Category: BPD

Seeing Through Recurring Depression

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Charles Spurgeon

by Terry Powell

DOES RECURRING DEPRESSION PREVENT A FRUITFUL MINISTRY?

Long before the proliferation of mass media, Charles Spurgeon was known and revered throughout the Christian world. Scholars of his era labeled him, “the prince of expositors.” His commentaries, devotionals, and sermons are still being published, generations after his death.

So many folks in London wanted to hear him preach that he occasionally pleaded with church members to stay home so unsaved visitors could get a seat and hear the gospel. The pages of his book, Lectures to My Students, should be dog-eared by every vocational or volunteer teacher of the Bible.

Yet, depression dogged Charles Haddon Spurgeon (1834-1892) most of his adult life. A major bout with despondency occurred in 1858 when he was 24, serving as a pastor in London. That’s when he wrote, “My spirits were sunken so low that I could weep by the hour like a child, and yet I know not what I wept for.” Repeated episodes spawned these words: “Causeless depression cannot be reasoned with…as well fight with the mist as with this shapeless, undefinable, yet all-beclouding hopelessness.”

What can we learn from this depression-prone, yet outrageously fruitful leader?

  1. Depression doesn’t necessarily hinder ministry effectiveness. He often didn’t feel like serving, yet enabled by God’s grace, he kept giving himself to others. No matter how physically and emotionally drained he was, most Mondays he wrote out by longhand the previous day’s sermon so it could later be published.
  2. The pain of despondency may expand one’s usefulness by cultivating dependency and humility. Spurgeon said that despondency was “my trial, my thorn in the flesh that Satan wanted to use to take me down, and God wanted to use to deepen my dependency on Him.”

A favorite verse of his was 2 Corinthians 12:9, where God told Paul, “My grace is sufficient for you, for my power is made perfect in weakness.” In reference to this verse, Spurgeon said, “My job is not to supply the power, but the weakness. That’s one job I’m good at! It’s God’s job to supply the power.”

  1. Openness about one’s depression may encourage others, and point them to God’s sustaining grace. Spurgeon’s transparency concerning his depression was rare for his day. Knowing how many people suffered in silence with this malady, he preached a message to show others how he coped with it (titled “When a Preacher Is Downcast”). From experience, he learned and taught an ironic truth captured in my favorite Spurgeon quote: “God gets from us the most glory when we get from Him much grace.”
  2. His life and ministry demonstrate that depression and spiritual maturity aren’t mutually exclusive. Depression didn’t negate Spurgeon’s godliness, nor did his steadfast use of spiritual disciplines cure it.

Biographies of and articles about Spurgeon don’t always mention his predilection for depression. Yet reading about his accomplishments and ministry output will show you what God can do through a yielded person not in spite of the depression, but possibly because of it. Spurgeon also suffered from severe gout in his later years, long before the medical intervention could eliminate or minimize the pain.

I benefited enormously from Arnold Dallimore’s Spurgeon (Banner of Truth, 1984). Also, in a chapter of John Piper’s Future Grace, titled “Faith in Future Grace Versus Despondency,” you can read about Spurgeon’s battle with depression.

Blessings, Terry Powell

Check out his blog at https://penetratingthedarkness.com/. His ministry is focused on Christians experiencing clinical depression. It is a good ministry that is touching many.

 

All in Your Head? [Depression]

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Depression is a Mental Disorder, not a Disease

There are plausible arguments for the non-existence of mental illness. But there are still people who declare themselves to have a mental illness. After all, being sick mentally has no physical symptoms; it’s not like a kidney stone or an inflamed appendix. One can only hope it was this simple.

Yet depression is a progressive and debilitating disorder. It is like having a ‘bruised brain’ that refuses to heal. There is an substantial list of psychological disorders. Technically depression is a mood disorder that has a series of symptoms. These symptoms are the evidence that something is definitely wrong.

