I wrote this poem a couple of months ago. I wrote it while trying to process the struggle of dealing with one sister who suffers with mental illness (bipolar disorder and bulimia) and other family members who don’t understand.
I have experienced seven years of major clinical depression myself, and over the last few years have come to the realization that ending up there again is not outside the realm of possibility if I’m not ever vigilant. But that doesn’t make the family relationships any easier, and I often feel like I’m the only glue or buffer holding things together, and I’m not doing a very good job at it.
I share this here to maybe give someone else the strength to keep being that glue or to appreciate the one in the family who is the glue or . . . well, frankly I’m not sure why. It just seems like something I need to share.
A note on the final stanza: I do not, in any way, wish that the person this poem is about was dead. Far from it. I’ve lost too many other family members, including another sister who died of cancer two years ago. But on the day I wrote this, that felt like it would have been easier to take than the present situation.
Why does it feel like I’ve lost you
when you aren’t even dead?
Why am I the only one
who wants to make amends?
Why does it have to be so hard
after all these years?
Maybe it’s the tears
mine and yours, and theirs,
that makes breathing and living
loving and forgiving so impossible
I guess sometimes families and madness
can’t survive one another
Because that’s what you are, you know,
mad, or crazy, or mentally ill
whatever you want to call it
It’s torn us apart
because you don’t understand
why they can’t begin to comprehend
what’s going on inside your head
It’s torn us—you and me—apart
because you’ve convinced yourself
that I don’t at all understand
what’s going on inside your head
You forget I’ve been there
that those crazy, mad thoughts
have been inside my head, too
But then you’ve forgotten a lot of things
all the times I was there for you
just to listen
and the times you were there for me
Forgetting the good
is a tragic side effect
of medications meant to help
Somehow they don’t erase
memories of the less-than-perfect moments
My greatest desire is to forgive
and to be forgiven
to live and laugh and love again
to mend what has been torn asunder
to heal the thoughts inside your head
But right now, in this moment
it feels like you might as well be dead
at least that would be easier to live with
23″Nevertheless, I am continually with you; you hold my right hand. 24You guide me with your counsel, and afterward you will receive me to glory. 25 Whom have I in heaven but you? And there is nothing on earth that I desire besides you. 26 My flesh and my heart may fail, but God is the strength of my heart and my portion forever.”
Psalm 73, ESV
Continuity is a medicine for us who are always on the edge of losing control. One patriarch in the Book of Genesis was told that “he was unstable as water.” And this pretty much describes me as I struggle with Bipolar Disorder. But the promise from Psalm 73 is for a continuous presence. There is no flickering, no jumping about. He is steady. He does not flit or fluctuate. He is always, and forever, constantly focused with you.
He provides guidance, ‘free of charge’. We can experience many confusing days. We make the attempt to walk through them, but we quickly grasp our ineptitude. It goes very much better when He is speaking into our hearts. Since He is present with us on a continuous basis anyway, let us turn to Him for direction.
There is a realization in verse 25.“Whom have I in heaven but you? And there is nothing on earth that I desire besides you.” This statement declares “point blank” who and what is real. Try reading this verse and emphasise the “you.”
The psalmist has an ‘umbilical cord’ attached to heavenly places. This feeds him and gives him a radical strength to stand up and ‘to be’. The writer is completely over with the things of this earth. He desires only heavenly things, that which really matters after looking down the long corridors of eternity.
In verse 26 he admits a desperate weakness. He understands the foolishness of his flesh. He knows that it is pathetic and feeble. There is absolutely nothing he can do about this. He has tried and tried repeatedly. His heart is like a colander that drains away all the grace and mercy that comes. He can hold nothing. He must stay under the faucet.
But still, there is a profound realization that God is strengthening his heart. He has done this on an eternal level. What this means is this: He has touched me and by that touch has made me eternal, like Him. The rest of this Psalm extends and states certain things that the Psalmist has learned himself.
27″For behold, those who are far from you shall perish; you put an end to everyone who is unfaithful to you. 28But for me it is good to be near God; I have made the Lord GOD my refuge, that I may tell of all your works.”
Psalm 73, ESV
Proximity determines everything. Some will bounce to the other end of the spectrum. Being close to Him confers life. Moving away from Him brings nothing but certain death. The issue in this Psalm is of ‘unfaithfulness’. This is a biggie. Being unfaithful means treachery, and a wagon load of deception, and nothing good will ever come from it.
“Every man is as holy as he wants to be.”
