How do Buddhists handle mental illness such as depression or bipolar disorder?

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Bipolar and depression are both very serious mental illnesses and should be treated accordingly. Too often dharma teachers who are unprepared try to resolve what are true clinical issues. As I was once told "sometimes meditation is the answer sometimes medication is the answer." That of course does not mean that practice can not help with these problems but the appropriate tools should be used at the appropriate time and instance.

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I take 10 mg of Buspirone and 25 mg of Citalopram daily.

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If we have mental illness, we go see a psychiatrist and take medication. It is like when we have a flu, we see a doctor, take medication and rest.

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Although the term 'mental illness' is generally used in the world, imbalances of chemicals or neural structures in the brain are really forms of physical illness. It has been said:

In the time of the Buddha, "mental disease" referred to an illness of view or desire. These days, however, it refers to ordinary mental ailments that have their base in the body and are mixed up with physical disease.

Bhikkhu Buddhadasa

Therefore, the Buddhist approach would be to treat physical (brain) illness with physical medicine, which is why Buddhist meditation is generally not recommended for strong forms of these illnesses.

However, visiting, talking to & socialising with monks & nuns who are highly developed in loving-kindness (metta) can help people with such illnesses feel more emotionally secure, loved & balanced.

In other words, there is no stigma in Buddhism surrounding these illnesses. Buddhism teaches every component of the body & mind can be subjected to injury, disease &/or illness due to decay, natural imperfection & impermanence.

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