Tag: depression

Islamic Psychology in Practice: Mental Health FAQs

How is depression understood in Islamic Psychology?

Islamic Psychology does not see depression as a moral failure or a lack of faith. Instead, it recognizes that the nafs (self) and qalb (heart) can suffer due to various causes. These may include biological imbalances, emotional trauma, social isolation, or spiritual disconnection.

Moreover, classical Islamic texts address emotional suffering with compassion and nuance. For example, huzn (sadness), ghamm (grief), and ḍīq al-ṣadr (tightness in the chest) are all acknowledged in both the Qur’an and Hadith. The Prophet Yaqub (ʿalayhi as-salām), after losing his son Yusuf, experienced deep sorrow, to the point of blindness. Yet, this pain was not seen as a flaw in his faith.

In fact, the Prophet Muhammad ﷺ also expressed sadness when loved ones passed away or during times of rejection and hardship. Therefore, emotional distress is part of the prophetic experience, not a contradiction to it.

From a therapeutic perspective, Islamic Psychology sees depression as a disruption in internal mīzān (balance). As a result, healing involves restoring harmony between the self, the heart, the body, and one’s higher purpose. This approach integrates spiritual guidance with psychological care, encouraging clients to reconnect with meaning, identity, and their relationship with Allah.

person s hand on water

What about anxiety? Is it a sign of weak tawakkul (trust in God)?

Not at all. In reality, anxiety is a natural emotional response to perceived threats, uncertainty, or internal conflict. Moreover, the Qur’an openly refers to fear (khawf), grief (huzn), and worry (wajl) as part of human experience. The presence of these emotions does not imply a lack of faith.

In contrast to common misconceptions, Islamic Psychology does not call for suppressing anxiety. Instead, it encourages awareness, reflection, and spiritual coping. Clients are supported in naming their emotions and understanding the source of their discomfort.

For example, feelings of anxiety before exams, social situations, or major life decisions are normal. When approached mindfully, they can become opportunities for growth and insight. In addition, tools like tawakkul (trust), sabr (patience), shukr (gratitude), and regular dhikr (remembrance of God) can help regulate the nervous system and calm the heart.

Furthermore, Al-Ghazali and other scholars emphasized the value of balancing fear and hope (khawf wa raja’)—a concept essential for both emotional regulation and spiritual development. This balance prevents extremes of despair and false confidence, fostering emotional resilience and humility before God.

Consequently, anxiety becomes a space for spiritual refinement, not a reason for self-judgment.

white and black abstract painting

What is the meaning of suffering in Islamic Psychology?

Suffering (balā’) is an unavoidable part of life, but in Islamic thought, it carries deep meaning. Rather than viewing it as punishment, Islamic Psychology sees suffering as a potential tool for purification, spiritual growth, and drawing closer to Allah.

Although pain is difficult, it can awaken reflection, reconnect people with their purpose, and humble the ego. In fact, many verses in the Qur’an and prophetic teachings speak of tests as ways for the believer to refine their soul and increase in sincerity.

For instance, the story of Prophet Ayyub (ʿalayhi as-salām) illustrates profound patience in the face of suffering. He endured physical, emotional, and social pain without losing faith or hope. This teaches us that suffering can exist alongside strong belief.

Islamic Psychology, therefore, validates pain while also encouraging individuals to reflect on what the suffering is pointing toward—whether healing, release, transformation, or surrender.

Additionally, modern psychological research confirms that meaning-making helps reduce distress and increase resilience (Frankl, 2006; Park, 2013). As a result, therapy rooted in Islamic Psychology supports clients in turning suffering into a source of strength.

photo of ramadan light on top of table

Are psychological problems a sign of weak īmān (faith)?

Absolutely not. This is a harmful and incorrect belief that discourages people from seeking help and creates shame around mental health. In reality, emotional struggles can affect anyone, regardless of their faith level.

For example, the Prophet Muhammad ﷺ himself made regular duʿāʾ to seek protection from anxiety, sorrow, and helplessness. Similarly, many righteous individuals throughout Islamic history experienced periods of sadness, loneliness, or fear.

Islamic Psychology rejects the false equation between mental illness and weak faith. Instead, it teaches that the nafs (soul/self) is in constant struggle—and that emotional distress can be a sign of internal imbalance, not spiritual failure.