  • Depressed mood (such as feelings of sadness or emptiness).
  • Reduced interest in activities that used to be enjoyed.
  • Change in appetite or weight increase/decrease.
  • Sleep disturbances (either not being able to sleep well or sleeping too much).
  • Feeling agitated or slowed down.
  • Fatigue or loss of energy.
  • Feeling worthless or excessive guilt.
  • Difficulty thinking, concentrating or troubles making decisions.
  • Suicidal thoughts or intentions.
http://www.nami.org/

The above list is a summary of something called the DSM-IV which doctors use to diagnose the mental disorder of depression. Having five or six of these may indicate a problem. Spinning off this, you will discover some other disorders, like:

  • Generalized anxiety disorder (GAD)
  • Panic disorder
  • Depersonalization/derealization
  • OCD (obsessive compulsive disorder)
  • Psychosis and paranoia
  • PTSD (post traumatic stress syndrome)
  • Specific Phobias (fears of something)
  • SAD (social anxiety disorder)
  • Schizophrenia
  • Eating disorders (bulimia, anorexia)

Even though mental illness is widespread in the population, the main burden of illness is concentrated in a much smaller proportion-about 6 percent, or 1 in 17 Americans-who live with a serious mental illness. The National Institute of Mental Health reports that one in four adults–approximately 57.7 million Americans–experience a mental health disorder in a given year.

Unfortunately, there is a great deal of misunderstanding and stigma for those who have these disorders. I suppose it is akin to having VD (venereal disease) or AIDS. It seems that our culture is pretty quick at labeling people as deviant or undesirable.

I hope this post helps. I can see a 100 holes in it, and alas, it is a meager attempt. But perhaps it will be of some value. Both NAMI.org, Psychcentral.com, and WebMD.com all have excellent info on Mental Illness. aabryscript

Caregivers: Improving Your Serve

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One of the weightiest issues of caring for a mentally ill spouse, child, or friend, is that it is so phenomenally relentless.  The disease is so unpredictable, in its intensity and its spontaneity.  You think you have the situation in hand, and it breaks out somewhere else, and often in public and causing major problems.  This is wearing on anyone, including the Christian believer. And sometimes that can even make it more challenging.

You will need a support network, if you’re going to be a caregiver.  This support is received in three different ways.

First, emotional support.  Without someone who can listen and give words that encourage you, you’ll grow in resentment and frustration with your particular “lot”.

Second, I would suggest physical support.  You will need someone to help you make sure the practical issues are met.  (washing the car, fixing the shower, etc.) My wife as a caregiver has had to do things that she would normally wouldn’t be called on to do (fix the stove, do the taxes, etc.) because of my illness.

Third, spiritual support.  It has three concentrations. Worship, prayer, and fellowship.  These three have obvious effects on the caregiver.  Just a word to the wise–when you pray you are going into it as two people (as well as for yourself).  You must maintain and strengthen yourself and for the person you are serving.  I think this is critical to your relationship.  Try to see challenges, not obstacles. Don’t forget the power of a worshipping heart or the warmness of good Christian fellowship.

God gives special grace to the caretaker.  My advice is to take it, and then use it.  Draw upon Jesus who is your caregiver.  Present your afflicted one to Him.  Be supernatural in the mundane.  The story of the paralyzed man on his cot being brought into Jesus’ presence by his friends fascinates me.  It has many parallels for you to be a good caregiver.

“And behold, some men were bringing on a bed a man who was paralyzed, and they were seeking to bring him in and lay him before Jesus,”

Luke 5:18, ESV

My last word of advice is that you don’t be self-critical or feel guilty.  Remember, it is your friend or family member who is the sick one.  Don’t get consumed by your responsibilities.  Don’t fall in the trap of judging yourself by how well you do or don’t do as a caregiver.  Remember, you are not performing for others, but for an audience of One, who sees all.

Educate yourself, use the internet to track down information.  If I can help you further, please feel free to contact me.  I’m not a rocket scientist but if I can encourage you I will.   May the Holy Spirit touch your heart. You are going to need it.

 

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The Numbers Don’t Lie: Mental Illness in America

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~Mental Illness in America, 2016

Mental disorders are common in the United States and internationally. An estimated 26.2 percent of Americans ages 18 and older — about one in four adults — suffer from a diagnosable mental disorder in a given year.1

When applied to the 2004 U.S. Census residential population estimate for ages 18 and older, this figure translates to 57.7 million people.2 Even though mental disorders are widespread in the population, the main burden of illness is concentrated in a much smaller proportion — about 6 percent, or 1 in 17 — who suffer from a serious mental illness.1

In addition, mental disorders are the leading cause of disability in the U.S. and Canada.3 Many people suffer from more than one mental disorder at a given time. Nearly half (45 percent) of those with any mental disorder meet criteria for 2 or more disorders, with severity strongly related to comorbidity.1

In the U.S., mental disorders are diagnosed based on the Diagnostic and Statistical Manual of Mental Disorders, fourth edition (DSM-V).4

Mood Disorders

Mood disorders include major depressive disorder, dysthymic disorder, and bipolar disorder.

