Category Archives: Mental Health

My Meditation Practice

The Buddha

The Buddha

As I mentioned in the last post, for years I was unable to meditate.  I have Attention Deficit Disorder (ADD) and as soon as my eyes closed my brain would go into high gear.  The idea of meditation is to let those thoughts go so you can be aware in the moment.  For ADD’s, the moment is often chaos, with thoughts leaping from subject to another, or hyper focus, with the thoughts totally engaged on one topic or task. 

After a diagnosis and treatment, I can meditate.  Now meditation is not spending all one’s time in the moment.  At first and often those thoughts arise and with my addictions, they can be compelling.  So, sit, watch my breath, the thoughts arise, I let them go, and they arise again.  It can be excruciating, dealing with all that meaningless thought.  I find a prayer helps me instead of just focusing on the breath.   

Paradoxically, my prayer is Christian.  At its core, Buddhism is essentially atheistic and in my view a psychology, not a religion,  being 2500 years old from a culture soaked in religion, it adopted all the trappings.  I grew up nominally Christian and became a toung-talking holy roller Christian in my forties.  I don’t do that so much any more, but Jesus is in my life to stay. 

I use the Jesus Prayer, an ancient Eastern Orthodox prayer dating back to the desert fathers.  “Lord Jesus Christ, son of God, have mercy on me, a sinner.”  The most famous book about the prayer, “The Way of a Pilgrim“, suggests starting with 3000 repetitions per day.  I recite the prayer a lot, but never 3000 times.  I sit, start praying, and time the words with my breath.   When those thoughts rise, as they always will, I return to the prayer.  Those times of being in the moment come, and I drop into watching my breath.  Thoughts arise and I gently return to the prayer. 

I find the moments of stillness are slowly growing.  I also find the poisonous thoughts are diminishing.  When poisonous thoughts about pretty girls arise, I pray for them.  “May she be happy, may she be free, may she be safe”.  Then back to the Jesus Prayer until more thoughts arise. 

The thoughts aren’t just about pretty girls, I find myself planning, plotting, reviewing past mistakes, feeling guilt or shame; being angry, sad, sick, hurting, happy, horny, old, tired, loving, lonely, excited, the entire range of feeling and thought.  All that stuff comes from my past or is about the future.  Thus, they are all meaningless.  The past is gone, and the future is unknown.   

All there really is is the moment.  My brain tends to disagree.  I experience all those thoughts and feelings as real because they are wired neural connections.  The task of meditation is to rewrite those connections so I can spend more time in the moment. 

Now, lots of those connections are important.  I need food, shelter, my long baths, some rags on my back, all the stuff of daily living.  I don’t need Donald Trump or the Kardashians.  I mention those because I was in the  doctor’s office yesterday reading those stupid magazines.  Why didn’t I have my book or just pray? 

I find myself wanting to meditate more.  The toxic thinking is diminishing, although lots of people continue to be prayed for.  I have purged the computers, my library, don’t watch the wrong television or movies, and am able to spend more time in the moment (still not much time, alas). 

Next is some retreats.  Retreats last from one day up.  I have done them in a Christian context and found them useful.  I am looking at attending a four day retreat in the mountains.  There are lots of retreats available, mostly led by Dharma teachers who are therapists or in other helping professions.  Retreats allow intensive meditation with little interruption from the outside world.  I need that.

 

Insight Meditation

Meditation

Meditation

I recently wrote about my struggle with addictions.  Yes, multiple addictions.  It is just now coming out that the root cause of addiction is abuse at some time in the addict’s life.  It is true for me.  I turned to addictive behavior to get a feel good in a life that incorporated pain or suffering stemming from the abuse.  

The mental pain or suffering arises, and I seek to eliminate or blunt the pain with the feel good.  It can be alcohol, food, exercise, sex, tobacco, work, drugs, shopping, gambling, music, or other obsessive behaviors.  I tried most of them, and they worked-briefly.  The pain returns.  Another round starts, but it takes a bit more to drive the pain away as the guilt and shame grow.  The wheel turns. 

