Wednesday, September 27, 2023

Yom Kippur 5784: Cheshbon HaNeshamah - A Mental Health Accounting

A version of this sermon was delivered at Temple B'nai Torah - A Reform Congregation in Wantagh, NY on Yom Kippur 5784

One of the questions I have been asked the most since my time away this summer was how I got interested in glass.  The quick answer is that I was always a potter, working in clay, and one semester there was not a pottery class offered that seemed interesting, so instead I registered for a glass bead-making class.  There isn’t a lot of carryover of skills from one discipline to the next, but there is certainly a center part to a Venn diagram between the two art forms.  And that’s the coil pot.  Some of you may have to think back to elementary school to remember, but this is where you make a snake of clay and coil it up to make a pot.  It’s a similar process in glass.  Holding it above the fire, you melt a rod of glass by feeding it into the flame and coil it upon itself, attaching it to one end of the hollow glass tube you have in your other hand.  First you make the rings bigger, then smaller until you’ve created a ball shape.  Using the flame, you smooth out the ridges from the coil.  Now you’ve got a glass bubble on the end of a hollow tube you can form, shape, and sculpt.

As we were learning how to do this technique, the teacher asked the class a question.  Having smoothed the outside of the glass bubble, he asked us what was happening on the inside after we smoothed the outside.  I answered that glass is fluid, so if the outside is smooth, the inside must be as well.  Makes sense.  But I was wrong.  Just because the outside is smooth, doesn’t yet mean the inside is.  The ridges have only been smoothed on one surface.  To smooth out the inside ridges, and then to get a clean, even glass bubble, it takes more than some time in the flame.  That’s only enough for the outside.  To smooth the inside, you have to heat the bubble, blow into it to expand it, and then reheat it to contract it.  It’s the expanding and contracting on the inside that ultimately smooths it out.

           Smooth on the outside, rough on the inside. 

           Easy to make the outside smooth, much harder to care for the inside.

           I think many of us can relate to this piece of glass.  We spend a lot of time smoothing our outsides, or at least showing them off at their smoothest, shiniest, cleanest, clearest.  We don’t spend nearly enough time caring for our insides, for our souls and spirits, our neshamah, and from what I can see from our community and our society, the effects have been detrimental, particularly to our mental health. 

           Before I go on, I want to clarify some language I will be using.  “Mental health includes our emotional, psychological, and social well-being. It affects how we think, feel, and act, and helps determine how we handle stress, relate to others, and make choices.”[1]  This is distinct from mental illness, which encompasses specific, diagnosable medical conditions.[2]  Mental illnesses should be thought of like any other illness, but too often, they are not.  They are often not talked about, undiscussed, often evoking shame.  Cancer affects the way your body functions and causes abnormal cell behavior.  Mental illness is the same, just with different cells and different behavior.  How we understand and think about mental illness ought to be equivalent to how we understand and think about cancer.

           Some mental health issues are brought about by mental illness and genetics.  And some are based on other factors, like life experience, trauma, and stress, or you know - a global pandemic.  Struggling with mental health, even if it’s not mental illness, affects our actions, our reactions, and our relationships.  It is real, and it is becoming more common, and it is necessary that we talk about it in a real way, without shame, and without feeling the need to whisper.  Seeking help for mental illness is a good and important thing.  Seeking help when we’re struggling with our mental health is a good and important thing.  At least that’s what my therapist tells me.

           Yes.  I see a therapist.  Every week.  Almost every rabbi I know does.  It’s an important place for me to process what has been going on and get a regular insight into how things are going for me, on the inside.  I know and I have experienced how the insides can be rough, even when the outside is shiny and slick. 

