Department of Psychiatry, Institute of Mental Health, Pt B. D. Sharma University of Health Sciences, Rohtak, Haryana.
Department of Psychiatry, Hamdard Institute of Medical Sciences & Research, New Delhi.
J Nerv Ment Dis. 2023 Aug 1;211(8):634-638. doi: 10.1097/NMD.0000000000001656.
The practice of meditation has been traditionally viewed as a self-regulatory approach that aids in psychological well-being. Over the last decade, mindfulness-based meditation has gained a separate therapeutic significance in various mental health conditions. There has also been considerable understanding of the adverse effects of meditation over the years. Despite this, there is still underreporting of the altered behavioral presentations arising possibly because of intensive and unguided meditation practices. We present two cases of meditation-related psychosis with different clinical presentations. The write-up highlights the need for tailoring the meditation practices after evaluation of mental state of the individuals and early detection of "at-risk" mental states. There should be regular screening of emergence of any unwanted effects during the course of meditation and the guides should be able to detect the early warning signs of psychosis.
冥想实践传统上被视为一种自我调节的方法，有助于促进心理健康。在过去的十年中，基于正念的冥想在各种心理健康状况中具有了独特的治疗意义。多年来，人们也对冥想的不良影响有了相当多的了解。尽管如此，由于冥想的密集和无指导的实践，可能导致改变的行为表现仍有报道不足的情况。我们报告了两例与冥想相关的精神病，其临床表现不同。这篇报告强调了在评估个人的精神状态后，根据需要调整冥想实践的重要性，以及早期发现“高危”精神状态的重要性。在冥想过程中应该定期筛查任何不良反应的出现，并且指导者应该能够发现精神病的早期预警信号。
