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Depression & Muslims

Question:
im 22 and live in england..im in medical school. iv suffered with mental illness for over 6 years now..diagnosed with clinical depression and depressive anorexia at 17.was severely ill, thin and had to take a year out of college to recover..

been on and off for the past few years..but recently had a relapse of depression...all this time iv been taking medication and changing medication...seeing a counsellor ,regularly see my doctor and a psychiatrist a few times this year... at medical school ..i had to take some weeks off because i was very depressed and agoraphobic.

i wouldn't say im the most practicing of muslims..i don't drink etc but i don't exactly wear hijab either..i'll pray maybe once a day...

but a recently practicing muslim friend of mine said to me..that in islam depression doesn't really exist..its just a sign of ungratefulness.that the negative thinking is just shaytan... depression only happens to people with a weak iman. as a medical student i first ignored the comment...i thought unless i hear it from a scholar who is also a top psychiatrist then maybe i'll believe it..but then i think..maybe its true...maybe its all in my head and its just mass ungratefulness and maybe im just a bad muslim.but i do believe depression is different from being unhappy...

but only if you are the one who's depressed you know ..how it truly is an illness.iv thought about doing psychiatry as a speciality ..but i thought is it really compatible to islam..i mean how many muslim psychiatrist are there.

when i hear this idea of depression not being islamic...i feel worse..like iv self inflicted and i can't ask god for help....then when i stumbled on your website i really smiled...so the question is :does depression exist in islam?

thank you.
xxx
england,london

 

Response:
Hi

I have heard people say that Muslims can't be depressed and if they are it is a weakness in faith.  Since you are in the medical field I am sure you know better.  ;-)  Maybe we can say that of those suffering from 'Situational Depression' but 'Clinical Depression' is something very different.

As far as Muslims not ever being depressed or having pathology... there are 2 aspects that we have to keep in mind. 

Severe mental illness is recognized and is referred to in the Islamic literature... ie: maintaining the obligatory rules of religion are not mandatory on psychotics, inheritance is not given to one who is not sane, etc.  Surah Falaq and Surah Nas mention the role of delusional and distorted thinking which are the root of Depression and Anxiety. So if religious scholars claim that Muslims cannot suffer from pathology, they are wrong as they are contradicting the Quran.

As far as depression and anxiety or other milder forms of pathology are concerned... Muslims do have symptoms of this also, since Muslims suffer from distorted thinking also.  Islamic literature discusses the phases of 'qabd (constriction)' and 'bast (expansion)'... and the explanation is that only through a phase of contraction that becomes so overwhelming does a person move to look for something more stable and reliable which then leads one to faith and God.  Qabd phase meets all the requirements of a diagnosis for Depression and Anxiety.  Once the person has developed a strong faith and is connected with the Source then you see a decrease in the intensity of the qabd phase, since every qabd phase leads to an increase in the level of certainty of one's faith.  This phase is necessary for personal growth and faith.  Certainty in faith as experienced and lived, not just as a concept.

Islamic psychology in regards to the nafs al ammarah and nafs al lawwâmah gives a wealth of information about pathology.  It is not until a person gets to the level of nafs al mutma'innah and beyond that one can claim that they don't experience pathology at the same level as an average person. This is in regards to Situational Depression... not Clinical or bio-chemical.

Islamic psychology differs in that it talks about the root of what causes pathology, ie: greed, arrogance, envy, etc.  Western psych tends to label the symptoms and ends up creating a distance between the cause and pathology so that a person becomes dissociated from it.  Eg: if my depression is because i am dissatisfied with my life and am envious of other's wealth/relationship etc... taking meds is not going to make it go away.  I will have to deal with the root.  Depression is the symptom enviousness is the problem. 

At a more basic level the test and trials experienced by everyone according to the Quran takes many shapes and forms... emotional reaction to these periods is natural and expected.  So to believe that a muslim won't get depressed over such situations is unrealistic... however the answer to this dilemma is given in the Quran as well... only living in faith will rescue you from such situations. 

So if Muslim Scholars claim that Muslims don't suffer from depression, I believe that to be a misleading statement and they need to qualify what they mean by Muslim and also define depression.  If they are referring to Muslims with a strong connection they are correct, if they are referring to an average Muslims then they are very very wrong and are doing more harm and damage to those who are in need of help.  By denying the existence of pathology they are only encouraging denial and repression, which creates more problems in the long run.

To be fair to other religions, I believe that anyone with a strong faith can make the same claim... that people following whatever religion don't get depressed.  Because what they mean by it is being grounded in a belief system that explains the tests and trials of life as means of learning and growth, thus eliminating the sense of victimization, helplessness and lack of meaning and purpose in life.  Faith-based treatment modalities take cognitive therapies to a deeper level.

You may want to read the articles in 'Islamic Psych' in the 'library' and 'Sufism' in the 'spirituality' sections at crescentlife.com for more detailed understanding of mental health from the Islamic perspective

Regards,
Uzma Mazhar