Category: delusions

Ignoring a Mentally Ill Believer

“And he will answer, ‘I tell you the truth, when you refused to help the least of these my brothers and sisters, you were refusing to help me.’”

Matthew 25:45, NLT

The truth of the matter is that the Church can be the wrong place to have a mental illness. This is a generalization, I know. But many times it is true. We have a strong tendency to offer only token acknowledgement of “the least among us.” We will smile and nod, and, oh so quickly move away; we feel we’ve performed our ‘duty’ as a Christian. We are somewhat relieved to ‘get away’ and dodge the problem person.

Stereotypes abound for the mentally ill.

After all, they can be demanding, unpredictable, and dangerous. The worst are those who are dirty, unkempt. They say things that are odd and out-of-place. Have weird delusions and paranoia. They move to the margins, and usually sit in the back. But as a general rule, the mentally ill get ignored.

“People with mental illness sometimes behave in ways other people don’t understand and can’t make sense of. People with severe depression sometimes stay in bed all day, unable to manage the most basic motivation to move. People with anxiety disorders can be gripped by irrational or even unidentifiable fears that don’t incapacitate other people. Those affected by psychotic disorders may see things that aren’t real, hear voices that don’t exist, and sometimes lose the ability to discern reality at all.”

Amy Wilson, Christianity Today, 4/10/13

Often, a believer must find valuable help outside ‘the four walls’ of the Church. Some resources are often found with wise psychiatrists and caring therapists in clinical care. Medications (which can be a godsend) cab give the afflicted somd relief. The local Church just don’t always have the resources, but that is ok It isn’t their role exactly.

However, the Church has the only ‘real corner’ of the spiritual side of things.

The body of believers encourages, teaches and guides. Without it, the mentally ill Christian would be severely effected. The local church feeds us spiritually. It can’t be replaced. It has ‘the goods’ for discipleship. It has the Word of God and motivating worship. It has elders and other leaders who shepherd each believer, into a holy life. It provides fellowship which the believer with a mental illness must have.

It’s also a place of ministry: each one using his/her gift in the corporate body of the saints. This is vital. The broken believer has an opportunity to serve, which is such a factor in the walk of the disciple. We need them in our fellowships, and they need to be there too. God blesses those who will serve Him in this. Fellowship is critical for disabled believers.

As Jesus’ representatives in this present moment, we need to extend our hands. We may not fully understand the afflicted, but we can reach through the issues (ours and theirs) and administer the love of Jesus.

We should pray that this scourge of mental illness will be lifted out of our society.

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I’m Always Disappointing Myself

We read of the “Romans 7” man.

  • For I know that nothing good dwells in me, that is, in my flesh.
  • For I have the desire to do what is right, but not the ability to carry it out. 
  • For I do not do the good I want, but the evil I do not want is what I keep on doing. 

Romans 7:18-19, ESV

When we struggle like this we can safely assume that we’re trying to be holy and accepted by God apart from the grace of God. Our efforts to please Him fall woefully short. This frustration is when we try to keep the Law and neglect to walk in the Spirit.

To be disappointed in your behavior is not grace. To continue living like this becomes deception and hypocrisy. Most of all it creates a vicious wall between your walk and God’s love. A barrier between you and others.

The tension of Romans 7 is real. Every believer will encounters it.

The Scriptures teach us the depravity of man. All we do, even our best efforts and noblest actions are selfish and corrupt. As we understand this we end up realizing that there is a vast gulf between our aspirations and our actions.

“We are all infected and impure with sin.
    When we display our righteous deeds,
    they are nothing but filthy rags.”

Isaiah 64:6

We have a problem when our heart doesn’t match our actions. I’ve worked through the obvious. And yet it gets a little hairy when our ‘little’ sins are visible to others. We feel like hypocrites and we know that our testimony is officially ‘toast.’

“Many have passed the rocks of gross sins – who have suffered shipwreck upon the sands of self-righteousness.”

    William Secker

Romans 7 describes what is wrong with us, it seems we are attempting to please God by our own efforts.

In Romans 7 we read of a man who is constantly disappointed in himself. It can be wrenching to read– partly because it is so real. It describes us too well. At times the Word is like looking into a mirror.

