Still in the Waiting Room: Aging, Consciousness, and Borrowed Time

Josie, my wife in the 90’s married for 57 plus year is cooking karela (bitter melon, a favorite Filipino food) with shrimp today!

For fun, I checked some actuarial information on how many people around 90 might still be married after 50 or more years.

I could not find a reliable statistic for the very specific combination of age, length of marriage, and both spouses still being alive. But it made me realize how unusual our situation may be.

No wonder we sometimes feel that we are living on borrowed time—especially when we consider the statistics for both members of a couple surviving to these ages.

And yet, longevity itself is changing.

More People Are Living Longer

Japan has crossed an extraordinary milestone: more than 100,000 people aged 100 or older.

As of September 2026, the number was reported as 107,677.

At the same time, an entirely different kind of longevity research is developing.

Scientists and biotechnology companies are investigating whether some aspects of cellular aging can be modified through cellular reprogramming, regenerative medicine, and stem-cell-related technologies.

Companies such as Calico and Altos Labs are studying aging and cellular rejuvenation in different ways.

The idea is fascinating:

Perhaps aging is not simply a one-way biological clock. Some processes associated with aging, at least at the cellular level, may someday prove capable of being modified or partially reset.

We are already seeing experimental work involving the eye.

Stem-cell-based approaches are being studied to repair damaged corneal tissue and to replace or restore cells affected by degenerative eye diseases.

Some of these approaches have reached early human clinical trials, although they remain experimental and are very far from demonstrating that human aging itself can be reversed.

And then there is the much larger philosophical question that fascinates me:

What exactly is preserved in biological memory—individual memory, family memory, cultural memory, perhaps even the information carried forward through generations?

That is where science ends for the moment and philosophy begins.

“Amra Je Becha Achi…”

I always remember my dear friend Enam Choudhury, who I have known since we went to college and University together in Dhaka, Bangladesh, who in his later years would greet me by saying:

“Taslim, Amra je becha achi, setai to aschajjer bepar!”

In English, roughly:

“The fact that we are still alive is itself an amazing thing!”

And Hamida Bhabi , my eldest bother National Professor Salahuddin Ahmed‘s wife, would respond to my question about how she was doing:

“We are still in the Waiting Room. The Train may arrive any time…”

So are we.

We are all in the Waiting Room, although none of us knows when our Train will arrive.

Meanwhile, we try to make the most of our conscious existence before moving on to whatever comes next, according to our own individual and collective spiritual beliefs.

So many of the people we loved have already left the Waiting Room.

A Conversation in the Nursing Home

This reminds me of something I once said to one of my clients who was lying in bed in a nursing home, continually complaining about family members and events from the past.

I told her:

“You and I are going to die someday. We don’t know when. Do you want to go angrily, or would you rather go happily and smiling, with your own spiritual beliefs and practices? We all have our own individual and collective beliefs.”

She calmed down.

I was not trying to tell her what to believe.

I was trying to help her shift from repeatedly reliving the past toward the limited but still meaningful present.

Perhaps that is one of the things we can do while we are still in the Waiting Room.

The Train may arrive any time.

Until then, there is still life to live before we pass on to our next stage of Eternal Existence within the Unity of One, whether understood through religious and spiritual faith-based beliefs and practices or through cosmological, science-based perspectives.

Mind Stimulation Therapy: A Holistic Approach to Psychological Wellbeing

Overview of Mind Stimulation Therapy (MST)
Mind Stimulation Therapy (MST) is an innovative clinical model emphasizing information processing and cognitive stimulation techniques, rooted in a “positive psychology” framework. MST is designed to enhance adaptive thinking, behavior, and emotional regulation through reflective and collaborative processes.

This therapeutic approach was pioneered by Dr. Mohiuddin Ahmed, who developed MST over his 40+ years of clinical practice in diverse settings, including inpatient and outpatient facilities, community residences, nursing homes, and special education programs. Dr. Ahmed worked with individuals across the lifespan, including behaviorally disordered children, developmentally disabled adults, individuals with schizophrenia, dual-diagnosis clients, and elderly psychiatric patients.

