Can you medicate meditation?

    —
September 24, 2013

Tara Brach is right. The use of psychiatric medication by those committed to spiritual practice is one of those topics that can get real heated, real fast. This is a complex issue and one that many of our authors and listeners have grappled with over the years. Is it possible for medication and meditation to work together, as allies on the path of healing and awakening? We hope you enjoy this short article by Tara and would love to hear your thoughts as always.

Can you medicate meditation? by Tara Brach

The use of anti-depressants by those involved in meditation practice is a very hot topic. Students often ask me things like, “If I take Prozac, isn’t that as good as giving up? Aren’t I admitting that meditation doesn’t work?”

Those who’ve been advised by a doctor to consider medication tell me they are afraid of becoming dependent on it, afraid they’ll never function again without it. Some wonder if taking medication doesn’t directly undercut the process of spiritual awakening.

They ask, “Don’t medications numb the very experiences we are trying to unconditionally accept? Wouldn’t liberation be impossible if we were on medication?” One student even quipped, “It’s hard to imagine the Buddha reaching for Prozac while under the Bodhi Tree.”

It’s true that some of the most widely used anti-depressants can create a sense of distance from acute fear, and a degree of emotional numbing. It’s also possible to become at least psychologically dependant on any substance that provides relief.

Yet, for some people, no matter how hard they try something else is needed to engender safety and bring anxiety to a manageable level. Whether the cause is life trauma or genetic predisposition, the brain chemistry and nervous system of some people lead to intolerably high levels of fear. For them prescribed medication for depression and anxiety may provide additional—and possibly critical—aid in finding the safety that enables them to trust others and to pursue spiritual practices.

At least for a period of time, in these cases medical intervention may be the most compassionate response.

I’ve seen students who were utterly incapacitated by anxiety and fear finally able to face it with mindfulness and lovingkindness once they started on medications. As a psychiatrist friend says, medications make it possible for some people to “stop anxiously doing, and just sit there.”

Medication and meditation can work together. As medications shift the biological experience of fear, mindfulness practice can help undo the complex of reactive thoughts and feelings that sustain it.

One of my meditation students, Seth, a composer and pianist, took anti-depressants after struggling unsuccessfully for years with debilitating anxiety, shame and depression. Seth dreaded performances and the expectation of perfection that surrounded them. He told me, “Knowing how to write and play music is my life. When I feel like I’m blowing it, I lose it completely. I feel totally worthless.”

When Seth began taking anti-depressants his fear level dropped significantly. The familiar stories and self-judgments would still arise, but because the fear was less intense, he was able to see that his thoughts were just thoughts, not the truth about how things were. Gradually, as Seth deepened his meditation practice, he became familiar with a new and different sense of himself. Rather than rejecting himself as sick and broken, he began wanting to care for and comfort himself.

After two years, Seth decided to stop taking anti-depressants. While his fear had decreased, he had also lost a certain degree of his natural sensitivity and empathy, and his libido was diminished. Within a few months of discontinuing the medication, Seth began to experience once again waves of acute fear and, at times, oppressive depression. But now when the old stories made their appearance, he could note them mindfully rather than getting lost in them.

Taking medication had driven a wedge into the trance of fear, and it no longer was so engulfing. While Seth’s emotions were still intense, his fear wasn’t fueled by overwhelming self-judgment and shame. He no longer identified himself as a broken person. Perhaps from time to time he might seek relief again from medications, but Seth now had a strength to his spiritual practice and a faith in himself that gave him a genuine sense of inner freedom.

There are no absolute recipes for working with this issue of taking medications. In making choices on our path, it’s important to ask ourselves whether or not they will serve awakening and freedom. Our best answers are found by honestly looking into our intentions.

For instance: What is our intention in doing therapy, in taking medication or doing a particular style of meditation? Are we using meditation as a way of escaping from painful relationships or unwanted responsibilities? Do we truly intend to face and accept fear? Are our choices helping us relax and become more kind?