God draws a person, but coming near is always your choice. The Psalmist sees that his “nearness to God is my good.” He realizes that by taking refuge in God there is something that will be quite wonderful. There is some effort that must happen. So he makes God his refuge. The Lord God is now a ‘bomb shelter’ or a covering for our souls. He continues this process with the deep commitment to sharing ‘the works of God’.
Before I entered college I hardly gave a thought to cancer and terminal illness. But ever since those college days death by disease has walked beside me all the way. Two of my college acquaintances died of leukemia and cancer of the lymph glands before they were 22. At seminary I watched Jim Morgan, my teacher of systematic theology, shrivel up and die in less than a year of intestinal cancer. He was 36. In my graduate program in Germany my own “doctor-father,” Professor Goppelt, died suddenly just before I was finished. He was 62—a massive coronary. Then I came to Bethel, the house of God! And I taught for six years and watched students, teachers, and administrators die of cancer: Sue Port, Paul Greely, Bob Bergerud, Ruth Ludeman, Graydon Held, Chet Lindsay, Mary Ellen Carlson—all Christians, all dead before their three score and ten were up. And now I’ve come to Bethlehem and Harvey Ring is gone. And you could multiply the list ten-fold.
What shall we say to these things? Something must be said because sickness and death are threats to faith in the love and power of God. And I regard it as my primary responsibility as a pastor to nourish and strengthen faith in the love and power of God. There is no weapon like the Word of God for warding off threats to faith. And so I want us to listen carefully today to the teaching of Scripture regarding Christ and cancer, the power and love of God over against the sickness of our bodies.
I regard this message today as a crucial pastoral message, because you need to know where your pastor stands on the issues of sickness, healing, and death. If you thought it was my conception that every sickness is a divine judgment on some particular sin, or that the failure to be healed after a few days of prayer was a clear sign of inauthentic faith, or that Satan is really the ruler in this world and God can only stand helplessly by while his enemy wreaks havoc with his children—if you thought any of those were my notions, you would relate to me very differently in sickness than you would if you knew what I really think. Therefore, I want to tell you what I really think and try to show you from Scripture that these thoughts are not just mine but also, I trust, God’s thoughts.
Six Affirmations Toward a Theology of Suffering
So I would like everyone who has a Bible to turn with me to Romans 8:18–28. There are six affirmations which sum up my theology of sickness, and at least the seed for each of these affirmations is here. Let’s read the text:
I consider that the sufferings of this present time are not worth comparing with the glory that is to be revealed to us. For the creation waits with eager longing for the revealing of the sons of God; for the creation was subjected to futility, not of its own will but by the will of him who subjected it in hope; because the creation itself will be set free from its bondage to decay and obtain the glorious liberty of the children of God. We know that the whole creation has been groaning in travail together until now; and not only the creation, but we ourselves, who have the first fruits of the Spirit, groan inwardly as we wait for adoption as sons, the redemption of our bodies. For in this hope we were saved. Now hope that is seen is not hope. For who hopes for what he sees? But if we hope for what we do not see, we wait for it with patience.
Likewise the Spirit helps us in our weakness; for we do not know how to pray as we ought, but the Spirit himself intercedes for us with sighs too deep for words. And he who searches the hearts of men knows what is the mind of the Spirit, because the Spirit intercedes for the saints according to the will of God.
We know that in everything God works for good with those who love him, who are called according to his purpose. (RSV)
1. All Creation Has Been Subjected to Futility
My first affirmation is this: the age in which we live, which extends from the fall of man into sin until the second coming of Christ, is an age in which the creation, including our bodies, has been “subjected to futility” and “enslaved to corruption.” Verse 20: “The creation was subjected to futility.” Verse 21: “The creation will be freed from slavery to corruption.” And the reason we know this includes our bodies is given in verse 23: not only the wider creation but “we ourselves (i.e., Christians) groan in ourselves awaiting sonship, the redemption of our bodies.” Our bodies are part of creation and participate in all the futility and corruption to which creation has been subjected.
Who is this in verse 20 that subjected creation to futility and enslaved it to corruption? It is God. The only other possible candidates to consider would be Satan or man himself. Perhaps Paul meant that Satan, in bringing man into sin, or man, in choosing to disobey God—perhaps one of them is referred to as the one who subjected creation to futility. But neither Satan nor man can be meant because of the words “in hope” at the end of verse 20. This little phrase, subjected “in hope,” gives the design or purpose of the one who subjected creation to futility. But it was neither man’s nor Satan’s intention to bring corruption upon the world in order that the hope of redemption might be kindled in men’s hearts and that someday the “freedom of the glory of the children of God” might shine more brightly. Only one person could subject the creation to futility with that design and purpose, namely, the just and loving creator.
