How Does Your Church See Mental Illness?

Going my way?
This should give direction and dialogue on the issues faced by every church member. It is a great opportunity we have been given— to minister to every person in the Body of Christ. —Bryan
by Ken Camp, Associated Baptist Press  —

Living with depression — or any other form of mental illness — is like viewing life “through a glass darkly,” according to Jessy Grondin, a student in Vanderbilt University’s Divinity School. “It distorts how you see things.”

Like one in four Americans, (25%), wrestles significantly with a mental illness.

Depression is one of the most common types of mental illness, along with bipolar disorder, another mood-altering malady. Other forms of mental illness include schizophrenia and disorders related to anxiety, eating, substance abuse and attention deficit/hyperactivity.

Like many Americans with mental illness, Grondin and her family looked to the church for help. And she found the response generally less-than-helpful. “When I was in the ninth grade and hospitalized for depression, only a couple of people even visited me, and that was kind of awkward. I guess they didn’t know what to say,” said Grondin, who grew up in a Southern Baptist church in Alabama.

Generally, most Christians she knew dealt with her mood disorder by ignoring it, she said. “It was just nonexistent, like it never happened,” she said. “They never acknowledged it.” When she was an adolescent, many church members just thought of her as a troublemaker, not a person dealing with an illness, she recalled.

Mental Illness that affects believers must be accepted by the Church.

A few who acknowledged her diagnosed mood disorder responded with comments Grondin still finds hurtful. “When dealing with people in the church … some see mental illness as a weakness — a sign you don’t have enough faith,” she said. “They said: ‘It’s a problem of the heart. You need to straighten things out with God.’ They make depression out to be a sin, because you don’t have the joy in your life a Christian is supposed to have.”

A Baylor University study revealed that among Christians who approached their local church for help in response to a personal or family member’s diagnosed mental illness, more than 30 percent were told by a minister that they or their loved one did not really have a mental illness. And 57 percent of the Christians who were told by a minister that they were not mentally ill quit taking their medication.

It’s not a sin to be sick.

That troubles neuroscientist Matthew Stanford. “It’s not a sin to be sick,” he insists. Stanford, professor of psychology and neuroscience and director of the doctoral program in psychology at Baylor, acknowledges religion’s longstanding tense relationship with behavioral science. And he believes that conflict destroys lives. “Men and women with diagnosed mental illness are told they need to pray more and turn from their sin. Mental illness is equated with demon possession, weak faith and generational sin,”

Stanford writes in his recently released book, Grace for the Afflicted. “The underlying cause of this stain on the church is a lack of knowledge, both of basic brain function and of scriptural truth.” As an evangelical Christian who attends Antioch Community Church in Waco, Texas, Stanford understands underlying reasons why many Christians view psychology and psychiatry with suspicion. “When it comes to the behavioral sciences, many of the early fathers were no friends of religion. That’s certainly true of Freud and Jung,” he noted in an interview.

Often sin is not the main issue.

Many conservative Christians also believe the behavioral sciences tend to justify sin, he added, pointing particularly to homosexual behavior. In 1973, the American Psychiatric Association famously removed homosexuality from its revised edition of its Diagnostic and Statistical Manual of Mental Disorders. As a theologically conservative Christian, Stanford stressed that scripture, not the Diagnostic and Statistical Manual, constitutes the highest authority.

But that doesn’t mean the Bible is an encyclopedia of knowledge in all areas, and all people benefit from scientific insights into brain chemistry and the interplay of biological and environmental factors that shape personality. Furthermore, while he does not presume to diagnose with certainty cases of mental illness millennia after the fact, Stanford believes biblical figures — Job, King Saul of Israel and King Nebuchadnezzar of Babylon, among others — demonstrated symptoms of some types of mental illness. “Mental disorders do not discriminate according to faith,” he said.

Regardless of their feelings about some psychological or psychiatric approaches, Christians need to recognize mental illnesses are genuine disorders that originate in faulty biological processes, Stanford insisted. “It’s appropriate for Christians to be careful about approaches to treatment, but they need to understand these are real people dealing with real suffering,” he said. Richard Brake, director of counseling and psychological services for Texas Baptist Child & Family Services, agrees. “The personal connection is important. Church leaders need to be open to the idea that there are some real mental-health issues in their congregation,” Brake said.

Pastors much carefully reach out to the mentally ill.

Ministers often have training in pastoral counseling to help people successfully work through normal grief after a loss, but may lack the expertise to recognize persistent mental-health problems stemming from deeper life issues or biochemical imbalances, he noted. Internet resources are available through national mental-health organizations and associations of Christian mental-health providers. But the best way to learn about available mental health treatment — and to determine whether ministers would be comfortable referring people to them — is through personal contact, Brake and Stanford agreed. “Get to know counselors in the community,” Brake suggested. “Find out how they work, what their belief systems are and how they integrate them into their practices.”

