Spiritual Emergency

I got a call earlier this week from a couple trying to getbetween mental illness and spiritual awakening, which
help for a beloved friend who was unable to get offcan at times resemble a psychotic break. Since Freud,
the couch due to experiencing visions, flashesthere has been a bias against spirituality in mainstream
spiritual-emergency of color and light, sensations ofpsychology, and so, many people are understandably
energy coming out of her body, and ecstatic trancereluctant to seek the treatment they need.
states. She also believes that the Messiah hasTheir friend was long ago diagnosed with bipolar
returned, and it is she.disorder, and her mother had suffered from
The couple had found me through Google as aschizophrenia. The friend had been hospitalized for her
'transpersonal' therapist, or one who has had training inillness in the past, got on medication, and improved
assessing and treating what is called "spiritualsignificantly. Like many people, she went off the meds
emergency." For although their friend has a history ofthat were helping her so much due to the side effects,
severe mental illness, many of her symptoms are theand because she believed she didn't need them
same or similar as those of spiritual awakening.anymore. But something else of great import was
She was also experiencing evidence of a broaderhappening also.
spiritual understanding, of increased compassion, ofOne of the things I learned in graduate school that has
expansiveness, of the knowledge that everything isbeen a useful rule of thumb is that the mentally ill
made of swirling energy, and that she has an importantperson is drowning in the sea while the mystic is
role to play on earth. Unfortunately, since this wastreading water. They are both in the same sea,
mixed up with her psychotic symptoms, her friendshowever. One of the ways we distinguish between
weren't sure what to do.the two states is to assess how stable the person
They didn't want her to be just medicated and thrownhas been able to be in their life - have they been able
into the hospital again. Conventionally trained mentalto care for their activities of daily living, provide shelter
health professionals are not taught how to distinguishand food for themselves, for example.