1. Do not expect too much from yourself too soon, as this will only accentuate feelings of failure. Avoid setting difficult goals or taking on ambitious new responsibilities until you’ve solidly begun a structured treatment process.
2. Break large tasks into small ones, set some priorities, and do what can be done, as it can be done.
3. Recognize patterns in your mood. Like many people with depression, the worst part of the day for you may be the morning. Try to arrange your schedule accordingly so that the demands are the least in the morning. For example, you may want to shift your meetings to midday or the afternoon.
4. Participate in activities that may make you feel better. Try exercising, going to a movie or a ball game, or participating in church or social activities. At a minimum, such activities may distract you from the way you feel and allow the day to pass more quickly.
5. You may feel like spending all day in bed, but do not. While a change in the duration, quality and timing of sleep is a core feature of depression, a reversal in sleep cycle (such as sleeping during daytime hours and staying awake at night) can prolong recovery. Give others permission to wake you up in the morning. Schedule “appointments” that force you to get out of the house before 11 a.m. Do this scheduling the night before; waiting until the morning to decide what you will be doing ensures you will do nothing.
6. Don’t get upset if your mood is not greatly improved right away. Feeling better takes time. Do not feel crushed if after you start getting better, you find yourself backsliding. Sometimes the road to recovery is like a roller coaster ride.
7. People around you may notice improvement in you before you do. You may still feel just as depressed inside, but some of the outward manifestations of depression may be receding.
8. Try not to make major life decisions (such as changing jobs or getting married or divorced) without consulting others who know you well and who have a more objective view of your situation.
9. Do not expect to snap out of your depression on your own by an exercise of will power. This rarely happens. Many churches and communities have depression support groups. Connect with people who understand depression and the recovery process.
10. Remind yourself that your negative thinking is part of the depression and will disappear as the depression responds to treatment.
“Why should you be like someone confused, like a mighty warrior who cannot give help? Yet you, O Lord, are in the midst of us, and we are called by your name; do not forsake us!”
Jeremiah 14:9
Twenty three years ago, I started this blog–
Looking back on it has been very helpful.
In recent weeks I’ve gone through a time of profound confusion. My grip on reality has been tenuous at best. I’ve had a struggle with a depersonalizing sense, I seem not to “see” reality as I used to. Everything seems increasingly odd, and disjointed. I see myself outside myself.
Everything is knotted up, again.
I have had bouts with this before. And yet every time the Father has “fathered” me. I have been led through each bout. In many ways, the clinical depression has changed, now it slams. It used to be kind of low grade, kind of a grey fog, a steady and tedious despair, but now it’s more like a black lightning bolt.
I have had suicidal urges and thinking. I hate handling a kitchen knife, as I get the urge to plunge it into my chest. It’s funny like that, I call out to Jesus and He truly does find me.
He straightens out my knotted life only as He can.
History:
This blog initially started off in September 2009 following the idea of “broken believers.” Perhaps it was overly ambitious. But my heart’s desire is to be transparent and very honest. I still want to see this happen, and it does, sometimes.
I know I am not some super-saint with just the right answer for everyone. If I ever made this impression, please forgive me. Believe me, I only want His gentle presence to touch broken people.
For you see, I am the broken believer that writes this blog.
Often there is so much of ‘life’ that we must try to handle. There’s far too many things that confuse us. Faced with many issues beyond our control, we seldom seek the best answer. We are hoping just to survive reasonably unscathed through the latest intense conflict.
Mental illness has its unique trials. Those of us afflicted know the instability it brings us. We go from crisis-to-collapse everyday, (and sometimes even before lunch-time!) Some people have no concept of how much energy it takes just trying to appear ‘normal.’
Sometimes sadness is the best we can do. Trying to find a positive note seems empty and futile. I know a woman who must battle with pain every day. She has to manage every minute of every day with her handicap. She is a wonderful Christian, and she still exudes a gentle faith in her Savior.