Mental-health providers include school counselors and case managers with state agencies, as well as psychiatrists and psychologists in private practice or associated with secular or faith-related treatment facilities, he noted. Stanford and Brake emphasized the vital importance of making referrals to qualified mental-health professionals, but they also stressed the role of churches in creating a supportive and spiritually nurturing environment for people with mental-health disorders. Mental illness does not illustrate lack of faith, but it does have spiritual effects, they agreed. “Research indicates people with an active faith life who are involved in congregational life get through these problems more smoothly,” Brake said.

You can’t fix the issues, but you can love them.

Churches cannot “fix” people with mental illness, but they can offer support to help them cope. “The church has a tremendous role to play. Research shows the benefits of a religious social support system,” Stanford said. They stressed the importance of creating a climate of unconditional love and acceptance for mentally ill people in church — a need Grondin echoed. “There needs to be an unconditional sense of community and relationships,” she said. She emphasized the importance of establishing relationships that may not be reciprocally satisfying all the time.

People with mental-health issues may not be as responsive or appreciative as some Christians would like them to be, she noted. “Others need to take the initiative and keep the relationship established. People don’t realize how hard it can be (for a person with a mood disorder) to summon the courage just to get out of bed,” Grondin said. Christians who seek to reach out to people with mental illness need to recognize “they are not able to see things clearly, and it’s not their fault,” Grondin added.

Mostly, Christians need to offer acceptance to people with mental illness — even if they don’t fully understand, she insisted. “Just be present. Offer support and love,” Grondin concluded. “You won’t always know what to say. Just speak words of support into a life of serious struggles. That means more than anything.”

(EDITOR’S NOTE — Camp is managing editor of the Texas Baptist Standard.)
 

A great book:

“Grace for the Afflicted: A Clinical and Biblical Perspective on Mental Illness” [Paperback] can be found at www.Amazon.com, by Matthew S. Stanford Ph.D

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For more information: National Alliance on Mental Illness (800) 950-6264 Anxiety Disorders Association of America (240) 485-1001  Depression & Bipolar Support Alliance (800) 826-3632  American Association of Christian Counselors (800) 526-8673 Stephen Ministries (314) 428-2600

Broken Heart of Love – A Poem

This poem was written for someone I love who struggles with bipolar disorder. Though I have suffered through depression, anxiety, and panic attacks, I can never truly understand her pain. I want to help but I am at a loss as to what to do.

I wanted to share this here so those who suffer from mental illness might know how your suffering breaks the hearts of those who love you but don’t know what to do.

A Broken Heart of Love

This searing pain in my heart
I wish it would go away
I pray for it to leave me
But it is love
I would be hollow without it

I watch you drowning
in a sea of turmoil and fear
I reach out my hand,
the one connected to my broken heart
“It’s okay, the sailing’s fine,” you say

I walk away, thinking perhaps
my eyes deceive me and you are not
drowning, or else why
would you say otherwise?
I know you would not lie

But still this pain
deep down inside my aching heart
reminds me
that you are not fine,
the sea is not calm

The storm rages
but I cannot rescue you
You cannot see my hand
reaching through the darkness
beckoning you to dry land

*

Linda’s website

The Prisoner of Jesus

Does being in prison change a person? How would it affect you? I imagine the Apostle Paul’s frustration. He loved to disciple and establish churches. To be confined like this would be quite difficult. What a spiritual trial it would’ve been. Me, personally, I would have definite issues. I made a list. I probably would be:

  • Angry? Depressed?
  • Frustrated? Anxious?
  • Full of self-pity?
  • Isolated, lonely?
  • Frightened?

During his imprisonment, I’m sure that the Apostle Paul had to work through all of these things–I’m certain that Satan tempted him repeatedly. I think the man Paul had dealt with the enemy through all of this (and more besides). Most feel that he would be imprisoned in Rome for at least two years. That’s a long time.

It’s generally agreed that he wrote the four epistles in 60-62 AD. These letters are regarded as written from his prison cell in Rome: Ephesians, Philippians, Colossians, and Philemon. Each of these four is different. (But admittedly, Philemon is the most unalike.)

And yet the scent of the prison can be found in these writings.

Despite the possible response of an incarcerated man, Paul’s writings from the Mamertine Prison are incredibly encouraging–he shows none of the issues of a man locked in a cell–but yet there are hard things he must deal with. Take a second to look at some direct references to his imprisonment.

