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.


Moving from Depression to Bliss

There is such a thing as bliss.

One can feel it when life goes well. A new love, a new baby, the delicate colors of dawn, and quiet contemplation can all activate it. We know it well; we seek it. It feels warm, full, and embracing. When we are fortunate enough to be wrapped in bliss, we feel safe and stable. The feeling may last a moment or a month, but it is welcome the entire time. We miss it when it leaves us, as it inevitably must.

There is such a thing as depression.

We feel it when life fails us too many times. Too much hardship, too much death, too much negativity can all summon it to our door. Many of us know it too well. It ruins our enjoyment of life and makes us question our worth. When entangled in depression, we feel beleaguered and pessimistic. Nothing lifts our spirits, not even our loves, our offspring, or the loveliness all around. The world appears lifeless and gray. The feeling may last a day or a year, and we resist it the entire time. We feel relief when it leaves us, as it inevitably must.

At present insomnia dominates my experience. I get so little sleep, and feel so tired as a result, that depression hovers near from morning to dusk. I exercise vigilance to avoid the bleak thoughts that seem so appropriate when my mood dips. To keep from trashing my life with my thinking, it is sometimes safest to simply silence my inner voice. As I once said in a Tweet, “if you can’t think anything nice, don’t think anything at all.”

There happens to be an upside to sleeplessness: one finds many hours during the night for meditation. In fact, if I don’t exercise my meditative skills when laying awake in bed, I can get lost in regret, fear, and doubt. Better not to think than to face those demons.

So it’s good that I’ve gained enough skill from meditation practice to actively quell my thoughts. It is no longer difficult for me to stem the flow of discursive thinking to a mere trickle. So I avoid falling prey to anxiety and remorse. I can sit with the depressed feelings and simply observe them without letting them color my worldview.

And this is key. Because the worst thing about a depressed mood is how it taints one’s interpretation of life. Events and sensations that might normally be neutral, or even enjoyed, are viewed negatively. And experiences which are unfortunate seem catastrophic. Better not to interpret, better not to think.

On the other hand, if depression is experienced with neither thought nor interpretation, it reduces to strong feeling. Not pleasant, but bearable. The sting in low moods comes from what they make us believe more than how they make us feel.

In fact, if we allow the intense sensation of depression to flow through mind and body without words or valuation, eventually it acquires a surprising quality. Unresisted, it starts to feel a bit like bliss. Depression, after all, represents a high energy state that vibrates the entire system—just like pure pleasure.

There is a big difference between bliss and depression, however. Bliss embraces. It is like dwelling at the bottom of a valley. There is stability plus peace, and mental explorations feel safe.

In contrast, to reside in depression and feel it positively is to balance on a knife blade. It is like tiptoeing along a narrow, rocky ridge-line, where the slightest misstep can end in destruction.

To speak in thermodynamic terms, bliss is a stable equilibrium, but serene depression is an unstable one. Stability confers safety; instability demands care. To maintain the unstable equilibrium of wordless depression we must squelch every needless thought, and keep the mind as still as possible. We must resist interpreting anything. It takes a meditative approach and an steadfast refusal to avoid explanations of feeling.

Not long ago I finally learned firsthand that with practice and care it is possible to sit with depressed feelings, silence the mind, and feel nothing but powerful energy. No fear. No regrets. No doubt. Just waves of emotion and, ultimately, acceptance.

One walks the high wire and needs to step cautiously. Every word of discursive thought carries danger. But by maintaining a silent mind one can experience depressed energy without judgment, which alters its tenor. One must perfect one’s balance, but one can find within the darkest of moods a beacon of golden light.

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My Sister, R.I.P.

Janice, 4/28/1953 -- 10/1/2011

My sister died last night at age fifty-eight. She was an alcoholic who could not stop drinking, and in the end the addiction took her life.

