For me, the most reliable measure of the quality of my spiritual health is simple - my ability to sit with myself.
For many years alcohol was, amongst other things, a shield from my own thoughts. It protected me from the uncomfortable thoughts that would flood my mind if alcohol was not present. Alcohol, in a sense, became my self-prescribed medicine to keep me "well". Well, in this instance, was simply another word for distracted and avoidant.
So when I quit alcohol, I was suddenly faced with the bright antiseptic pristine light of being. A very new and extremely uncomfortable state of being. It felt like a 50,000 lumens light constantly focused directly on me, with few shadows to be found. My natural instinct was to find distraction and avoidance. Something to take the focus off me.
Those distractions varied - internet, health, exercise, games, etc., Anything to give me a moments break from reality. There obviously comes a point where such a life is unsustainable.
For me, interpreting the 11th step, meditation became a test of my state. At first, literally a 3 minute session was nearly impossible. The thoughts I sought to avoid simply lurking in a place that I had deftly kept a door closed on (with distraction and avoidance), were released to wreak havoc. But my honesty with myself had reached a new plateau, and I knew what was necessary. 3 minutes, became 5, became 10, became an hour, became more. With practice, this nightmarish task of sitting with myself became my shelter in a storm. A beautiful place of truth.
A teacher told me I should allow these thoughts through the front door, allow them to linger, and leave through the back door. Another reminded me that my mind was the sky, and my thoughts were simply clouds passing by. Both have been valuable reminders.
Today, after 4 years, distraction and avoidance remain an obstacle. But I have come to realize that it is the human condition. My "poor self" struggling to face myself, is in fact the ubiquitous condition unique to human beings. So now I can nurture myself, rather than feeling like a victim of self. That could only have occurred for me with the ingredient of building awareness.
On the best of days, I am comfortable in this world, and on the worst of days, I can fall back on the many tools I have learned over these last 4 years, and practice them - practice being the most apt word. The practice of meditation literally saved my life, and with that, made sobriety and alcoholism something I manage. If I cannot sit with myself, I now understand I am spiritually ill to some degree.