Yom Kippur - Diagnosed Depression
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Question
Hello Rabbi, I am writing to ask about fasting on Yom Kippur. Unfortunately, I had a difficult childhood, which I cannot detail. In recent months, I have been feeling very weak, constantly tired, and struggling with daily functioning. I sought professional help a few months ago and underwent a psychiatric evaluation using a medical questionnaire (PHQ-9), which scored 17 — moderate to severe depression. Doctors say that a full fast might affect my mental stability to some extent. I am currently receiving psychological treatment but am not taking medication. My question is: what is the ruling for someone in my situation on Yom Kippur — should I fast as usual, or am I obligated to act differently (such as drinking in measures or being exempt from fasting)? Thank you very much, Rabbi, for your guidance. Best regards.
Answer
Hello and blessings
A person in a severe mental state, where there is concern that fasting might worsen their condition, is prohibited from fasting.
If drinking 'shiurim' is sufficient, it is obligatory to do so and not drink as usual. However, if the restriction itself creates psychological pressure and a real concern for deterioration, one should eat and drink as usual.
Drinking 'le-shiurim' means drinking no more than 40 cc every 9 minutes.