Showing posts with label eremitism and mental illness. Show all posts
Showing posts with label eremitism and mental illness. Show all posts

03 March 2017

On Woundedness, Healing, and the Vocation to Eremitical Life

[[Dear Sister Laurel, When you write about the inner work you have been doing and the healing it has caused it makes me wonder if you are thinking of leaving your vows as a hermit. I am not quite sure how to ask this but you have written that hermits need to be well to make vows. Do you still hold this? Were you well when you made your vows or did you become a hermit because you were not well? (Please don't get me wrong. I love your blog and I wouldn't have thought of asking about this except for your raising the issue yourself!!!) You have also said that with this inner work you have come to stand in a place where you have never been before (I think I got that right) so could this mean you might be happier doing active ministry and not living as a hermit?]]

Really important questions. Thank you for them and don't worry, I think I understand why you asked them. Thank you also for loving my blog; it has grown into something I never foresaw and most of the time am rather proud of. Let me begin my response by saying I think you may have missed a recent post I put up on "Creating the Heart of a Hermit" (that's  not the exact title). In that post I affirmed that in the work I have been doing what became clear to me was that God has been preparing me for this vocation throughout the whole of my life. By that I don't mean that God planned the events which tended to isolate me or keep me feeling profoundly alone (I could never love or serve such a God), but rather, that God was continually present, unceasingly calling me by Name to live freely and fully in communion with (Him) and loving me in a way which empowered me to realize the potential God endowed me with.

The movement of God in my life was constantly about the transformation of isolation into authentic solitude and I grew to love solitude as an expression of community even if it is rarely understood in this way by non hermits. In other words, God does not will isolation but solitude is one form of the redemption of isolation, a redemption marked by reconciliation with one's deepest self, with God and with others. It is marked by the healing of woundedness; as one grows in what I refer to in the language of canon 603 as "the silence of solitude" so too one may experience deeper healing and the call to this. Thus, I believe that my heart IS the heart of a hermit and that this heart has been formed both implicitly and explicitly over a period of almost seven decades by the love of God. In other words, I am not leaving my vows or this life. I am called to it by God through the mediation of (His) Church and I am surer of that today than I was even on the day I  made definitive profession.

But this leaves some of your thornier questions untouched, doesn't it? Let me give them a shot. First, the questions about wellness. What I have said in the past is that while the environment of the hermitage allows personal healing work to be undertaken it is better to take care of such matters before making any public commitment. I have also written that eremitical life is not the life for folks with serious mental illnesses, especially those with thought disorders or disorders with religious ideation. But the fact is that many people may function very well, have sound spiritualties, well-developed theologies, and be essentially well despite deep woundedness from this or that trauma. Their woundedness may be the basis of their turning to God long before they learn faith or the love of God. It may also be a major source of their capacity for compassion and service or ministry. I believe this describes my own journey to and within eremitical life --- I was profoundly wounded but essentially well as well as capable of and committed to a growing wholeness and holiness in the silence of solitude.*** It is important to remember that in Christianity we refer to wounded healers and a Divine power made perfect in weakness for a reason! We proclaim the Good News of Jesus Christ and we know that this good news can ONLY be truly heard and embraced by those who have come to know their own sinfulness and/or woundedness.

However, I am not talking about serious mental illness when I refer to woundedness and eremitical life specifically and I continue to believe those who have serious mental illnesses should ordinarily not be admitted to profession or consecration as hermits. But I do believe that some persons may be profoundly initiated by their woundedness into both the physical isolation which is central to eremitical solitude and the yearning for the love of God which can help redeem and transfigure isolation into authentic solitude. When this happens such a person may find that they are well-prepared temperamentally and perhaps  psychologically if not in other ways (intellectually and spiritually, for instance) to embrace a call to eremitical life so long as that life is well and competently directed and the person's commitment to growing in wholeness and holiness are strong. Remember that Thomas Merton rather famously is reported to have said that "Hermits are made by difficult Mothers" and his own youth and adolescence were marked by significant loss and aloneness. The result was a sense of existential emptiness  --- wonderfully chronicled and analyzed in Gunn's Journeys into Emptiness --- which, through long formation, was transfigured in his monastic and eremitical life into a solitude defined in terms of communion, love, and remarkable fruitfulness.

