Living in the moment doesn’t always work and it doesn’t work for everyone, period. This is one of my biggest problems with pop psychology and the one-size-fits-all nonsense spouted on popular websites untethered by science. Science can’t tell you many things but one thing it’s clear on is that anything only has a percentage chance of working — and that percentage is never 100 percent. In other words, no matter how sage the advice, it doesn’t work for all people. And while “live in the now” or “live in the moment” sounds good and fits on a bumper sticker, I just don’t find it works for everyone — particularly not the seriously, chronically ill — and it certainly doesn’t work all the time.

Does Living in the Moment Help You?

I wrote once that mindfulness doesn’t help my bipolar disorder. It doesn’t. People get mad at me for saying it, but that doesn’t make it untrue. And if these people were to think logically for a moment and look at the science they would see that while mindfulness certainly does help some people, it doesn’t help everyone. That’s what studies show us — they show us what percentage of people are helped by something. And again, that number is never 100 percent.

And one of the central ideas in mindfulness is, to put it simply, living in the moment. The “living in the moment” concept has been around for a long time but it’s really cemented when you learn about mindfulness.

The idea is that most of our pain comes from worrying about the past and future. It focuses on the idea that if you live in your body, right now, you’ll see that things are really okay in this moment.

This is sometimes true. Sometimes people do ruin their now with worries of yesterday and tomorrow. We do this unconsciously. We let “monkey mind,” as some call it, spin and tumble and take us out of our perfectly fine “now” by focusing on all the other things in the world.

I understand this.

But the thing is, sometimes “now” and “the moment” is utterly horrific and not worth living in at all.

When Living in the Moment Doesn’t Work, Doesn’t Help

I’m going through a rough time. I’m doing a cross-taper of medications right now — that means withdrawing from one medication while getting on another. While a cross-taper is awful, it’s often better than trying to get off of one medication before getting on another when you’re in a serious condition. That’s because people in serious conditions can’t afford to not be on medications — even for a short period — as they become unstable and things become potentially lethal. (Note it’s not possible to cross taper all medications.)

On top of that, my back went out and it’s requiring it’s own medications and doctor appointments. And there’s dental stuff going on. There is not a second when I’m awake when various forms of pain are not plaguing me.

And see, that’s the problem with living in the moment. My moment is ridiculously awful. Believe me, it’s not “monkey mind” or the past or the future doing this, it’s very much the present.

Living for Tomorrow Instead of Living for Today

Saying live in the moment is trite advice for those in severe pain. Living in the moment doesn’t work for everyone. We need to focus on what does.

So I live for tomorrow. I’m living for the next moment, certainly not this one. And sometimes that’s what life gives us. Sometimes that’s all that is available. Sometimes tomorrow really is our best bet. Sometimes all the pills and skills in the world won’t turn this moment into something that feels like it’s worth living for. And I want to let people know that this is okay. Sometimes all you have is the idea that tomorrow won’t be as bad as today and it’s okay to live for that. It’s okay to put aside the trite notions of “living for today” and “living in the moment” and live for whatever-the-hell-you-can. Look forward to weekend brunch (I do). Look forward to the next time you get to hold a baby (or a kitten). Look forward to the next hour you get to spend with a friend. Look forward instead of gazing inward. This is okay, no matter what a mindfulness therapist tells you.

Because in the end whatever works for you to cling to in moments of agony is what works for you. Sometimes this moment, the one we are living right now, is a fucking write-off. I know we’re not supposed to think or say that, but it’s true. But tomorrow won’t necessarily be the same. No matter how hard today is, tomorrow has the power to be different.

So I say live in tomorrow if you have to. It’s okay. What matters is that you keep living, no matter what that looks like and no matter what you need to make that happen.