Category Archives: medications

Feb 3 2012

Antidepressants for Believers?

What do you think of Christians taking antidepressants?

By John Piper, given on March 30, 2010

The following is an edited transcript of the audio.

What do you think of Christians taking antidepressants? I have been on them and have been accused of not relying on God.

That relates to an earlier question about how any physical or personal means that you use can signify that you’re not relying on God. So eating might be a failure to rely on God, because he might just fill your stomach by miracle, and you don’t have to eat. Or not sleeping would be a way of relying more on God, since you don’t have to have your psyche made stable by sleep at night. And so on.

God has ordained physical means. Aside from the ones that seem more natural, like food, there’s medicine: aspirin, Nyquil, etc. This water is helping my throat right now. [Sips it.] Was that sip a failure to rely on God?

Could be. “Just throw this away and rely on God! He will keep your throat moist. You don’t need to be drinking. You’re an idolater, Piper. You’re idolizing this because you’re depending on it.”

Well, the reason that’s not the case is because God has ordained for me to thank him for that. He created it and he made this body to need a lot of fluid. And it’s not a dishonor to him if I honor him through his gift.

Now the question is, “What medicines are like that or not like that?” Taking an aspirin?

My ophthalmologist told me about 4 years ago, “Take one baby aspirin a day and you will postpone cataracts or glaucoma or something.” He said, “I can see just the slightest little discoloration, and the way it works is that circulation helps.” So he told me to pop one of these little pills in my little vitamin thing. And I take it every day. And I just said, “Lord, whether I have eyes or not is totally dependent on you. But if you would like me to use this means, I would.”

My answer is that when you start working with peoples’ minds, you are in a very very tricky and difficult situation. But I think I want to say that, while nobody should hasten towards medication to alter their mental states—even as I say it I think of caffeine, right?—nevertheless, I know from reading history, like on William Cooper, and by dealing with many people over the years, that there are profoundly physical dimensions to our mental conditions.

Since that’s the case, physical means can be appropriate. For me it’s jogging. I produce stuff in my brain by jogging. But that might not work for somebody else, and they might be constantly unable to get on top of it emotionally. I just don’t want to rule out the possibility that there is a physical medication that just might, hopefully temporarily, enable them to get their equilibrium, process the truth, live out of the strength of the truth, honor God, and go off it.

When I preached on this one Easter Sunday a woman wrote me, thanking me that I took this approach. She said, “You just need to know that I live on these things, and I know what it was like 20 years ago and the horrors and the blackness of my life. And now I love Christ, I trust Christ, I love my husband, our marriage is preserved, and I’ll probably be on these till I’m dead.”

So I’m not in principle opposed. I just want to be very cautious in the way we use antidepressants.

 

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Jan 25 2012

In Pursuit of Happyness

By CARONAE HOWELL, From the New York Times, dated July 20, 2009

flight1

To fly away

I’m the kind of woman who spends entire days thinking of nothing but birds: woodcocks, goldfinches, kingfishers. I look for loons everywhere I go. Sometimes I find herons in Central Park and they are mysteries. There is one thing in this world that I envy: the hollowness of bird bones. In the three milliseconds of liftoff, a bird separates itself from its problems. The sky is the freest part of the world.

I have always been depressed, and I have always wanted to fly — not to emulate Superman or to travel faster. I want to fly because of the elation. In my dreams I am a butterfly or a fairy or a honeybee. Depression, for me, is when you want to be a bird, but can’t.

There is a specific moment in which I became a woman. It was February — always the worst month with its aching light and its slip-induced bruises. I had been trying to fall asleep for at least four hours. At 3 a.m., I found myself sobbing and shaking and confused, sitting on my metal dorm bed in the bird-with-a-­broken-wing position. I dug my fingernails into my forearms, leaving shell-shaped trenches behind. I have the kind of skin that refuses to heal, just stays eternally raw and mottled. It was five weeks into my fourth semester.

In late January, a freshman hanged himself in my old dorm. I found myself asking, really, how hard is it to suddenly find yourself perched on a sink, rope around your beautiful neck, ready to fly? How hard? My dad drove through four states to pick me up the next week. On the way home I had tea and ice cream. He asked me if I remembered the time he took too many of his antidepressants. I did not. Nor did I remember my uncle’s suicide (gun to the cerebrum) or my sister’s delicately sliced arms and hips. These were things I had only been told. The space between my skull and my irises hurts sometimes — hurts like the shatter of a tiny bird that has fallen midflight.

And so it was that sour February night that I took the delicate step into the adult world: realizing that I was too depressed to stay at college was realizing I had not only lost my flock; I had fallen from the air entirely. Michigan has many birds. My favorite might be the wood duck, with its banded neck and flat little wings. When I watch birds take off, I hold my breath. They always make it to the sky.

Every Monday morning at 9 I see my therapist, mug of green tea and honey close at hand. I take new pills now. I have a routine: oatmeal in the morning, Wednesday nights with my father. I tell my therapist about Toni Morrison’s “Song of Solomon.” Who isn’t searching for their people? I arrange my thoughts. (No, I have never been in love and I am, in fact, afraid of men; I panic in Times Square; I grow attached to almost everyone I meet.) I have feathers and questions.

