A few years ago, I spent time at Ananda in the Himalayas, the beautiful wellness retreat on the former Maharaja of Tehri-Garhwal's Palace Estate above Rishikesh. It is the sort of place where meditation and pranayama are taken seriously enough to sit alongside Ayurveda, medical consultations and actual doctors, rather than being wedged between the breakfast buffet and a complimentary foot massage.
While I was there, I heard something I have never quite forgotten.
They sometimes saw people who needed looking after because they had done too much practice. Too much meditation. Too much breathwork. Too intensely, too quickly, sometimes without anyone particularly qualified supervising the experiment.
This interested me enormously because the modern world has reached a rather peculiar consensus about meditation. We have decided it is good for everyone, at almost any dose, under almost any circumstances.
Your employer offers it. Your doctor may suggest it. Your phone sends you a notification reminding you to become present.
Somewhere, presumably, the Buddha is trying to work out what a push notification is.
The older traditions were considerably less casual about the whole business. Practices had sequences and preparations. Certain breathing techniques were introduced gradually. Teachers watched what happened to students. There was an understanding that if you were deliberately altering consciousness, perception, attention and the breath, something might occasionally happen.
Modern research has begun documenting exactly that.
Willoughby Britton and Jared Lindahl's research at Brown University examined difficult experiences associated with contemplative practice and found an unexpectedly broad range of them: panic, insomnia, hypersensitivity, involuntary movement, traumatic material surfacing, depersonalisation and emotional blunting among them.
Britton later founded Cheetah House, an organisation specifically supporting people experiencing meditation-related difficulties.
I find this fascinating, partly because the ancient traditions appear to have been leaving warning notes for us for centuries.
Zen has *zenbyō*, sometimes translated as "meditation sickness." Hakuin, the great eighteenth-century Rinzai Zen master, pushed his practice so intensely that he became seriously unwell and later wrote about both the experience and his recovery.
Tibetan traditions describe disturbances of *lung*, or "wind". Yogic traditions have elaborate maps of prāṇa and equally elaborate opinions about what one should and should not do with it.
Apparently humanity has been discovering for quite some time that fiddling with consciousness is not entirely the same thing as having a bath.
And then there is the breath.
Rapid, forceful breathing can lower carbon dioxide in the blood, producing tingling, dizziness and sometimes anxiety. None of this makes breathwork inherently dangerous. It does, however, make the idea that breathing techniques are physiologically insignificant rather difficult to maintain.
The interesting thing is that none of this makes me less interested in meditation or breathwork.
It makes me more interested.
Because perhaps we have been asking the wrong question.
We keep asking whether these practices are harmless when their entire purpose is to change something.
Attention changes. Emotional states change. Perception can change. The nervous system responds. People sometimes encounter memories, sensations or states of consciousness they were not expecting.
That is not evidence that meditation has failed.
It is evidence that something is happening.
Modern wellness culture has spent years making these practices sound wonderfully benign, perhaps because "ten minutes to reduce stress" is easier to put on an app than "ancient technology for investigating consciousness, results may vary."
But the old texts were never especially shy about potency.
The *Hatha Yoga Pradipika* compares working with the breath to taming a wild animal. The general idea is gradual, attentive and distinctly lacking in heroics.
Which feels almost comically different from the modern tendency to assume that if twenty minutes of something is transformative, six hours of it must make you approximately six hundred percent more enlightened.
Human beings do love this calculation.
We do it with exercise, fasting, work, therapy, supplements and occasionally kale.
Meditation was unlikely to escape forever.
I also think there is something wonderfully human about the fact that spiritual practice can become another arena in which we try terribly hard.
We sit down to surrender and immediately begin monitoring our performance.
Am I present enough?
Was that ego?
Was that kundalini?
Should my third eye be doing that?
Meanwhile the nervous system, which has been quietly running the entire operation since birth, would perhaps like a glass of water and an early night.
Richard Rosen, one of the great modern teachers of pranayama, wrote candidly about having been overly aggressive with breathing practices when he was younger and experiencing consequences from it. Yet he continued working with and teaching the breath, including after developing Parkinson's disease.
I find that much more interesting than the usual story of mastery.
The breath did not need to be conquered. It remained with him.
And perhaps that is where this whole subject becomes gentler.
If meditation or breathwork has ever taken someone somewhere frightening, we do not necessarily have to force the experience into one of our preferred boxes. It does not automatically have to be an awakening. It does not automatically have to be pathology. It does not have to mean somebody meditated incorrectly, lacked discipline or failed to surrender sufficiently to the universe.
Sometimes something happened.
Then the rather less glamorous work begins of finding out what.
There are organisations such as Cheetah House working specifically with meditation-related difficulties, and there are doctors, therapists and experienced teachers who understand different pieces of the puzzle.
Perhaps the most respectful thing we can do with these ancient practices is stop pretending they are inert.
They are not.
That is what makes them interesting.
A staircase capable of taking you somewhere is also, inconveniently, something from which it is possible to fall.
The answer is probably not to stop climbing.
It might simply be worth looking for the next step before putting your foot down.