Moreover, scholars such as Ibn Qayyim and Al-Juwayni explored the complexity of the inner world, recognizing that fluctuations in mood, thought, and behavior are part of the human journey. They emphasized compassion, awareness, and intentional self-work (mujāhadah).

In addition, mental illness—just like physical illness—requires attention, understanding, and sometimes professional intervention. Faith can support the healing process, but it does not make one immune to suffering.

Therefore, seeking therapy is not a sign of weakness, but a sign of maturity, humility, and responsibility for one’s well-being.

photo of people gathering near kaaba mecca saudi arabia

References:

  • American Psychiatric Association. (2022). Diagnostic and statistical manual of mental disorders (5th ed., text rev.; DSM-5-TR®). American Psychiatric Publishing.
  • Elkadi, A. (2015). Concept of the Self in Islam and Modern Psychology. IIIT.
  • Frankl, V. E. (2006). Man’s Search for Meaning. Beacon Press.
  • Haque, A. (2004). Psychology from Islamic perspective: Contributions of early Muslim scholars and challenges to contemporary Muslim psychologists. Journal of Religion and Health, 43(4), 357–377.
  • Krause, N., & Hayward, R. D. (2012). Religion, meaning in life, and change in physical functioning during late adulthood. Journal of Adult Development, 19(3), 158–169.
  • Park, C. L. (2013). Religion and meaning. In R. F. Paloutzian & C. L. Park (Eds.), Handbook of the psychology of religion and spirituality (2nd ed., pp. 357–379). Guilford Press.
  • Rassool, G. H. (2021). Islamic Psychology: Human Behaviour and Experience from an Islamic Perspective. Routledge.

Depression Treatment – Evidence-Based (2025 Guide)

Definition and Diagnosis (DSM-5)

Depression, clinically known as Major Depressive Disorder (MDD), is defined by the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) as a mood disorder characterized by a persistent feeling of sadness or a lack of interest in outside stimuli. To qualify for diagnosis, a person must experience at least five of the following symptoms for a two-week period, and one of the symptoms must be either depressed mood or loss of interest or pleasure:

  • Depressed mood most of the day, nearly every day
  • Markedly diminished interest or pleasure in activities
  • Significant weight loss or gain
  • Insomnia or hypersomnia
  • Psychomotor agitation or retardation
  • Fatigue or loss of energy
  • Feelings of worthlessness or excessive guilt
  • Diminished ability to think or concentrate
  • Recurrent thoughts of death or suicidal ideation (APA, 2013)

Types of Depression

According to the DSM-5 and current psychiatric literature, the main types of depression include:

  • Major Depressive Disorder (MDD)
  • Persistent Depressive Disorder (Dysthymia)
  • Bipolar Depression
  • Seasonal Affective Disorder (SAD)
  • Postpartum Depression
  • Premenstrual Dysphoric Disorder (PMDD)
  • Atypical Depression

Each type has unique characteristics, etiology, and treatment approaches. (NIMH, 2022)

Global Prevalence and Statistics

  • According to the World Health Organization (WHO), over 280 million people worldwide suffer from depression.
  • It is the leading cause of disability globally.
  • Depression is more common in women than men, and suicide is the fourth leading cause of death among 15–29-year-olds (WHO, 2023).

Evidence-Based Treatments

1. Pharmacotherapy (Medication Treatment)

Antidepressants, particularly Selective Serotonin Reuptake Inhibitors (SSRIs) such as fluoxetine and sertraline, are commonly prescribed for depression. Other classes include SNRIs, tricyclic antidepressants, and MAOIs.

  • The STAR*D trial (Rush et al., 2006), one of the largest studies on depression treatment, showed that about 33% of patients achieved remission after the first medication, with additional improvement seen across multiple treatment steps.
  • Medications can be particularly effective for moderate to severe depression, though side effects and individual response vary.

2. Psychotherapy (Talk Therapy)

Evidence shows that therapy can be equally or more effective than medication for many individuals, especially those with mild to moderate depression.

  • CBT, Interpersonal Therapy (IPT), and Behavioral Activation are among the most effective approaches.
  • In a meta-analysis by Cuijpers et al. (2013), CBT was found to be as effective as antidepressants in many cases, and had lower relapse rates.

