Category: bruised mind

Should I Take Medication?

What’s Your Take on Christians Using Antidepressants?

by Pastor John Piper

I’m going to say that there are times when I think it is appropriate, but I want to go there cautiously and slowly, with warnings.

Depression is a very complex thing.

It’s got many layers. I think we all would agree that there are conditions in which nobody would deny that certain people are depressed in a pathological way because they’re immobile. They’re not even able to function.

And then there’s a continuum of discouragements and wrestlings with having an ‘Eeyore-type’ personality, which may or may not be depressed.

So that means that I want to be so careful not to have a knee-jerk reaction. When you come into my office and describe to me your discouragements, I don’t want my first response to be, “See a doctor and get a prescription.”

I fear that is way too quick today. The number of people on antidepressants as a first course rather than the last course is large.

And the assumption is that you can’t make any progress in counseling unless you get yourself stabilized or something.

So I just want to be very cautious.

As a Christian who believes that Christ is given by the Holy Spirit to deliver us from discouragements and from unbelief and sorrow and to help us live a life of usefulness, what makes me able to allow for antidepressants is the fact that medicine corresponds to physical realities.

And the physical realities are that we get headaches that make us almost unable to think. Migraine headaches can put a man out. And we are pretty much OK if the doctor can help us find some medicine that would not let us get these immobilizing headaches.

And the headaches clearly have a spiritual impact, because they’re making me unable to read my Bible and function in relation to people that I want to love and serve. And so medicine becomes spiritually effective in that way.

In the short run especially, sometimes long term—then I think, in God’s grace and mercy, we should take it as a gift from his hand.

If that physical dimension could be helped by medicine.

So we apply this principle that we all use to depression, and then the fact that the body is included in depression. Whether we should use the terms “chemical imbalances”—I’ve read both sides on that. Some people say that there is no scientific evidence for such a thing and others say that it is a given. Whatever. Everybody knows that there are physical dimensions to depression.

A Very English Pigeon

“I will instruct you and teach you in the way you should go; I will counsel you with my eye upon you.”

Psalm 32:8

In April 2002, I was sitting in a cavernous waiting room at King’s Cross in London, England.  I was waiting for a bus to Cambridge, UK.  I sat all alone and stared at the tiled floor at my feet.  The doctors had warned me not to travel alone, but I ignored their advice.

And now I was starting to really unravel.

Depression had followed me all the way from Alaska to England. I had pushed my limits and was completely drained and was becoming very confused.  I began to cry out to the Lord, very desperately. Sometimes madly. (Read Psalm 88.)

As I sat there staring intensely at the floor, several pigeons seemed to put on a show, just for me. They were fat little guys, apparently scratching out a good living. Several very large windows were open, and these pigeons seemed to have no fear as they took advantage of a meal from bored travelers.

All of a sudden something very odd happened. 

A pigeon came across the floor and “presented” himself, right square in front of me.  I watched him intently and saw that he was crippled, one of his feet was nothing more than a twisted claw.  He had been profoundly injured in such a way, that he would never be the same.  He was damaged, and yet somehow he survived (and he was thriving)!

It was like experiencing a lightning bolt. God’s own light switch was being flipped.

I saw that pigeon, and I saw myself, and it was a moment of clarity, a shining grace.  In the mega-hustle of 13.6 million people in London, and in the midst of my own profound mental crisis, I knew God’s caring touch and it gave me real grace, love, and goodness–far greater than all my sin and confusion. He was just letting me know that He was very, very close. (See Psalm 34:18.)

I had seen my damaged pigeon, completely oblivious to self-pity.

I started to call out to the Father out of my confusion.  Within a few minutes, I found myself sitting on the top level of a double decker bus, with the driver aware of my problems and who specifically drove me to the place I was staying. 

I was being cared for. Between a crippled pigeon and the dutiful ministrations of a bus driver, I’d finally found my hotel. (See Matthew 6:26.) 

I have come to realize that this trip to England was not for me to see Big Ben, Parliament, or wander the academic schools of Cambridge University.  Rather I was brought there to make contact with a certain pigeon, who was waiting to meet me and pass on vital instructions. 

The Father shared things that I need to know.  British castles and churches are beautiful and worth seeing but I must admit I’ve forgotten much. I hope I can return someday.

But on this trip, all I really needed to see was a crippled English pigeon who was just waiting to meet me.

 

The Sheer Hopelessness of Mental Illness

Bear with me please. This was written in March of 2012. Right or wrong, it was where I was at with my illness. I hope it will bless, and bring hope into that situation that seems very hopeless:

“The Lord is near to the brokenhearted
    and saves the crushed in spirit.”