Therefore, I conclude that this world stands under the judicial sentence of God upon a rebellious and sinful mankind—a sentence of universal futility and corruption. And no one is excluded, not even the precious children of God.
Probably the futility and corruption Paul speaks of refers to both spiritual and physical ruination. On the one hand man in his fallen state is enslaved to flawed perception, misconceived goals, foolish blunders, and spiritual numbness. On the other hand, there are floods, famines, volcanoes, earthquakes, tidal waves, plagues, snake bites, car accidents, plane crashes, asthma, allergies, and the common cold, and cancer, all rending and wracking the human body with pain and bringing men—all men—to the dust.
As long as we are in the body we are slaves to corruption. Paul said this same thing in another place. In 2 Corinthians 4:16 he said, “We do not lose heart, but though our outer man (i.e., the body) is decaying (i.e., being corrupted) yet our inner man is being renewed day by day.” The word Paul uses for decay or corrupt here is the same one used in Luke 12:33 where Jesus said, Make sure your treasure is in heaven “where thief does not come near and moth does not corrupt.” Just like a coat in a warm, dark closet will get moth eaten and ruined, so our bodies in this fallen world are going to be ruined one way or the other. For all creation has been subjected to futility and enslaved to corruption while this age lasts. That is my first affirmation.
2. An Age of Deliverance and Redemption Is Coming
My second affirmation is this: there is an age coming when all the children of God, who have endured to the end in faith, will be delivered from all futility and corruption, spiritually and physically. According to verse 21, the hope in which God subjected creation was that some day “The creation itself also will be set free from its slavery to corruption into the freedom of the glory of the children of God.” And verse 23 says that “We ourselves groan within ourselves waiting eagerly for our adoption as sons, the redemption of our bodies.” It has not happened yet. We wait. But it will happen. “Our citizenship is in heaven from which we await a Savior, the Lord, Jesus Christ, who will transform the body of our lowliness to be like the body of his glory” (Philippians 3:20, 21). “In a moment, in the twinkling of an eye, at the last trumpet, for the trumpet will sound and the dead will be raised incorruptible and we shall be changed” (1 Corinthians 15:52). “He will wipe away every tear from our eyes, and there shall be no longer any death; and there shall be no longer any mourning or crying or pain; the first things have passed away” (Revelation 21:4).
There is coming a day when every crutch will be carved up, and every wheelchair melted down into medallions of redemption. And Merlin and Reuben and Jim and Hazel and Ruth and all the others among us will do cartwheels through the Kingdom of Heaven. But not yet. Not yet. We groan, waiting for the redemption of our bodies. But the day is coming and that is my second affirmation.
3. Christ Purchased, Demonstrated, and Gave a Foretaste of It
Third, Jesus Christ came and died to purchase our redemption, to demonstrate the character of that redemption as both spiritual and physical, and to give us a foretaste of it. He purchased our redemption, demonstrated its character, and gave us a foretaste of it. Please listen carefully, for this is a truth badly distorted by many healers of our day.
The prophet Isaiah foretold the work of Christ like this in 53:5–6 (a text which Peter applied to Christians in 1 Peter 2:24):
But he was wounded for our transgressions, he was bruised for our iniquities; upon him was the chastisement that made us whole, and with his stripes we are healed. All we like sheep have gone astray; we have turned every one to his own way; and the Lord has laid on him the iniquity of us all. (RSV)
The blessing of forgiveness and the blessing of physical healing were purchased by Christ when he died for us on the cross. And all those who give their lives to him shall have both of these benefits. But when? That is the question of today. When will we be healed? When will our bodies no longer be enslaved to corruption?
Mental illnesses in parents represent a risk for children in the family. These children have a higher risk for developing mental illnesses than other children. When both parents are mentally ill, the chance is even greater that the child might become mentally ill.
The risk is particularly strong when a parent has one or more of the following: Bipolar Disorder, an anxiety disorder, ADHD, schizophrenia, alcoholism or other drug abuse, or depression. Risk can be inherited from parents, through the genes.
An inconsistent, unpredictable family environment also contributes to psychiatric illness in children. Mental illness of a parent can put stress on the marriage and affect the parenting abilities of the couple, which in turn can harm the child.
