By Dr. Yitzchok Wagshul, Ph.D.
I know nothing whatsoever about the program known as “Breathwork,” so my remarks will not address that specifically. Rather, as a licensed psychologist with years of experience treating people with various emotional and psychological issues, I’d like to offer important clarification of some things I’ve seen in the articles and comments that have appeared here recently.
Breathing
First, on the general subject of breathing, there’s no question that the breath can exert profound influence on us. Most everyone knows that if you take even as few as one slow, really deep breath—not strenuously, expanding your chest like Superman, but naturally, like a baby at rest, letting your belly gently rise and fall as you do so—you’ll feel calmer. There’s a physiological reason for that (which this isn’t the place to explain), but for thousands of years (confirmed now by modern research) various cultures have known how to use this phenomenon to achieve a sense of peace and well-being.
What I’ve just said is an extreme oversimplification, because there are a great many nuances to working with the breath and it can sometimes take years to achieve mastery. My point is simply that breathing definitely has its place among the wide range of tools available to qualified therapists in helping people psychologically and emotionally. It shouldn’t be written off as silly.
Meditation and Mindfulness
Breathing techniques are often used in meditation and what is known as “mindfulness.” These, too, have been around for thousands of years and proven by modern research to have benefits for mental and emotional health. Like breathing, there are many variations on how to do them. I think the most important point to be made here is this: There is widespread confusion about whether meditative practices involve avodah zarah—idol worship or similar religious practices. And the answer is, some do—of course some do, everybody knows that!—and some don’t. In a famous sichah delivered on Yud-Gimmel Tammuz, 5739 (July 8, 1979), the Rebbe explicitly recognized this. He noted that (in those days) many young Jews were seeking mental or emotional peace through meditation, which they were getting from non-Jewish religions r”l. The Rebbe called upon those qualified to do so to develop a Torah-compatible form of Jewish meditation, so that people who could benefit from this therapeutic practice could do so within the framework of Torah and Judaism. The Rebbe pointed out that some people worship the sun, but that doesn’t mean we shouldn’t benefit from the sun. Similarly, although some use meditative practices in their religions, that doesn’t mean this essentially neutral technique should not be used. Today, there are forms of meditation that have nothing to do with religion at all. The important thing is to know which is which.
Healing through Torah vs. Healing through Therapy
Which brings me to a very important point. In that sichah, the Rebbe went out of his way to clarify that the kosher meditation he was advocating was to be used exclusively by people whose mental or emotional illness made it necessary for them to heal this way. He emphasized that for a healthy Jew, the preferred activity was action, not meditative inaction, and it was therefore inappropriate for an emotionally and psychologically healthy person to meditate in the manner discussed in the sichah.
We can derive a crucial insight from this: In the Rebbe’s view, mental and emotional illness…exist. Whether the cause is trauma, a chemical imbalance in the brain, or something else, there really is such a thing as a person whose mind and emotions aren’t working right. These people are literally “sick,” as the Rebbe said in the sichah, and must be healed before ordinary advice—whether “Cheer up!” or “Learn Tanya!”—can possibly work for them. Although he said healthy people shouldn’t meditate, the Rebbe didn’t call for nonhealthy people to learn Tanya (and no one knew the benefits of Tanya like the Rebbe). Instead, he said they could meditate. They could learn Tanya once they were well enough for it to do them any good.
By the way, I’m not just saying that because I was at that sichah (which I was, baruch Hashem). I’m also saying it because, in my practice on Eastern Parkway, I see a number of people from our community, and I can tell you firsthand that, whether baalei teshuvah or frum-from-birth, some people simply can’t be helped by giving them Torah guidance alone. They absolutely require the tried-and-true therapeutic modalities known to therapists. I’m a doctor of the mind and the emotions, and if I tell you so, you can rely on that.
Various Kinds of Therapy; Various Kinds of Therapist
Finally, I think it’s important to realize there are many approaches to therapy, and research shows—amazingly—no one approach is significantly more effective than another. The most important factor in whether therapy works is the relationship between the therapist and the client or patient. No therapist can know all possible forms of therapy, but one of the most important tasks of the therapist, perhaps his or her greatest challenge, is to know enough techniques (or at least, to know something about enough techniques) that he or she can identify the right fit for a particular person.
Over the years, working with colleagues from various backgrounds, I’ve come to realize that the specific degree a therapist has isn’t as important as you might think. Whether someone is a psychologist, a social worker, a mental health counselor, or has one of the various other degrees that exist today, if they have genuine compassion and unconditional positive regard, can help the person feel seen and heard, and continually strive to grow in their knowledge, they’ll probably do just fine. The reason I mention this is that some of the therapies we’ve been discussing, especially “new” or “alternative” methods, are offered by people with no academic credentials or license at all. I’m not saying these people are necessarily ineffective; if they have the qualities I mentioned, they might just be the best fit in a given case. It could happen. But mental and emotional health are serious, complex subjects, and whomever you consult for help should be able to competently diagnose the problem and formulate a treatment plan based on the best fit for you. That can’t be done if they know only one thing.
