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Antidepressants for Believers?

What do you think of Christians taking antidepressants?

By Pastor 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.

© Desiring God

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The Blessings of a Long Battle, part 4


In thinking about this final installment about how God can bring much good out of our protracted struggle with sin, weakness, or a problem, it dawned on me how important it is to see the Big Picture. In some ways this post reiterates truths in part 2 of this series, but also adds important new dimensions to those truths and explores new territory.

When a soldier goes through boot camp, it’s crucial for him or her to see the overall purpose of his training–the Big Picture. He or she is being pushed and tested in different ways to the extreme so that they will be prepared for any situation on the battlefield, won’t crack under pressure, and will be a team player.

In the conquest of Canaan under Joshua’s leadership, the nation of Israel experienced many victories over different hostile nations. However, Judges 3:1–4 says that God did not allow the Israelites to completely triumph but left certain enemies in the land (e.g., the Philistines) so that his chosen people would learn warfare.

When we became Christians, God could have put us in a cocoon of protective grace where we would be insulated from our three primary enemies–the world, the flesh, and the devil–but he didn’t so that we would also learn warfare.

If he would’ve sheltered us from the battle, we would end up like many “trust fund babies,” who, because of their vast inherited wealth, never have to work a day in their lives. They’re protected from the toil and struggle of life and never have to worry about paying the rent or the electric bill.

Often there is something profoundly missing in their lives: many are spoiled, shallow, and have not been battle–tested. Perhaps God designed an existence where we battled the world, the flesh, and the devil so that we would not end up becoming spiritual trust fund babies.

Macarius was a great monk who composed the Macarian Homilies in the 4th century. He was convinced that, if after becoming Christians, we were protected in a cocoon of grace from the temptations of the world, the flesh, and the devil, many of us would soon become conceited and fall as Satan fell. Instead of a three steps forward, two steps back grind that life often is, we would have a series of unbroken successes and become lifted up in pride and fall like Lucifer did.

In seeing the big picture, nothing is more important than understanding that God the Father through the Holy Spirit has been preparing a Bride for his Son in a Marriage that will span eternity. He wants you to be a part of that Bride. The Father wants the Bride to fervently love the Groom.

There is no love without free choice. If we would’ve been protected from the enemies of our soul, and choosing the Groom was exquisitely easy or even automatic, where’s the love that has been tested in the furnace of affliction? Like any spouse, Christ wants to be chosen. If we were automatons or even semi–automatons, where’s the love in that?

When we are in a long struggle with sin or weakness, it is because we have become over–attached to some created thing. Addiction is over–attachment in the extreme (e.g., overeating, alcohol, drugs, pornography, sex, power, work, shopping, etc.)

Christ the Uncreated One wants to be chosen over all the created things. Christ the Groom wants to stand in the midst of all his competitors–i.e. created things–and have the Bride choose him. One of the blessings then of a long battle is this: it’s the vehicle whereby we choose Christ as our Groom, as our only lover.

Does that love somehow go away if you’re a Christian who is up to your eyeballs in sin, addiction, and weakness? If anything God loves you more after you fall, because where sin abounds, grace abounds more. And as the old religious cliché tells us, he loves us in our sin and loves us too much to leave us there.



Check out Jonathan’s own site at


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The Blessings of a Long Battle, Part 3


From Jonathan Coe’s website at Thank you gracious brother! (I’m so glad you are my friend.)

As I look over the last two posts on the blessings of a long battle, I’m reminded of what the Apostle Paul said to the Corinthians about the importance of not being ignorant concerning the schemes of Satan (II Corinthians 2:11). After reading those posts, I realized a word of balance was needed in discussing the relationship of formulaic Christianity to spiritual practices lest the devil distort the truth to his advantage.

Both posts encouraged the believer to move beyond canned formulas to a restful trust in and radical dependence on Christ. A common formula for someone who finds themselves in a protracted struggle with sin, weakness, or some thorn in the flesh is “Read the Bible, pray, and attend church and that will solve your problem.”

These are wonderful spiritual practices but the problem is that people begin to trust in the formula more than the Person who can heal their inner leper. The formula can become a religious idol.

