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Psychological Issues and Spiritual Practices: Shouldn't Practices Trump Therapy/Medication? (This is taken from a previous thread, but [in addition to another thread] I thought this could do with a thread of it's own [i hope it doesn't seem I'm flooding the forum, searched through but couldn't find a similar discussion.) Any thoughts on how spiritual practices work in general and how this relates to mental health would be much appreciated. Taken from: http://thetaobums.com/topic/34480-looking-into-new-practices-for-mental-health-enlightenment-and-then-perhaps-immortality-;-in-woteva-order-formerly-taoist-systems-of-practice/ I agree with finding help, specifically tailored to the problem at hand. But, in addition, here is some story and some thoughts about mental health and spiritual practice: After an initial year (years ago) of aversion to ANY western method (during my spiritual, put your money where your mouth is phase), I have since been in contact with western medicine doctors, therapists, etc for the past few years. No doubt, CBT and medication do work, and seem to have been the only thing that has worked for the severe anxiety (which will teach me to think in black and white "Only spiritual practices should help blah blah, etc")-(mainly the CBT/I believe [and the science points to] that it results in new neural pathways/neuroplasticity/a change in brain structure). What Do Spiritual Practices Do? This makes me wonder about practices in general. Aren't spiritual practices about clearing out the karma/conditioning/habits/attachment to-or-belief in thought-fear-worry-separation/fear/lies/falseness? This is how I have been taught/come to understand energy practices like Kriya Yoga, Tantra, Yoga, etc, that the spinal breathing is clearing obstructions/conditioning/karma out. And, then, self inquiry/meditative practices seem to be about highlighting Truth/True self, sitting/being with True self/stillness and slowly seeing through thought, undoing reactivity and attachment to thought/feeling, becoming less identified with noise and more with silence/stillness/emptiness/nothingness underneath/behind/between/at the birth of the noise, building new neural pathways perhaps/most likely, and in becoming less identified with noise, less noise arises? What Is a Psychological 'Problem'? All a psychological condition is, is an extreme instance, high on the spectrum, of a trait/phenomena that is present in ALL humans: fear, neurosis, depression, psychosis, etc. We all experience these things, but when one area gets out of balance it's labeled pathological, but it's all just noise, and spiritual practices are surely about clearing out this noise/and or attachment to/belief in noise, no? (this isn't typed argumentatively, in case it comes off that way; I'm genuinely asking myself/pondering all of these issues currently). CBT works. I guess CBT is like a forced kind of self inquiry type thing, that focuses on the specific issue at hand. It is very similar to the lower stages of self inquiry. So Why Not Just Do CBT/Therapy? So, you may ask, if CBT works, then why don't you just do that and then once you're sorted get back on spiritual practices? Well, it worked, (CBT and an SSRI [i hate medication, but I was out of options]) I had about 1 month of being fully 'functional'/back to normal compared to how I was when all of this pathological instance of anxiety started, but then it came back. So, I guess I should just keep up with CBT and stay proactive with that (perhaps set myself a weekly CBT reminder practice for life, like a spiritual practice, to keep tabs on myself) but, it's hard, AND, the fact that the issues came back points to me to a more underlying issue perhaps, maybe? I don't know. I'm sure with pro active CBT for years I would hopefully, eventually restructure/rewire my brain so the issues are non existent, but, again, this is difficult, it's very easy to relapse, and, why can't a spiritual practice also do this? Or, at least they should help right? (these are half rhetorical questions). In addition, CBT, for me anyway, to fully work, I need (or at least feel I need and have in the past needed) the help of a physical therapist, to 'bully me' (I joke, but being almost forced in an agreed way is needed) into doing exposures/the CBT work. Self help materials don't seem to be enough. Hence why a spiritual practice to clear out mental gunk is preferable, as, therapy is expensive, and government/NHS support takes ages (I've been waiting for over a year now for an NHS therapist/psychologist, after seeing one initially and it working my sessions ran out). Again, any thoughts on how spiritual practices work in general and how this relates to mental health would be much appreciated. Thank you