The Bottom Line
To sum up, in the hands of a competent, experienced therapist, almost any treatment can work, including some that are considered new or outside the mainstream. It goes without saying that established, mainstream treatments work as well; that’s why they’re so well established. It’s the therapist’s job to know what will likely work best for a given person, considering their unique background and circumstances. Thus, with respect to new or alternative techniques, I think the most sensible attitude is this: If a person hears about such a therapy and decides to try it, one cannot automatically say it won’t work or is a bad idea, but—the person is trying to treat him- or herself, and is often not qualified or objective enough to do so. Likewise, they may not be able to evaluate the credentials of the proposed provider. On the other hand, if a reputable and experienced licensed therapist recommends such a treatment for a particular person, and the therapist is a frum Jew knowledgeable about halachah, I think we are safe in relying on that therapist’s professional judgment.
A person whose mind and emotions are healthy, but who is experiencing normal human feelings like sadness, discouragement, or worry can benefit from the guidance of Torah teachings, such as the Alter Rebbe’s advice for those problems in the Tanya. But for someone with a real mental or emotional illness, it’s a mistake—in fact, it’s misguided and potentially harmful—to suggest that person “should” be healed without benefit of treatment by a trained and experienced mental health professional.
I sincerely hope this turns out to be merely an academic discussion, because Moshiach will come immediately and we will all be healthy in mind, body, and spirit.
Thank you for your words. They are very clear and easy to understand, and I hope they will be helpful for those in need. 🙂
How effective a piece of writing that WAS NOT written by AI can be.
Every sentence is present, healthy and REAL.
Thanks, very important article
Thanks. Great article, great points informative to everyone, and no fluff. Thank you
Kudos, Dr. Wagshul. The importance of seeking treatment ONLY from a trained professional on the master’s or doctoral level AND from a licensed professional cannot be overstated! The community needs to know that there’s a critical difference between being licensed and being certified. A certification is meaningless; I license means not only that adequate training was achieved, but more importantly, that there is a state Board that is regulating the professional’s practice and that is there to PROTECT THE PUBLIC from malpractice. A “practitioner” with a certification lacks all of the above and the consumer lacks the protection of the… Read more »
Based on what you said, that it’s the relationship and compassion of the therapist that’s most important, perhaps a compassionate and caring mashpia will do wonders?
Why do people get so angry when that is suggested?
A mashpia can only help if he has the humility to say i don’t know and he sends you to someone who can help
Otherwise he is doing more harm than good
You emphasize on good points. Speaking about points, you’re missing periods at the end of your sentences. 🙂
Explanation why mashpia is unlikely to help in the case of mental illness (even though there may be a slight chance) is in the article: mashpia without medical knowledge does not have proper tools to identify the problem and further would not know how to address it.
If a mushpa has a chemical imbalance in the body, well, let’s see how many people would learn Tanya in such a deep way it would change the chemical imbalance. Or better not see before it is too late
A Mashpia totally mucked things up with one of my children and it took years to bring back from the abyss. The mashpia was kind, caring, compassionate and a yurei shmayiim bit unfortunately thought they can help in a situation that was totally beyond their depth. My family nebech paid a huge price for this mistake while the mashpia moved along and learnt nothing from the experience.
Can you share more details? Why couldn’t he help?
As I can’t speak for the one who wrote this comment, I can though say that I’ve seen this as well, where a well known mashpia told my son when he was dealing with disturbing thoughts, that it’s all shtusim, he should be masiach daas. Another son that seeked guidance in personal improvement, was given a diagnosis and told to learn such and such a maimar. Bottom line, a bochur or anyone going through emotional or mental difficulties needs to get the right help by going to a professional trained in the specific area of issue at hand, and yes,… Read more »
Thank you, Rabbi Wagshul, for this article. As someone who has been in therapy for many years, with an amazing therapist who primarily works with frum clients, I can personally attest to how effective therapy can be. We discuss whatever I’m dealing with, and she always helps me identify practical ways to calm myself. Often, she’ll also suggest that I daven as part of that process. Your second-to-last paragraph was especially clear. It reminded me of a Tanya shiur by Rabbi Gordon, A”H, where he spoke about people using Tanya to combat sadness and other emotional struggles. He immediately added… Read more »
Although I’m famously known for my analytic comments about grammar errors and deep-dived opinions of Collive articles, your comment really moved me since I sensed from your words you being someone that struggled in some areas but fought hard to be were you are today, and I applaud you for that! Thank you for being an inspiration, and keep being the amazing person that you are!
Please change your title as you are taking my persona and people are confusing the two of us. Thank you for your understanding.
I understand your concerns, but I will always remain the mysterious Commenter. I haven’t seen you around since I started a year and a half ago (to which I admit I wasn’t as active until recently) which leads me to believe that you only took on the title to stir rivalry.