Some protective factors that can decrease the risk to children include:
Knowledge that their parent(s) is ill and that they are not to blame
Help and support from family members
A stable home environment
Therapy for the child and the parent(s)
A sense of being loved by the ill parent
A naturally stable personality in the child
Positive self esteem
Inner strength and good coping skills in the child
A strong relationship with a healthy adult
Friendships, positive peer relationships
Interest in and success at school
Healthy interests outside the home for the child
Help from outside the family to improve the family environment (for example, marital psychotherapy or parenting classes)
Medical, mental health or social service professionals working with mentally ill adults need to inquire about the children and adolescents, especially about their mental health and emotional development. If there are serious concerns or questions about a child, it may be helpful to have an evaluation by a qualified mental health professional.
Individual or family psychiatric treatment can help a child toward healthy development, despite the presence of parental psychiatric illness. The child and adolescent psychiatrist can help the family work with the positive elements in the home and the natural strengths of the child. With treatment, the family can learn ways to lessen the effects of the parent’s mental illness on the child.
Unfortunately, families, professionals, and society often pay most attention to the mentally ill parent, and ignore the children in the family. Providing more attention and support to the children of a psychiatrically ill parent is an important consideration when treating the parent.
Many things seem to have risen up to block us. What we have to face is scary. It shakes us right down to our sandals. We see the ultimate intention of the enemies work. If we pass on Goliath, he will remain, and the Father’s plan becomes vulnerable.Sooner or later, he must be faced.
“Then Goliath, a Philistine champion from Gath, came out of the Philistine ranks to face the forces of Israel. He was over nine feet tall! He wore a bronze helmet, and his bronze coat of mail weighed 125 pounds. He also wore bronze leg armor, and he carried a bronze javelin on his shoulder. The shaft of his spear was as heavy and thick as a weaver’s beam, tipped with an iron spearhead that weighed 15 pounds. His armor bearer walked ahead of him carrying a shield.”
“Goliath stood and shouted a taunt across to the Israelites. “Why are you all coming out to fight?” he called. “I am the Philistine champion, but you are only the servants of Saul. Choose one man to come down here and fight me! If he kills me, then we will be your slaves. But if I kill him, you will be our slaves! I defy the armies of Israel today! Send me a man who will fight me!” When Saul and the Israelites heard this, they were terrified and deeply shaken.”
1 Samuel 17:4-11, NLT
Things are such in Israel, that an active faith has no real significance. Men are going to die, many very quickly. Then up steps David, he is untried in battle, but within him is an eager commitment to a faith in Jehovah. Fear has consumed hearts and minds, which are now full of ‘scary goliath fears’ and confusion. They’re pretty much inconpacitated at this point. The Scripture says “they were terrified and deeply shaken.” This is an irrational fear.
David (the shepherd boy) steps out and into the confusion. He is resistant to the fear that attacks his brothers. He identifies the giant before him as evil, and stands in the way of the Father’s will. David advances without fear.
The space once occupied by fear has been filled up by faith.
This story, is much more than a story. It may entertain schoolchildren, but it is so much more for us as believers. Most definitely you will be called upon to face a Goliath of your own. He is waiting for you, and you must step forward in faith. If you want to negotiate this away. Don’t! You are already dead.
So much points to Goliath’s superiority. He is a man-of-war; a dedicated and trained source of death. Goliath equips himself to stand quite forcefully over you. He presses forward, confident that he will destroy you. But David steps out of the line. He is trusting in God alone. He steps forward with no armor (Saul’s didn’t fit).
Something is about to happen, something children will sing about, and people will always esteem. Some theologians call this a “power encounter” which is about to tumble down.
David is about to kill Goliath, with just a stone from his sling. He swings, throws and embeds a rock into the giants forehead– right between his eyes! The giant collapses, and David moves forward, and he cuts off the giants head. He uses Goliath’s own sword to do this. Brutal and bloody? Terribly so.
But things around us are not much different. Each of us face a tall evil. Something that is monstrous and destructive. We cannot reason with it. We can only face it with the weapons the Father provides for us. When we advance to that source, we must do so with a faith that is real and undefeated.
Some reading this are pounded with depression and mental illness. I truly understand.
But you’re called to advance on any personal darkness.
We must stand and take an aggressive posture against it. As mentally ill people, the battle (and the stigma) is more intense, but it is overwhelmingly defeated by our simple faith in God’s Son.
Simplicity is our key, and we will not advance with anything less. At times, we think that we can strategize our way to victory. We hope to rationalize our enemy away by thinking positively about him. We think we can move against him by being clever. That will not work. Our simple hearts must be laced with faith. We need to step in to this, and then we will dance in the enemies jaws!