The biblical view of spiritual practices (prayer, Scripture study, church attendance, fellowship, fasting, meditation, and the sacraments) is that they are both avenues of renewal and bridges to intimacy with the Living God. They are sacramental; they are a means of grace.

Christ is the Vine; we are the branches. One of the primary ways that the branches stay connected to the Vine is through spiritual practices. That is how we abide in him and apart from abiding in him, we can do nothing.

This next part is crucial, and, if you only get one thing out of this post, this is it: when the believer gets frustrated enough to forsake impotent formulas, the devil’s primary agenda then is to get that person to forsake authentic, life–giving spiritual practices too.

That’s why the Christian should ask for wisdom every day so that he or she can tell the difference between the two. Satan is more than happy to allow us to forsake the false as long as we don’t replace it with the real.

It’s part of the human condition that, in our anger and frustration, we often throw out the wheat with the chaff. And a person who is involved in a long, difficult battle is going to need all the grace–filled spiritual practices they have time for!

I’m convinced that when the devil sees a believer, who is involved in a long battle, leave anemic formulas and begin to become engaged in regular, soul–nourishing spiritual practices, it fills him with uncontrollable rage. He will come to that Christian with many false voices in an effort to separate the branch from the Vine. Here’s a small sampling:

  • “ You tried this religious stuff before and you still have the same addiction/weakness/problem. What makes you think it’s going to work this time?”
  • “If you have your quiet time with God in the morning when you don’t feel like it, you’re being a phony. You should only do it when you feel like it.”
  • “If your quiet time with God becomes a regular thing, it will become a dead religious ritual. You don’t want to become legalistic. Keep things spontaneous. Just do it when your heart moves you to do it.”
  • “Regular spiritual practices aren’t the real you. You can find God in every day life without them in a way that fits your personality.”
  • “You’re a person of action not of contemplation. You get things done without all this navel–gazing and spiritual stuff.”

These are just a few plays out of the devil’s playbook. May God give us the discernment to recognize his voice and the wisdom to reject his counsel.

Reposted from Thank you Jonathan for your great teaching.

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The Blessings of a Long Battle, part 2


 “Do not fear the conflict, and do not flee from it; where there is no struggle, there is no virtue.”   John of Kronstadt

Part 1 of this post highlighted how God can bring good out of a long struggle with a sin, weakness, and/or problem by helping the Christian make the transition from putting their faith in formulas (e.g., “Do these three things and your problem will go away”) to a restful trust in Christ. Again, no sane Christian advocates habitual sin but the benefits of a protracted battle are numerous:

(1)  After a long battle, in making the transition from formulas to faith in God, a new brokenness develops in the believer. They’ve come to the end of themselves, run out of “self–effort fuel”, and are beginning to learn what Christ meant when he said, “…apart from me you can do nothing” (John 15:5).

(2) During a long battle with sin or weakness, there is a pattern of falling down and getting up. Proverbs 24:16 says that a righteous man falls seven times but keeps rising again. In this process many Christians report that a new intimacy has emerged in their relationship to God. They’ve come to know the God of mercy and compassion as never before because they’ve been repeatedly forgiven after their many stumbles.

(3) “He who is forgiven much loves much.” Along with a new intimacy, a greater love for God can also develop, after a long battle, because we’ve been forgiven over and over.

(4) And since God has extended his tender mercies to us over and over, we then can extend his mercy and compassion to others who have a protracted struggle with some issue. If our heart is right, a long battle can inoculate us from self–righteousness and judgmentalism in relation to others who fall over and over. How can we not extend to them the same grace that God extended to us?

In extending this grace to others, we may become a wounded healer to them. The healing we received from Christ during our struggle is graciously passed on those often struggling with similar issues. Healing emerges from your wounds just as resurrection emerges from death.

(5) After a war, the soldier of Christ often emerges battle–tested and wise to the schemes of the enemy. If a person has been pulled down into the dust 27 different ways by the devil, then, if he or she is paying attention, they’ve learned 27 strategies the enemy of our soul uses to try to destroy us.

In Twelve Step programs, one often hears the acronym H.A.L.T. mentioned in discussing relapse back into addiction. These four letters stand for hungry, angry, lonely, and tired and emphasize how these conditions create fertile soil for relapse.