Naturally, like me Janice was the product of a terribly dysfunctional and punishing family. At age twelve she lost her mother to suicide. Before that there is good reason to suspect sexual molestation. She suffered many traumas during her life, including terrifying car crashes, rapes, robberies, and death threats. When young she was drawn to violent and cruel men. She was fortunate in her last twenty years to have found a gentle and caring man who loved her despite her frequent outbursts and attacks of rage. Although Jan could say the most hurtful things when drunk or angry, she also had a tender and childlike side that was deeply touching to behold. Unlike me, she could muster optimism and good cheer despite her problems. In the final months of her life she adopted a chihuahua puppy, Lucy, who brought her delight. I enjoyed hearing my sister talk about the dog’s antics; I was reminded of my sister at her best, during her happiest and most life-loving times.

The sad thing about traumatizing upbringings is that they make relationships difficult. It becomes hard to trust, and Jan had great difficulty believing that she was loved. She could idealize you one minute, then demonize you the next. Having come from the same cauldron of violence and loss, I responded intensely to her shifts, and this led to many conflicts between us. I understood her reasons for acting as she did, but the knowledge did little to lessen my own reactions and hurtful retaliations. It was sad to see our relationship deteriorate, because when I was little Jan acted as a surrogate mom. During our mother’s depressions and psychiatric hospitalizations, Jan would make me lunch, play with me, and attempt to make me laugh. She was wonderful back then, which made the tension between us all the more tragic as we got older.

Fortunately, in the past six months we were able to enjoy some brief but tender phone conversations. I finally learned to quit pushing her to go to Alcoholics Anonymous. I learned to let her ventilate when she felt frustrated. By accepting her as she was, she showed me again the joyful soul I remembered from long before. She wouldn’t let me visit, since she felt embarrassed by her declining health and appearance. But we did speak regularly, and without rancor. I am so very glad. I will miss her.

The awful thing about childhood mistreatment is that it casts a shadow over an entire life. Jan never really had a chance after the trauma of her upbringing. She never learned to fight for her self or her health. For a long time this angered me, and I regret my inability to simply love her unconditionally since the last thing she needed was more negative appraisals. But at least during one of the last times I saw her we had a reconciliation, and I told her what a difference her love had made during my own childhood. To a large extent, I owe my continued ability to try to find happiness to Jan, who was the one constant in my life during my early years. I told her that, and it seemed to touch her.

Life is tragic, and all-too-often we hurt the ones we love. Sometimes all we can do to heal the past is to act better in the present. I think my sister and I both tried hard to love one another these past few months. I am grateful for that, even as I feel so much sorrow.

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My Worst Post Ever

My last essay may have been my least favorite ever. Because I’m writing so sporadically here on WillSpirit, the readership has dropped sharply. If the site were still attracting people, I would have removed that last post in light of its negativity. A certain loyal reader of this blog cancelled her subscription because of it. Living as I do in the liberal environment of the San Francisco Bay area, it is easy to forget that half the country likes Dick Cheney and George Bush. My point on this blog has always been to foster emotional growth and wisdom, and I’ve had no interest in engaging politics beyond what directly affects people who struggle with psychiatric conditions. By attacking the former vice president in the context of the Gulf oil apocalypse, I broke one of my cardinal rules.

I’m leaving the essay in place as a reminder to myself that mental circuitry can sometimes arise that works against one’s larger purposes. In fact, such independent entities take over all the time. Why else do we say things we don’t mean, or hurt those we love, or sabotage our chances? We each live with the illusion of being a single, coherent human mind, but in reality the ‘self’ is a chaotic collection of influences that compete for control. One advantage of meditation is that it allows one to begin to see how thoughts, moods, and urges skitter across the interior landscape like tumbleweeds in a gusty and shifting wind. In my better moments I can see when a rogue element is taking over, but sometimes a whole hour can be spent writing something that’s supposed to be inspirational and wise, but is in fact just an opportunistic expression of my frustration with the American political system.

Whether a certain man acted in a certain way and promoted a catastrophe or not, the point I was trying to make ended up coming out by example rather than exposition. The exact tendencies that tempt me to judge and criticize are the same mental movements that allow people to act in ways that go against the common good. We are none of us so virtuous and pure in action that we don’t sometimes act with selfish or hostile motives.

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