WillSpirit!

Where Will meets Spirit
∞ Love, Clarity, Balance, Peace, & Bliss ∞

A science, mental health and spirituality blog written by a physician.








  • Red_Exclamation_DotDisclaimer
    • Dear Visitors:
      Although I trained and practiced as a physician, my background does not include formal instruction in psychiatry beyond basic medical education. This journal presents ideas about treatment philosophy, but must not be considered therapeutic advice. Abrupt changes in one's psychiatric medications can trigger profound cognitive, emotional, and physical symptoms, including suicidal thoughts and actions. Consequently, pharmaceutical agents should not be increased or decreased without supervision by a mental health clinician.

    • ON THE OTHER HAND, your brain belongs to you, and your opinion counts. If you decide that changing your medication regimen will serve your best interest, then I believe your providers have an obligation to help you try to achieve your goals. I want everyone to be educated about their options, and do what will be most helpful for themselves. No one should feel pushed around by dogmatic and/or limited viewpoints, whether those of psychiatrists, anti-psychiatry advocates, or myself.


That Which Doesn’t Fill Us Makes Us Stronger

As I write this, Thanksgiving Day approaches. Here in the USA, this celebration is about stuffing. Yes, there is breadcrumb mixed with spices and giblets, a staple of the ritual feast. But there is also the act of stuffing the body full of food. My sister used to tell the story of how she and one of our cousins would roll on the floor after Thanksgiving dinner, holding their stomachs, so full of food it hurt. Most likely, no one ever critiqued the overindulgence that caused these youngsters pain. Eating to excess was expected.

Is it a coincidence that the signal American Holiday promotes gluttony?

In this country, and increasingly in the rest of the world, happiness is equated with fullness. A house filled with possessions. A career overflowing with status. A bank vault bulging with money. A garage packed with cars. A vacation loaded with adventure. A romance flooded with passion. Children bursting with ambition. The sirens of the media promote these values, and the unsuspecting masses somnambulate toward the dulcet promise of full-fill-ment.

Those of us who have come up empty-handed before these manufactured hungers should count ourselves lucky.

Once upon a time, I yearned for society’s treasures. The house, the career, the bank, the garage, the vacation, the romance, and the children called to me from the land of dreams, and I plotted to gather them all. Some I collected; others eluded my grasp. But I never examined the healthfulness of these desires. The goals of life remained unquestioned: you accumulated as much as you could and hopefully more than your neighbors. By doing so, you found happiness.

Only my harvest did not make me happy, for two reasons. First, because no matter how much bounty I hoarded, countless gems still beckoned in the distance. Worse, many of my dearest attainments fled when my surgical career ended prematurely a dozen years ago. When you lose the icons of success in this culture, you feel torn apart. It can look pretty tragic, but sometimes such losses simply make room for Grace.

Once the promise of stuffing has been crushed by the molars of fate, new paths to satisfaction can be explored. While lulled by the consumerist dream one marches through the shopping mall, credit card in hand, without noticing the disused trails leading away from the highway of the herd. But once the mall has been exposed as a dungeon, and the credit card as a shackle, these less traveled byways are recognized as the heart’s only hope.

What would it mean to quit eating while still hungry? To quit spending while still flush? To quit working while still achieving? Or, putting it bluntly, to stop copulating before climax? After all, in tantric rituals, sex is not pursued for orgasm. The couple deliberately forgoes culmination in order to master control over bodies, hormones, and desires. Strength and insight are born of restraint.

There is power in resisting urges and maturity in not stuffing.

We have become a culture that dulls the pain of adulthood by seeking satiety. We eat when unhappy or anxious, pour drinks when bored or stressed, light cigarettes when edgy or tired, and watch TV to escape. We fill our stomachs with food, our brains with intoxicants, our lungs with smoke, and our eyes with images, all in order to avoid discomfort.

But no matter how successfully we indulge our desires, in the end, we always feel worse. Trying to fill a hollow heart by feeding bodily orifices is a doomed strategy. We end up bloated with everything but what we truly need, which is love. Not the sort of love that comes with passionate romance, or even from an affectionate family. Our hearts require the love that smolders always in our own center, but which we cannot feel because we have smothered it with, yes, stuffing.

