Jesus Help Me, I’m Knotted Up, Again

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Jeremiah 14:9

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.

Paranoia & Delusions

superhero_400pxDelusional 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 disorder experience 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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Dog Poop in the Living Room! (Stigma)

One out of five Americans will experience a mental disorder during their lifetime.  But, people can get better.  With proper treatment, most people with a mental illness recover quickly, and the majority do not need hospital care, or have only brief admissions.

Mental illness has traditionally been surrounded by community misunderstanding, fear, and stigma.  Stigma towards people with a mental illness has a detrimental effect on their ability to obtain services, their recovery, the type of treatment and support they receive, and their acceptance in the community.

Often when we discover a pile of dog poop in the living room there can be issues. Frustration, a bit of anger, and some disgust are typical reactions.

Exactly what is stigma?  Stigma means a mark or sign of shame, disgrace or disapproval, of being shunned or rejected by others.  It emerges when people feel uneasy or embarrassed to talk about behavior they perceive as different.  The stigma surrounding mental illness is so strong that it places a wall of silence around this issue.

The effects are damaging to the community as well as to the person will the illness and his/her family and friends. But at Mental Health agencies and many churches are working hard to erase the stigma associated with having a mental illness.

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The emphasis needs to be on supporting and treating people in their own communities, close to their families, friends and familiar surroundings.

Yet discrimination and community misconceptions remain among the most significant barriers to people with a mental illness being able to actively participate in the community and gaining access to the services they need.

But it is not only people with a mental illness who experience discrimination and stigma.  Rejection of people with mental illness inevitably spills over to the caregiver and family members.

Improving community attitudes by increasing knowledge and understanding about mental illness is essential if people with a mental illness are to live in, and contribute to, the community, free from stigma and discrimination.

People with mental problems are our neighbors. They are members of our congregations, members of our families; they are everywhere in this country. If we ignore their cries for help, we will be continuing to participate in the anguish from which those cries for help come. A problem of this magnitude will not go away. Because it will not go away, and because of our spiritual commitments, we are compelled to take action.”

~Rosalynn Carter

Thinking Without My “Tin Foil Hat”

As we think of mental illness an immediate question arises:  what is “serious” mental illness, and how is it different from the normal issues that are part of everyday life?

Wearing a tin-foil hat is the delusion that those who wear them are some how protected from space rays or conspiracy theories. Crazy, I know. But some believers approach mental illness in this way.
Brother and sister, we’re called to think biblically. Ephesians 6:17 tells us that the “helmet of salvation” is the only head gear we’re called to wear. It tells us that the ‘warriors’ protection is God’s salvation. We are protected by a helmet of truth.
We must educate ourselves, through our community, and knowledgeable Christian leadership, to serve the broken that are in our midst.  This figure includes a wide variety of disorders, these stats are compelling:
  • Severe mental illnesses affect 5.4 percent of adults,
  • Some 22 to 23 percent of the U.S. adult population—or 44 million people-“have diagnosable mental disorders”
  • Such statistics only begin to capture the level of pain many of our fellow believers endure daily.

 One person wrote of the broad reach of mental illness:

“I have a thousand faces, and I am found in all races. Sometimes rich, sometimes poor, sometimes young, sometimes old. I am a person with the disabling pain of a broken brain.”

We must find an acceptable form of understanding about mental illness if we are going to find our way to those who are quite frankly, very definitely lost.

Both Scripture and eldership, (healthy counseling), should be an active component to recovery. The sacrifical sacrifice of Jesus, through His blood must be taught again to the afflicted. Mental disease needs to be as understood in the same context as a physical one (e.g. diabeties or cancer).

Discernment must be sought as the whole person often needs to be taught. Issues like guilt, unforgiveness and pride are a big part of seeing people set free. Issues of past trauma like sexual and phyical abuse are factors as well.

 Your support of Brokenbelievers.com through your prayers and encouragement goes a long way. Linda and I need your help in this. We both need wisdom and a gentle hand on our lives. As we reach out, a ‘tinfoil hat’ is definitely not part of our acceptable head gear. 

The Father’s love embraces the torn and wounded consistently. This is the key to the healing of a broken heart.