If you frame the issue a different way, these are four strategies the devil uses to bring us back into bondage. How was this acronym learned? By people relapsing over and over when these conditions were present. Recovering people became wise through their failures in their long battle with addiction.



posted from

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When Sin Brutalizes You

Detail of Painting by Rembrandt, “Return of the Prodigal Son”

There are three things for certain.

#1 You will never forget your sins.

#2 God has forgotten them.

#3 The Devil will try very hard to condemn you for your past.



There are some days that are harder then others.  You see, I have lived profligately, harmed many, and influenced others to do evil.  I have wounded and hurt people very deeply.  There are days when I have this mental image of myself– I’m a ‘Fountain of Feces’ spewing and polluting my filth to anyone passing by.

But I am also the Prodigal.  I’ve squandered everything.  It’s gone.  I’ve been to the pig pen.  Filthy and starving.  Coming to my senses, I decide to return home, and sell myself to the employ of Him I once called “Father.”

But the most outrageous thing has happened.  It is so wildly fantastic that it defies any reason.    (I hardly dare to think it real).  The man who I once called “Father” refuses to listen to my list of sins.  He has embraced me, dressed me, established me as a son.  I have new shoes, and a signet ring.

I am a wonder to behold. A feast of unparalleled joy is waiting.  I pinch myself– is this really happening to me?  Those days in the pig pen, what a stupid waste.  I want to weep and shout for joy– all at the same time!  It doesn’t seem real.

The subject of my grossness and sin has been forgotten.  I have not been interrogated or punished.  (Since then, I’ve learned that Someone else took this on.)  But my perversity and my iniquity has never, ever been discussed.  Their is no list of my sin, no cataloging has taken place.  The promises tell me that my past sin has been put on a big barge, and shipped to the deepest part of the ocean– and dumped!

You will again have compassion on us; you will tread our sins underfoot and hurl all our iniquities into the depths of the sea.”

Micah 7:19

As critical-thinking believers, with just a modicum of divine truth, what we do with our personal sin is huge.  It determines much about our walk.  We function out of our past.  The plant is rooted in something.  But our Father has turned our prodigal past into our personal future of total redemption.

Look at your greatest pain.  The Holy Spirit will very likely take that deep, deep bruise and turn it into your greatest ministry.  And He does it without resorting to a list of your ugly, ugly sin.  You see, He has already forgotten it.

“The question is who are we going to side with? God says our sins are past, cleansed, and gone. You cannot go on with God until you stand on His Word as cleansed with the heart made pure.”  

Smith Wigglesworth


Bryan (the Prodigal)


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We Are Truly Marvels to Behold


“Now when they saw the boldness of Peter and John, and perceived that they were uneducated, common men, they were astonished. And they recognized that they had been with Jesus.”

Acts 4:13

“God created the world out of nothing, and so long as we are nothing, He can make something out of us.”  

Martin Luther

Consider this: the jawbone of a donkey, a sling shot. and barley loaves, a woman’s tears, a young boy’s lunch, a young colt, and a talking donkey, they all suggest that God touches the common and the insignificant. He uses what we consider of minor importance. We often turn to the talented and gifted far too readily.

Peter and John are being seen by the Sanhedrin (the Jewish “Supreme Court”). They are to give account of themselves before the highest court of the land. There had been a healing, and there was the matter of preaching as well. Both Peter and John exude a confidence that these religious leaders couldn’t deny. Their perception was that they were ignorant men. Uneducated and common. But. They also knew they had been with Jesus.

In the minds of the leadership, they were nothing more than religious “white-trash.”

God loves to use what we consider common. His revealed history has been to take anything at His disposal and utilize it to redeem lost souls. A staff or a sling-shot are used with an adroitness that seems extraordinary among men. The things we think are simple and common are used to further God’s work among mankind.

But the message always returns back to the preachers. The Sanhedrin knew of the disciples preaching. They had absorbed the fact of a miracle; a crippled man had just been healed. (This they couldn’t deny.) But they were troubled. And they didn’t really know what to do.

