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Can you medicate meditation?

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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Welcoming the gifts of sadness

On this blog – and through our facebook page – we hear from many of you who are struggling with difficult emotions, with sadness often being at the top of the list. I wanted to share an article with you here by empath and Sounds True author Karla McLaren on the transformative power of sadness, a new way of looking at the healing potential right in the center of this challenging emotion. I hope you enjoy Karla’s perspective and find it useful in your lives.

We’ve just released Karla’s new book, The Art of Empathy, highly recommended for those interested in this essential life skill.

Welcome the gifts of sadness – by Karla McLaren

Sadness is a wonderful emotion that arises when something needs to be released. This might be an idea, an attitude, a possession, a stance, an ideology, a belief, a relationship, or a way of behaving in the world (etc.) that no longer works for you. Sadness has a kind of alchemical magic to it, because if you can listen to it and honestly let go, you’ll find that you can relax and breathe again. Sadness is about letting go — and letting go means that you’ll be freer than you were before (when you were holding on tightly to something that was honestly not working). When you can listen to your sadness and work with it empathically, you’ll experience relaxation, spaciousness, and a sense of rejuvenation.

Many people have problems with sadness, and as I think about it, I sense what I call a fundamental correlation error. That’s a fancy way of saying that people often blamesadness for the way they’re feeling, instead of realizing that sadness arises in response to the fact that they’re holding on to something that isn’t working anyway.

Sadness doesn’t come to steal your stuff! Sadness arises when you’re holding on to stuff that doesn’t work anymore. This stuff — this thing, idea, relationship, or whatever — it might have worked in the past, but it doesn’t work now, and sadness arises to help you let go of it. When you can let go, you’ll be able to relax, reassess your current situation and your current needs, and become aware of who you are and what you need now, today.

Sadness helps you let go, relax, rejuvenate yourself, and come fully into the present moment — not because you’re chasing after happiness or any other allegedly positive emotions (there are no positive emotions), but because you know how to let things go and rejuvenate yourself. And when you let go, your sadness will recede naturally (because you’ve attended to it skillfully), and other emotions will arise, depending on your situation and your needs.

Sadly, most of us haven’t been taught to approach sadness in this way, so that when it arises, we tend to lose our way. Before we talk about the billions of ways that we’ve been socialized to distrust, repress, and squelch our natural sadness, let’s get comfortable.

A simple exercise to help you relieve tension

Breathe in deeply until you feel a bit of tension in your chest and ribcage, and hold your breath for a count of three. (Don’t create too much tension. If you’re uncomfortable, let some air out before you hold your breath.)

As you breathe out, let your body go limp, relax your chest and shoulders, and feel the tension leaving your body. Let your arms hang loosely, relax your body, and let go.

Breathe in deeply again until you feel a slight tension, hold your breath for a count of three, and this time, sigh audibly as you exhale and relax your body. Repeat one more time, and sigh out loud as you exhale and let go. If you feel relaxed and a bit less tense, thank the emotion that helped you. Thank your sadness!

I intentionally evoked your sadness by creating something that didn’t work or feel right — which is the tension you felt when you held your breath. And then, I intentionally had you perform the actions your sadness requires (all emotions require different, specific actions); the sadness-specific actions involve relaxing, releasing, and letting go. Simple.

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Sadness is a simply wonderful emotion that helps you let go of things that aren’t working for you … such as tension, muscle tightness, anxiety, and what I call “soldiering on” behaviors. In The Language of Emotions, I call sadness The Water Bearer because it brings a kind of fluidity to a tight, tense, and arid body. Sadness is a gorgeous emotion that brings you the irreplaceable gift of letting go.

However, sadness really isn’t welcome in our emotional or social worlds, and as such, most of us tend to soldier on without the relief of sadness. We run our lives with our intensity, our tension, our plans and schemes, and our sheer willpower, but we tend to ignore the need for simple relaxation … we forget to let go, release things that aren’t working, and then re-set our priorities in present-focused and self-respecting ways.

I have been interested to see the ways that we’ve all socially created a sadness-avoidant world. Relaxation has become severely compartmentalized, to the extent that we relax on weekends and during vacations, but very rarely during the workday, at school, or in front of other people. Relaxation and deep breathing have also become professionalized, such that we pay masseuses, yoga teachers, and alternative practitioners of all stripes to help us breathe deeply, relax, and let go.