           Our tradition, while not silent on issues of mental health, does not have a lot to go on.  Like today, it seems that those who recognized the necessity of caring for our spirits were too often in the minority.  A short quote from the Talmud exemplifies this. [3]  In Tractate Yoma, which is about Yom Kippur, there is a section where two rabbis, Rabbi Ami and Rabbi Asi, are debating the meaning of certain biblical verses.  They come to a verse in Proverbs and disagree as to how to understand it.  Proverbs 12:25 reads: “If there is worry in a person’s heart, let them quash it.”  Rabbi Ami reads the verse as written and explains that quash here means to push the worries out of your mind with force.  But Rabbi Asi says that the reading of the verse is wrong.  The verb at the end shouldn’t be understood as quash, but rather, with a few changes to the vowels, it should be read as: “If there is worry in a person’s heart, let them tell others.”  Commentaries explain what rabbi Asi means.  If there is worry or anxiety, let them tell others of their concerns so that their anxiety will be lessened.

           Many centuries before Freud, Rabbi Asi seems to understand the importance of processing and talk therapy.  But in order for Rabbi Asi to get there, he has to change the plain meaning of a biblical verse.  And, the rabbis are not piling on in agreement.  Rabbi Ami seems to think that all it will take to rid someone of their anxiety is to tell them to stop being anxious.  Rabbi Ami is wrong.  Anxiety and mental health struggles are not overcome by will and trying harder.  To think so is like thinking that you can just will away cancer. 

In 2020, one in five American adults experienced a mental health condition.  One in six young people experienced a major depressive episode, and one in 20 people lived with a serious mental illness.  These numbers are from 2020, and they either represent data from prior to the pandemic or data which is skewed in some ways due to the quarantine and the way we lived in that year.

           Data has shown that mental health struggles have increased.  And I’m seeing it in our community.  It’s no surprise that our collective mental health and wellbeing  have declined over these last years.  We spent 13 months in full fight-or-flight mode, but we couldn’t fly anywhere, so all we had was the tension of fight mode.  Fight mode is not supposed to last that long.  While we were at home, we didn’t slow down, really, we just adapted, and we added new activities.  What has been interesting to note as well is that the full psychological effects of the pandemic seem to be delayed.  I surmise this is probably because in the immediate aftermath, we were all just so happy to be out of the house and back with people, with our friends, family, and community, that the joy of relationship and connection overshadowed and distracted us from            focusing on what we had been through. 

           This is a perfect example of why Rabbi Ami was wrong.  If all it took to keep mental health struggles at bay was to be happy and push them out of our minds, we wouldn’t be seeing what we’re seeing now, including increased levels of anxiety and depression, up to 25% higher than before the pandemic, according to the World Health Organization.  We also know that only about half of those who are struggling seek and then get help.  Some of this is about access, some of it is about stigma.

           When we came out of the pandemic, we didn’t slow down either; we kept the new activities, and we added back in the old ones.  We traveled like never before; we started projects on our houses.  We didn’t reflect.  We didn’t mourn.  We didn’t process.  We didn’t talk.  And now, we’re seeing the results.  We were given the opportunity to slow down and too many of us didn’t take it.

           In addition to glass blowing, my sabbatical truly taught me the importance of rest.  We are here on Shabbat Shabbaton, the sabbath of sabbaths, and a sabbath is meant as a day not of doing nothing, but of not working, cooking, building, etc.  As Reform Jews, we have a looser interpretation of the Shabbat prohibitions, of course.  And at the same time, there is a restorative power in putting all our worldly matters on hold for one day a week. 

           Shabbat is not a cure for mental health struggles.  But Shabbat can be a form of self-care that can help stabilize our mental health, even as our lives continue to be stressful.  Rest is self-care.  Setting boundaries at work, like “I don’t respond to emails on Saturday,” is a form of self-care.  Recognizing our blessings and God’s presence in the world, allowing ourselves to experience awe, is a form of self-care.  Sharing a meal with others and singing together is a form of self-care.  Going for a walk is a form of self-care.  Shabbat can allow all parts of us to rest.  Shabbat allows us opportunities to care for our insides and work to smooth them from their ridges. 