“How can you be so inconsistent? I feel like there are two ‘Bryans,’ I don’t understand how you can live like this.”

This is what a dear friend said to me recently. I was flabbergasted. I didn’t know how to answer. It was a bit embarrassing, but I couldn’t respond. Later, the Spirit ministered to me while praying about it.

The Lord spoke in my heart, “You’re much worse than he realizes. Don’t you dare defend yourself!”

I now realize I should have said this to my friend. “You’re absolutely right, I am a bit of a flake. But you only see the veneer, deep down  I’m much worse than you will ever know. I can’t defend my actions, and I desperately need a Savior. Would you pray for me to work this out? I need Jesus”

The daily struggle with sin and personal failure is sometimes more visible than we would like. Even as a believer I can and do sin. That should surprise no one, and yet, it seems I’m the most amazed when sin inevitably breaks out. At times I feel like I specialize in inconsistency.

I wonder when we boldly ‘strut’ into His presence if the angels don’t ‘roll their eyes?’

Whenever we come before God, we should never show up with our list of great things we have recently done for Him. It won’t be accepted. They are at best, filthy rags. They’re not fit for a King’s court. But yet we keep coming, parading our dirty, grimy rags.

We keep forgetting that only Christ’s righteousness is accepted in God’s eyes.

“The greatest enemy to human souls is the self-righteous spirit which makes men look to themselves for salvation.”

Charles Spurgeon


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Medical: Paranoia & Delusions

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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.

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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I’m Such a Fool

They tell me that courage is to do something that frightens you. That it is being strong in the face of pain and suffering. If that’s true (and I suspect that it is) then I haven’t arrived yet. I’m a spiritual “chicken.” I’m no eagle yet.

It seems at times I’ve been ‘gifted’ with cowardice! 😁

I struggle at times with chronic depression, and am physically handicapped. I have lost the use of my right arm and hand. I no longer have any balance and must use a cane. This is due to a brain tumor I had in 2002. I’ve had over a dozen head injuries which only has compounded the ataxia.

I admit I sometimes get angry with God. I also get spiritually confused as I try to walk like Jesus wants me too. My frustration with Him is all foolishness when I think of all He has given me. I pretend at these times, and I do it well I think.

I’m also afflicted with a terrible disease called “Facebookitist.”

I find that this blog I write sometimes covers up a multitude of my own sins. You see and read what I want you to see. I polish up things to preserve a modicum of spiritual decency. I want you to see me as faithful and triumphant. A real disciple, (but alas, that’s often a bit of a stretch).

“When I get honest, I admit I am a bundle of paradoxes. I believe and I doubt, I hope and get discouraged, I love and I hate, I feel bad about feeling good, I feel guilty about not feeling guilty. I am trusting and suspicious. I am honest and I still play games.”

“To live by grace means to acknowledge my whole life story, the light side and the dark. In admitting my shadow side I learn who I am and what God’s grace means.”

“As Thomas Merton put it, “A saint is not someone who is good but who experiences the goodness of God.”

Brennan Manning

I once was confronted by a younger believer, “I don’t know you, brother, you’re like two different people.” And honestly I’m sure he was right. I am, and it disturbs and saddens me.

And what is the truth often scares me. I’m often a spiritual coward who tries to speak the things that are real and true. (A clown trying very hard to play “Hamlet.”) I occasionally realize I will write something that’s spiritually false, and that scares me. “Kyrie Eleison.” God have mercy on me, a sinner.

I think all I want is God’s stamp of approval. “Well done, good and faithful servant.”

And perhaps yours as well?

I realize that I end up wanting truth which is no small thing. Many lies must be stripped away and that seems to take time. It’s like scraping away layers of varnish on a table you’re working on. I’m pretty much coated with sin. I desperately need the truth to survive.

All I really know is that I love Jesus, and I seek to be filled with His Spirit. I keep coming, over and over, to Him. He holds on to me.

“If you look for truth, you may find comfort in the end; if you look for comfort you will not get either comfort or truth only soft soap and wishful thinking to begin, and in the end, despair.”

     C.S. Lewis

“Jesus comes not for the super-spiritual but for the wobbly and the weak-kneed who know they don’t have it all together, and who are not too proud to accept the handout of amazing grace.”

Brennan Manning