  • “I appeal to you, instead, on the basis of love. I, Paul, as an elderly man and now also as a prisoner of Christ Jesus,” (Philemon 9.)
  • I am going to Jerusalem, constrained by the Spirit, not knowing what will happen to me there, except that the Holy Spirit testifies to me in every city that imprisonment and afflictions await me. But I do not account my life of any value nor as precious to myself, if only I may finish my course and the ministry I received from the Lord Jesus, to testify to the gospel of the grace of God (Acts 20:22-24).
  • “For this reason I, Paul, a prisoner of Christ Jesus on behalf of you Gentiles,” (Ephesians 3:10).
  • “I, Paul, write this greeting with my own hand. Remember my chains. Grace be with you.” (Col. 4:18).
  • “I want you to know, brothers, that what has happened to me has really served to advance the gospel, so that it has become known throughout the whole imperial guard and to all the rest that my imprisonment is for Christ.” (Philippians 1:12-14).
  • “The following night the Lord stood by him and said, “Take courage, for as you have testified to the facts about me in Jerusalem, so you must testify also in Rome.” (Acts 23:11).

It’s clear to me that Paul used this time to witness through his writings. He never grew bitter, only better. One could suggest that it’s we have been blessed by these epistles. His time in prison was the time he needed to bless us today. Where would we be without these books?

A papyrus fragment from Paul’s epistle to the Ephesians.

How many times was Paul imprisoned? Was he jailed once, twice, or several times? I’ve read different commentaries and they can’t decide. It’s a challenge to put together a solid timeline. There seems to be more evidence for two different confinements. Check out this site if you want to dig deeper.

But no matter what. These writings are God’s gift to us today.

From a dark prison, Paul writes these absolutely incredible letters. I believe Satan wanted to destroy Paul. I also think that this was a tremendous trial for him. He was a spiritual dynamo, wanting to establish and strengthen churches and then being chained to a wall must’ve been a challenge for him. There was so much for him to do.

But we desperately needed these letters!

Perhaps, out of our confusion and challenges, God’s purpose goes far beyond what we think. Sometimes we have no idea what our “imprisonment” is going to do. That encourages me. He turns our hard times into spiritual gold!

Through these letters, we’ve been given so much. These epistles are written from Rome’s dungeon, and yet they continue to shake the world!

OCD: Rituals and Obsession

“I couldn’t do anything without rituals. They invaded every aspect of my life. Counting really bogged me down. I would wash my hair three times as opposed to once because three was a good luck number and one wasn’t. It took me longer to read because I’d count the lines in a paragraph. When I set my alarm at night, I had to set it to a number that wouldn’t add up to a ’bad’ number.”

“I knew the rituals didn’t make sense, and I was deeply ashamed of them, but I couldn’t seem to overcome them until I had therapy.”

“Getting dressed in the morning was tough, because I had a routine, and if I didn’t follow the routine, I’d get anxious and would have to get dressed again. I always worried that if I didn’t do something, my parents were going to die. I’d have these terrible thoughts of harming my parents. That was completely irrational, but the thoughts triggered more anxiety and more senseless behavior. Because of the time I spent on rituals, I was unable to do a lot of things that were important to me.”

People with obsessive-compulsive disorder (OCD) have persistent, upsetting thoughts (obsessions) and use rituals (compulsions) to control the anxiety these thoughts produce. Most of the time, the rituals end up controlling them.

For example, if people are obsessed with germs or dirt, they may develop a compulsion to wash their hands over and over again. If they develop an obsession with intruders, they may lock and relock their doors many times before going to bed. Being afraid of social embarrassment may prompt people with OCD to comb their hair compulsively in front of a mirror-sometimes they get “caught” in the mirror and can’t move away from it. Performing such rituals is not pleasurable. At best, it produces temporary relief from the anxiety created by obsessive thoughts.

Other common rituals are a need to repeatedly check things, touch things (especially in a particular sequence), or count things. Some common obsessions include having frequent thoughts of violence and harming loved ones, persistently thinking about performing sexual acts the person dislikes, or having thoughts that are prohibited by religious beliefs. People with OCD may also be preoccupied with order and symmetry, have difficulty throwing things out (so they accumulate), or hoard unneeded items.

Healthy people also have rituals, such as checking to see if the stove is off several times before leaving the house. The difference is that people with OCD perform their rituals even though doing so interferes with daily life and they find the repetition distressing. Although most adults with OCD recognize that what they are doing is senseless, some adults and most children may not realize that their behavior is out of the ordinary.

OCD affects about 2.2 million American adults, and the problem can be accompanied by eating disorders, other anxiety disorders, or depression.  It strikes men and women in roughly equal numbers and usually appears in childhood, adolescence, or early adulthood. One-third of adults with OCD develop symptoms as children, and research indicates that OCD might run in families.

The course of the disease is quite varied. Symptoms may come and go, ease over time, or get worse. If OCD becomes severe, it can keep a person from working or carrying out normal responsibilities at home. People with OCD may try to help themselves by avoiding situations that trigger their obsessions, or they may use alcohol or drugs to calm themselves.

OCD usually responds well to treatment with certain medications and/or exposure-based psychotherapy, in which people face situations that cause fear or anxiety and become less sensitive (desensitized) to them.

Source: http://www.nimh.nih.gov/index.shtml

Bryan Lowe