When we stop jamming up the orifices, and permit a bit of emptiness to expand within, the dim spark of this love finds the oxygen it needs to burn brightly. And blaze it does, until we feel giddy with fulfillment. We become lighthearted and buoyed by bliss. We wonder why we ever wanted the hot sex, crisp bills, shiny Porshe, exalted position, or any of the other trophies of conventional success. We understand that the only appetite that can ever be satisfied is our yearning for the love we already possess. We become filled by the radiance of our own divine light, our own direct connection to the cosmos and one another.

There are many ways to find our way back to this core of being. We can follow the path of devotion and believe in a transcendent God. We can follow the path of mindfulness and open to the ocean of consciousness. We can serve others until we forget our base hungers. We can accept life with all its flawed beauty until we rediscover our capacity to love every being and every particle of creation, including those that sicken and destroy.

This is the gift of emptiness. This is the gift of not cluttering the open space within, of leaving room for the flower of our own divinity to blossom. Once it does, we realize that inner spaciousness is a necessary prelude to genuine fullness. Once we understand this central truth, we no longer seek relief in stuffing.

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Is Contentment a Copout?

As I did recently on GuidePosts to Happiness, I’m going to use a comment as the basis for a blog post. In response to my essay Blogging to Fruition, Mary writes:

You said that to be contented with who, what, and where we are is to be fully alive and in tune with creation. Being content is often a result of compromising our needs and desires, isn’t it? I feel what you are saying but find it so difficult to be content when I am not sure that I should be. How does one know that where they are and what they are living is their true destiny? Doesn’t contentment often stifle growth or change, that may be needed in one’s life?

Mary’s paragraph (which I edited slightly), raises at least three excellent questions: 1) Does contentment require compromising our needs and desires? 2) How do we recognize our destiny? and 3) Does satisfaction stifle the impetus for growth? I’ll address these questions individually.

FIRST: To what extent does contentment require us to settle for less than we need or desire? The two words, need and desire, carry different meanings, of course. What’s more, we often think we need something, when really we just want it. Research has clearly established that once people possess the basics of food, clothing, and shelter, further acquisition no longer correlates much with levels of satisfaction. On the basis of this finding, I would advise against compromising a true need, like for adequate housing, but I submit that some of what we think vital to happiness we could probably do without and still feel reasonably contented.

Desires are even easier: persisting in craving what we don’t have is a recipe for suffering, as the Buddha told us long ago. So the short answer? Contentment sometimes requires that we scale back desires. The Lao Tse quote I used in the Blogging to Fruition post remains relevant: “He who knows he has enough is rich.”

SECOND: How do we recognize our true destiny? Keep in mind that in most cultures throughout history one’s station was determined by one’s parents. If the father was a blacksmith, the son became a blacksmith too. If the mother raised a family in poverty, chances were very high the daughter would also. Only in modern society do we find an obsession with bettering our position and choosing the ‘right’ life path. In most times and places, people have not had the luxury. So we should ask if the idea of seeking our “true destiny” is a cosmic mandate or a cultural artifice.

But let’s grant that modern society expects us to find our own unique way. Consider that in most cases, meeting the following criteria will lead to a satisfying career: finding work we can do competently, that gives us a sense of accomplishment, that contributes to the greater good, and that pays well enough to provide for our needs. Realistically, these standards do not set that high a bar, especially if we entertain the notion of getting by with less.

But does a satisfying career a destiny make? Here everyone must decide for themselves. On the one hand, it is clear that some people are born with a particular gift and/or passion and are fortunate to leverage this innate leaning into a career. These folks may feel like they’ve found their destiny. But most of us have a variety of talents and interests, perhaps none so striking as to stand out as a center of gravity for our entire lives. In these cases our careers are likely to be determined as much by fate as anything else. In what directions do our parents push us? What mentors do we meet? What chance opportunities open along the way? There is so much randomness that even if we find ourselves in a satisfying position in life, we may never feel like we have followed our destiny.