  • Approximately 20.9 million American adults, or about 9.5 percent of the U.S. population age 18 and older in a given year, have a mood disorder.1,2
  • The median age of onset for mood disorders is 30 years.5
  • Depressive disorders often co-occur with anxiety disorders and substance abuse.5

Major Depressive Disorder

  • Major Depressive Disorder is the leading cause of disability in the U.S. for ages 15-44.3
  • Major depressive disorder affects approximately 14.8 million American adults, or about 6.7 percent of the U.S. population age 18 and older in a given year.1, 2
  • While major depressive disorder can develop at any age, the median age at onset is 32.5
  • Major depressive disorder is more prevalent in women than in men.6

Dysthymic Disorder

  • Symptoms of dysthymic disorder (chronic, mild depression) must persist for at least two years in adults (one year in children) to meet criteria for the diagnosis. Dysthymic disorder affects approximately 1.5 percent of the U.S. population age 18 and older in a given year.1, This figure translates to about 3.3 million American adults.2
  • The median age of onset of dysthymic disorder is 31.1

Bipolar Disorder

  • Bipolar disorder affects approximately 5.7 million American adults, or about 2.6 percent of the U.S. population age 18 and older in a given year.1, 2
  • The median age of onset for bipolar disorders is 25 years.5

Suicide

  • In 2006, 33,300 (approximately 11 per 100,000) people died by suicide in the U.S.7
  • More than 90 percent of people who kill themselves have a diagnosable mental disorder, most commonly a depressive disorder or a substance abuse disorder.8
  • The highest suicide rates in the U.S. are found in white men over age 85.9
  • Four times as many men as women die by suicide9; however, women attempt suicide two to three times as often as men.10

Schizophrenia

  • Approximately 2.4 million American adults, or about 1.1 percent of the population age 18 and older in a given year,11, 2 have schizophrenia.
  • Schizophrenia affects men and women with equal frequency.12
  • Schizophrenia often first appears in men in their late teens or early twenties. In contrast, women are generally affected in their twenties or early thirties.12

Anxiety Disorders

Anxiety disorders include panic disorder, obsessive-compulsive disorder, post-traumatic stress disorder, generalized anxiety disorder, and phobias (social phobia, agoraphobia, and specific phobia).

  • Approximately 40 million American adults ages 18 and older, or about 18.1 percent of people in this age group in a given year, have an anxiety disorder.1,2
  • Anxiety disorders frequently co-occur with depressive disorders or substance abuse.1
  • Most people with one anxiety disorder also have another anxiety disorder. Nearly three-quarters of those with an anxiety disorder will have their first episode by age 21.5 5

Panic Disorder

  • Approximately 6 million American adults ages 18 and older, or about 2.7 percent of people in this age group in a given year, have panic disorder.1, 2
  • Panic disorder typically develops in early adulthood (median age of onset is 24), but the age of onset extends throughout adulthood.5
  • About one in three people with panic disorder develops agoraphobia, a condition in which the individual becomes afraid of being in any place or situation where escape might be difficult or help unavailable in the event of a panic attack.12

Obsessive-Compulsive Disorder (OCD)

  • Approximately 2.2 million American adults age 18 and older, or about 1.0 percent of people in this age group in a given year, have OCD.1, 2
  • The first symptoms of OCD often begin during childhood or adolescence, however, the median age of onset is 19.5

Post-Traumatic Stress Disorder (PTSD)

  • Approximately 7.7 million American adults age 18 and older, or about 3.5 percent of people in this age group in a given year, have PTSD.1, 2
  • PTSD can develop at any age, including childhood, but research shows that the median age of onset is 23 years.5
  • About 19 percent of Vietnam veterans experienced PTSD at some point after the war.13 The disorder also frequently occurs after violent personal assaults such as rape, mugging, or domestic violence; terrorism; natural or human-caused disasters; and accidents.

Generalized Anxiety Disorder (GAD)

  • Approximately 6.8 million American adults, or about 3.1 percent of people age 18 and over, have GAD in a given year.1, 2
  • GAD can begin across the life cycle, though the median age of onset is 31 years old.5
To finish reading this article, you will need to go to its source at:

http://www.nimh.nih.gov/health/publications/the-numbers-count-mental-disorders-in-america/index.shtml  

 

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