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Fulfilled

Fulfilled

How the Science of Spirituality Can Help You Live a Happier, More Meaningful Life
by Anna Yusim 2017 320 pages
4.14
100+ ratings
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Key Takeaways

1. Fulfillment Requires Spiritual Transformation Beyond Clinical Outcomes

True healing and lasting fulfillment require a spiritual transformation as well as a clinical outcome.

Beyond symptoms. While traditional medicine and psychiatry focus on alleviating symptoms like anxiety, depression, or addiction, true fulfillment necessitates addressing deeper, spiritual needs. The author's journey and work with over a thousand patients revealed that symptom remission alone is often insufficient for lasting well-being.

A calling. The author views her work not just as a profession but a calling, connecting with patients on a soul level for growth and transformation. This psychospiritual approach goes beyond biochemical imbalances, incorporating relationships, behavior patterns, and a fundamental spiritual nature.

Mirror principle. Every patient serves as a teacher, reflecting something the author also needed to transform in herself. This "mirror principle" highlights the interconnectedness of healer and patient and the continuous nature of the healing journey for everyone.

2. Authenticity is the First Key to Reclaiming Your Life

The privilege of a lifetime is to become who you truly are.

Shedding masks. Many people live lives dictated by external expectations (parents, society, culture), wearing masks that hide their true selves. This leads to a sense of being an imposter, feeling unhappy despite outward success, and a deep inner void.

Living your truth. Reclaiming your life involves aligning with your authentic self, which requires courage to defy expectations and confront the fear of not being accepted. It means asking:

  • Are you living a life aligned with who you are?
  • What would you do if nothing stood in your way?

Cultural constraints. While authenticity is vital, cultural norms and responsibilities can present real constraints. The challenge is to find the most authentic life possible within these limitations, as illustrated by the story of Lee, who faced familial opposition to her dreams.

3. Fear is the Culprit of Self-Sabotage, Not Logic

Sometimes what we most want can be the very thing that we fear most.

Rationalizations mask fear. When we act against our deepest desires, we often create sensible-sounding rationalizations to justify our choices. However, the true culprit behind self-sabotage is often fear, not logic.

False Evidence Appearing Real (FEAR). Fear is an emotional response to real or perceived danger. In modern life, perceived dangers (stress, anxiety) often trigger fear-based instincts that lead to flawed thinking and actions, trapping us in repetitive, self-defeating patterns.

  • Beatrice's fear of heartbreak led her to reject a potential soulmate.
  • Slava's childhood abandonment fear caused him to repeatedly feel rejected in relationships.

Interrupting patterns. Breaking these cycles requires consciously challenging fear-based instincts, pausing before reacting, and recognizing that "Thoughts are not facts." Healing involves creating new neural pathways through conscious effort and practices like journaling, meditation, and cultivating love.

4. Embracing Your Shadow and Projections Leads to Wholeness

What you don’t own, owns you.

Unconscious rejection. Our "shadow side" comprises parts of our personality (anger, dependency, rebellion, etc.) that we unconsciously reject or disavow due to fear, shame, or lack of love. We often project these unaccepted qualities onto others, blaming them for traits we deny in ourselves.

Reclaiming the self. Acknowledging and integrating our shadow is crucial for becoming whole and authentic. Resisting the shadow only gives it more power.

  • Leo projected his repressed aggression onto a colleague, leading to panic attacks.
  • Valerie's "good girl" persona led her to project her rebellious side onto a "bad boy" partner.
  • Jack's suppressed neediness caused him to reject partners he perceived as "too needy."

Path to self-love. Confronting the shadow, though uncomfortable, is liberating. It allows us to integrate our "unlovable" parts, leading to greater self-acceptance and the capacity to love others more fully.

5. Relationships Mirror Your Inner World and Reveal Soul Corrections

Everybody we attract into our lives is a reflection of us in some way.

The world is your mirror. The people you attract into your life often reflect your inner state, including your wounds and unaddressed issues. Recognizing this "mirror-image" nature is the first step to improving relationships.

Repetition compulsions. We unconsciously seek to repair childhood wounds by drawing partners who recreate similar dynamics (e.g., unreliable, abusive, or distant caretakers). This "repetition compulsion" is doomed to fail unless the underlying wound is addressed.