One of the reasons eremitical vocations must be carefully discerned over a period of time and require recommendations by longtime spiritual directors, Vicars for Religious, pastors and others, sometimes including psychologists and physicians, has to do not only with the eccentricity of the vocation and the rarity of someone being meant to live a fully human life in the silence of solitude, but with the need to be sure the person's capacity for living this vocation in a healthy and fruitful way is certain. This was one of the first questions my own diocese and Vicar had to ask when they began considering professing me or anyone else under canon 603. Sister Susan Blomstad, OSF (Vicar for Religious and Director of Vocations at the time) travelled to New Camaldoli Hermitage in Big Sur with another Sister to question the prior about this particular question: What did the Camaldolese look for in discerning candidates who could live healthy eremitical lives? Every diocese that has proposed to profess anyone under c 603 has had to deal directly with the same question, not because eremitical life is unhealthy but because it is extremely rare and eccentric.

Personal woundedness can cut two ways: it can make a person absolutely unsuitable for this vocation and require they discern a different call which is really their personal way to wholeness and holiness, or it can actually shape a person's heart and psyche in ways which would then make this call a gift of God  that is especially tailored to the person's fulfillment in Christ and the context for a journey to genuine wholeness and holiness. Which way the person's woundedness will cut takes time to become evident; it will need ongoing work with a director, the discernment of a number of qualified people, and commitment to the life itself (prior to vows as well as thereafter) to reach clarity. Those who are dismayed that the time frame for becoming a diocesan hermit is long and individualized, or that it requires significant evidence of the candidate's capacity to make the commitment required and to thrive in light of this commitment (something evident with temporary vows in those eventually admitted to perpetual profession) probably have not adequately appreciated the various reasons for and types of solitude, or the distinction between being a hermit, especially one living eremitical life in the name of the Church, and being a lone individual who is pretty much simply "doing his/her own thing".

I think I have answered all of your questions. If I missed something, or if my responses raise more questions for you please get back to me. Your questions were really excellent and drew from several of my posts or positions written over a period of time; I enjoy responding to those kinds of queries and usually see no reason at all to take offense. For the most part they help me come to greater clarity on things I might never consider directly on my own, so again, thank you. I really want you to feel free to follow up if that is necessary.

*** when I speak of essential wellness here I am not speaking about physical health. As readers tend to know, I have struggled with chronic physical illness my entire adult life. This was a factor in my discernment of eremitical life but was not the defining element. Today it is even less influential in regard to my vocation while remaining something I struggle with. Many diocesan hermits have similar concerns with health issues and these may have played a part in discerning a vocation to solitude rather than to apostolic religious life; even so, none of those I know became hermits because of illness. Instead illness may have been a large part of creating a desert context which intensified or sharpened our search for God just as it deepened our meeting with God and our embrace of the gratuitous love offered to us in this "wilderness."

07 September 2016

Mentally Ill Priests as Hermits? Once Again on the Illegitimacy of Stopgap Vocations

[[Dear Sister,
      Our parish has a priest who has serious mental health issues. Because he does less pastoral ministry than other priests he says he is a hermit. This raises a number of questions for some of us here: 1) is hermit life a good option for the seriously mentally ill? 2) if a priest has a busy pastoral ministry how can he live as or call himself a hermit? 3) Do dioceses use canon 603 to profess and consecrate these priests? 4) How often does this happen? A number of parishioners have begun to think that hermit life is a kind of fallback "vocation" for when someone is unable to live their real commitments. I know you have written about "stopgap" and fallback vocations but also vocations to chronic illness so I wonder what you think about this. I think it detracts from the hermit vocation.]]

Thank you. Your questions are typical of those I sometimes receive from other diocesan hermits and also from priests who would like to maintain a full pastoral ministry but also live as hermits. Some are interested in building in a more substantial contemplative dimension to their pastoral and spiritual lives and (mistakenly I think) believe that eremitical life is the way to do this. Only occasionally have I heard about situations such as the one you describe where serious mental illness is involved and eremitical life really does seem to be a potential stopgap or fallback position for those who are unable to live their canonical commitments. (I say potential because in some rare instances a priest may well transition into eremitical life and do well at it when he cannot meet other obligations. Vocational paths can change and God can certainly call us to a new way which uses our very weakness as a revelation of graced strength.)

