Men’s Mental Health: Gandalf’s advice? Meditate.

Back in 1977, when I was training in an engineering workshop, my mate ran his finger up a bandsaw blade. He swore and I fainted. I told everyone I’d had no breakfast and maybe that was why I’d fainted -only admitting the truth to the work’s doc. He was an old guy, long steely grey hair, an incongruous hippy type – a real-life Gandalf. He said I’d be okay, told me to get back on that bandsaw right away, and that I’d probably benefit from learning how to meditate.

The advice about the bandsaw made sense, but I ignored the bit about meditation because I had a fairly rational head in those days. When I think back it was probably the most sage piece of advice I’ve ever had from a medical professional. It was to be years later though, dropping a bottle of Prozac into the bin and wondering what the hell I was going to do next, that I finally took his advice.

By then I was struggling with panic attacks. You sit in a cinema, a theatre, a lecture at college, a presentation at work, and you sweat, you shake inside, you fear losing yourself, you fear drawing attention to yourself. You also fear getting cornered by the consummate bore and being too polite to tell him you’re busy, so you sit there, quietly tearing yourself apart while his interminable tale drones on, when what you really want to do is stick your finger in his eye and run away screaming – all of this behind a serene smile.

Scary, isn’t it?

I lasted a couple of weeks on the Prozac. Its effects were dramatic. They calmed me for a while, helped me to keep working, but I was not myself, and this intruder who was not myself took over my self, decided it no longer needed to sleep, that it was okay to do pushups in the small-hours of a workday morning, then decided it was in the mother of all panics and hanging on by its fingernails, needed a doctor more urgently than it had ever done before. This was definitely not me, so the Prozac went in the bin. (don’t do this without talking to your doctor)

So I talked to my doctor, but found him time-pressed and unsympathetic. He told me the medication would either help or it wouldn’t. Well, it wouldn’t. The message was clear: I was on my own; mental health issues may be ruining your life, but unless you’re thinking of taking your life, the amount of support you can expect is patchy. This was 1992. The only difference now is demand is even greater for fewer resources, and we are better at pretending they are not.

Gandalf’s advice finally broke through: I bought a book on Yoga, which introduced me to meditation. Meditation looks complicated, sounds mysterious, and seems bound up with a lot of transcendental, spiritual stuff. But the physical practice itself is straight forward, and it worked. I’ll probably still faint at the sight of a bloody injury, so don’t come looking to me for first aid, but the panic attacks are a thing of the past. I lead a fairly normal life, most of the time.

You don’t need a guru to learn meditation. Even self taught from books, meditation has an immediate effect on the mind, but without “messing” with your mind in the way anti-depressant medication does. In meditation we try not to think , or we try at least to separate ourselves from our thoughts, and to realise we are not our thoughts.

With a panic attack, we think we’re going to faint, when there’s no physical reason why we should – the pulse rate goes up, we hyperventilate, we experience dizziness; with obsessive hypochondria we think we have a fatal illness which we assemble from otherwise innocuous symptoms and we convince ourselves we are going to die; with obsessive behaviours we think we must carry out an action in a particular way or a set number of times and we think that failure to do so will cause something bad to happen. Thinking, especially faulty thinking, has lot to answer for. It can make us really ill. It can ruin our lives.

Meditation was developed to correct faulty thinking, admittedly more on the transcendental, spiritual level, and therein lies the problem for many in the west, and for two reasons: in the west most of us have either cut the spiritual dimension entirely from our lives, drained the vessel dry so to speak, or we have adopted a narrow, entrenched religious view that does not encompass spiritual philosophies borrowed from other cultures; we have filled the vessel instead with concrete, one that does not permit the natural convective dynamics of exploration and change.

So let me defend meditation by saying it acts upon the mental life, and we need not attach any spiritual significance to it at all. It’s just that in eastern cultures there is less separation between the mental and the spiritual realms. Meditation also acts upon the physical body by freeing up energy consumed in vast quantities by a frantically thinking brain. This is why, when we meditate regularly, we feel less drained by life.

You can find “how to” material on meditation just about anywhere online for free, including my own notes, here. We must meditate every day for it to have any meaningful effect, and we’ll most likely feel resistance to this notion when the pain inside us realises what we’re up to, but persistence pays. There’s nothing quite like the feeling of encountering what was once a sure-fire trigger-situation, and realising we’re looking it calmly and squarely in the eye, unshaken.

And just in case you’re a tough guy who thinks meditation is for girls, remember Kung Fu fighters meditate. It gives them an edge. It’ll give you an edge too.