But is that doubt reasonable? Can we be sure that life had something else in store for us? Usually not. And in most cases, it is easier to change our attitude than to change our career. There is the story, possibly apocryphal, of the sewer cleaner in India who was thrilled with his life because he could do important work well. In contrast, I never felt like being a surgeon was ‘right’ for me, even though it met all the above criteria. Eventually my neck deteriorated until I couldn’t do the work anyway. But looking back, I see that it would have been easy for me to feel better about that occupation if I hadn’t been obsessed with the idea that I was ‘meant’ to do something else.

FINALLY: Does contentment stifle the impetus for growth? Here I’ll take a different tack. Despite everything I just said, it seems to me that continuing to push forward in life always makes sense. Contentment is about being fulfilled by the present, but we can always work toward building an even more meaningful future. In fact, if we feel satisfied by today, we might have more energy to pursue our visions for tomorrow. In any event, it seldom pays to make ourselves miserable. Why not try to be contented with what we have, while realistically assessing how we might improve our situation?

A good analogy for how we might approach being contented while working on goals is our wish for young people as they enter college. We hope they enjoy getting an education even as we want them to work toward a meaningful career. In contrast, a sure recipe for misery is to always be working for something better, while never enjoying what we are doing today. Chronic unhappiness saps our strength, whereas contentment gives us a solid foundation on which to build our dreams.

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Mental Health Blogs

Wow! There are so many mental health blogs to read. It’s enough to make an insecure manic-depressive jump off a cliff. How can I possibly stand out in such a throng?

Oh well. I’m used to being put in my place. If this past decade had a purpose, it was to teach me humility.  Where once I could tell people I was an oculoplastic surgeon, all I can say now is that I have started a blog. Well, who hasn’t? I’m trying to show up in mental health circles on the internet. I read the successful blogs about the subject (I’d read less successful ones, but how do I find them?). Since I always think I have something to add, I post lots of comments. I keep plotting a direction for my own work.

As I write my comments, It seems inevitable that one of my insightful observations will attract attention, bringing readers back to my own site, but no luck so far. Maybe the comments aren’t all that insightful after all. Inevitability inevitably fails.

It’s not easy being a psychiatrically ill former physician (is it easy to be any kind of human?); I feel like people should take me seriously, just because I was once successful and my history is fairly unique (you’d probably agree if you knew even half of it). But in this society the question often is simply, “what have you done lately?” Watching my past glory fade into my current obscurity hurt for a long time, but not anymore. I now feel happy to be free of the pressure to compete. It is a pleasure to be an ordinary human, and not worry about trying to be better than others.

On the other hand, I would like my message(s) to get out. If I could get someone to listen, I think I have important stuff to say about mental illness and psychiatric care. Maybe my experiences would help others. Maybe they could avoid my mistakes, and reach happiness sooner. Nothing would please me more than having someone struggling with mental illness derive benefit from my history.

Believe it or not, I used to think it would be kind of cool to have a bipolar I diagnosis. So much more interesting than ‘mere’ depression. It pleased me when I started to come out of my manic psychosis/religious ecstasy and I realized that I was now officially manic-depressive. I had always read about bipolar artists and writers, and I was happy to join the club. Pretty naive, don’t you think? I now realize that many people are frightened and turned off by mental illness. I understand that it looks like weakness to others (even though I know it takes strength to survive the storms of emotion that come with bipolar disorder). I see now that it might have been better to hide my psychiatric problems. But I already  told everyone who would even half listen about my religious ‘delusions’, my hospitalizations, medications, and so on.

Since everyone around me knows the story, whether they wanted to or not, I figured I had nothing to lose by starting a blog. So what if the whole world knew my story?

It is now obvious that the whole world could not care less. There are so many bigger problems, more famous people, and better writers. Not to mention more than a hundred million blogs! (Or is it two hundred million?) What’s a poor former surgeon to do?

Keep writing. Keep hoping. Keep living.

I am prepared to fulfill my mission–to bring light to others with mental illness. But will anyone ever hear me? What can I do to make it happen?

Keep writing. Keep hoping. Keep living. My new motto.


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