The result? I have had a lifetime of suffering with futile attempts to escape.  The addictions have not been all-consuming.  I have a good marriage, a comfortable retirement, many interests to keep me occupied and engaged, and a family I am close with.  I have had years of therapy that helped in some areas, but the addictions remained.  The addictions have consumed a tremendous amount of time and energy.  All this stems from events in my childhood continuing to haunt me. 

Well, that was then, and it is now.  So, why addictive behavior when the abuse happened so long ago?  We store the feelings from abuse in our minds.  Those feelings and sensations stay with us and arise later as suffering.  They exist as neural connections in our brains.  Those connections and stored memories and feelings are not permanent or hard wired.  The brain is plastic and those old demons can be dealt with, the connections altered or eliminated.  

There are a number of techniques, including 12 step programs, cognitive therapy, psychoanalysis, immersion in a religious organization, and other therapies.  Some work, some don’t or are just mental band-aids.

Recent neuroscience research indicates that insight meditation is an effective means of altering or eliminating those old neural pathways.  In many cases, ten or fifteen minutes per day seem to be effective.  In deeply entrenched addictions, fifteen minutes is not enough.  I try to do a forty minute meditation along with the morning fifteen minute session every day.  I also attend two formal insight meditation meetings per week. 

Insight meditation is fairly simple.  Find a comfortable position where you are not likely to fall asleep.  Observe your breath.  It may be your nostrils or your abdomen or chest rising and falling. Just focus on the breath.  Thoughts will arise.  Just note and name them.  Hungry, hungry.  You will find the thought changes or fades, leaving you a moment without thoughts arising.  When they do, note them name them, and observe them changing.     

You will find yourself drifting away, planning, worrying, most anything.  When you notice this, gently return to the breath.  I find it useful to say a short prayer several times until I am able to return to the breath.  At times, it seems like all I am doing is praying, with no stillness.  Other times I can return to the breath right away. 

The process is frustrating at first, because it seems like there is almost no time just watching the breath.  No big. Deal, just keep it up.  You will find those thoughts arising with less frequency and intensity.  You are reprogramming your brain. 

Insight meditation is used in schools, some workplaces, in prisons, and in psychotherapy.  It sometime seems it is the next big thing.  Well, no.  It is a Buddhist practice in use for twenty five hundred years.  It is not really a religious practice.  It is a practice used to get rid of all the mental clutter so one can lead a life free of the suffering all that clutter causes. 

Next time I will illustrate the process with my own experience.  Stay tuned.

 

 

 

 

Addiction

addictI have an addictive personality.  My first addiction was to chocolate.  In grade school, Teddy and I found a box of Hershey chocolate bars lying in the street.  Not realizing this was a true case of finders keepers, we hid in some bushes and ate the whole thing.  No, I didn’t get sick. 

I remember sitting in a twelve step meeting when one of the guys said he had to have his “feel good”.  He nailed it for me as well.  I am not sure I have more unrest and pain than others, but I have always sought the “feel good”.  

For the most part I can overcome the addictions.  I quit a three pack a day cigarette habit after five years.  I have quit drinking several times and started again, convincing myself I can control it.  Later I realize I have gradually ramped up into excessive drinking and quit.  I have probably done this seven or eight times, starting in high school.  This time I have been sober for a year.  I’m pretty sure I am done with booze forever.   

I have smoked a haystack of pot.  At one point In the late 1970’s I was buying a quarter pound at a time.  I would go to work, go out on my rounds and light up.  Parties were lots of booze and weed for a lot of years.  One day at work I realized I couldn’t remember things I had done the day before.  I have had about two tokes since.   

Food is another matter.  I am something of a binge eater.  My main weakness is ice cream, chocolate, of course.  My pattern is much the same as with alcohol.  I will eat too much, scare myself, lose some weight, than ramp up again.  I weigh about 215 pounds now.  At one point I was up to 260.  The problem is that I can’t give up eating altogether.  So, I struggle.  And then there is caffeine.  AA meetings always have coffee. 