Notice, too, the ways that we disrespect sad people: Gloomy Gus, Crybaby, Weakling, Boys don’t cry, Big girls don’t cry, There’s no use crying over spilled milk, Stop your sniveling, and so on. I know I’m not the only person who has felt that crying in public would be a very dangerous thing, because it can mean that we’ll lose face in our emotionally-stunted world. The message is clear: Crying is not okay, and sadness is something to avoid. Completely, if possible.

And what a sad, tense world we’ve created because we refuse to honor the gifts of sadness. Without our sadness, we can’t relax, we can’t release our tension in healthy ways, we can’t cry and restore fluidity to ourselves, and we can’t let go of things that aren’t working anyway.

Without our sadness, tension piles up, unsaid words pile up, muscle tightness adds up, things we don’t need pile up, ideas we don’t believe any longer pile up, relationships that no longer work pile up, and we find ourselves crowded out of our real lives by a bunch of unnecessary debris. And we can’t find the present moment with two hands and a flashlight, because we can’t find anything in all the clutter. When we don’t allow our sadness to do its proper work, we lose a great deal of our liveliness and flow; we lose ourselves, in a way.

So let’s welcome sadness to our lives by remembering to breathe deeply and let the tension go. Let’s listen to sadness instead of always swatting it away or soldiering through it. When sadness arises, let’s look for things that aren’t working anyway, andlet them go.

The questions for sadness are What must be released? and What must be rejuvenated? Many of us, because we’ve had such poor socialization around sadness, think that sadness is only about loss. It’s not. Sadness is also about restoring flow, ease, and relaxation — because when you can finally let go of things that just don’t work, you’ll suddenly have room for things that do.

The next time you feel sadness, see if you can breathe in deeply and let go of tension as you exhale. The breathing technique I just taught you is a sadness-based exercise, and it will help you learn how to access your sadness with ease and simplicity. This practice will also help you learn how to work with your sadness internally — so that even when you’re in a social situation where honestly expressing your sadness would be socially hazardous, you can still take good care of yourself.

The next time you feel like crying (but you can’t because the people around you can’t deal with sadness), observe your reaction. Most of us tense up and get very tight and rigid when it’s time to cry (this reaction often makes our inner situation worse, not better!). If it’s not socially safe to cry, see if you can’t at least relax a bit, breathe deeply, and let your body have a felt sense of letting go. It’s not the same thing as a good cry, but it’s better than becoming rigid and inflexible, and crushing your sadness under the weight of everything you’ve been holding on to.

As you move into a closer relationship with your healing sadness, be aware of your habitual responses to hectic situations. Notice how often you distract yourself when your tears and sadness attempt to come forward, and watch for any movement toward the siren song of “fun.” If you’re like most people, you’ll respond to tension and your honest need to let go by trying to bring more joy to your life – which will never work, because flow, relaxation, and rejuvenation are the gifts of sadness; they’re not the gifts of joy!

Joy and its comrades (happiness and contentment) are lovely states, but they don’t work in the way sadness does. Manufacturing joy, chasing happiness, or courting contentment or exhilaration when it’s actually time to work with sadness – these are all distractions and avoidance behaviors that cannot and will not heal you. When you require deep relaxation and deep release, you must move honorably and meaningfully into sadness. When you do, joy will naturally follow your sadness and fun will naturally return to your life. This may seem counter-intuitive, but it’s the emotional truth.

Welcome your sadness, breathe deeply, and relax into yourself. Sadness doesn’t come to steal your stuff! Sadness arises when you’re holding on to something that doesn’t work anyway. Let go. Welcome your sadness, let go, relax, and then more forward with clearer eyes and a stronger vision of what works for you now.

And make more space for sadness in the world

What do most of us do when people around us are sad? The first thing most of us do when we’re confronted with sadness is to smile and affect a cheery attitude. This is often a response to the way people behave when they’re sad, which is to apologize and feel ashamed of themselves. So we try to make it better, and help the sad people repress their honest sadness. The more skilled among us might be able to listen supportively, but eventually, we’ll probably try to put a happy face on any sadness we encounter.