Psalm 34:18

Depression can feel terribly hopeless.

I’ve seemed to have settled down into a blackness that defies all explanation. I’m dodging being hospitalized, and they can’t put me where I don’t want to go. I don’t want to be locked up again. I’ve been hospitalized four times for depression. Six months of my life wasted.

It’s the hopeless/helpless thing, a “one-two” punch that is the most devastating to me. It crushes and pulverizes until I lie in this sad pathetic mess I’ve become. Dante had it dead-on when ascribed the gates of hell with the words, “Abandon hope, all ye who enter here.” In hell you’ll know what despair is really like. Perhaps heaven and hell really do start here?

And there was another writer, just as clever, said something along these lines,

“Shut up! Unless you have been lost in this particular section of hell before,  just be quiet.”

And perhaps we should? Nothing can trump personal experience. The survivors, if you can find them, will understand what I’m saying. 

How is it,
People fear the dark?
Not me, I’m reconciled
as every day I see
the blackness grow,
I’ve come to terms with it,
it knows I know.

–Rod McKuen, Alone

Hopelessness swirls me around and I feel like a bug going down a drain. Thoughts of suicide are becoming more concrete and despair is becoming a frequent visitor.  Mental illness is frightening. Those who have experienced it, will learn not to say anything, but pray.

Durability may ultimately prove to be the most significant factor in this “mixed state” of Bipolar Disorder that I am wandering through at the moment.  Can I outlast these demons that plague me? My irrational mind plays tricks on me, I see mirages of wholeness and peace, but they don’t seem  real. It is a big, fat lie. It is nothing but a delusion, or a trick of the brain. 

And yet something inside of me steadfastly hopes for God’s grace and mercy. 

I know that Jesus has conquered the dark. I must cling to Him. I must let this darkness go. He’ll need to work this out.

Up and down, side-to-side, where it stops, no one knows?  But God…and right now He isn’t saying. Jesus hold on to me. I hold on, by faith to the promise given to me—

“And I am sure of this, that he who began a good work in you will bring it to completion at the day of Jesus Christ.”

Philippians 1:6

I don’t mean to be this raw. Sometimes I just let it “all hang out.” I hope you’ll forgive me if I’m too open. I just wanted you to have a picture of a “broken believer” and more so of the grace that saves me.

I know He does love me.

Dancing With Bruises

ballerina stretching
Photo by Beto Franklin on Pexels.com

Sometimes it seems like bruises are part of life’s gift package to us.

Dancers are some of the most talented people I know. Their gracefulness can be seen both on and off the stage. A dancer’s training is far from easy. But by choosing to become dancers they have made a decision to absorb pain.

Their toes and feet are blistered and bruised; they take constant abuse. Some live with chronic tendonitis. Their feet bleed sometimes, and pain is their constant companion, but they still choose to dance.

Two things to consider.

  • They choose to dance. Dancers must operate with an iron will and an elegant grace. I suppose that is why they can dance the way they do. They have painfully blended the two.
  • The scars and bruises often become “badges of honor.” They would rather dance in pain, than not dance at all.

I once heard someone describe depression as having a mental bruise. I understand this. 

As one prone to depression, I know what it is like to bury myself in my bed for weeks at a time. My own mental bruise was simply more than I could take. There was a sensation of sinking into blackness, a sense of total and complete despair. I felt lost and completely alone.

I prayed. I groaned, and I prayed again.

My sense of being totally lost in sad, dark thoughts was beyond comprehension. Dear reader, this was something quite real, and you must become aware of these things. Some of your friends are suffering, and it is often a hellish and desperate depression.dancer-feet

We would never say that diabetics are that way because of the enemy. The dark one will surely exploit it, but I think you give him far too much credit if you suggest he was able to initiate it. I don’t think Satan has the spiritual “voltage.”

I refuse to hide my mental bruises from those who share my pain. I will make the choice to dance. I’m bruised, but I will try to ignore the pain. I would exult in my God, walk in His love, and “leaping with joy like calves let out to pasture” (Malachi 4:2.)

“A bruised reed he will not break, and a smoldering wick he will not snuff out, till he has brought justice through to victory.”

Isaiah 42:3

The great pastor/evangelist Charles Spurgeon once spoke about his own personal battle with depression:

 “I find myself frequently depressed – perhaps more so than any other person here. And I find no better cure for that depression than to trust in the Lord with all my heart, and seek to realize afresh the power of the peace-speaking blood of Jesus, and His infinite love in dying upon the cross to put away all my transgressions.”

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