and they’re trying to bring us the precise intelligence and energy we need to deal with the problem.

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This might sound esoteric, but I actually think these three inner energy centers (called the “three brains” or “tan tiens” in Chinese medicine or “elixir fields” in certain types of qigong) are very discoverable and accessible to people who start to turn their attention inward.

To say more, when our belly center is open and energy is flowing through it in an unimpeded way, we can feel a sense of grounded power. We feel anchored and sense that we can weather the storms of life like a strong tree that is rooted deeply in the earth.

When our heart center is open, we can feel a sense of love streaming from us in every direction. This stream carries with it our care and concern for others. You could even say that we sense a stream of well wishes pouring out from our heart. Our work becomes imbued with a motivation to be of service to others and our world.

And when the center of our head is open, energy and information flow in through the top of our head in a way that often feels, at least in my experience, quite mysterious. New ideas come to us that can feel sparkly, such that even we are surprised by what is occurring to us. We become endlessly innovative in our work.

The Power of Letting Go

What does it take to awaken the intelligence of these three “inner brains” and allow the full power of our soul force to stream through these three energy centers? In my experience, what is required is not what you might expect. We don’t need to add anything to us. What is needed is a whole lot of letting go.

What are we letting go of? All of the ways we block ourselves, all of the ways we hold back. We are letting go of all of the ways we seek approval and are twisted up trying to appeal to others to be liked by them, the many ways we try to find acceptance and success via the unspoken and sometimes spoken rules of the status quo. We let go of twisting ourselves to fit a norm that doesn’t fit the truth of who we are. We let go of the mental construct of who we are so we can be the unique expression of the truth of who we are.

One year at Sounds True, we decided to give T-shirts out to the staff as part of our holiday gifting. Not a particularly original idea, but something we thought people would like. And our creative director put this slogan on the T-shirt: “Sounds True: Here for the Weird.” And I loved it.

Now, not everyone likes the word “weird”but I do. A chapter was once written about me for a book on bringing your whole self to work, and the authors called it “Tami Simon: Flying Her Freak Flag.” I didn’t mind the use of the word “freak” either. The reason is that these are just words in popular culture that mean someone is willing to be themselves in all of their uniqueness and eccentricities. And that courage to step forward and be a brave truth-teller is something that I value.

Recently, I was in a discussion with a spiritual teacher about how interesting it is that we don’t become a blob of paste-like oneness when we drop deeply into what some people refer to as the “field of being,” the boundless, awake awareness that we share. Instead, we often become more uniquely expressive and can even appear a bit quirky. He shared his observation that it is our ego-construct, the veneer of “I’ve got it together,” that keeps us looking like copycats of others. When we allow that ego construct to lose its presentational grip, and perhaps even drop away, we make room for the emergence of our soul force, the innermost part of ourselves, to shine forth. We liberate our own “weird.”

As a leader of an organization, one of the things I have noticed is that when I present and speak from this innermost place without a lot of self-censorship, it naturally invites others to do the same. It is as if a “permission field” has been established. The company founder is telling it like it is—talking about what she learned in therapy this week, or something that occurred when talking with her wife (of the same sex), or a discovery that came through a sleepless night—and this sets up a new norm. This organization is actually a place where I don’t need to wear a mask at work; my truth-telling and uniqueness are welcome here. And this liberates a tremendous amount of energy and, dare I say, “soul power.”

What’s Your Genius Zone?

Several years ago, as the CEO at Sounds True, I found myself having difficulty figuring out how to best structure our organization (as our direct-to-consumer digital business began to grow rapidly with a different set of infrastructure needs from our traditional publishing business). I decided to hire an organizational consultant, Lex Sisney, the founder of Organizational Physics, whose expertise is helping midsize companies design to scale.

To my surprise, Lex started his assessment of Sounds True’s structural needs by having me do a deep-dive review of whether or not I was working in what he calls one’s “genius zone.” As I have come to understand Lex’s approach, part of what he believes contributes to organizational flourishing (and the ability to scale) is when people are in job functions that make the best use of their natural capacities and passions.

In a way, this seems utterly obvious. Like any good sporting team, you want people in the positions where they have the most natural affinity and talent. And when you have a whole team of people working in their genius zones, you have a much greater likelihood of having a winning team.

