Depression, Medication, Fasting Leniencies - Tisha B'Av
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Question
Shalom and blessings,A. A person being treated for depression (accompanied by general physical weakness, possibly in a man, or in a woman regarding postpartum depression where the body's strength is related to mood), should they fast and are they allowed to fast on Tisha B'Av? If exempt, is there any point in fasting for a few hours? What defines depression, is taking medication on a doctor's and therapist's recommendation sufficient? Another question: a person who needs to take medication that has a taste or needs to drink to swallow it, what should they do, and is there a point in delaying the taking until after the fast? (This refers to pills that affect mood and strength). Another question: is it permissible on Shabbat to take fasting leniencies and delayed-release caffeine pills? Thank you very much.
Answer
Shalom and blessings,
A. One who suffers from an unstable mental state is exempt from fasting.
If the condition is stable, they can start the fast and see if it does not adversely affect them.
Taking medical medications is sufficient for this definition.
B. One who is fasting and needs to take medication, if possible, should take it without water. If it is not possible without water, they should slightly bitter the water with tea essence, etc., and swallow. If not possible, they should take a little regular water.
C. It is forbidden to take on its own, but it can be mixed with food or drink from Friday night in a way that the medication is not noticeable.