Most people can endure almost any problem, loss or conflict if they feel there is meaning and purpose to what they are doing and that the world and people in it are basically good. Profound spiritual crisis is when we lose touch with our basic goodness and no longer feel that we are able to contribute anything. Or if we do contribute something, we may feel if doesn’t make any difference. Spiritual crisis is different from regular depression and it doesn’t respond to medications. It can feel like a soul-level loss, where a higher or more intimate part of yourself is lost, disconnected and/or neglected. We at Middle Way Health are particularly trained in spiritual guidance whether from a traditionally religious, atheist or other standpoint.