As we honestly explore these questions, we can experiment through our practice to discover which of our choices are the most compassionate, and will best bring an end to our suffering.

Adapted from Radical Acceptance (2003) via Tara’s blog.

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Tara Brach

Tara Brach has been practicing and teaching meditation since 1975, as well as leading workshops and meditation retreats at centers throughout North America and Europe. She has a PhD in clinical psychology, is the founder of the Insight Meditation Community of Washington (IMCW), and is the author of Radical Acceptance, True Refuge, Radical Compassion, and Trusting the Gold. Tara’s weekly podcasts of talks and meditations are downloaded more than three million times each month. For more, visit tarabrach.com.

Author photo © Jonathan Foust

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The Sacred Bridge Between Movement And Stillness

In many traditions, the body is seen as a gateway, not an obstacle. Yoga invites us to meet our physical selves with presence, while meditation welcomes us inward, toward silence, awareness, and deeper being. At the heart of these practices lies the yoga and meditation union, a sacred convergence where motion softens into stillness, and stillness begins to move from within.

When we step onto the mat, we often begin with movement, stretching, strengthening, and breathing. But in time, we may notice that the external gestures echo something more subtle. The rise and fall of breath. The space between thoughts. The quiet that blooms at the end of a pose. Here, yoga is no longer just a physical practice; it becomes a preparation for entering stillness fully.

This union is not about doing more; it’s about becoming more aware. By anchoring attention in the body, we start to feel the mind settle. Through mindful movement, we open the door to a quieter interior landscape. Yoga becomes not just a practice of form, but a devotional act of listening. And meditation, once reserved for the cushion, begins to live in the body itself.

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The Profound Benefits Of Yoga As A Daily Practice

The most transformative rewards of yoga often emerge not in the big breakthroughs, but in the quiet, daily returns. When practiced consistently, yoga becomes more than a physical discipline; it becomes a gentle companion in emotional resilience, spiritual grounding, and embodied awareness:

Building Trust Through Repetition

One of the lesser-discussed benefits of yoga is the emotional steadiness that comes from simply showing up. Daily practice builds a relationship with the self, one grounded in trust, consistency, and care. Over time, this rhythm strengthens our ability to remain present even when life becomes unpredictable.

Emotional Clarity And Energetic Balance

Yoga gently creates space for emotion to move through the body. It offers practices that can stabilize energy, soften emotional turbulence, and restore clarity. Tools like the Yoga for your mood deck provide inspiration and support for selecting postures and breathwork based on how you’re feeling, making the practice deeply personal and responsive.

The Power Of A Yoga Mindfulness Practice

At its heart, yoga is a mindfulness practice, a way to train both body and attention to exist in the same moment. Through this integrated awareness, we learn to witness our experience with kindness and curiosity. It becomes easier to feel the breath without chasing it, to notice thoughts without becoming entangled in them, and to trust the body’s wisdom as a source of inner guidance.

How Meditation Deepens The Yoga Mindfulness Practice

Yoga and meditation are often seen as separate tracks on the same path, but when they meet, something profound shifts. Together, they become a mirror for awareness itself. This section explores how meditation enriches what we experience on the mat, transforming yoga from movement alone into a fuller field of conscious presence:

Refining Attention Through Breath And Stillness

Meditation invites us to notice what we might otherwise rush past, the pause at the top of the inhale, the subtle tension in a shoulder, the moment before the mind wanders. When we bring this quiet observation into yoga, the practice slows down and deepens. This is the essence of the yoga mindfulness practice: using the body as a ground for present-moment awareness.

The Meditation And Yoga Connection As Inner Listening

At a certain point, movement becomes internal. The meditation and yoga connection reveals itself most clearly in these moments, when breath leads movement, and movement dissolves into silence. By practicing this connection regularly, we begin to listen more deeply to the body’s cues and the heart’s quieter truths.

