Should People with Mental Illness or Trauma Meditate?
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What is the kind of meditation practised?
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Is the student properly taught?
What is the kind of meditation practised?
If the meditation involves deliberate concentration, then I agree that people with mental illness should avoid it. Concentration exaggerates things, and since people with mental illness already tend to exaggerate things, developing concentration is very risky for them.
If, however, the meditation is about cultivating awareness, complete with right view and right attitude, then it is quite safe for them to meditate—even on their own. In fact, a student of mine who had Dissociative Identity Disorder (DID, more widely known as Multiple Personality Disorder) managed to drop two of her personalities (or modes) completely on her own outside retreats.
Note: Her case was relatively mild. During her retreats with me, she switched to her child modes many times, which wasn’t a bad thing at all. With her training in awareness, those episodes allowed her to learn about her modes. Presently, it seems she is no longer affected by DID, as she has not switched modes for many months. I should add that meditation alone did not undo her disorder. Her recovery from DID also depended on talk therapy, which I fortunately could provide.
As for mental traumas, reliving them might seem like a bad thing, but actually it is not. I had a retreat student who re-experienced her PTSD (Post-Traumatic Stress Disorder). She trembled as she told me she must leave the next morning. I said okay, and also asked her to breathe and relax. She agreed. The next morning, she was happy as a lark and no longer wanted to leave, as she had released something that had been troubling her.
I had another retreat student who was raped. When the memory arose, she was able to deal with it alone.
When one is relaxed—whether while meditating or not—it is possible and natural that suppressed memories and emotions resurface. If one doesn’t view them as they are—e.g., thoughts as just thoughts, feelings as just feelings—a nd allow them to be as they are, on e may be re-traumatized, even if only mildly. However, if one has been trained as above, one can release the emotions.
Is the studentproperly taught?
If the student is taught to cultivate awareness instead of concentration, the likelihood of negative effects is much reduced. Having said that, it’s still possible for the student to misunderstand the teaching and practise the wrong way. Therefore, proper guidance is essential, particularly in two key areas mentioned above:
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Seeing things as they are, i.e. right view
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Allowing things to be as they are, i.e. right attitude
That said, having right view and right attitude is difficult for people with illnesses like depression or anxiety disorders. So, for them, I recommend a simple way for mental settling: breathe and relax. (For more, see How to Meditate if You Have Mental Illness .) Once their mind becomes more stable, I’ll ask them to do Open Awareness Meditation , which is what I usually teach. As for people with schizophrenia, medical treatment should come first.
Conclusion
While meditation can benefit people with mental illness or trauma, the type of meditation and the quality of instruction are crucial factors. With the right approach, meditation can be a safe and transformative practice for many.
Note: This article was written at the request of SIMsara, a Dutch magazine on Buddhist meditation.
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