The Zen of Therapy: Uncovering a Hidden Kindness in Life

by Mark Epstein

Drawing on decades of personal and professional experience, Dr. Mark Epstein considers how his practice of psychotherapy and meditation can be used in tandem to lead his patients, and himself, to greater awareness and fulfillment.

For much of his career, Dr. Mark Epstein kept his beliefs as a Buddhist separate from his work as a psychiatrist. But as he became more forthcoming with his patients about his personal spiritual leanings, he was surprised to find how many of them were eager to learn more. The divisions between the psychological, emotional, and the spiritual, he soon realized, were not as distinct as one might think.

In The Zen of Therapy , Dr. Epstein reflects on a year’s worth of selected sessions with his patients and observes how, in a given hour, his Buddhist background influences his work. He emphasizes how Western therapy can be considered a two-person meditation, and how mindfulness, much like a good therapist, can “hold” awareness, creating the necessary conditions for inner peace. Throughout this deeply personal and wise inquiry, Dr. Epstein illuminates the therapy relationship as a spiritual friendship, and reveals how a therapist can help us realize that there is something magical running through our fraught lives. For when we understand how readily we have misinterpreted ourselves, when we touch the ground of our own being, we come home.

320 pages, Paperback

Published January 10, 2023

About the author

Mark Epstein, M.D. is a psychiatrist in private practice in New York City and the author of a number of books about the interface of Buddhism and psychotherapy. He received his undergraduate and medical degrees from Harvard University and is currently Clinical Assistant Professor in the Postdoctoral Program in Psychotherapy and Psychoanalysis at New York University.

Reviews

[James]

“A warm, profound and cleareyed memoir. . . this wise and sympathetic book’s lingering effect is as a reminder that a deeper and more companionable way of life lurks behind our self-serious stories."—Oliver Burkeman, New York Times Book Review A remarkable exploration of the therapeutic relationship, Dr. Mark Epstein reflects on one year’s worth of therapy sessions with his patients to observe how his training in Western psychotherapy and his equally long investigation into Buddhism, in tandem, led to greater awareness—for his patients, and for himself For years, Dr. Mark Epstein kept his beliefs as a Buddhist separate from his work as a psychiatrist. Content to use his training in mindfulness as a private resource, he trusted that the Buddhist influence could, and should, remain invisible. But as he became more forthcoming with his patients about his personal spiritual leanings, he was surprised to learn how many were eager to learn more. The divisions between the psychological, emotional, and the spiritual, he soon realized, were not as distinct as one might think. In The Zen of Therapy, Dr. Epstein reflects on a year’s worth of selected sessions with his patients and observes how, in the incidental details of a given hour, his Buddhist background influences the way he works. Meditation and psychotherapy each encourage a willingness to face life's difficulties with courage that can be hard to otherwise muster, and in this cross-section of life in his office, he emphasizes how therapy, an element of Western medicine, can in fact be considered a two-person meditation. Mindfulness, too, much like a good therapist, can “hold” our awareness for us—and allow us to come to our senses and find inner peace. Throughout this deeply personal inquiry, one which weaves together the wisdom of two worlds, Dr. Epstein illuminates the therapy relationship as spiritual friendship, and reveals how a therapist can help patients cultivate the sense that there is something magical, something wonderful, and something to trust running through our lives, no matter how fraught they have been or might become. For when we realize how readily we have misinterpreted our selves, when we stop clinging to our falsely conceived constructs, when we touch the ground of being, we come home.

[J.C. · Rating 5 out of 5]

Mark reads the Audible version, which adds a layer of insight to the writing, as his intonation and delivery for me, more easily blend his Buddhist and clinical perspectives. I recommend this version to anyone on the path, looking for examples of how spiritual frameworks and formal therapy practice can work in harmony.

[Claire Hightower · Rating 3 out of 5]

A hard book for me to follow but a lot of interesting ideas…. will likely revisit this book sometime in the future.