Rest As Integration

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Discovering Inner Stillness Through Yoga And Breath

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Breath As Anchor For Inner Awareness

In yoga, the breath is more than a physiological process. It becomes a teacher, helping us soften the edges of our thinking and rest in the present moment. Inner stillness through yoga begins here, in the pause between inhales and exhales, in the soft surrender that comes when we allow the breath to lead the way.

Stillness Is Not Absence, But Presence

Often, we confuse stillness with emptiness. But what yoga reveals is that true stillness is rich with awareness. It is not the absence of thought, but the presence of quiet attention. By practicing regularly, we start to sense the aliveness beneath the surface of stillness itself.

A Collective Invitation To Pause

While this journey inward is deeply personal, it is also shared. Events like the International Day of Yoga remind us that stillness, too, can be a communal act. Practicing together, even across distances, strengthens our sense of belonging, not only to each other but to the silence we all carry within.

Embracing The Meditation And Yoga Connection In Daily Life

For many, yoga and meditation remain practices reserved for specific times, on the mat, or on the cushion. But their deepest transformation unfolds when we carry them with us into the ordinary. The meditation and yoga connection becomes not just a routine, but a rhythm that lives in how we walk, listen, and respond:

Making Practice A Living Presence

It’s one thing to practice mindfulness in stillness; it’s another to remain present in motion. By embracing the meditation and yoga connection throughout the day, we turn waiting in line into a breath practice, or a difficult conversation into an opportunity to stay rooted in awareness. Over time, these moments create a quiet thread of groundedness that runs through our daily life.

Mindfulness In Everyday Movements

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A Path That Meets You Where You Are

This isn’t about perfection. It’s about remembering. Returning. Whether you’re moving through grief, joy, or uncertainty, both yoga and meditation offer you something steady to lean on, a breath, a pause, a small space of stillness that reminds you you’re not alone.

Honoring The Yoga And Meditation Union As A Spiritual Path

Over time, the practice shifts. What may have begun as a way to relieve stress or stretch the body slowly becomes something deeper, something sacred. The yoga and meditation union reveals itself not just as a blend of techniques, but as a path of devotion, inquiry, and awakening:

A Practice Of Listening To The Heart

The more we listen within, the more we discover how movement and stillness serve the same purpose: to bring us home to ourselves. The yoga and meditation union makes this return possible. It invites us to slow down, to hear the quiet voice beneath thought, and to respond with compassion.

Inner Stillness Through Yoga As Devotion

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Final Thoughts

Stillness is not a destination; it’s a remembering. A return. The practices of yoga and meditation continue to call us back to that quiet center within, no matter how far we may feel from it.

Whether through movement, breath, or silence, we learn that the real gifts of practice live in the subtleties: the way we respond to discomfort, the gentleness we offer ourselves, the breath we return to when words fall short. These are the moments that change us, not suddenly, but steadily.

And in these moments, we discover inner stillness through yoga as something that doesn’t need to be chased or earned. It is already here, waiting in the pause, the exhale, the soft opening of presence.

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Frequently Asked Questions About Bridging Movement And Stillness

What are the mental benefits of yoga for older adults?

Yoga supports memory, focus, and emotional regulation in older adults. It also reduces stress-related cognitive fog by calming the nervous system.

Can I experience the benefits of yoga without being flexible?

Yes. Flexibility is not a prerequisite. The benefits of yoga arise from breath awareness, consistency, and alignment with your current body and abilities.

How long does it take to feel the benefits of yoga?

Some effects, like reduced tension or improved mood, can be felt after one session. Deeper benefits, such as resilience and self-awareness, build over weeks or months.

Is it better to do yoga before or after meditation?

It depends on your intention. Yoga before meditation can prepare the body to sit comfortably; meditation before yoga can help anchor presence in movement.

What role does breath play in experiencing the benefits of yoga?