I think you can see the pattern.  I probably won’t kill myself with my addictions, but they have consumed vast amounts of time and energy I could have used productively.  The addictions are accompanied by a lot of obsessing and compulsive behavior.  I have repetitive thoughts and rituals around the behaviors, from rolling the joint, lighting a cigarette at every change, such as standing up, or sneaking ice cream out of the downstairs freezer.   

I am currently engaged in the spiritual practice of letting go.  This means letting go of everything keeping me from staying in touch with my true self.  This is not an easy process, and I am sure I will be engaged in it for the rest of my life.  “Trapped on the wheel of desire.”  The problem with desire is that it cannot be satisfied.  The new BMW, the Bud Lite, the new clothing style, cool Adidas sneakers, whatever.  The proper number of bicycles to own?  N+1; N being the number of bicycles you currently have.  

Addictions are just the most pathological of this phenomenon.  Our consumer society is driven by desire.  Chasing money, chasing stuff, chasing the latest hit, it all pulls us away from our true selves.  I want to get in touch with my true self, which means letting go.

Caregiving the Hard Way

mental healthCarol and I attend a support group meeting for caregivers of mentally ill loved ones.  It meets at the Mental Health Center of Denver and is sponsored by the National Alliance for the Mentally Ill (NAMI).Carol attends regularly, but I stopped for a while because the stories are just too heart rending.  One person has been a caregiver for various family members since she was seven.  She did take a break for a while, serving as an Army nurse in Vietnam.   

Many attendees have more than one family member they are caring for.  The hard part for them is there is probably no end.  Most mentally ill people stay that way.  There is no stability.  Sometimes the loved one is doing OK for a long time, working or going to school, and then, bang, a psychotic break and repeated hospitalizations.  There is often financial instability, the loved one experiencing extended periods of unemployment, and being repeatedly denied disability benefits. 

In addition, the mental health system is broken.  Years ago, if a person was severely mentally ill, there was an extensive mental hospital system.  No longer.  The development of psychiatric medications and attempts to treat the mentally ill in the community ended the hospital system.  Today there is a host of agencies, some nonprofit, some for profit, and some governmental.  At least veterans have the VA, which does a fairly good job despite the overload.  There is never enough money, and too many people in need. 

Here in Denver, there are the Mental Health Corporation of Denver, Denver Health, several private agencies, the police, Social Services, halfway houses, Vocational Rehabilitation, detox, and others.  Navigating the system is time consuming, frustrating, confusing, and often a failure.  People have spent many thousands of dollars at private mental health facilities with no discernible effect.  All it has done is get the person out of the house for a while. 

A big one is the uncertainty.  If the loved one is doing well, it’s waiting for the next episode.  The person may just disappear for a while, only making contact when at rock bottom.  Some caregivers are relieved when their person is incarcerated.  At least they are relatively safe.  Safety, how can one insure that with a suicidal person?  There is a crisis system, offering telephone support, referrals, and sending a trained person with the police to the loved one’s home.    Sometimes it works.

There are tragedies.  One person was the high school valedictorian, then Cum Laude in college, then experienced a schizophrenic breakdown, and is gone with a shotgun barrel in her mouth.  I haven’t even touched on the alcohol and drug abuse problems, which are also mental health issues. 

Why do the caregivers do it?  They sacrifice huge chunks of their own lives, living with anxiety and uncertainty, for no financial reward.  They are caregiving for a loved one.  Love carries them through almost unimaginable adversity, and most caregivers still display love not only for their loved one, but also maintain a positive outlook on life.  There are those caregivers who flee, just not able to meet the challenge of a seemingly unending task.   

It is said that love knows no bounds.  For the caregivers in the support group, that is true.  We don’t see those who just lack enough love to stay involved for so long.  There are lots of heroes out there, you just don’t see them, for they are too busy to be visible.  I am able to hang in there for the loved one, but I can’t attend the support group every time; I just can’t deal with all the pain.