  • Marina recreated her mother's capriciousness in a relationship.
  • Jacqueline repeated her father's abusive pattern with partners.

Healing through connection. Cultivating self-love, setting healthy boundaries, and engaging in soul work (like soul visualization and reconciliation) can break these cycles. Healing the relationship with yourself is fundamental to attracting and maintaining healthy relationships with others.

6. Addictions Stem from Inner Emptiness and a Search for External Happiness

You feel it, don’t you?

Filling the void. Addiction, whether to substances, behaviors, or psychological states (status, power, approval), is often a spiritual thirst or an attempt to escape inner emptiness and pain. It provides temporary relief but ultimately leaves you feeling more hollow.

Root cause. A common belief driving addiction is that happiness and wholeness must come from outside oneself. This leads to a desperate search for external fixes that mask the true self and the underlying pain.

Healing requires love. Overcoming addiction involves acknowledging the pain, uncovering the core beliefs driving it (e.g., feelings of inadequacy, aloneness), and cultivating self-love.

  • Tamar's heroin addiction masked pain from a turbulent childhood.
  • Marcella's rage addiction provided a temporary high but left her empty.
  • Jay's work addiction stemmed from a belief he was "never enough."
  • Steve's alcohol addiction was linked to dishonesty and a need for external validation.

The most potent treatment involves replacing unhealthy dependencies with healthy ones and, ultimately, filling the inner void by cultivating love within.

7. Transforming Fear Unlocks Your Power and Aligns You with Love

Our deepest fear is not that we are inadequate. Our deepest fear is that we are powerful beyond measure.

Fear vs. Love. Every decision is a choice between aligning with fear or love. Fear keeps our hearts small and closed, while love creates vulnerability and expansion. Overcoming fear is a process of gradually aligning with love more often.

Fear as a guide. Fear, while a survival instinct, can also be a guide to our soul corrections. Confronting fears (of death, separation, loss of autonomy, etc.) pushes us outside our comfort zone and enables growth.

  • Christina's fear of death, triggered by her mother's passing, led her to pursue her dream of writing.
  • Daryl's counterphobia (adrenaline addiction) masked his fear of death, leading to self-destructive behavior until injury forced him to confront it.

Seeing innocence. Reframing fear-driven actions in others as appeals for love can be a powerful tool for forgiveness and opening the heart. Cultivating mindfulness helps us observe fear without being controlled by it.

8. Harnessing Personal Power Means Relinquishing Victim Mentality and Owning Your Life

I am not what happened to me. I am what I choose to become.

Taking responsibility. Personal power comes from taking responsibility for your life and how you respond to challenges, rather than blaming others or circumstances. Victim mentality, while offering a sense of righteous indignation, is disempowering and keeps you stuck.

Beyond entitlement. Even privileged circumstances can foster disempowerment through "bread of shame" and entitlement, as seen in Joanna's story. Overcoming this requires cultivating a work ethic and finding purpose.

Faith and forgiveness. Forgiveness is a powerful act of reclaiming personal power, releasing the energy tied up in anger and resentment. Faith in a Higher Power or a supportive community can also provide strength and resilience, as shown by Yolanda and Jean-Baptiste.

Rising above indecision. Indecision, often driven by fear of loss, is also a form of giving away power. Making choices, even difficult ones, is an act of self-definition and moves you forward, as illustrated by Eduardo and Veronica.

9. Synchronicity and Universal Guidance Affirm Interconnectedness

I am open to the guidance of synchronicity, and do not let expectations hinder my path.

Meaningful coincidences. Synchronicity refers to meaningful coincidences that reveal a deeper underlying order in the universe. These events, whether a chance encounter, a powerful dream, or an unexpected sign, are co-created through our subjective interpretation.

Guidance from the Universe. Being open to synchronicity can feel like receiving guidance from a Higher Power, affirming that you are on the right path.

  • The author's family received visas after a prayer at a grave.
  • A book literally landed at the author's friend's feet, leading to a breakthrough for her patient.
  • A freak car accident saved a friend from a fatal plane crash.