Think about it. Or rather don’t think!

Meditate!

Thanks Gandalf.

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Movember and Men’s Mental Health: the three vessels

Reactions to suicide say much about society’s attitudes to mental health. In Victorian times, suicides were often explained away in order to avoid a social stain on the family. There was also the unhelpful religious belief that those who died by their own hand went straight to hell. So we got things like: he accidentally fell into the pond and drowned, or he accidentally shot himself while cleaning his gun.

There’s still an air of evasiveness when discussing mental illness, but there is at least a recognition now that it is a real illness rather than a weakness of character. When someone known to us takes their life, the reaction is one of shock that anyone so well liked/loved/respected could ever feel that way and we be unaware of it. But there’s guilt too that we did not see it coming, that we did not do more to help. We feel complicit, guilty in our silence at holding to the secret of others’ despair. But what can one do? Not everyone suffering from mental illness wants to talk about it. And when you realise how little others understand your feelings, you can hardly be blamed for not wanting to share them.

There are no easy answers.

It’s an unfortunate fact that high-profile celebrity suicides raise awareness more than any well meaning mental health campaign. They launch tragedy squarely onto the front pages, but even here amid the collective shock, “normal” people can still be dismissive, telling us celebrities are notorious libertines, usually off their heads on drugs and it should be no surprise they kill themselves now and then. But this is to ignore the despair and the sheer existential emptiness that underlies mental illness, an illness bullet-pointed with unshakable, negative self beliefs:

* My life is a mess;
* I am ill adjusted to the place I find myself in, yet cannot escape it;
* I am unequal to my responsibilities;
* People expect more from me than I am capable of delivering;
*I am letting everyone down;
*It’s all out of control;
*I cannot move another step;
*I am useless;
*I am a bad person;
*My life has no meaning;

Do any of the above ring true for you?

Of course people in the forefront of public life are no more likely to suffer mental illness than the ordinary and the poor. Indeed being poor, being unable to make ends meet is a very dangerous place to be in the mental health stakes, more so as you are less likely to have the money to access competent people who can help you. But we all worry, and even when we have nothing to worry about, like having no money and no job, we invent other worries – seemingly trivial things – and inflate them to apocalyptic proportions. If we are susceptible, these worries will plant the seeds that blossom into hideous mental blooms of distorted self image.

We need to talk about it. Even just sharing the secret with someone can help. I spoke of mental health services last time – admittedly in less than glowing terms. Lack of funding means the gap between aspiration and reality is now unbridgeable, at least for 90% of the population, but the important thing here is that we make the effort. We admit our fears by sharing them with as many healthcare professionals who will listen. Even if the person we’re sharing them with has one eye on the clock, and can never get our name right, the process of sharing can be helpful. But there are other things we can do too, things that are even more effective in returning control of our selves back to our selves.

With a little imagination we can think of the human being, metaphysically, as comprising three vessels – the physical, the mental and the spiritual. We need to keep all three topped up. If one of those vessels is leaking, it can be replenished by the others. If all the others are leaking too, then we’re in trouble, but the good news is paying attention to any one of them can help the entire system to restore its balance.

The easiest to fix is the physical.

Among my memories of the darkest of my hours there shine radiant beacons of days simply walking in the Lake District Mountains. I have never felt ill on a mountain. It was when I came back down to earth the problems recurred. Physical exercise of any kind is good for us, good for circulation of the blood and the lymphatic system – getting the good stuff in and the bad stuff out, and you don’t need to do it on a mountain; a walk in the park is good too, or take up dancing, jogging, tennis, Tai Chi,… whatever interests you and suits your abilities. The after-effects of even gentle physical exercise dribble through into the mental vessel, surprising the most depressed of moods with little revelations of relaxation and calm.

It sounds too good to be true, that merely exercising the body can make a real difference the problem is, getting up off your arse when the black dog comes calling takes a monumental effort. We resist it, even though we know it’s good for us. This is another of the mysteries of mental illness; it is as if the pain is itself an intelligent entity dwelling within us and fears for its existence; it sees where we’re going with this and holds us back; it would much rather we vegetate in front of the telly, drink alcohol every night, and drop fatty treats into our mouths. I know, I’ve done it. But we must resist the resistance.

And keep moving.