What more could this be, but a direct intervention of God? And yet, God is working through “common people.” Then look…

“…if we are being examined today concerning a good deed done to a crippled man, by what means this man has been healed,”

Acts 4:9

Within this preaching was woven this healing. The Holy Spirit was ‘rocking their  world.’ The people who came in contact with these disciples would never be the same. Paul tells the Corinthian church that:

“Instead, God chose things the world considers foolish in order to shame those who think they are wise. And he chose things that are powerless to shame those who are powerful.”

1 Corinthians 1:27, NLT

If God has a specialty it would be this. He desires all the glory. He goes out of the way to use the broken and weak. He shows His strength through insignificant and minor things and people.

“We are all wounded. But wounds are necessary for his healing light to enter into our beings. Without wounds and failure and frustrations and defeats, there will be no opening for his brilliance to trickle in and invade our lives. Failures in life are courses with very high tuition fees, so I don’t cut classes and miss my lessons: on humility, on patience, on hope, on asking others for help, on listening to God, on trying again and again and again.”

Bo Sanchez

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The Mystery of His Face, Psalm 131

AA A Psalms Study (Just three verses)

Childlike Trust in the Lord

A song for going up to worship. Of David.

1 Lord, my heart is not proud;
I don’t look down on others.
I don’t do great things,
and I can’t do miracles.
2 But I am calm and quiet,
like a baby with its mother.
I am at peace, like a baby with its mother.

3 People of Israel, put your hope in the Lord
now and forever.

Psalm 131,  New Century Version (NCV)

The Christian, the struggler, and the mentally ill should become prolific readers of the Psalms. 

Some of us will need to take meds, that is true.  But the Psalms are pretty much required as well.  We diligently need to take a physical dose of our daily medication.  For believers, Psalm 131 is a spiritual dose that is just as mandatory, and just as necessary.

This particular Psalm is unique, and deeply insightful.  It begins its work in us right at the start; the superscription.  “A song for going up to worship,” and it strikes me that a work must happen inside of my heart.  It is a preparation that will take me higher, and help me see God more clearly.  I need to worship.

Verse 1 states the certain issue we have; it is called ‘pride.’  What David says seems to be a very arrogant and audacious thing to say.  There is a truism that you think you’re humble, you’re not.  A church once gave an elder a medal for humility.  But they had to take it away, because he wore it everywhere. To claim you are suddenly liberated from pride, knowing ears perk up.  It is almost always a sign of danger.

Take it at face value, King David states that he has a real contentment with limitations and weakness.  It appears that he has been freed from the vicious cycle of needing to be the center of everything, ‘in the mix,’ and very significant.  He admits ignorance, and something quite significant works its way into us through this psalm.  There exists a definite place where we must renounce “ambition.”

Are you content to be the simple servant now, and delay the accolades and praise until you get to heaven?

Some make themselves, literally sick by the deep dark quest to be important.  In verse 2, we connect with some astonishing imagery.  A baby!  I am like a little baby being held by my mom. It’s not an issue of sophistication, but simplicity .  Of having limits, but not applause. How can this be?!

The word in Hebrew, isn’t “baby,” (as in newborn) but baby, but more like a small toddler.  A “weaned” child more is a better translation.  A weaned child no longer needs his mom’s milk. You can guess that it makes the child more content.  He doesn’t fuss, or nuzzle his mothers breast, demanding his food.  The child no longer receives his nourishment this way.  There is a contentment, a simple desire just to be with mom, just because he wants to. This is a significant step into maturity.

To me, verse 2 is the centerpiece of Psalm 131.  OK, let’s apply this spiritually.  There was a time when it was necessary for me to have my mother’s milk. I screamed and would throw a terrible tantrum if she didn’t feed me from her breast.  I would starve if she didn’t give me her milk. For all practical purposes, it seems we use God to get what we need.  But we grow, and become mature.

David is saying that we need to emulate his example. 

Now we can come into God’s presence– just to be with Him.

That’s all.  So simple.  As a child, we just want to be where He is at.  We have no ulterior motives, there is no manipulation.  We seek His face, and not what is in His hands.

If we rightly connect the dots, we find that we land right back to the opening superscription.  This is an amazing concept of worship– the real kind.  As a struggler, a rascal and mentally disabled, I must start at the beginning– again and again and again.  I have to worship.  I can only do this if I become a little boy again.  I finally realize I must throw ambition and pride overboard.

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