Friday Q&A: Depression, Medication, and Meditation

The Gray Tree by Piet Mondrian

Q: I am an avid follower of Yoga for Healthy Aging and have benefitted greatly from the wisdom imparted on this site. Perhaps you can shed some light on the following question: I am taking several medications for depression and anxiety. I would like to start a meditation practice but am unsure about the interactions between psychotropic medications and meditation. Can you offer me some advice with this?

A: Your question is timely and important. As you know, today we turn toward combining the wisdoms of the East and the West. More and more people are managing their moods and physical states by using meditation and body /mind systems to deal with anxiety and depression. There is a newly emerging discipline called “yoga therapy,” which specializes in different forms of treatment.

Meditation is powerful, as you know. But one problem of meditating when you have depression is that the meditation itself can turn on you and become a litany of self-blame and despair. You might think you’re meditating and helping yourself, but you’re not; you’re ruminating, digging yourself into a deeper and deeper hole. So the biggest contraindication to meditating is severe unregulated depression, and this must be respected because the rumination picks up steam and can drive you into the depths. So it’s wise to wait until you’ve achieved balance before beginning a meditation program. 

You’re wise to ask about the interactions between psychotropic medications and meditation. Most research indicates that it is safe to meditate and medicate both, but until the medication has been carefully titrated and shown to work over a period of time, it is safer to allow yourself to come to your center before beginning anything new. Of course, there are no hard and fast rules; this varies from one individual to the next.

To play it safe, here is what I would do. First off, I would consult with my doctor to check that my moods have stabilized and that meditation is okay. Does your doctor practice Integrative Medicine? That might prove to be an important piece in your decision making process.

Then, if I decided to begin a daily medication practice, I would consult a meditation specialist, an expert teacher, and work closely with that person to make sure that I got on the right track and stayed there. Meditation is a simple practice, so simple that it can be hard to learn. You and your teacher will work together to find the methods that are best for you as an individual. The rewards of a daily meditation practice accrue slowly, but over time they add up and they help you learn to know yourself and to accept yourself deeply. This deep acceptance of self in the moment, whoever that self might be, plays a big part in helping with depression.

Since you’re a regular reader of  Yoga for Healthy Aging, I guess that you probably are already involved in yoga, which is another form of meditation. Yoga is often called a moving meditation. You might consider consulting with a yoga therapist who specializes in mood disorders, someone who will help you find the best yoga moves for you and teach you meditation and pranayama or breath work practices. Different movements have different emotional effects, too, as can the length of time the different positions are held. 

You might benefit from reading Amy Weintraub's book Yoga for Depression. Amy has a training program where she works with therapists to teach them yoga skills. Or you might look for a yoga therapist on the International Association of Yoga Therapists (IAYT) website, where there is a list of therapists, organized by location. 

I’m talking a lot about yoga because you’re a reader of Yoga for Healthy Aging, but maybe you would rather choose another kind of meditation practice. There are different schools for you to check out, and the essential factor is: do you like it? Does it appeal to your taste? Investigate, try different approaches. What is your gut feeling? 

You might start your research by reading a few books like The Mindful Way Through Depression: Freeing Yourself from Chronic Unhappiness (Book & CD), by Mark Williams, John Teasdale, Zindel Segal, and Jon Kabat-Zinn, or A Path with Heart by Jack Kornfeld. You could check out a Zen Center. There’s lots of choices, and I’m always happy to say it’s a big world! Whatever your choice, I wish you success. And thanks for asking.

—Lynn


Lynn Anjali Somerstein, PhD, NCPsyA, LP, RYT, is a licensed psychotherapist and yoga therapist in private practice, specializing in anxiety, depression and PTSD. She is also the author of numerous articles about yoga, anxiety, attachment issues and psychotherapy. Lynn is grateful to her many teachers at the Integral Yoga Institute and the National Psychological Association for Psychoanalysis who offered her extensive and deep training in yoga, yoga therapy, and psychoanalysis. See lynnsomerstein.com for more information about Lynn. 

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