Fasting Ramadan With a Mental Illness

For many Muslims, Ramadan is one of the most wonderful times of the year. It is a chance to self-reflect, grow spiritually through good deeds, and to spend time with loved ones. However, for those struggling with their mental health, Ramadan can be a different story.

The Story of Bushra Khan 

Bushra Khan shares her story of Ramadan and her mood disorder by stating, “I cannot fast because of medical reasons. I ask my doctor every year if I can fast. There was a time, when I was younger, that I fasted every day during Ramadan. Now, I feel that I am deeply missing out on something – on a way to get closer to Allah.” 

She continues on to explain the shame she feels because of the stigma surrounding mental illnesses and fasting (or not fasting) during Ramadan. “I find it hard to explain to people why I cannot fast, because I do not have a physical disorder, but a mood disorder. If I fast, I become extremely ill. As I said before, there are many who fast who have a severe physical disorder, even though it is a big risk to their lives. As for myself, I take a lot of medication for my mood disorder, but I find it difficult to explain it to others. I simply cannot fast. For me, it is shameful. I feel left out, but not by choice. You cannot see a mental illness like a physical illness. You look completely normal to everyone else.”

The Importance of Understanding the Impact of Fasting on Mental Illnesses 

Those who struggle with a mental illness have a unique struggle. They not only have to cope with symptoms, but they have to cope with the stigma surrounding what the illness may represent in the minds of acquaintances and even family members. Will others think I am less faithful if I am unable to fast since I look healthy? Although provisions exist in Islam that make allowances for those too ill to fast, the stigma of being seen not fasting when one appears fit and able-bodied may be particularly tricky. 

How to Support Those in Need During Ramadan 

Reaching out to family and friends is the easiest way to get this started. If you notice someone close to you is struggling, acknowledge their efforts, figure out the best way they can still take part in the typical Ramadan traditions, or even come up with a plan of action with them to help optimize the month in the best way that they can. 

Reach out to health professionals and leaders within the community to work together to address the issues people may face during Ramadan so that everyone can be made aware that it is a lot more prevalent than it may seem. By acknowledging these struggles, we can help normalize the discourse around mental health awareness by embracing that it is not just up to the individual to deal with it, but it is our collective effort to create a culture of care and support so people know that they should practice their faith within their absolute full capability without the guilt of not being able to take part in certain things like fasting. 

For practicing Muslims, fasting is important. Religion is important. But, mental health is just as important and, by alleviating the pressure and cultural stigma behind mental health and religious performance, we will be able to show our fellow brothers and sisters how to integrate all of these in the most positive way.