The MST model was further refined and formalized through Dr. Ahmed’s 25+ years of collaborative work with Professor Charles Boisvert of Rhode Island College. Together, they published extensively on the MST model in professional journals and books, contributing to its evolution as a recognized clinical approach.cognitive stimulation techniques, rooted in a “positive psychology” framework. MST is designed to enhance adaptive thinking, behavior, and emotional regulation through reflective and collaborative processes.

Contrasting MST with Traditional Counseling and Psychotherapy
Traditional psychotherapy typically relies on the idea that therapeutic dialogue between the client and therapist leads to internalization of insights, enabling positive changes in thinking and behavior. While effective for many, this approach is often limited for individuals with severe and persistent mental illnesses.

For these clients, difficulties in adaptive functioning—including challenges with memory, attention, problem-solving, and social communication—may impair their ability to generalize therapeutic insights into their daily lives. MST was specifically designed to address these challenges by integrating therapeutic prompts and interventions within the client’s social and environmental context.

MST emphasizes collaboration with clients’ support systems, ensuring that therapeutic benefits extend beyond the therapy session to the client’s everyday milieu. This holistic approach helps maximize the therapeutic impact and fosters enduring positive change.

Integrating Existential Perspectives in MST
A unique aspect of MST is its focus on existential perspectives, which are universally relevant to the human condition. These discussions may include themes such as:

  • The nature of existence and the “Unknown” (where we come from, where we are going).
  • Coping with changes, loss, and the entropy of life.
  • The universal human quest for meaning and connection.

Therapists encourage clients to explore these themes in a supportive and non-judgmental manner, respecting their individual religious, spiritual, or secular beliefs. By highlighting commonalities across various worldviews—such as the idea of unity in creation or the interconnectedness of life—MST fosters a sense of shared human experience and collective empowerment.

Promoting Practical Adaptive Strategies
In addition to existential discussions, MST integrates practical strategies to help clients manage existential concerns. Activities like work, hobbies, family interactions, and spiritual practices are seen as tools for redirecting focus from distressing thoughts to adaptive routines. This emphasis on “practical intelligence” helps clients remain present and engaged in their lives, reducing psychological distress while fostering resilience.

Encouraging Scientific and Symbolic Insights
MST incorporates both scientific and symbolic perspectives to enrich therapy. For instance, discussions of the Big Bang Theory and the origins of the universe can be used to draw parallels with religious concepts of creation. By framing these ideas symbolically, MST bridges scientific and faith-based perspectives, highlighting the unity underlying diverse worldviews.

The Role of Collaboration and Therapeutic Milieu
To ensure the success of MST, therapists work actively with the client’s environment, engaging family members, caregivers, and community supports. By embedding therapeutic prompts in daily routines, MST fosters a more comprehensive and sustainable approach to mental health.

Conclusion: A Holistic Approach to Mental Health
Mind Stimulation Therapy represents a significant shift in psychological treatment, integrating existential perspectives, practical strategies, and environmental collaboration. By addressing both the cognitive and emotional dimensions of mental health, MST provides a framework for meaningful and sustainable change, particularly for those with persistent psychological challenges.

References:


Mind Stimulation Therapy: Cognitive Intervention for Persons with Schizophrenia

Their first collaborative book, published by Routledge in 2013, outlines the Mind Stimulation Therapy model. This approach integrates Dr. Ahmed’s extensive clinical experience across various settings and Dr. Boisvert’s contributions as a Ph.D. student under Dr. Ahmed’s supervision at the Community Care Alliance RI.

Articles:  

Most recently published:

Mohiuddin Ahmed, Ph.D. T. Mental Health Science Journal, 1:(1, Wiley Online Publications, 2022.

Type 1 and Type 2 psychosis‐related disorders for optimal treatment and management (wiley.com)

Other articles:

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    Disclaimer:
    This blog post is authored by Dr. Mohiuddin Ahmed and is intended for informational purposes. Unauthorized use or duplication of this material is strictly prohibited without express written permission. For references and related publications, visit the biographical section of Psychology and Mental Health Resource Links by Mohiuddin Ahmed.

      Date: December, 2024
      Copyright: Mohiuddin Ahmed, Mind Stimulation Therapy