The Temptation to Misuse Canon 603

However, the accent there is on the word rare. I'm afraid the temptation to misuse canon 603 or eremitical life more generally is more common than some of us would like to think, not only because the canon (and the eremitical life it defines) is little understood but because these are not valued; the actual charism of the vocation is not appreciated. As a result some chancery officials and many faithful believe it is a kind of empty (contentless) category into which all kinds of "failures to fit in" can be poured or situated. Before discussing the different situations you named I think it is important to recognize this temptation or tendency and to make it very clear that canon 603 specifically and eremitical life more generally are defined in the Church in a very clear and definite way: it is a LIFE of assiduous prayer and penance, stricter separation from the world, the silence OF solitude, profession of the evangelical counsels lived according to a Rule of Life the hermit writes him/herself all lived under the supervision of the local bishop (and implicitly, regular and competent spiritual direction). It is not an avocation or way of validating mediocrity or simple inability. (The redemption of inability or weakness is another matter!!)

The elements of this life are important because the entire constellation comprises a life which can witness in a special way to the unique and fundamental truth that God alone is sufficient for us. In our world this particular message is a crucial one. So many are alone and alienated even as they yearn for love and completion. So many hunger to believe their lives are meaningful or of real value and have no way to do that if forced to compete merely in "worldly" terms. And of course whole cultures are built on the misguided drives to wealth and power, domination and individualism of every stripe including narcissism. The hermit reminds us that there is one basic truth that counters the anguish and anxiety associated with all of this, one foundational relationship that is the real wealth and source of power in authentic human living: viz., God alone is sufficient for us. To use canon 603 or the term "hermit" for any lone individual, especially as a way of creating a stopgap means to validate a failed or otherwise dysfunctional vocation is an essentially careless and dishonest usage of the canon and a trivialization of the term "vocation"; it is therefore also a way of denigrating the gift of the Holy Spirit solitary eremitical life represents.

I have been writing about the tendency of individuals and even some chancery officials to misuse canon 603 out of ignorance or a failure to appreciate its gift quality here for a large part of the last nine years. While I do see a lessening in the incidence of such abuse or misuse in a general sense, the temptation to use the canon to profess non-hermits or to consecrate lone individuals who sometimes actually show no knowledge of the canon much less experience of the life it defines and codifies is still alarmingly prevalent. The situations you asked about constitute some of the thornier instances that occasionally crop up. And yet we would not accept such an approach to any other form of consecrated life!

Canon 603 and the Seriously Mentally Ill:

In general I don't support eremitical life for the seriously mentally ill. In an earlier post I wrote the following which I still hold: [[My general answer to the first part of your question is yes, some mentally ill persons COULD be hermits, but not all and not most. Regarding the second portion of the question, those that COULD be hermits are those whose illness is well-controlled with medication and whose  physical solitude definitely contributes to their vocations to wholeness and emotional/mental well-being. There should be no doubt about this, and it should be clear to all who meet them. It should assist them in loving themselves, God, and others rather than detracting from this basic responsibility. In other words, solitude should be the context for these persons becoming more authentically human and maturing in that fundamental or foundational vocation for the whole of their lives. With this in mind I am thinking too that some forms of mental illness do not lend themselves to eremitical vocations: illnesses with thought disorders, delusions, hallucinations, fanatical or distorted religious ideation, and the like are probably not amenable to life as a hermit.

On the other hand, some forms of mental illness would (or rather, could) do quite well in an eremitical setting so long as the anachoresis (that is, the healthy withdrawal) required by the vocation is clearly different from that caused by the illness and does not contribute to it but instead even serves to heal it. Certain mood disorders, for instance, cause a defensive or reactive and unhealthy withdrawal, but it is not the same as the responsive anachoresis of the hermit. The person suffering from clinical depression who also wishes to be a hermit should be able to discern the difference between these two things and this requires a lot of insight and personal work. However, if a person suffers from clinical depression (or has done in the past) I would say it should be pretty well-controlled medically, and no longer debilitating or disabling before the person is allowed to make even temporary profession as a diocesan hermit. At the same time, provisions for adequate ongoing and emergent care and treatment should be written into this hermit's Rule of Life.

In any case, I think the decision to become a hermit when mental illness is a factor is something which requires the candidate and her spiritual director, her psychiatrist or psychologist, along with the diocesan staff to work together to discern the wisdom of. Mental illness per se should not always automatically preclude this vocational option, but there is no doubt that eremitical silence, solitude, prayer and penance can exacerbate rather than help with some forms of mental illness. Even in the completely healthy person eremitical solitude can lead to mental problems. Ordinarily we are made for a more normal type of communion or social interaction with others, and this is a particularly significant area for caution when dealing with mental illness.]]  Eremitical Life and Mental Illness

Canon 603 as a Stopgap solution:

But let me be very clear here. A diocese or individual must discern a vocation to eremitical life FIRST of all; they must be aware of how it is mental illness works against this discernment and vocation, how the vocation to the silence of solitude assists in personal healing and the special care required to deal with an illness which could otherwise thwart such a genuine eremitical vocation. WHAT THEY CANNOT AND MUST NOT DO is treat this canon on eremitical life as a way of disposing of a troublesome priest or situation, a way of isolating a difficult personality, or in any other way treating eremitical life as a stopgap solution which minimizes demands on the diocese or its presbyterate to truly care for this priest and find ways to allow him to minister as normally as possible. In this situation as in any other a hermit is NOT JUST A LONE individual much less an isolated one who doesn't fit in anywhere else! If a diocese must relieve a seriously ill priest of his pastoral role and/or faculties and allow him to live on his own, then let them do that BUT they MUST NOT facilely attempt to validate this by calling the man a "hermit." He is not. Instead he is a mentally ill priest separated from active priestly ministry and made to live alone.

What is important to understand I think is that a hermit dealing with some form of mental illness is not the same thing as a mentally ill person separated off from social contact and active ministry either by their illness or by their superiors. That is true even when the mentally ill person is asked to continue a life of prayer --- though in such a case an eremitical call might eventually be revealed. Eremitical life is defined in terms of the character and quality of one's life with God in the silence of solitude. The question which must be asked is, "If someone (a non-priest or lay person) came to the chancery seeking to live as a hermit under canon 603 because they have bi-polar disorder or a form of psychosis, for instance, and cannot function well, would the diocese profess and consecrate them as a canonical hermit on these grounds?"

My sense is in the vast majority of such cases a diocese would refuse --- and rightly so. In that remaining small fraction of cases it is possible the person will discover he is really called to a desert life of the silence of solitude, but this discovery takes significant time, discernment, and formation. The Church recognizes the eremitical life as a significant gift of the Holy Spirit, one which is capable of producing profound fruit at every level of the Church and in the world. To thumb one's nose at this truth while treating eremitical life as though it were the ecclesiastical equivalent of a back ward of a psychiatric hospital into which one might shunt all manner of difficult or problematical characters is not merely an injustice or abuse on every level (not least for the individual suffering from mental illness!) but, in its dishonesty and lack of genuine charity, a blasphemous one as well.

Priests and the eremitical Life More Generally:

I do get emails relatively regularly from priests with very full pastoral lives who would like to become hermits. In general they seem to use the term hermit to describe a contemplative or at least more contemplative life than the one they are managing to live now. What they must remember is that while all hermits are contemplatives, not all contemplatives are (nor are they called to be) hermits! It is very rare for dioceses to allow diocesan priests to become consecrated hermits and generally speaking these cases require a significant degree of additional discernment before a chancery would allow them to do so. Remember that priests undergo a significant degree of training and discernment prior to ordination. Dioceses are pretty clear that someone they are admitting to Orders has a call both to priesthood and to active ministry. Psychological testing and interviews are part and parcel of the discernment process and while some kinds of disorders might be missed, serious mental illness ordinarily would not. Even for situations in which the diagnosis is missed prior to ordination medical management and appropriate trials of psychotropic meds combined with therapy would be a first line of treatment long before considering perhaps someone has a vocation as a hermit. (And notice I am speaking of discerning a VOCATION as a hermit, not to shunting someone off into an isolated residence and "calling it" a hermitage!)

Occasionally newly ordained and entirely healthy priests have difficulty adjusting to the demands of parish vs seminary life, for instance. This does not mean they are called to become hermits though any more than it means a graduate student who has difficulty  transitioning from years of more solitary research and dissertation writing to a full-time teaching position is really called to be a hermit. The newly-ordained priest certainly needs to find assistance to manage his time and provide for adequate prayer, study, and recreation; he may also need the support of other priests and perhaps even therapy or counseling to assist him make the transition, but generally the seminary personnel will have discerned carefully with the seminarian and finding he is really called to be a hermit within a few years of ordination is unlikely in the extreme. What is true for the healthy newly ordained is actually even truer for the mentally ill priest.