Very few people are ever given the time or permission to feel truly sad for as long as they need to. We dry their tears, hug them, make jokes, jolly them along, and try to slap happiness or joy on top of the situation. Unfortunately, this emotional bait-and-switch usually just lengthens people’s stay in the house of loss, and stops them from being able to receive the rejuvenation sadness brings. That’s not a truly empathic or supportive act, even though it may suppress the sadness for a while.

As you learn to work with your own sadness, see if you can find ways to welcome sadness in other people as well. If people around you need to cry, don’t stop them or turn away in embarrassment. Just breathe in, relax, and create a space for the real emotions of the people around you. Our culture is deeply emotion-challenged and deeply sadness-avoidant, but you have the power to change social rules about emotions, at least in your area of influence. Really!

Thank you for bringing more emotional awareness and more empathy into our waiting world.

 

There is no “there” there

Of course, like most people with even a rudimentary exposure to spiritual teachings, I have heard that the only moment is the present moment. I thought I understood this. But I have to tell myself the truth: I might understand this theoretically and even deeply in certain moments of heightened aliveness, but all of me doesn’t live this way. I know this because I have just uprooted a portion of my being that has been orienting toward a future “Promised Land”, a promised land that turns out is totally fictitious (I even have a new motto, “There is no promised land”).

Here’s how I discovered this: We have a new leadership team at ST and some part of me has believed that this new team was like “heavenly super stars” or a basketball team destined to win the championship and set all types of new world records in the process. And the fact is we do have a powerful new team that will bring the company forward in all kinds of new ways. But this new team is made up of HUMANS not heaven-dwellers. And there is no end to difficult business challenges and the complexities of human dynamics.

There are people in my mediation community who often take an attitude “don’t you know nothing ever really works out?”  And I have had a response inside that goes something like, “that is such a negative attitude….maybe it doesn’t work out for you because you are so negative in the first place.” But I think I understand now what is being pointed to in a statement like “nothing ever really works out” — not that wonderful things don’t happen but that our fantasies of some perfect future are just that – fantasies.

I was sharing all of this with my partner Julie before we were going to sleep the other night, sitting up in bed together on our new bright turquoise silk sheets. And I said “There is no promised land”. And she said to me “The promised land is right here.” And at that moment, our eyes met and the space of the room opened up, and it felt like we were melting into eternity. The edges of Julie’s body started dissolving into the space of the room and she looked like a deity to me, sitting on a bed of turquoise silk with pink and gold curtains behind her. And I knew she was right about the promised land, that if it exists at all, it is only because it is right here, relaxing into the beauty, brightness and space of the moment.

So now I am asking myself these types of questions: When I build up some vision of a promised land, why am I doing this? What ego need am I trying to have met by this or that fantasy? What is it about the present moment that I just can’t bear such that I need to create a vision of some idealized future? Why do I continue to invest in “there” when there is no “there” there?

I remember listening to Thich Nhat Hanh teach walking meditation. He offered the teaching that with each footstep touching the ground we could say silently to ourselves “I have arrived.” He pointed out how most people are always rushing ahead to some future moment, and he said, let’s look at this logically, the future moment you are rushing to will eventually be your grave. What’s the big hurry?

And what amazes me about the dharma is how endlessly deep it is (I heard Thich Nhat Hanh teach on this almost two decades ago and I thought “arriving in the present moment” was something I understood). I feel humbled (from the root word “humus” or earth) to have a fantasy bubble popped in such an obvious way, and to be returned to the earth, arriving right here in the groundless space of this moment, in the only promised land there is.

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Confessions of an “Aha Moment” Junkie

Perhaps the most priceless moments of our lives are when we get the big “aha!”—when we hear for the first time a radical truth that allows us to experience and be in the world in a completely new and freer way. For me, it’s the ultimate high.

Halfway through my second decade at Sounds True, I’ve listened to hundreds of hours of teachings, and with each season’s offerings I am always excited about the next “aha” that might be around the corner. Here are a few of my favorites from over the years:

1. The universe is big, and I am old.

Scientists estimate that our universe includes a trillion galaxies. (That’s 1,000,000,000,000 if you’re into zeroes.) Depending on which way you look at the night sky, the light reaching your eyes may have been traveling for millions of years … completing a journey that began long before any of our opposable-thumb-blessed ancestors decided to trade the treetops for caves. Even more astounding is the fact that the cosmic dust in the form of the “you” perceiving that light is even older—as ancient as the universe itself, or an estimated 20 billion years old. Remember that the next time you get one of those “over the hill” birthday cards. (I encountered these “aha” moments while listening to Brian Swimme’s classic audio program Canticle to the Cosmos.)