Breath links body and mind. Conscious breathing enhances circulation, soothes anxiety, and grounds attention, deepening the impact of each posture.

How does yoga affect emotional healing?

Yoga creates space for emotional release through mindful movement and breathwork. It supports trauma healing by restoring a sense of agency and inner safety.

Can yoga replace other forms of exercise?

For many, yes. Yoga can improve strength, flexibility, and cardiovascular health. However, it can also complement other activities like walking or swimming.

What type of yoga is best for cultivating stillness?

Gentle styles such as Hatha, Yin, or Restorative Yoga are ideal for cultivating inner stillness. These styles emphasize slow movement and extended holds.

Are there specific yoga poses that support better meditation?

Yes. Poses that open the hips, lengthen the spine, and stabilize the pelvis, like Sukhasana, Padmasana, or supported forward folds, can enhance seated meditation.

Can the benefits of yoga be maintained without daily practice?

Absolutely. While consistency helps, even a few mindful sessions per week can maintain key benefits. The body and mind remember intentional presence.

Michelle Cassandra Johnson is an author, activist, spiritual teacher, racial equity consultant, and intuitive healer. She is the author of six books, including Skill in Action and Finding Refuge. Amy Burtaine is a leadership coach and racial equity trainer. With Robin DiAngelo, she is the coauthor of The Facilitator's Guide for White Affinity Groups. For more, visit https://www.michellecjohnson.com/wisdom-of-the-hive.

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  • Grayson Towler says:

    Seth’s experience is kind of like my own when I had severe depression and went on antidepressants.

    For me, antidepressants were helpful for getting a break from the internal death-spiral of depression… perhaps if I’d known more meditative tools at the time, I could’ve pulled out without them. I would say the medications helped.

    I would also say that I did not appreciate the continuous pressure from the mental health pros I was working with at the time to stay on the drugs. They suggested a gradual weaning once I improved, down to a “maintenance dose” that would basically last indefinitely. Every shift in dosage produced an incredibly crappy month or so of adjustment.

    One of my top priorities when I chose to start taking the drugs was to get off them as soon as I could. The medical advisers I dealt with did not share that priority.

    Eventually I took myself off the stuff, and I believe strongly it was the right call. The side-effects were miserable. I felt all the things Seth described, with an additional one: I had no creativity. Art and writing were lost to me while I was on antidepressants. It was better than the depths of depression, but even at the lowest dose I was living a kind of half-life, and I needed to get off the drugs to come fully back into the world.

    Since then, I have done a pretty fair amount of research into antidepressants and the treatment of depression. My own conclusion is that the drugs CAN be helpful, but there are a lot of legitimate concerns. I don’t trust the companies that make the drugs, nor their motives in suggesting a continuous dependence on them. I don’t trust the claims that these drugs are somehow “precise” in their effects. I don’t even trust that they are really much more effective than a placebo… that matter seems to be increasingly in question with some of the research.

    Many thanks to Tara Brach for bringing this issue into the spotlight.

  • Eric Nelson says:

    This is a great post. Thanks Matt!

  • Jacek Ostrowski says:

    I was using antidepressants (SSRI type) exactly a year, 365 days, and stopped over a year ago. I can say that they did what they were supposed to do — stopped a spiral of fearful thoughts and showed that things may become better. Then I decided that that was enough and that I want to find ways to solve my problems without pills. Stopping was not easy, I was unstable, but now when I look at these 15 month since I stopped — many things changed. I lost 14 kg during last 6 months, take better care of my health and my meditation practice never was so serious and stable as now.
    To summarize, it makes sense to use pills when things are going out of control and you can’t afford to take a break to take care of yourself. It’s only a tool for that, in many cases quite effective. But still it’s chemistry, so I wouldn’t feel good without perspective of finishing with it. More subtle reason is that I didn’t want to feel that I was entirely dependent on mechanical fix in my brain. I was creating an impression that I was a kind of mechanism, not a living, conscious being.

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