Summary:

The bottom line in all of this is the same as I have written before and as you yourself have concluded. Eremitical life in the Church is a divine vocation with a character and value which are gifts of the Holy Spirit. Moreover, it is a radical, demanding, and dangerous vocation for those not called to it. It is not a "stopgap" or "fallback" vocation for those unfit or unsuited to vocations in which they have been ordained or professed, nor is it a label given to those MERELY living prayerful lives alone --- especially if they are also mainly active or apostolic. Eremitical vocations are desert vocations, calls to the silence OF solitude. Such vocations must be discerned and formed with all the care and dedication given to any other ecclesial vocation. A number of us with chronic physical illnesses, for instance, have discovered and embraced a vocation to eremitical life but this discovery and the discernment it required was genuine; it was not a way of validating our inability to undertake lives of active ministry (or a way of dignifying our illness-rooted isolation!) but instead a way of fully or radically revealing the truth that "God's power is perfected in weakness" as well as that "God alone is sufficient for us" and embodying these in our Church and world.

In a world which needs especially to hear the latter truth ("God Alone is Enough") and which thus needs to see that hermits live and are called to live radically full, whole, and holy lives in the power of God, it would be a disservice to all involved and an offense against the Holy Spirit to misuse eremitical life as a stopgap. Better solutions must be found for cases like the one you mentioned --- more honest solutions which do justice to the persons and to the vocations involved and which witness unequivocally to God and the Gospel of God in Jesus Christ. Either we believe in eremitical vocations or we do not (and some chancery personnel do not). If we do believe God calls people in this radical way then we do not betray the reality or our own belief by trivialization and destructive compromise. If we do not believe in eremitical vocations then we certainly must not trivialize the lives of the ill or relatively incapable by facile equivocations. To do either in the name of the Holy Spirit strikes me as immoral.

31 December 2014

Questions On "Craziness", Solitude, and the Possibility of Healing

[[Hi Sister, in a question you answered for Nun's Life Ministry you said that though healing could happen in solitude you thought it best that someone needing healing mainly have that taken care of before trying to live as a hermit. But you have also quoted Thomas Merton where he says that a person cannot be truly crazy in solitude since real craziness requires other people and solitude can bring one to drop pretensions. It sounds to me like these two positions are in conflict. Why should a person have their healing "well in hand" before trying to live as a hermit? Do you agree with Merton as much as you seemed to when you quoted him?]]

Thanks for the questions. You've been doing some back reading it looks like. So, let me explain what I said in the three part Q and A Sister Julie initiated. It is true that healing can certainly be accomplished in solitude. In fact, for the personal healing sometimes necessary, especially that associated with bereavement and grieving, solitude can be a powerful context and catalyst for healing. In The Values of Solitude, John Barbour notes that healing is one of five major reasons people seek solitude and, in some cases anyway,  may live in extended physical solitude. But what is also true about solitude, and especially about eremitical or more absolute solitude which is a silent solitude, is that it breaks down and does so before it builds up.

Ordinarily, with temporary or transitional periods of solitude this is relatively gentle and limited, not least because it is "controlled" by the prospect of leaving the silence of solitude. But with eremitical or more absolute and permanent forms of solitude the absence of this same prospect actually intensifies the effect of physical solitude. The consoling and edifying power of solitude and its related silence may not be experienced sufficiently to offset this or to establish the full dialectic of solitude. If one is psychologically fragile or actually ill the results can be destructive. Moreover, even if one is entirely healthy, if one does not have a mature and balanced spiritual life which is focused on and allows for the metanoia of the whole self, such solitude can open one to the more destructive portions of one's own psyche. Thus, I believe that a person needs to have their own healing well in hand before choosing to live as a hermit.

You see,  if one does not proceed in this way a couple of things can happen: First, because the "tearing down" that happens in eremitical solitude is more intense and extensive than in occasional solitude,  it may morph into psychological decompensation.  One simply may not have the psychological health to defend oneself sufficiently, much less live without defenses, in this new and relatively alien context. When this happens, because one is alone one may not really appreciate the degree of decompensation occurring. This is especially true when psychological symptoms are covered by naive readings of traditional eremitical stories and justified with simplistic notions of spirituality which are themselves unhealthy or unbalanced and destructive in isolation. Secondly, one may actually be tempted to turn in a naive way to traditional stories about early hermits and stereotypical notions of the eremitical life to justify and/or deny the decompensation.

Merton's Comments on "Real Craziness"

My sense is that Merton's references to "craziness" and "real craziness" is not so much to mental illness per se, but to the "craziness" associated with a culture which is individualistic, geared to competition, social climbing, consumerism, and the constant need to do rather than be --- among so many other "dysfunctions" of our society. These ensure the development of the false self, a concept we also largely owe to Merton, and that kind of spiritual schizophrenia is the epitome of "craziness" for a monastic.

