Depression and anxiety are two closely related ailments that will afflict many of us at one time or another during our lives. Periods of grief and worry are a normal part of life, which can usually be cured with prayer, patience, and positive thinking. However, sometimes we unwittingly nurture these negative feelings to the point of developing an anxiety disorder or clinical depression. For those of us who experience abnormal and unhealthy levels of grief and worry, there is hope in Islam to overcome these debilitating symptoms without resorting to pharmaceuticals. We should seek our cure for depression and anxiety in a holistic manner by addressing its physical, mental, social, and spiritual aspects. These symptoms usually occur because there is something wrong, but treatable, in our body, mind, or spirit that needs to be fixed. If depression and anxiety persist after exhausting these techniques, then medical intervention by a specialist doctor may be necessary. First, we must recognize that in Islam our physical bodies have a right over us, that we take care of our health, optimize our nutrition, get enough quality sleep, and physically exercise regularly. These three – diet, sleep, and exercise – are the pillars of physical health. The Messenger of Allah (SAW) said: “Verily, your own self has rights over you, so fast and break your fast, pray and sleep.” Indeed, prayer and fasting are inherently good acts, but doing them excessively to the point of neglecting the needs of the body makes them blameworthy. One cannot continue to worship Allah without a healthy body, so a healthy body takes priority over voluntary worship. The most important aspect of bodily health is to eat nutritious, wholesome, and natural foods because most diseases take root in the stomach due to unhealthy eating habits. Ibn Rajab reports that classical Arab doctors would say: “Diet is the foundation of medicine and gluttony is the foundation of illness”. Many of us become depressed because our bodies are not receiving enough nutrients, and such an imbalance affects our whole being. Hence, Allah commands us to eat wholesome foods (tayyibat) produced naturally from the earth. Almighty Allah said: “O you who believe, eat from the wholesome things which We have provided for you and be grateful to Allah, if it is him that you worship.” Much of the industrial, mass-produced food in our age is highly processed and stripped of its nutrients. These foods contain too much sugar, salt, chemicals, and other harmful additives. We should take gradual steps to eat less of these foods while adding more fruits, vegetables, healthy fats, and proteins to our diet. We also need to avoid extravagance with food and overeating. Even eating too much good food can cause a nutritional imbalance, which will ultimately affect our mental health. The Prophet (SAW) has said “there is no vessel which the son of Adam can fill that is more evil than his stomach, for it is enough for him to take a few bites in order to straighten his back. Yet if he is overcome by appetite, then he may fill it with a third of food, a third of drink, and a third of breath.”
The prophetic tradition (sunnah) is to fill the stomach with one-third of food, one-third of drink, and one third left empty, except for special occasions when it is permitted to eat one’s fill. One should gradually decrease their food portions and intake over time until they become accustomed to eating in moderate amounts. If we followed this wise advice, as difficult as it may be for some of us, we would inevitably see the positive results on our bodies and subsequently on our depression and anxiety. In addition to diet, we need to make sure we get enough quality sleep and exercise. Allah created the night time for us to rest, and our bodies need it to heal and recharge our energy reserves. Neglecting our sleep requirements for any reason, even prayer, is a blameworthy excess. Almighty Allah said: “And we made your sleep for rest and the night as a covering.”[Surat al-Naba 78:9-10]. Practicing the prophetic traditions related to sleep as a nightly routine, as part of healthy sleep hygiene will strengthen the body and aid the healing process, among many other benefits. Next, we should adopt Islamic mindfulness techniques to gain control over our negative thoughts. Thoughts are often difficult to regulate, but we do have a degree of control over what we choose to think about and reflect upon. The true believer should try to be an optimist, thinking the best about Allah and his decrees, rather than being a pessimist who always dwells upon the worst case scenario. Conscious thinking is a habit and a choice; if we are in the habit of thinking negatively, we should apply mindfulness techniques to form better thinking habits. One of the most destructive ways of thinking is to nurture hatred, envy, and malice towards others. Many times our hatred of others harms ourselves more than anyone else. We have to force ourselves to forgive others, to let go of grudges, and to calm pent up feelings of anger. The prophetic way is to cleanse our mind of hateful thoughts every morning and evening through prayer and supplication. The Prophet (SAW) said: “My son, if you are able every morning and evening to remove any rancor from your heart towards anyone, and then do so. That is my tradition and whoever revives my tradition has loved me, and whoever loves me will be with me in Paradise.” We should not indulge in negative assumption and suspicion about others. Sometimes we find ourselves thinking the worst about others and even expressing it verbally by backbiting against them. We should apply mindfulness techniques to catch ourselves in such moments and switch our mental self-conversation to something better. Almighty Allah said “O you, who believe, avoid much suspicion. Verily, some suspicion is a sin, and do not spy or backbite each other.”[Surat al-Hujurat 49:12]. Not only must we gain control over our thoughts and feelings towards people, we must also control our thoughts and feelings related to objects. When our happiness depends upon material wealth and success, we are bound to be disappointed as such worldly pleasures will never last forever. If we are too deeply attached to a material object, we will become depressed when it is inevitably taken away. The Prophet (SAW) has said “Wretched is the servant of gold, silver, fine clothes, and garments. If he is given he is pleased, but if he is not given he is displeased.” Often people become depressed when they do not get what they want, but true believers, who have trained themselves to be unattached to the world, are always happy even in dire circumstances. The Prophet (s) suffered for the cause of Islam more than any of us, losing his loved ones and enduring pain and hunger, yet the companions reported that they never saw anyone smile as often as him. Abdullah Ibn al-Harith reported: “I have not seen anyone smile more often than the Messenger of Allah, peace and blessings be upon him.” Even when death and destruction seemed so close, the Prophet (s) would continue to smile and spread his positive thinking and optimism. Another important factor in our overall health is our place in the support structure of our community. Loneliness is a common cause of depression and anxiety, so having a real social network (not simply online) is essential. The Prophet (SAW) has said “Verily, the believers are like a structure, each part strengthening the other.” We should surround ourselves with family, friends, and believers who can be a positive influence on us. If we simply cannot find enough good people to be around, then it is better to be lonely than surrounded by bad people. The Prophet (SAW) has said “Verily, the parable of a good friend and a bad friend is only that of a seller of musk and a blacksmith. The seller of musk will give you some perfume, you will buy some, or you will notice a good smell. As for the blacksmith, he will burn your clothes or you will notice a bad smell.” Finally, we have to become spiritually healthy by adhering to authentic theological beliefs and practicing acts of worship properly. There is a specific supplication that the Prophet (s) taught us for curing depression and anxiety, which reveals how important sound creed is to our mental health: The prophet (SAW) has said: “O Allah, I am your servant, the son of your servant, the son of your maidservant. My forelock is in your hand, your command concerning me prevails, and your decision concerning me is just. I call upon you by every one of the beautiful names with which you have described yourself, or which you have revealed in your Book, or you have taught to any of your creatures, or which you have chosen to keep in the knowledge of the unseen with you, to make the Quran the delight of my heart, the light of my chest, and to remove my sadness and dispel my anxiety.” Success comes from Allah, and Allah knows best.
(The author hails from Nowpora Jagir Baramulla and is Bsc Hons student at Aligarah Muslim University. View are his own, [email protected])