3. Combined Treatment (Medication + Therapy)

Combining psychotherapy and medication is often more effective than either approach alone:

  • The Treatment of Depression Collaborative Research Program (TDCRP) found that combining CBT with antidepressants resulted in higher remission rates and long-term stability (Elkin et al., 1989).
  • Cuijpers et al. (2014) concluded that combination therapy is most effective for chronic, recurrent, or severe depression.

4. Types of Psychotherapies for Depression

  • Cognitive Behavioral Therapy (CBT): Identifies and reframes negative thoughts, promotes behavioral change.
  • Interpersonal Therapy (IPT): Improves interpersonal communication and relationships.
  • Behavioral Activation: Encourages engagement in pleasurable activities.
  • Mindfulness-Based Cognitive Therapy (MBCT): Combines CBT principles with mindfulness to prevent relapse.
  • Transactional Analysis (TA): Focuses on analyzing interactions between ego states and revising self-sabotaging scripts. TA Techniques in Depression: Identifying life scripts: Patients explore internalized beliefs and unconscious “scripts” that perpetuate depressive thinking (Stewart & Joines, 1987), Contracting: Clients and therapists collaboratively agree on clear, structured goals, increasing autonomy and agency, Ego-state analysis: Helps individuals shift from maladaptive Child or Parent states to the rational Adult.

Depression Treatment in Islamic Psychology

Islamic psychology, known as Ilm al-Nafs, integrates spiritual, cognitive, emotional, and behavioral dimensions of healing. It does not separate mental and spiritual illness.

Core Islamic Approaches:

  • Tawakkul (trust in God) and sabr (patience) are emphasized for resilience.
  • Regular prayer (salat) and Qur’anic recitation activate parasympathetic relaxation.
  • Dhikr (remembrance of Allah) reduces stress and depressive symptoms (Abu-Raiya & Pargament, 2015).
  • Istighfar (seeking forgiveness) and tawbah (repentance) help relieve guilt and shame.
  • Therapeutic stories from the Qur’an (like Prophet Ayyub’s trials) are used to normalize suffering and promote hope.

Modern Integrative Studies:

  • A study by Razali et al. (2002) showed that combining Islamic spiritual practices with CBT had better outcomes than CBT alone in Malaysian Muslim patients with depression.
  • Hamdan (2008) recommends integrating Islamic values into therapy for better adherence and reduced stigma.

References:

  • American Psychiatric Association. (2013). Diagnostic and Statistical Manual of Mental Disorders (5th ed.).
  • Cuijpers, P., et al. (2013). “A meta-analysis of cognitive-behavioural therapy for adult depression.” World Psychiatry.
  • Hofmann, S. G., et al. (2012). “The Efficacy of Cognitive Behavioral Therapy.” Cognitive Therapy and Research.
  • Rush, A. J., et al. (2006). “Acute and longer-term outcomes in depressed outpatients requiring one or several treatment steps: a STAR*D report.” Am J Psychiatry.
  • Elkin, I., et al. (1989). “National Institute of Mental Health Treatment of Depression Collaborative Research Program.” Archives of General Psychiatry.
  • Stewart, I., & Joines, V. (1987). TA Today: A New Introduction to Transactional Analysis.
  • Ohlsson, M. (2007). “TA treatment in depression: Results from a Swedish clinical study.”
  • WHO (2023). Depression fact sheet.
  • Abu-Raiya, H., & Pargament, K. I. (2015). “Empirically based psychology of Islam.”
  • Razali, S. M., et al. (2002). “Religious–cultural psychotherapy in depression.” Transcultural Psychiatry.
  • Hamdan, A. (2008). “Cognitive restructuring: An Islamic perspective.” Journal of Muslim Mental Health.
  • Teasdale, J. D., et al. (2000). “Prevention of relapse/recurrence in major depression by mindfulness-based cognitive therapy.” Journal of Consulting and Clinical Psychology.
  • Cuijpers, P., et al. (2014). “Combining pharmacotherapy and psychotherapy in the treatment of depression: A systematic review and meta-analysis.” Journal of Affective Disorders.