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Doctor’s orders – Tai Chi and Qigong in the real world

I’m not fond of hospitals. The only times I’ve been in one was either for the births of my children or the seeing out of elderly relatives – all of them traumatic experiences, though in different ways of course. This was why I felt nervous sitting in the waiting room yesterday with a complaint of my own, the prospect of surgery hanging over me, and the knowledge that the last few times I’d seen a hospital doctor they’d told me there was nothing more they could do and someone was going to die. Doctors, I assured myself, were useless. All of this was irrational of course, but analysing it into stillness passed the time.

It was my nose.

Years of Anosmia (no sense of smell) had finally led me to the Ear Nose and Throat department of my local hospital. My GP – not the most reassuring of characters – had referred me there somewhat half heartedly and with the caveat there probably wasn’t much anyone could do. It was partly his negative outlook that had led me to explore all the complementary therapies first, including acupuncture. The acupuncture had worked, but only briefly – a three week window of scented delights, late last year, but which had then closed, and in spite of the continuing administrations of my TCM practitioner, had refused to open again.

So, there I was, waiting to see the doctor – not your ordinary doctor this time – not like my GP who was merely a “Dr”. This guy was a “Dr Mr”. A surgeon. A proper sawbones!

My GP had  told me off for wasting time and money on acupuncture. Complementary stuff definitely doesn’t compute with him. On previous occasions when he’d asked me if I exercised, and I’d replied I do Tai Chi and Qigong, he’d looked blank. When he’d asked if I was taking any medication he was unaware of and I’d replied: “Does Ginseng count?” again he’d looked blank.

He wasn’t entirely to blame, poor guy; it was as much my own insecurity, perceiving his credentials as materialist and stereotypically unsympathetic to the traditional eastern world view, while I feared my own approach still lacked the proper grounding in verifiable fact. So, I was guarded when the Dr. Mr. Sawbones asked me these same questions and I muttered the words Tai Chi, Qigong and Ginseng in an almost apologetic tone.

He was a young man – late twenties I guessed, studious, smart, clean looking coupled with an easy smile and an effortless sense of humour. His manner, his energy, was a world away from that of my GP – which always left me feeling slightly depressed. I’d gone to the hospital that day jumping at shadows, ready to run if anyone came near me with a scalpel,  but I decided at once this guy could stick a scalpel in me any time he liked. I trusted him.

He then astonished me by saying he thought Qigong was a remarkably effective mind-body technique, that he practiced it himself, and highly recommended it. I said I was surprised, given his background in western medicine and its traditional antipathy towards the non-materialist world view. He replied that things were slowly changing, then went on to discuss the Chinese meridian system – this while he slid a camera up my nose.

I wondered if he was having me on. Don’t tell me you support that as well, I said – though it’s not easy to talk with a camera up your nose. He replied that given the amount of compelling research data, western medicine really had no choice now but to find a way of assimilating at least certain aspects of traditional energy medicine into modern practice, though he admitted ruefully it would probably take another hundred years. His own view was that emotion played a large part in determining both the nature, and the incidence of a body’s malfunction, that he equated “emotion” with the term “energy”. The meridian system, talk of chi or whatever, was a tangible way of getting a handle on the emotions, thereby curing ills that were unresponsive to medicine alone, or for simply preventing illness in the first place. It was all related to the so called Relaxation Response, which we need to be able to balance out the other side of the mind-body equation – the Fight or Flight response.

Healthy mind equals healthy body.

As for my own ills, he announced I had a load of polyps up my nose – little non-malignant growths that stop the air from getting to the smelling apparatus, and there was a good chance he could get rid of them without surgery. He said I looked fairly fit off my Tai Chi and Qigong, and I should keep it up, otherwise the sackload of medication he was about to prescribe would be laying me pretty low.

I’ve been thinking long and hard about my encounter with this guy – almost forgetting I’d been to see him over my nose. But as well as identifying a concrete reason for my Anosmia, and a frankly positive assessment of the likelihood of curing it, my ten minutes with this highly educated western surgeon, working at the sharp end of the British National Health System had unexpectedly deepened my understanding and appreciation of  eastern energy yogas as well.

Any form of exercise is good for you. It doesn’t matter what it is – if it moves the body, it’ll improve the circulation of the blood and the lymph, and the body cannot help but respond in positive ways. But if, as well as moving the body, you can move the mind,… now there you have a powerful technique  – and not just as a health system, but also as a means of taking a human being to the very edge of what is possible.

I do hope this bag of pharmaceuticals helps me smell the world again, and they don’t make me too ill in the process. But I’ll also be taking my Tai Chi and Qigong practice far less self consciously in future.

Doctor’s orders.

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