All these experts are weighing in here on COL, yet no one steps up to mitigate the one malignant thread which underlies a multitude of our communal woes. Mental health shortfalls are responsible for the many struggling individuals who roam the streets, walk the corridors, and disturb our mosdos because we punish the disruption rather than attempting to understand and resolve. Even the way we talk about community members with mental deficits, and I am not void of this fault, leaves us far from our capability to merit a community with unparalleled mental health and sense of safety for those… Read more »
I believe, you may be biting off more then you or other can chew. But that is just my humble opinion. Thank you – for reading
Please explain what I bit off? I did not take on any initiative. Only included is an assessment that our community can do so much to improve mental health because of our great gifts and yet we do not. I would love to know what you think I bit off here. Further do you suggest we continue not to try improving in these areas because it is too difficult. That would hardly be in line with the Rebbe’s teachings. When did he ever say something is too difficult and not to try? Sources for that please.
And find that nobody is immune to mental illness.
Tanya is to the nefesh as healing (healer yedid veyira shamayim) is to a guf! As I was told when I asked in my only Yechidus when I asked what Tanya will accomplish for me. “Tanya will be for you a source for Torah and Yiras Shomayim”. Before Chanukah I slipped and fractured my humerus and after I prevailed with a surgeon to put the 2 pieces together (“rapoh yerapeh”) ,I now rely on Hashem’s miracle to actually mimush the cure. Rav Yitzchok, all the best!
The Alter Rebbe states clearly that you must have someone to explain it to you, say, a mashpiah that cares about you [the same way he, the Alter Rebbe, talked the Tanya to his own Talmidim], or, in more modern word, a therapist.
Clear and concise. The Rebbe was clear too! No a”z, no syncretism (Avizrayhu d’avodah zora). I have written extensively about this as well as do workshops on breathwork as you have explained. Not the “BREATHWORK” that’s the vogue – Fast, activation – Holotropic-type breathwork. This hyperventillatory breathwork can bring people to different non-ordinary states of consciousness. It has to be monitored, and can be dangerous and have syncretic elements as well. THANKS AGAIN! Rus Devorah Wallen, LCSW, CIMHP
“and it was therefore inappropriate for an emotionally and psychologically healthy person to meditate in the manner discussed in the sichah.”
I understand that healthy people should primarily focus on accomplishing good things. But why shouldn’t a healthy person use meditation to MAINTAIN their emotional health?
There was a session for women with someone who led breathing and visualization. Nobody came home cured of anything but I can see how it could be used as a helpful tool for anxiety. I didn’t detect anything non Jewish about it. The woman leading it first talked about Hashem being in control and not us.
Thank you for your kind words. Speaking of words, you’re missing a period after “CIMHP”.
I am a former Art Teacher and since 1977 I have struggled with severe mental illness until recently. Mental Illness is know as a cursed situation for not living a completely pure Torah Observance as a baby, child, young adult and older adult. G-D does punish those who turn their back on H-m and choose alternative means of praying to treife gods or sadly, not praying at all. I am firm about this Yidden, After so many serious severe decrees and aveirahs G-D has most Mercifully and thankfully removed what was injuring our relationship for most of my early life… Read more »
“Although he said healthy people shouldn’t meditate, the Rebbe didn’t call for nonhealthy people to learn Tanya (and no one knew the benefits of Tanya like the Rebbe). Instead, he said they could meditate. They could learn Tanya once they were well enough for it to do them any good.” The implication here is that someone with mental illness should wait until they are healed to learn Tanya. I highly doubt the Rebbe would appreciate this statement. Of course Tanya will not heal their mental illness and therapy is needed. But that does not mean that a person should only… Read more »
Thank you for pointing that out. I definitely did not mean it that way.
Best regards,
–Yitzchok Wagshul
I don’t think anybody understands the author that way. And I don’t think that was his intention.
How do we find Dr Wagshul’s practice?
Website: http://www.doctorwagshul.com
Email: [email protected]
Phone: 929-WAGSHUL (929-924-7485)
Mashpiim, often of high repute, often do not recognize mental illness, addiction, or personality disorders. As a result, when dealing with marriages acutely affected by mental illness, they often give well-meant but seriously inappropriate advice. Sometimes the other spouse does not know that their problematic spouse may need psychiatric evaluation and intervention. That makes the futility even worse, when the couple is only taking the mashpia route for help. For example, if the wife of someone with NPD (the real thing, not merely a “self-focused” spouse) follows the usual advice, “Treat him like a king and he will treat you… Read more »
I want to share something very personal: I was divorced a year before my oldest son’s bar mitzva. i moved somwhere else and trimmed my beard. bieng that my family was Chabad, and ex was surely strongly so. I was confused and advised in varied directions as to whether i should show up to his bar mitzva as my family had not seen me since i left, and my kids would become confused seeing me such, without my long traditional beard. i finally met up with a brilliant psychologyist who fully understood the ramifications, and the beard issues. He told… Read more »
Several comments have been made in this and other threads on the issue that the community has an unacceptable degree of mental illness. Jews have been on the forefront of psychology but studies on the incidence of mental illness in Jews versus non Jews are mixed. Some show no correlation between Judaism and mental health disorders while others show that at least in the Orthodox community, there are more eating disorders and more alcoholism. The stereotype of the neurotic Jewish mother has either been determined to also happen in other groups or is not a mental illness. We definitely do… Read more »