Depression vs. Sadness: An Islamic Psychological Perspective

Defining Depression: A Clinical Perspective

According to the DSM-5 (Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition), Major Depressive Disorder (MDD) is characterized by at least five of the following symptoms persisting for at least two weeks, with at least one of them being either a depressed mood or loss of interest/pleasure:

  • Depressed mood most of the day, nearly every day
  • Markedly diminished interest or pleasure in most activities
  • Significant weight loss or gain, or changes in appetite
  • Insomnia or hypersomnia
  • Psychomotor agitation or retardation
  • Fatigue or loss of energy
  • Feelings of worthlessness or excessive guilt
  • Diminished ability to concentrate or make decisions
  • Recurrent thoughts of death or suicidal ideation

These symptoms must cause significant distress or impairment in important areas of life and cannot be attributed to substance use or other medical conditions.

Understanding Sadness

Sadness is a normal human emotion that everyone experiences in response to difficult situations, such as loss, disappointment, or failure. Unlike depression, sadness is temporary and does not significantly impair daily functioning. It usually fades with time or through personal coping mechanisms like social support, self-care, and spiritual reflection.

Comparison: Depression vs. Sadness

FeatureSadnessDepression
DurationTemporary, short-termPersistent, lasting at least two weeks
CauseTriggered by a specific eventMay arise without a clear cause
IntensityMild to moderateSevere, overwhelming
Daily ImpactDoes not significantly affect lifeAffects work, relationships, and self-care
ImprovementImproves with time, support, or positive changesOften requires professional intervention
Islamic PerspectiveA natural human emotionA condition requiring both spiritual and psychological support

Islamic Perspective on Depression and Sadness

In Islamic teachings, sadness is recognized as a natural part of life. Even prophets experienced deep sorrow. For example, Prophet Yaqub (AS) wept for his lost son, Yusuf (AS), until his eyes turned white from grief (Quran 12:84). However, Islam encourages believers not to lose hope and to seek comfort in Allah (SWT):

“We will surely test you with something of fear, hunger, and loss of wealth, lives, and fruits, but give good tidings to the patient.” (Quran 2:155)

Depression, on the other hand, is more than just sadness—it is a prolonged state of distress affecting overall well-being. Islam encourages seeking help and balancing faith with psychological care.

Coping Mechanisms for Depression and Sadness

Psychological Coping Mechanisms:

  • Therapy: Cognitive Behavioral Therapy (CBT) and other therapeutic approaches help individuals change negative thoughts and behaviors.
  • Medication: In some cases, antidepressants may be prescribed to regulate neurotransmitter imbalances.
  • Lifestyle Changes: Regular physical activity, a healthy diet, and adequate sleep contribute to mental well-being.
  • Social Support: Connecting with family, friends, or support groups provides emotional strength.
  • Mindfulness & Relaxation: Meditation, breathing exercises, and relaxation techniques help manage stress.

Islamic Coping Mechanisms:

  1. Salah (Prayer): Performing the five daily prayers instills discipline and connection with Allah (SWT).
  2. Dua (Supplication): Prophet Muhammad (PBUH) frequently made supplications for emotional well-being. A powerful dua for distress is: “O Allah, I seek refuge in You from anxiety and sorrow, from weakness and laziness, from miserliness and cowardice, from being burdened by debt and from being overpowered by men.” (Bukhari)
  3. Quran Recitation: Listening to or reciting Quranic verses brings inner peace and reminds us of divine wisdom.
  4. Dhikr (Remembrance of Allah): Engaging in dhikr calms the mind and strengthens faith.
  5. Charity (Sadaqah): Helping others provides a sense of purpose and fulfillment.
  6. Tawakkul (Trust in Allah): Believers are encouraged to trust in Allah’s plan and maintain hope.

Myths About Depression

  • “Depression is just prolonged sadness.” – False. Depression is a complex medical condition, not just an emotional state.
  • “People with depression are just weak.” – False. Depression affects individuals from all walks of life, regardless of their inner strength.
  • “You can overcome depression just by willpower.” – False. While willpower helps, depression often requires medical and psychological support.
  • “If you have everything you need, you can’t be depressed.” – False. Depression is not solely caused by external factors but also by chemical imbalances and genetic predisposition.
  • “Antidepressants are dangerous and addictive.” – False. When used correctly, antidepressants are safe and effective.

Myths About Depression in Islam

  • “Depression is a sign of weak faith.” – False. Even prophets experienced deep sadness, like Prophet Yaqub (AS) when grieving for his son Yusuf (AS) (Quran 12:84).
  • “Just pray and you will be cured.” – False. While prayer is essential, Islam also encourages seeking professional help.
  • “If you are grateful, you won’t be depressed.” – False. Gratitude helps, but it does not eliminate the biological or psychological aspects of depression.