Law of Attraction connection. Synchronicity aligns with the Law of Attraction, suggesting that by changing our internal state (thoughts, beliefs, intentions), we can influence external events and attract what we desire.

10. Consciousness Creates Reality: Your Thoughts Shape Your World

The Universe begins to look more and more like a great thought than like a great machine.

Quantum implications. Quantum physics, particularly the Copenhagen interpretation, suggests that the act of observation (consciousness) collapses infinite potential (waves) into physical reality (particles). This implies our consciousness plays a central role in creating our world.

Law of Attraction. This scientific perspective aligns with the spiritual principle of the Law of Attraction: our thoughts, conscious and unconscious, create our reality.

  • Thinking thoughts of lack attracts more lack.
  • Thinking thoughts of abundance attracts more abundance.

Manifesting desires. To manifest what you want, you must:

  • Ask clearly for what you desire.
  • Believe wholeheartedly that you already have it.
  • Take action consistent with your desired future (co-create).

While powerful, the Law of Attraction is not a substitute for action and requires consistent practice and openness to how desires may manifest.

11. We Are Interconnected Beings with Innate Intuitive Capacities

Learn how to see. Realize that everything connects to everything else.

Beyond isolation. Contrary to the Newtonian view of isolated individuals, quantum physics and personal experiences suggest we are deeply interconnected with our environment and each other.

Intuitive empathy. Some individuals, like intuitive empaths (HSPs), have a heightened capacity to sense and absorb the emotions and physical states of others, blurring the lines between self and other. Learning boundaries and energy protection is crucial for them.

Telepathy and unconscious dialogues. Experiences like thinking of someone just before they call, predictive dreams, or "slips of the tongue" in therapy suggest a form of "thought transference" or unconscious communication between people.

  • The author received a "telepathic" text from a patient.
  • A therapist's "slip of the tongue" revealed a patient's secret.

Cultivating connection. Activities like meditation, mindfulness, and creative pursuits can quiet the logical left brain and enhance right-brained capacities associated with intuition, telepathy, and a sense of oneness.

12. Immortality of the Soul Calls Us to Live Fully in the Present

We are not human beings having a spiritual experience. We are spiritual beings having a human experience.

Death is a transition. While physical death is inevitable, the law of conservation of energy suggests energy (and perhaps consciousness/soul) cannot be destroyed, only transformed. This opens the possibility of life after death.

Evidence from the other side. Anecdotal accounts like visits from departed loved ones, shared death experiences, and communications through mediums suggest potential connections beyond physical life.

  • A door buzzer fell off the wall as a patient grieved her deceased partner.
  • Lights flickered when a patient spoke of his deceased brother.
  • A medium relayed messages and accurate information from a patient's deceased father.

Living fully. The most powerful way to address death anxiety is not to deny death, but to live authentically, purposefully, and fully in the present moment.

  • Embrace your authenticity.
  • Live with purpose and make your contribution.
  • Foster meaningful connections.
  • Take responsibility for your life.

Recognizing the finite nature of physical life can be the catalyst for embracing the aliveness of the present moment, which is all we truly have.

Last updated:

Review Summary

4.14 out of 5
Average of 100+ ratings from Goodreads and Amazon.

Fulfilled receives mostly positive reviews, with readers praising its blend of spirituality and science. Many find the book insightful, practical, and life-changing, appreciating Dr. Yusim's personal stories and patient examples. Readers highlight the accessible exercises and the author's approach to combining psychology with spiritual principles. Some critics find certain concepts too far-fetched or struggle to engage with the content. Overall, the book is seen as a valuable resource for those seeking personal growth and a more meaningful life.

Your rating:
4.6
2 ratings

About the Author

Dr. Anna Yusim is a board-certified psychiatrist and Yale lecturer with a private practice in New York City. After completing her education at Stanford and Yale, she traveled extensively, studying various spiritual practices. Her book, Fulfilled, integrates traditional psychiatry with universal spiritual principles. Dr. Yusim has published numerous academic articles and received many awards, including the National Institute of Mental Health Outstanding Research Resident Award. Her work focuses on combining scientific research with spiritual wisdom to help people lead happier, more meaningful lives. She currently resides in Manhattan with her husband.

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