I am so grateful to the congregation for my sabbatical time because it was restful and I was able to put my work to the side.  And because of that rest, I am less stressed.  I can feel the difference on the inside, and how much smoother I am.  I feel how much more ready I am to face the challenges of this holy work because I rested, recalibrated my baseline, and reset my spirit.  Shabbat gives us that opportunity every week.  We have to be willing to care for ourselves and take the opportunities given to us.

           We spend so much time over these Days of Awe thinking about cheshbon hanefesh, the accounting of our souls.  This is meant to be a personal ledger of our deeds, so that we can reflect and turn toward better choices where needed.  In addition to cheshbon hanefesh, I’d like to suggest that today, we add one more accounting.  On top of the bad deeds and good deeds today, we ought to also engage in a cheshbon haneshamah, an accounting of our spirits.  A mental health inventory, or self-check.  And, like today’s atonement and teshuvah, this is not a one-day-a-year activity.  Today sets the example.

Now, let me be clear, this is not about diagnosing anything.  This is about checking in with yourself to see how everything is feeling.  If you need to, do it once a month in the shower when you check for cancer.  And like that cancer check, if something feels off kilter, like it has changed from the month before, it is probably time to consult someone who is a professional.  And this is how we need to think about mental health, like all other health.  It’s ok to get help when something is wrong.  It doesn’t make us weak.  It doesn’t make us less than others.  It makes us healthier.

           So, let’s do it together, now.  Close your eyes if you need to.

           Over the last month:[4]

           How has my sleeping been?  Have I been sleeping more than usual?  Have I had a hard time getting to sleep?  Do I feel motivated to get up every day?

           How has my eating been?  Have I lost my appetite?  Have I been seeking comfort in food?

           How have my relationships and interactions with others been?

           How has my temper been?

           Have I had trouble concentrating?

           Have I lost interest in things I normally find enjoyable?

 

           Any one of these for a few days, or on occasion, is usually nothing to worry about.  Sometimes we feel sad or anxious.  Sometimes we are dealing with grief or trauma.  Feelings like these are good and normal reactions to the realities of life.  But, if you sense a difference in yourself, your habits, or your routines, and if you notice that it’s lasting for more than two weeks at a time, it’s something to notice and mention to your doctor, or your partner, or your parent, or your child, or your friend, or your rabbi or cantor.  That is part of what we are here for.  No, I am not a mental health professional.  But you know me, hopefully trust me, and you know, especially now, that I do not judge and that I only seek to make sure you get the right resources.  We are lucky as well that our Executive Director, Eileen, is a Licensed Social Worker.  If you’d feel more comfortable with one person over another, that’s ok.  The point is that you say something to someone before it becomes a crisis.

It’s up to us all to check on each other, too.  Ask your friends and family how they are doing.  If you notice your partner or your child staying in bed more than usual, or foregoing things they like to do, ask questions and seek help together or on their behalf.

Our tradition understands that there is a connection between the mind and body.  At the very beginning of our service, we opened with two blessings.  One was for our bodies, recognizing that the body is fragile and a delicate system.  If something doesn’t work as it’s supposed to, we wouldn’t be able to stand before God.  The second is for the soul, our neshamah.  While our ancestors did not in this blessing include language recognizing that our souls, even in their Divinely-given perfection, can be troubled, we know and understand this to be the case.

           Nothing can be made smooth without work.  If your insides feel rough, it’s time to say something.  On this day when we recognize that we will have a hard time keeping our promises, as we sang in our Kol Nidre, let us promise to do better when it comes to our mental health and wellbeing.  Let us promise to check in with ourselves and our loved ones.  Let us promise not to judge others who are struggling.  And let us promise to give our insides the attention they need.  Let us turn toward becoming a community that cares about mental health and healing for the mind, the body, and the soul.

G’mar Chatimah Tovah.



[3] BT Yoma 75a

[4] These questions are based on a list of symptoms to watch for from the National Institute of Mental Health: https://www.nimh.nih.gov/health/topics/caring-for-your-mental-health

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