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2. I can change my mind…and my brain.

Many Sounds True programs talk about our beautiful and mysterious brains, from how much we’ve learned in the past twenty-plus years to how little we may really understand about this amazing organ. I’ve lost track of the “aha” moments I’ve enjoyed listening to teachers like Dr. Rick Hanson, whose practice of “taking in the good” can literally rewire our neural pathways to help us experience more joy and less stress — or to Dr. Kelly McGonigal, with her empowering wisdom on making changes in alignment with our values — or Jon Kabat-Zinn, whose mindfulness meditations for pain relief have helped me manage migraine headaches.

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3. The heart knows best and we’re all in this together. For me, the teachings of Jack Kornfield are like rich nutrients and cool, clean water for the soil of the garden of the heart. Although we might think of “aha” moments as a mental phenomenon, the heart can certainly have its share of “aha” moments that leave one utterly speechless. Jack’s program The Jewel of Liberation has many such moments, reminding us of our fundamental interconnection and our boundless capacity for love, wisdom, and compassion.

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Maybe the essence of spiritual awakening is the “aha” moment—or whatever it is that we experience that finally and utterly shifts our perspective beyond any individual limits once and for all. Do you have any memorable “aha” moments you’d like to share? I’d love to hear about them!

Spiritual friendship

What if the leading energy in our lives were to be our heart and our heart’s cry? What if living a “spiritual life” was actually synonymous with living a “heart-centered life”? These are some of the questions I have been asking myself—and the answers have pushed me more and more into prioritizing what I am calling “spiritual friendship.” What is spiritual friendship to me? It is the genuine meeting of two people who are vulnerable and open and truth-telling and available for actual contact and communion at the feeling level.

For the past eight years, I have been working closely with a Hakomi therapist (Hakomi is a type of therapy that works with mindfulness in a body-centered way). One of the principles of Hakomi is that the interpersonal wounds we have experienced in our life (for example, early wounds from childhood in relationship to our parents … sound familiar?) can only be healed in relationship with others. What this means is that interpersonal challenges can’t be healed on the meditation cushion or in solitary retreat.

Wounds from relationship require the context of relationship for healing. This seems pretty obvious, huh? But as someone who has been a meditator now for almost three decades, this was not something that was obvious to me in the early stages of my journey. Somehow I thought I was going to open completely to the universe and all of its mystery without ever needing to relate closely and vulnerably with others.

What I am actually finding is that connecting with other people in a heart-centered way is not just about healing. It is actually the most rewarding and fulfilling part of my life. Period. There is something about being fully received by another person and fully receiving another person, without the need for any part to be edited or left out, that feels to me like the giving and receiving of the greatest soul nourishment that there is.

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Recently, I found myself in a room alone with a renowned scientist who specializes in the field of perception. We were at a conference and were sitting with each other in a room that had been set aside for presenters at the event. Finding ourselves alone in the room together, we both seemed a bit awkward at first. What would we talk about? I decided to bring up the topic of uncertainty as I knew that he taught quite a bit about uncertainty in the context of perception (for example, how we never know if what we are perceiving is the same as what someone else is perceiving, even when we are looking at the same thing).

Right at the beginning of what I feared would be an awkward conversation, this scientist said to me, “When you really start investigating how uncertain everything is, it’s enough to make you feel totally insane. There is only one thing that has kept me even the least bit sane, and that is loving relationships.” When he said this, I leaned over and said, “Would it be okay if I kissed you now?” He looked quite shocked. I gave him a big kiss on the cheek and said, “I never thought I would hear a scientist say such a thing. I have come to the same conclusion, but I thought that was just because I was some kind of a mushy-mush person.”

That moment in the green room was a moment for me of spiritual friendship, a moment of genuine connection where the heart breaks through any awkwardness or fear or holding back. I am finding those moments occurring more and more in my life, often in unexpected ways, and it is those types of moments that I hope will fill the Wake Up Festival from start to finish. We need each other so much. We need each other’s acceptance and reflection. We need each other’s unhurried presence. We need our love to break through. We need “community” in the sense of knowing that we are connected to others who are on a similar journey, where the vulnerability and tenderness of our hearts are leading the way.