And yet as a founder, I have always had the attitude of “I will do whatever it takes. This isn’t about being in a ‘genius zone’; this is about getting done what needs to be done. All work is not enjoyable anyway, and just buck up and do the next thing needed.” This sounds very dutiful, and it is, but it is not the stance that creates the most high-functioning team, nor the most joy, nor the most soul engagement at work.

About a year and a half ago, I did an exercise where I went through my calendar for several weeks in a row and numbered every scheduled meeting on a 1-to-10 scale in terms of how excited I was for the meeting to take place. A very obvious pattern emerged: about half of the meetings in my calendar received the number 2 or 3, and about half of the meetings were an 8 or a 9 or even a 10.

The events in the calendar that received a high score related to interviews I was hosting, new partnerships that were being formed, and working directly with authors on new projects. The meetings that received a low score had to do with the business’s strategic execution in terms of finance, operations, and the coordination of various departments. This simple exercise presented a clear picture: I needed to shift my role and pass on a whole set of responsibilities so I could be free to focus on and expand the parts of my work that were exciting to me.

We have this notion that we need to trade what we really care about in order to make money. In a conversation with Rha Goddess, author of the book The Calling, I asked her about this. She said something to the effect of, “Why wouldn’t you earn the most money in your career doing what you are uniquely good at, what you excel at, what you uniquely have the ability to contribute?”

Her words landed. What if our greatest career achievement can only come from working in our area of natural genius, from letting go of all the ways we hold ourselves back and bringing our full soul force to work?

I believe that when we do, we find fulfillment at work. And also in life. And then, when our days come to an end, we find ourselves at peace, hands open and empty. We gave away all that we were given.

In support of your journey,

Tami Simon

Tami Simon

Tami Simon is the founder of Sounds True and the Sounds True Foundation, and cofounder of the Inner MBA online immersion learning program and conscious business community created in partnership with LinkedIn and Wisdom 2.0.

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  • Grayson Towler says:

    Seth’s experience is kind of like my own when I had severe depression and went on antidepressants.

    For me, antidepressants were helpful for getting a break from the internal death-spiral of depression… perhaps if I’d known more meditative tools at the time, I could’ve pulled out without them. I would say the medications helped.

    I would also say that I did not appreciate the continuous pressure from the mental health pros I was working with at the time to stay on the drugs. They suggested a gradual weaning once I improved, down to a “maintenance dose” that would basically last indefinitely. Every shift in dosage produced an incredibly crappy month or so of adjustment.

    One of my top priorities when I chose to start taking the drugs was to get off them as soon as I could. The medical advisers I dealt with did not share that priority.

    Eventually I took myself off the stuff, and I believe strongly it was the right call. The side-effects were miserable. I felt all the things Seth described, with an additional one: I had no creativity. Art and writing were lost to me while I was on antidepressants. It was better than the depths of depression, but even at the lowest dose I was living a kind of half-life, and I needed to get off the drugs to come fully back into the world.

    Since then, I have done a pretty fair amount of research into antidepressants and the treatment of depression. My own conclusion is that the drugs CAN be helpful, but there are a lot of legitimate concerns. I don’t trust the companies that make the drugs, nor their motives in suggesting a continuous dependence on them. I don’t trust the claims that these drugs are somehow “precise” in their effects. I don’t even trust that they are really much more effective than a placebo… that matter seems to be increasingly in question with some of the research.

    Many thanks to Tara Brach for bringing this issue into the spotlight.

  • Eric Nelson says:

    This is a great post. Thanks Matt!

  • Jacek Ostrowski says:

    I was using antidepressants (SSRI type) exactly a year, 365 days, and stopped over a year ago. I can say that they did what they were supposed to do — stopped a spiral of fearful thoughts and showed that things may become better. Then I decided that that was enough and that I want to find ways to solve my problems without pills. Stopping was not easy, I was unstable, but now when I look at these 15 month since I stopped — many things changed. I lost 14 kg during last 6 months, take better care of my health and my meditation practice never was so serious and stable as now.
    To summarize, it makes sense to use pills when things are going out of control and you can’t afford to take a break to take care of yourself. It’s only a tool for that, in many cases quite effective. But still it’s chemistry, so I wouldn’t feel good without perspective of finishing with it. More subtle reason is that I didn’t want to feel that I was entirely dependent on mechanical fix in my brain. I was creating an impression that I was a kind of mechanism, not a living, conscious being.

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