Do you suffer from lightheadedness? Ringing in the ears? Do you sweat excessively? Do you have unexplained pain in your feet? How about difficulty concentrating? It’s enough to turn anyone into a hypochondriac.

I’m talking about a form I have to complete every time I see my doctor — that is, every six months. On it is an extensive list of symptoms; I circle the ones that seem to apply to me. As always, I struggle with honesty. Well, yes, my back does hurt. But does it hurt hurt? Do I want to open that can of worms, or should I just try not to sleep on my back so much?

It’s rather like examining the current state of one’s soul — as a person is wont to do during Lent. (Am I following through with my Lenten promises? How can I improve?) It also reminds me of the sacrament of Reconciliation. Before I can confess my sins, I have to make a list of them. And it seems like the same old sins keep appearing on this list, just as I continue to report the same health symptoms to my doctor. “Being short-tempered” is my “continuing asthma.” “Selfishness” is right up there with “osteoporosis.” I might as well bring a form into the confessional with me.

What happens when a symptom becomes a chronic health problem? Well, you fight it, of course, with a program of prescriptions and wellness techniques: exercise, healthy eating, etc. But what should you do when the chronic problem is a sin — the same one, time and again?

It is all very well and good to promise you won’t do it again — something I do, and have done for years. And every time I really mean it. And then, halfway home from church, some small annoyance starts my skin tingling, like a form of eczema, and I snap. Or judge someone’s appearance or actions. Or fall prey to depression. And suddenly, it’s déjà vu all over.

Maybe it’s time to look at underlying causes. Is that cough a cold or tuberculosis? Am I being selfish because I don’t feel loved enough or because I am greedy and childish? Do I lose my temper because others don’t live up to my expectations (and why should they?) or because there is something about my life that needs radical change? These are the questions I should be asking, investigating, and diagnosing.

What’s on your list? What symptoms keep popping up to plague your spiritual life? And what can you do about them to effect systemic change? Consider Lent your yearly check-up. And then get to work.

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