Woman meditating with a tense, thoughtful expression while seated cross-legged indoors
author avatar Dr. Paul Greene
author avatar Dr. Paul Greene
Dr. Paul Greene is the founder and director of the Manhattan Center for Cognitive Behavioral Therapy in New York City. With 14 years of dedicated service in private practice, Dr. Greene brings a wealth of experience to his role. His career also includes teaching at the Mount Sinai School of Medicine and conducting research at the Memorial Sloan Kettering Cancer Center.

Updated: May 16, 2026

Meditation is generally safe and beneficial, but some people experience anxiety, intrusive thoughts, dissociation, or emotional distress during practice.

Is Meditation Safe?

Usually, yes. Meditation is generally safe, but it’s not always relaxing, blissful, or tranquil. It’s been practiced my millions of people over thousands of years.

Why Meditation Sometimes Feels Uncomfortable

Meditation is the process of becoming more familiar with and aware of our mental experience. This can run counter with many aspects of modern living, where smartphones and other devices make distraction and engagement almost continually accessible. This makes it extremely easy for us to avoid aspects of our mental experiences especially if we sense discomfort. Meditation enables us to experience things directly and without distraction. This can bring us face to face with the unpleasant thoughts, emotions, ideas etc. that we may have been subtly avoiding for a long time.

Meditation and Intrusive Thoughts

Meditation does not “produce” intrusive thoughts. However, if you’re prone to intrusive thoughts and take up meditation, you may notice more such thoughts. This happens because meditation helps us become more aware of our mental experiences in real time. As a result, you may become more aware of more intrusive thoughts occurring. However, the important thing with intrusive thoughts is to improve your reaction to them rather than trying to eliminate them. Meditation can certainly help with that.

Meditation and Anxiety

Anxiety is often reduced through the practice of meditation. Research studies have shown that mindfulness meditation, in particular, can reduce symptoms of different types of anxiety over time. However, in any one meditation session, you never know what thoughts or emotions might arise. Anxiety could be among them. Typically such experiences are temporary and considered to be part of the overall meditation experience.

Trauma and Dissociation

People with a history of traumatic experiences or with posttraumatic stress disorder (PTSD) should use caution when beginning meditation practice. PTSD often comes with a tendency to avoid thoughts and emotions associated with the traumatic event. Meditation can make it very difficult to avoid these thoughts and emotions, which can lead to some emotionally overwhelming experiences. However, it is exactly this potent aspect of meditation that has led to its use as a therapeutic agent against PTSD, where studies show promising results. If you have PTSD and are interested in whether meditation can help you, please consider working with a mental health professional or meditation instructor rather than attempting it on your own.

Some people also report feelings of dissociation during meditation, a symptom of past trauma. Dissociation is described as feeling detached from yourself, emotionally numb, or unreal. This experience can be unsettling, especially for people already prone to anxiety and other trauma-related symptoms. While such reactions are not typical, they are one reason why people with PTSD or significant trauma histories may benefit from guidance when beginning meditation practice.

Most difficult meditation experiences are relatively common and understandable (anxiety, intrusive thoughts, temporary distress). However, researchers have also studied a broader range of unusual or intense experiences reported during meditation practice.

Background: Meditation’s Health Benefits

Meditation and mindfulness practices have become more accepted in Western cultures since the late 1990’s. There are several reasons for this. A primary one is the research and writing of Jon Kabat-Zinn, a scientist who adapted a Southeast Asian Buddhist meditation practice for a Western audience. 

His work focuses on mindfulness meditation. His research has shown the beneficial effects of meditation for chronic pain, hypertension, insomnia, as well as various anxiety and mood disorders.

These scientific advancements, along with more open societal attitudes toward meditation, led to an explosion in meditation and mindfulness-based practice. People understood that these practices were an effective way to maintain emotional health and to manage stress. Around the same time, yoga also became much more accepted as a healthy habit.