Those all together, happy, healthy, and reasonably sane and ‘self actualized’.
Those with significant issues, have hang-ups, and who are lesser sane.
We gravitate toward success. Even in a spiritual sense we do so. No one wants to be associated with a ‘washed-up’ loser. We expect success (at least in its fundamental form) to ooze out of every preacher, teacher or ‘wanna-be’ that intends to lead us to ‘the promised land’. We expect (or demand) it to be so.
But there are those broken ‘on the wheels of life’ who offer nothing at all. They are busted and broke. They may once have been noble and keen; they might have stared at life as if it were their own already. They were gifted, but breakable. Alas, and they broke. And they have nothing to give. So many things have disintegrated around them, they are left without a clue, and certainly without hope from a ‘fickle’ Church.
What makes a man or woman ‘spiritual’ or holy? Is it living up to a special standard or calling? Or maybe they look and sound good at what they do? Perhaps it is none of these. Maybe it really comes down to brokeness and humility? Perhaps we’ve looked at it all wrong. Perhaps the real yardstick is spiritual poverty?
““They are blessed who realize their spiritual poverty, for the kingdom of heaven belongs to them.
Matthew 5:4, NCV
Make no mistake, the ‘good’ seems very good. It is easy to ‘receive’ from some preachers. They do it so seamlessly, and so correctly. We often wonder why we haven’t been so receptive before. But ‘polish’ can never replace ‘broken’ prayer. I will trust my soul to those ‘busted’ by the meanness of life, rather than those who pretend that things are ‘rosy’ all over. Brokenness is not a given. But it really is ‘the coin of the realm’. It is how the Kingdom does ‘business.’
“But he said to me, “My grace is enough for you. When you are weak, my power is made perfect in you.” So I am very happy to brag about my weaknesses. Then Christ’s power can live in me.”
2 Corinthians 12:4, NCV
I hate to say this, but if being broken is the desperate need of the moment, then hammer me over and over again. I can’t imagine or even explain a better calling. “Bring it Father God”, (but help me if I stumble.) Oh, and one more thing: typically ‘mercy’ is absent for those who seem to live so ‘perfectly.’ (You just don’t see them with any.)
Look for mercy, and you will probably find someone truly authentic.
Take your candle, run to the darkness, and light your world, and love the unlovely while on your way.
Bipolar disorder symptoms are characterized by an alternating pattern of emotional highs (mania) and lows (depression). The intensity of signs and symptoms can vary from mild to severe. There may even be periods when your life doesn’t seem affected at all.
Manic phase of bipolar disorder
Signs and symptoms of the manic phase of bipolar disorder may include:
Increased physical activity
Spending sprees, credit card irresponsibility
Increased drive to perform or achieve goals
Increased sexual drive
Decreased need for sleep
Tendency to be easily distracted
Inability to concentrate
Depressive phase of bipolar disorder
Signs and symptoms of the depressive phase of bipolar disorder may include:
Suicidal thoughts or behavior
Loss of interest in daily activities
Chronic pain without a known cause
Types of bipolar disorder
Bipolar disorder is divided into two main subtypes:
Bipolar I disorder. You’ve had at least one manic episode, with or without previous episodes of depression.
Bipolar II disorder. You’ve had at least one episode of depression and at least one hypomanic episode. A hypomanic episode is similar to a manic episode but much briefer, lasting only a few days, and not as severe. With hypomania, you may have an elevated mood, irritability and some changes in your functioning, but generally you can carry on with your normal daily routine and functioning, and you don’t require hospitalization. In bipolar II disorder, the periods of depression are typically much longer than the periods of hypomania.
Cyclothymia. Cyclothymia is a mild form of bipolar disorder. Cyclothymia includes mood swings but the highs and lows are not as severe as those of full-blown bipolar disorder.
Other bipolar disorder symptoms
In addition, some people with bipolar disorder have rapid cycling bipolar disorder. This is the occurrence of four or more mood swings within 12 months. These moods shifts can occur rapidly, sometimes within just hours. In mixed state bipolar disorder, symptoms of both mania and depression occur at the same time.
Severe episodes of either mania or depression may result in psychosis, or a detachment from reality. Symptoms of psychosis may include hearing or seeing things that aren’t there (hallucinations) and false but strongly held beliefs (delusions).
Taken from the Mayo Clinic/Bipolar Disorder Symptoms site: