Ep183: Adverse Effects of Meditation - Dr Caroline Van Damme

Dr Caroline Van Damme is an adult psychiatrist and family and systemic psychotherapist specialising in chronic psychotic disorders. She also co-teaches with Buddhist guru and Sowa Rigpa doctor Nida Chenagtsang. 

Available on Youtube, iTunes, SoundCloud & Spotify – search ‘Guru Viking Podcast’.

Dr Caroline draws on her extensive clinical experience as a psychiatrist, as well as her personal meditation practice, to explore the adverse effects of meditation, including psychosis, depersonalisation/derealisation, and spiritual bypass. 

Dr Caroline considers the pros and cons of sleep deprivation as a spiritual training tool, visualisation practices of Buddhist Vajrayana, and shares stories of extended meditation retreats gone wrong.

Dr Caroline gives recommendations for those who wish to practice intensively, including dangers signs to watch for, the markers of high-risk individuals, and the importance of a a strong psychology and deep foundation in preliminary practice. 

Dr Caroline also details her own success in using meditation with her patients in clinical settings, including with populations typically considered to be at high risk, and recounts her patient reports about the significant benefits of their practice.


Topics include:
00:00 - Intro 
01:21 - Adverse effects of meditation 
05:13 - Meditation and psychosis 
08:42 - Matthieu Ricard’s advice
10:37 - Meditation success with schizophrenia
16:25 - Willoughby Britton’s work on adverse effects 
18:39 - Caroline reflects on her own meditation practice
20:52 - Dangers of visualisation meditation 
23:04 - Traumatic meditation retreats
27:42 - Modulating intensity and pre-practice warnings
30:57 - Spiritual bypass and tantric Buddhist practice
32:00 - Sleep deprivation as a sign of enlightenment 
33:32 - When to push through hell 
38:20 - Caroline’s monk patient who developed schizophrenia 
41:17 - Sleep deprivation as a training tool 
48:30 - Recommendations for those who wish to engage in intense practice 
51:53 - The Dalai Lama’s sleep schedule 
52:45 - Delusions of special powers 
53:58 - Insomnia 
55:36 - Cannabis and meditation 
57:07 - Profile of a high risk person 
57:43 - Enlightenment vs depersonalisation / derealisation
01:02:39 - Dream yoga and derealisation 
01:07:50 - Caroline’s clinical experience teaching meditation to her patients 
01:20:19 - Mechanism of benefit in meditation 
01:24:50 - Impulse control and inner peace 
01:29:03 - The stigma of mental illness 


Previous episode with Dr Caroline Van Damme:

To find out more about Dr Caroline Van Damme, visit:

- https://www.sowarigpainstitute.org/dr-caroline-van-damme 

Music ‘Deva Dasi’ by Steve James

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Ep184: The Vajra Path - Dr Nida Chenagtsang & Dr Ian A Baker

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Ep182: Meditation Maverick - Adam Mizner