People came to see meditation as analogous to physical exercise — challenging to undertake, but leading to continued benefits with regular practice. (Remember, it may seem like we’ve always known physical exercise is an important healthy habit, but as a popular belief in the U.S. it only dates back to the years after World War II! It’s hard to believe that as recently as the 1930’s smoking was seen as harmless, exercise routines for typical adults were occasional golf or bowling, and meditation and yoga were seen as exotic trappings of the East.)

Concerns About Negative Meditation Experiences

With its increased popularity have come concerns: what about unpleasant or scary meditation experiences? Does it intensify anxiety, or cause other psychiatric problems? In some Christian quarters there are even worries about opening the door for demonic influence. These fears were often based on anecdotal evidence.

To provide a more scientific understanding of the negative effects of meditation, noted meditation researcher Dr. Willoughby Britton of Brown University and her colleagues conducted a study that was published in PLOS One in 2017. The media portrayed the study as a cautionary tale about previously unreported dangers. The study interviewed sixty experienced meditators about their unpleasant meditation experiences. These experiences were quite diverse, and included agitation, depression, changes in perception, and even hallucinations.

Why These Concerns Are Overstated

– The study did not use a representative sample

It is tempting to think, “a study of meditators revealed they have a lot of negative experiences. I guess meditation must be a little dangerous.” However, this type of reasoning overlooks some important aspects of the study. Perhaps the primary one is the fact that the research team recruited meditators who reported having negative experiences with meditation — it was not a random sample of meditators. An exception to the concerned commentary included an insightful take from Britain’s NHS website, which astutely notes that:

“The study only included people in Western countries who meditated within one of three Buddhist traditions, and — importantly — who’d had negative experiences. So the numbers of people in the study reporting, for example, fear, is only representative of people who’d said they had a negative experience through meditation, not of all people meditating.”

Does this mean that the study is worthless or misleading? Absolutely not! The study was very transparent in its intention and scope. It succeeds in accomplishing its aim of documenting specific negative meditation experiences. However, we cannot draw conclusions from the study that are not warranted from its results.

– Concerns ignore fact that meditation’s benefits likely outweigh potential for harm

Concluding “a study of meditators revealed that negative meditation experiences are common. I guess meditation must be unsafe” would be shortsighted.  How many positive things in life involve negative experiences? Having a relationship end doesn’t mean that dating is a bad idea. Having a bad professor doesn’t mean that college was a bad idea. How many rewarding things in life are completely free of unpleasantness? Many of the research subjects continued their meditation practice after having these experiences. This suggests that they may have found them to be speed bumps rather than roadblocks.

– The study doesn’t establish what caused the negative meditation experiences (nor claim to)

It is difficult in a study of this sort to draw conclusions about what factors caused which problems.  As the study authors point out, the best way to do that is to use a randomized clinical trial (RCT). Such a study is typically large and expensive.  Perhaps an RCT will be done at some point that will document the same meditation experiences that this study examined. Such a study would be a great contribution to our understanding of meditation’s effects.  Given the results of the present study, we cannot dismiss the possibility that meditation caused the experiences reported by the meditators.

Should you be concerned about having bad meditation experiences?

Meditation is generally a safe practice that produces many scientifically documented healthful effects, especially for those with mood or anxiety disorders. It has positive impact even for many without mood or anxiety disorders. Meditation also has been associated with some negative experiences, many of which were documented in the recent study. However, based on what we know about meditation and its effects, you are more likely to experience the healthful effects of meditation than to be have negative meditation experiences described in the study.

– Mindfulness meditation resources

To learn more about mindfulness meditation in New York, contact the Mindfulness Collaborative. Outside the New York area, consider finding a class in Mindfulness-Based Stress Reduction or reading the work of Jon Kabat-Zinn or other authors (e.g., Jeffrey Brantley or Liz Roemer and Sue Orsillo).

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author avatar
Dr. Paul Greene Psychologist
Dr. Paul Greene is the founder and director of the Manhattan Center for Cognitive Behavioral Therapy in New York City. With 14 years of dedicated service in private practice, Dr. Greene brings a wealth of experience to his role. His career also includes teaching at the Mount Sinai School of Medicine and conducting research at the Memorial Sloan Kettering Cancer Center.

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