The pressure for all of these comes from other people and our tendency to measure ourselves accordingly. In this context Merton's comments about craziness needing other people and how real craziness cannot be sustained in the face of the sanity of trees and mountains make perfect sense and I agree completely. If we interpret his meaning to refer to actual diagnosable mental illness as found in the DSM V then his comments make less perfect sense. For instance, in some forms of mental illness isolation (physical solitude) will exacerbate the illness whereas significant contact with others will mitigate it. Merton's comments would be mistaken in such cases. That said, I can't be sure what Merton's intention actually was; I don't know of another place he spoke in the same way and clarified his terminology.

23 October 2009

Mental Illness and the Vocation to Eremitical Life

[[Dear Sister, when you have referred in the past to "nut cases" wanting to be hermits, are you speaking about the mentally ill? Could and should the mentally ill (a form of chronic illness, after all) be hermits?"]]

This is a great question and points to a place I should be more careful with my language. Thanks for implicitly pointing that out! In fact, no, I am not speaking primarily about the mentally ill, at least not in any generally diagnosable way. In referring to "nut cases" I have generally been speaking about people who want to be hermits because it validates a kind of strangeness and anti-social bent in them. Sometimes this phrase simply means these people are bizarre and feel that eremitical life is the same and thus gives them permission to remain as bizarre as they wish. They are not so much concerned with discerning a vocation which is divine in origin or edifying to others as they are seeking a way to enshrine and institutionalize their own personal mental and emotional idiosyncracies and eccentricities. Especially they are often seeking a way to validate their own misanthropy, excessive or distorted individualism, and sometimes even a kind of selfishness and narcissism rather than looking for a way to love God and others effectively. When their motives are more positive and valid, it is sometimes the case that eremitical life will witness to the wrong things in this particular life, and so, not be edifying --- that is, it will not build up the Body of Christ or be sufficiently prophetic in the contemporary world. Now, let me be clear. Sometimes such persons may well ALSO be mentally ill, but this is not the main concern I was expressing when I have referred in the past to "nut cases."

The next questions are also quite good and more difficult to answer. Mental illness comes in many different forms and degrees of control and stabilization. My general answer to the first part of your question is yes, some mentally ill persons COULD be hermits, but not all and not most. Regarding the second portion of the question, those that COULD be hermits are those whose illness is well-controlled with medication and whose physical solitude definitely contributes to their vocations to wholeness and emotional/mental well-being. There should be no doubt about this, and it should be clear to all who meet them. It should assist them in loving themselves, God, and others rather than detracting from this basic responsibility. In other words, solitude should be the context for these persons becoming more authentically human and maturing in that fundamental or foundational vocation for the whole of their lives. With this in mind I am thinking too that some forms of mental illness do not lend themselves to eremitical vocations: illnesses with thought disorders, delusions, hallucinations, fanatical or distorted religious ideation, and the like are probably not amenable to life as a hermit.

On the other hand, some forms of mental illness would (or rather, could) do quite well in an eremitical setting so long as the anachoresis (that is, the healthy withdrawal) required by the vocation is clearly different from that caused by the illness and does not contribute to it but instead even serves to heal it. Certain mood disorders, for instance, cause a defensive or reactive and unhealthy withdrawal, but it is not the same as the responsive anachoresis of the hermit. The person suffering from clinical depression who also wishes to be a hermit should be able to discern the difference between these two things and this requires a lot of insight and personal work. However, if a person suffers from clinical depression (or has done in the past) I would say it should be pretty well-controlled medically, and no longer debilitating or disabling before the person is allowed to make even temporary profession as a diocesan hermit. At the same time, provisions for adequate ongoing and emergent care and treatment should be written into this hermit's Rule of Life.

In any case, I think the decision to become a hermit when mental illness is a factor is something which requires the candidate and her spiritual director, psychiatrist or psychologist, and the diocesan staff to work together to discern the wisdom of. Mental illness per se should not always automatically preclude this vocational option, but there is no doubt that eremitical silence, solitude, prayer and penance can exacerbate rather than help with some forms of mental illness. Even in the completely healthy person eremitical solitude can lead to mental problems. Ordinarily we are made for a more normal type of communion or social interaction with others, and this is a particularly significant area for caution when dealing with mental illness. This is another place where some years spent as a lay hermit, especially under direction and regular and effective medical care, are especially helpful in discerning a vocation to eremitical life -- if initial permission to pursue such a thing is deemed wise at all. So, once again, thanks for your questions. They are quite good and, among other things, remind me to take greater care with language.