Intimacy as the most vulnerable yoga

Can we allow another to deeply matter to us? Are we willing to take the risk to let them all the way inside – to really see, know, and touch our most core vulnerabilities; to open ourselves so profoundly that we’re left utterly naked and fully exposed, knowing that in any moment our hearts could shatter into millions of pieces? Many of our childhood biographies involved a very unstable environment, an uncertain reality where it was not safe to let another become too important, where we spent much of our time and energy learning exactly what we had to say and do in order to receive the love, care, affection, attention, and holding that we so sweetly needed. We can be quick to judge and admonish these early adaptive strategies, seeing them as “unspiritual” or neurotic or crazy, but perhaps they were in actuality the most luminous expressions of a certain kind of intelligence and creativity. Perhaps, upon deeper examination, they might come to be seen as special forms of grace, put in play by the great architect of love to ensure our own survival, as profound gifts sent to ensure the flowering of our precious hearts and nervous systems. As innocent little ones, we very naturally allow others to deeply matter; it is part of who we are. Over time, though, many of us have come to see that this sort of exposure is tremendously risky; it’s just too raw, too open, too scary. But as little ones we can’t really help it; we’re wired to connect.

Often in the challenges inherent in intimate relationship, we become convinced that it is our partner who is causing us to feel so bad. The evidence is so clear… isn’t it? They don’t respect us, they speak unkindly to us, they don’t understand us, they’re never there when we really need them, they just can’t quite connect with who we are at the deepest levels; and the big one – they just don’t meet our needs. We put a lot of pressure on our partners (and on ourselves, for that matter) to “meet our needs.” Before we know it, much of our lives become organized around getting our needs met; and there is something about this that can start to feel a bit off. It can be really helpful to take some time and look at this carefully. Of course there is likely some relative truth in these traits and behaviors in our partners, and they are worth exploring. This is not to say that the other person isn’t actually speaking and acting in unkind, overly defensive, or critical ways, and that this shouldn’t be related with. But we might also come to see that just by being in relationship, we will be forced to feel feelings that we really don’t want to feel.

To allow in those intense and challenging emotions and sensations which have previously been lodged in the body can be terrifying. Do we really want to do this? Maybe tomorrow; for now, it’s best to go take a walk, listen to some music, write another rambling facebook post, contemplate how awakened we are, make another cup of tea, or do some meditation. It’s not so much that our partner is doing something *to* us, but rather when we open ourselves to love, there are previously unmet emotions and sensations there, lurking in the unconscious, seeking the light of day. For many, it is in the context of a vulnerable, naked, intimate relationship where that which is still unresolved will most powerfully present itself to be metabolized and healed. If we look closely, perhaps we can see how we organize our lives around not having to feel certain feelings. To see this can be quite illuminating – and often very disturbing. It is easy to then fall into our old habitual patterns of self-aggression or avoidance, to start to become unkind to ourselves, falling into spiritual superegoic judgment, self-hatred, and shame.

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Another option is to make the radical commitment to practicing the yoga of love, of holding ourselves in an enormous environment of kindness. We stay unconditionally committed to the truth that whatever arises in our experience – no matter how disturbing, anxiety-provoking, “unspiritual,” confusing, painful, or difficult – that it is ultimately workable, that it is a precious part of our own hearts that we wish to know deeper and to integrate into the entirety of what we are. We can be grateful for the gift of clear seeing, even if what we see is disturbing and anxiety provoking, for it is a certain kind of grace which allows us to finally see the ways we organize our experience, and how all of our neurosis and our strategies were our best efforts at the time to take care of ourselves. We are being given a gift, a fierce gift you could say, and an opportunity to let love dismantle those protective strategies that once served us, but no longer are.

Let us all hold those we’re in relationship with, including ourselves, by committing to taking love’s journey with them, knowing nothing about the route or the destination. Let us be kind to ourselves and our partners if we decide to truly take up the most vulnerable yoga of intimacy, knowing that it will take everything we have and are to navigate, as it offers fruits beyond this world.

Painting by Albena Vatcheva

 

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