I moved to New York City for college in 2007. School did not grow me into an adult, nor did voting for the first time or doing my own banking. These things were not confrontations. How did I arrive at the place where I could look at my disease and say, “Yes, you are here, but I will not let you take the joy out of looking for birds”? I like to think it was New York, or my newfound discipline, but it was a more internal revolution. I acknowledged my traumas: I was not crazy, just damaged. I was molting. Columbia gave me many new things: a copy of the “Iliad” with a note saying the first six books should be read before orientation, a job in the oral history office, a sense of time management.

But without my sanity — without joy — these things had little value. I knew nothing until I knew I was hardly living. Hobbes and Locke and all the philosophers in the world could not matter when each day was insurmountable and burning. In my year and a half at Columbia, I began to learn how to love myself. I tell my therapist about my earliest memories and the bizarre geography of my family. I’m anxious and I have no self-esteem. But I am mending. Fifteen lost credits is a small price to pay for happiness. Perhaps I am learning how to fly. My bones may not be hollow, and joy will never come easily, but the beauty is in the struggle. The birds are everywhere.

Caronae Howell, Columbia, class of 2011, history major

Jan 12 2012

Give Us This Day, Our Daily Meds

My particular issue is with Bipolar 1, with psychotic features.  I have social anxiety which factors in as well as weird delusions.  The anxiety and delusions are pretty much one and the same.  They are often the things that will touch other people, while the rest is less obtrusive and can be hidden.

I have a tendency to hatch mini-conspiracies almost daily.  They can be really paranoid as I think the worse about people and life as it enfolds around me.  Facebook with its social networking helps but it has also intensified my issues.  I am very much a recluse, and only get out about twice a week.

Depression, which is part of the Bipolar, has been less of a factor just in the last few months.  Suicide, that dark word, will deepen if the depression goes too long without lifting.  My last bout was over New Year’s and the SI got really bad.  I drew up plans and everything.

Being a believer gives me a reason to live.  The Holy Spirit is so patient with me.  His companionship is far more helpful than any anti-depressant.  He doesn’t require that I become symptom free to fellowship with Him.  Instead, He weaves with the materials He has, and my discipleship is really no different than another Christians.

Overall, in spite of a tumultuous and see-saw life, I find that life with Jesus (discipleship) is truly grand.  He understands me, and is guiding me.  He is the Shepherd who is good, and I am His sheep who needs kindness and forgiveness always. He bruises no reed, nor does He quench the smoking candle (Matthew 12:20).

One more thing.  Having a mental illness has, I believe, made me more compassionate and tender toward others.  When I meet a difficult person, I will be the last one to give up on him.  Others will bail out, but I stick.  I guess this can be a bad trait, but I can’t help it.  I love people, esp. those who hurt.

Here’s a list of my daily meds.  I hope this helps someone navigate the seas of psychiatry safely.

AM- Lithium, 600 mg/Zoloft 200mg/Seroquil 400 mg/Provigil 200mg

NOON-Seroquil 200 mg

PM-Lithium 600 mg/Seroquil 400 mg/Lunesta 3mg

The Lithium works mostly on mania, but does help depressive states.  The Zoloft is an anti-depressant (similar to Paxil)  The Provigil is for alertness, I have had issues with daytime sleepiness, esp. since my brain tumor.  Finally the Lunesta is a sleeping pill.  If I can help explain any of this, please let me know.  I aim to please!

 

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Jan 8 2012

What Do I Need?

“The depressed don’t simply need to feel better. They need a Redeemer who says, “Take heart, my son, my daughter; what you really need has been supplied. Life no longer need be about your goodness, success, righteousness, or failure. I’ve given you something infinitely more valuable than good feelings: your sins are forgiven.” 

Elyse M. Fitzpatrick

 

It really does come down to “needs” after all.  I don’t need to feel better, and I don’t need a to take another Zoloft.  Do I believe in drugs? Yes, most definitely.  But when we talk about need (its really an emphatic word, it needs to be drawn out) I have discovered I really have very few needs.

I’ll tell you what I need.  I need to follow Jesus with my cross.  I need to pray and worship in His presence.  I need to love my wife and children.  I need to love my neighbor.  I need the Word, both rhema and logos.  I need a good pastor, and I need to fellowship with other believers.

Its good to go through this sifting process.  I do not need to feel happy, healthy, wealthy, content, strong, moral or helpful.  I do need God however. Yes, I am “mentally” ill.  I do take meds to keep me from burning down our house and shooting our dog.  I’ve been listening to music in my head that others can’t hear.  I see things, astonishing things.  I have to deal with paranoid feelings that would rock your boat.

But, what do I need?  I need God.  I need his love.  I need to know all my sins are forgiven.  I need to know that I will be with him forever and ever.  I guess the challenge is now yours, sort out these issues.  It doesn’t matter what flavor of mental illness you have.  You need Him.  Everything else is froth.

Nov 20 2011

Depression and Diabetes

For some reason lately I’ve been thinking about the similarities between diabetes and depression. I know that depression can be one of the complications of diabetes, but that is something I learned only when I did a little research about diabetes and isn’t what I want to share about these two diseases.