We may seem cursed in this life. But Jesus died for this. His love for you is constant and sure.
Sometimes however the only way out is through. We simply must go through the many issues that face us. We must plow through such darkness, that has no precedent. We are the rescued ones, but only because he has made us so. The lost are now found. And we were really, really lost.
We go through, but not without grace. We may step through, but not without pain. So much of our confusion rides on a fascination with the ways of sin and darkness. The ways of the “dark one” may enchant us, but never fulfill us.
We can rest in that we are our Father’s foremost concern.
“He guides me in the paths of righteousness for His name’s sake”
We can puncture the surrounding evil by a simple decision to be faithful to Jesus.Darkness may pursue us, but it will never defeat us. We advance through this pain to the glory of God. He alone can make us triumph. Only Him.
“For I am confident of this very thing, that He who began a good work in you will perfect it until the day of Christ Jesus”
Philippians 1:6
“I do not understand the mystery of grace — only that it meets us where we are and does not leave us where it found us.”
Delusional disorder, (previously called paranoid disorder,) is a type of serious mental illness called a “psychosis“ in which a person cannot tell what is real from what is imagined. The main feature of this disorder is the presence of delusions, which are unshakable beliefs in something untrue.
People with delusional disorderexperience non-bizarre delusions, which involve situations that could occur in real life, such as being followed, poisoned, deceived, conspired against, or loved from a distance. These delusions usually involve the misinterpretation of perceptions or experiences.
In reality, however, the situations are either not true at all or highly exaggerated.
People with delusional disorder often can continue to socialize and function normally, apart from the subject of their delusion, and generally do not behave in an obviously odd or in a bizarre manner. This is unlike people with other psychotic disorders, who also might have delusions as a symptom of their disorder. In some cases, however, people with delusional disorder might become so preoccupied with their delusions that their lives are disrupted.
Types of delusional disorder
There are different types of delusional disorder based on the main theme of the delusions experienced. The types of delusional disorder include:
Erotomanic — Someone with this type of delusional disorder believes that another person, often someone important or famous, is in love with him or her. The person might attempt to contact the object of the delusion, and stalking behavior is not uncommon.
Grandiose — A person with this type of delusional disorder has an over-inflated sense of worth, power, knowledge, or identity. The person might believe he or she has a great talent or has made an important discovery.
Jealous — A person with this type of delusional disorder believes that his or her spouse or sexual partner is unfaithful.
Persecutory — People with this type of delusional disorder believe that they (or someone close to them) are being mistreated, or that someone is spying on them or planning to harm them. It is not uncommon for people with this type of delusional disorder to make repeated complaints to legal authorities.
Somatic — A person with this type of delusional disorder believes that he or she has a physical defect or medical problem.
Mixed — People with this type of delusional disorder have two or more of the types of delusions listed above.
Basic Principles
There are no systematic studies on treatment approaches and results in Delusional Disorder. The patient’s distrust and suspiciousness usually prevents any contact with a therapist.
Hospitalization
Hospitalization is indicated if a potential for danger is present; otherwise outpatient management is advisable. Unfortunately, involuntary hospitalization may increase distrust and resentment and increase the patient’s persecutory delusions.
Antipsychotic Drugs
Antipsychotic medication may be useful, particularly for accompanying anxiety, agitation, and psychosis. Because patients may be suspicious of medication, depot forms may be helpful. Although antipsychotics may have a good response, they are often only marginally effective for specific forms of Delusional Disorder.Other Therapies
Other treatments have been tried (electroconvulsive therapy, insulin shock therapy, and psychosurgery), but these approaches are not recommended.
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Delusional disorder, (previously called paranoid disorder,) is a type of serious mental illness called a “psychosis“ in which a person cannot tell what is real from what is imagined. The main feature of this disorder is the presence of delusions, which are unshakable beliefs in something untrue.
Broken Believers 