Conclusion

Depression and sadness are not the same. Sadness is a temporary emotion, whereas depression is a serious condition that requires comprehensive support. Islam provides a balanced framework that acknowledges human emotions while offering guidance and hope. Seeking help—both spiritual and professional—is not a sign of weakness but an act of self-care and faith in Allah’s mercy.

Ramadan and Depression: Challenges, Coping Strategies, and Spiritual Rewards

Introduction Ramadan is a sacred month of fasting, reflection, and spiritual growth for Muslims worldwide. However, for individuals struggling with depression, this period can present unique challenges. The changes in routine, altered sleep patterns, and social expectations may intensify depressive symptoms. Despite these difficulties, Ramadan also offers profound psychological and spiritual benefits. This article explores the struggles of those with depression during Ramadan, coping strategies from both traditional and Islamic psychology, and the spiritual rewards promised to those who persevere.

Spiritual and Psychological Benefits of Ramadan

  • A Sense of Purpose: Engaging in acts of worship can provide meaning and a sense of accomplishment.
  • Detoxification of the Mind and Body: Fasting has been linked to improved mental clarity and reduced inflammation.
  • Strengthened Faith: Overcoming difficulties in Ramadan can increase reliance on Allah and build resilience.
  • Community Connection: Despite social challenges, being part of an ummah (community) can foster belonging and support.

Challenges Faced by Individuals with Depression During Ramadan

  1. Fatigue and Sleep Disturbances – The altered eating and sleeping schedules can worsen fatigue, a common symptom of depression.
  2. Social Expectations – The communal aspect of Ramadan may feel overwhelming for those with social withdrawal tendencies.
  3. Low Energy Levels – Fasting can sometimes exacerbate feelings of lethargy and reduce motivation to engage in daily activities.
  4. Guilt and Spiritual Struggles – Individuals with depression may feel guilty if they struggle with ibadah (worship) or miss prayers due to exhaustion.
  5. Negative Self-Talk – Feelings of inadequacy and unworthiness may intensify during a time when spiritual devotion is emphasized.

Coping Strategies from Traditional Psychology

  • Establish a Routine: Maintaining a structured schedule for suhoor, iftar, prayer, and rest can provide stability.
  • Mindfulness and Cognitive Restructuring: Practicing gratitude and reframing negative thoughts can help in managing depressive symptoms.
  • Seeking Support: Engaging with a trusted therapist, family, or support groups can help alleviate feelings of isolation.
  • Hydration and Nutrition: Ensuring proper hydration and nutrient-dense meals can prevent physical symptoms that may worsen depression.
  • Setting Realistic Goals: Focusing on small acts of worship, rather than feeling overwhelmed by expectations.

Coping Strategies from Islamic Psychology

  • Tawakkul (Reliance on Allah): Trusting in Allah’s plan and surrendering to His wisdom can alleviate anxiety and despair.
  • Dhikr (Remembrance of Allah): Engaging in dhikr and reciting Quranic verses can bring a sense of peace and purpose.
  • Du’a (Supplication): Turning to Allah in moments of distress can provide comfort and reassurance.
  • Giving Charity (Sadaqah): Acts of kindness and charity can elevate mood and bring blessings.
  • Understanding the Mercy of Allah: Realizing that Allah does not burden a soul beyond its capacity (Quran 2:286) can be a source of relief.

Allah also reassures in the Quran:

For those who struggle with depression during Ramadan, their perseverance is not unnoticed by Allah. The Prophet (PBUH) also said: “The greater the hardship, the greater the reward.” (Sunan at-Tirmidhi 2396)

Conclusion For individuals with depression, Ramadan may be a time of struggle, but it is also a time of immense spiritual opportunity. By incorporating both psychological and Islamic coping strategies, they can navigate their challenges while gaining emotional and spiritual growth. Ultimately, Allah’s mercy encompasses all, and even the smallest effort made in His path is recognized and rewarded.

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Islamic Psychology in Practice: Mental Health FAQs

How is depression understood in Islamic Psychology? Islamic Psychology does not see depression as a moral failure or a lack …

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Definition and Diagnosis (DSM-5) Depression, clinically known as Major Depressive Disorder (MDD), is defined by the Diagnostic …