Caveat: I am not a doctor and this post is not intended as medical advice. It simply an observation that has been on my mind lately and is helpful for me in understanding my own challenges to keep depression at bay.

I do not have diabetes, but I do know people who do. Diabetes is a disease for which there is no “cure,” though there are treatments that can minimize the symptoms and complications that can arise from this disease. Some people with diabetes do a great job of taking such good care of themselves and following their doctor’s orders that they are virtually symptom free. You would never know they had diabetes unless they told you. I’ve known other diabetics who don’t follow doctor’s orders, and the outcome was terrible.

Dealing with diabetes is not an easy road. For people with Type 2 diabetes, a strict diet and exercise are a must, and monitoring blood sugar levels is essential. For people with Type 1 diabetes, insulin injections are also necessary because their bodies do not produce any of this necessary hormone. It is a lifelong affliction, the potential effects of which can be minimized but never forgotten or ignored.

I believe that for some people depression is similar to diabetes in that it is never cured. These people are prone to depression, and may have suffered through one or more episodes of major depression in their lives. From a statistical standpoint, a person who has had more than two major depressive episodes is highly likely to have another in their lifetime. But it isn’t inevitable that they will. Just as the symptoms of diabetes can be prevented or minimized with careful management, so the symptoms of depression can be prevented or minimized with proper care.

There are some people who, like the person with Type 1 diabetes, need medication to help keep them stable and to prevent major depression from setting in. (Though this may be a small percentage, just as Type 1 diabetes is much rarer than Type 2.)  But everyone who struggles with depression can help prevent or minimize the effects of a relapse by taking steps to truly care of themselves. Diet and exercise can be part of this self-care, but for the person who lives with the knowledge of depression there is a mental and spiritual component of their self-care that goes beyond what is required of the diabetic.

Many years ago the doctor I was seeing told me I would be on antidepressants for the rest of my life. Having now been off them for 13 years and not suffered another major depressive episode in all that time, I think I can safely say she was wrong. But in the last few years I have come to understand that I am one of those people who cannot take for granted that depression is strictly a part of my past. It is forever a part of who I am and I must never forget the misery it has caused me and could cause me again if I do not take care of my mental and spiritual health.

For me, warding off a relapse of depression requires that I choose to engage in regular prayer time; to listen to music that is encouraging and uplifting, and avoid music that is depressing; to talk to a Christian friend if something is bothering me; to take a periodic inventory of my own actions and attitudes, and correct any that are negative; and to trust in the Holy Spirit to guide my thoughts, putting on the whole armor of God. When I do these things, I can live in such a way that others would never know that depression is a part of my life. But if I neglect these things for too long, I will soon detect the specter of depression looming in my heart and in my mind, and the outcome will be terrible.

Just as the diabetic can never forget that they have diabetes and neglect their diet and health regimen, I can never forget that depression is ever a part of me and neglect my mental and spiritual regimen. I must be ever vigilant and cling to Jesus as my Rock, trusting in His promises, and following His commands and precepts to love, forgive, and be content.

Nov 1 2011

Lifelong Bipolar

Bipolar disorder is a lifelong condition

Bipolar disorder is a lifelong condition that can impact many important areas of your life. It can affect both how you feel and how you act, as well as the lives of the people closest to you. While most people begin to notice symptoms when they are in their teens or early 20s, bipolar disorder can occur at almost any age, and millions of people worldwide have been diagnosed with the illness. Even though bipolar disorder is a serious condition, with proper treatment, symptoms may be managed.

Bipolar disorder can cause extreme mood swings—from extreme highs, or “manic episodes,” to extreme lows, sometimes known as “depressive episodes” or simply “bipolar depression.” Between episodes, people may have mild symptoms or no obvious symptoms at all. But even when you’re feeling well, you still have bipolar disorder—it’s a lifelong condition. Episodes can last for days, weeks, months, and, rarely, years.

Bipolar depression can be difficult and disruptive

When they are ill or symptomatic, most people with bipolar disorder experience at least 3 times more depressive symptoms than manic or hypomanic (less severe manic) symptoms.

The symptoms of bipolar depression go beyond sad moods and bad days. They may be both physical and emotional and can throw your life off track.

Bipolar depression can be overwhelming

While symptoms of both depression and mania can cause problems for people with bipolar disorder, some research indicates that bipolar depression may have a greater impact for many people.

  • Depressive episodes of bipolar disorder usually last longer than episodes of mania
  • When ill or symptomatic, people with bipolar disorder generally spend more time in the depressive phase than they do in the manic or hypomanic phase
  • The majority of suicides (attempted and completed) among people diagnosed with bipolar disorder occur during the depressive phase, or a mixed phase, of the illness

Bipolar disorder is treatable and manageable

The good news is that people with bipolar disorder are able to manage their symptoms. Feeling better typically involves a combination of education, medication, discussion, and professional consultation. There are many different medicines shown to be effective in people with bipolar disorder. In most cases, psychotherapy (“talk therapy”) is also used. People who struggle with this illness can lead a productive life with the proper treatment plan.


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