Help! I Need a Doctor

“And when Jesus heard it, he said to them, “Those who are well have no need of a physician, but those who are sick. I came not to call the righteous, but sinners.” 

Mark 2:17, ESV

We get ‘schooled’ when we try to figure out Jesus.  It is a radical adjustment to process His thoughts and motives.  We watch and try to understand.  Jesus dictates a certain level, and we as His disciples will need to adjust.  Jesus declares that a select group will not need a doctors ministrations.  But the doctor does have a role.  There will be the ‘sick’, who need his attention.

The reality is that many are diseased and ill.  It is something that links and connects us to each  other.  We are desperately sick, and we have no medicine.  Jesus steps forward and intervenes.  He takes us and ministers to us in our desperate condition.  The diseased will be made healthy.

Jesus reaches ‘the sick’.  That is who He wants.  He makes the choice and that choice is us, full of infection and pain.  His Kingdom consists of those who understand their illness.  He bypasses the strong and the healthy.  He spends little time with them.  His heart is set on us who are broken and twisted.  Our cancerous bodies have absolutely nothing to give Him.

His Kingdom is full of sick people.  It, in a sense, is full with the ‘terminally ill’.  It is we who have ‘attracted’ Him.  Yet He has intensely sought us out.  We gather like little chicks to his protective wings.  We honestly do not have the ability even to protect ourselves.

Jesus declares that He has come for us.  Sin is very near to us.  We have the infection and we are completely vulnerable.  We are not strong spiritually.  There are many who excel before us.  We can make no claim to anything of significance.  But He has chosen us.  Sovereignly and specifically.  Strongly and decisively.  He has collected us and brought us to His heart.

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ybic, Bryan

 

 

Comparing Our Differences

“Do not insult the deaf or cause the blind to stumble. You must fear your God; I am the Lord.”

Leviticus 19:14, NLT

“I served as eyes for the blind and feet for the lame.”

Job 29:15, NLT

Our disabilities can give us a rough time of it. Being mentally ill– whether with depression, schizophrenia, bipolar, autism spectrum, etc can create many challenges. In some sense, those of us with physical or mental issues are all in the same boat. Many of us are physically, mentally, or developmentally disabled.

Or are we? I suspect that there are a million permutations (or more) of disability. One is in a wheelchair and suffers from migraines and depression. Another has severe anxiety. Others have little or no self-control and is becoming a drunkard, and yet another is just a child but diagnosed as autistic.

The fact of  labeling people often diminishes them into categories. A young child with Downs Syndrome is often labeled, and they seldom have the opportunities that ‘normal’ children receive. This is usually an unconscious reaction to their handicap.

In Nazi Germany, those with a mental or physical illness were rounded up and sterilized or euthanized (murdered) to achieve an ‘Aryan superiority.’ Systematically, untold thousands of disabled people were executed. We call this “eugenics” and it still is alive and well in the 21st century. It is rampant in a world that embraces “social darwinism” as its ideology.

We must remember these things. We also need to understand that we shouldn’t compare people with people. And we dare not pass judgement on anyone who is different. Disabled people should not wear labels, especially when ‘normal’ people slap it on us. A person’s perceived value should never, ever be part of a Christian believer’s agenda.

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ybic, Bryan

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Double Trouble: A Dual Diagnosis

What is the relationship between drug abuse and mental illness?

Many chronic drug abusers–the individuals we commonly regard as addicts–often simultaneously suffer from a serious mental disorder. Drug treatment and medical professionals call this condition a co-occurring disorder or a dual diagnosis.

What is chronic drug abuse?

Chronic drug abuse is the habitual abuse of licit or illicit drugs to the extent that the abuse substantially injures a person’s health or substantially interferes with his or her social or economic functioning. Furthermore, any person who has lost the power of self-control over the use of drugs is considered a chronic drug abuser.

What are some serious mental disorders associated with chronic drug abuse?

Chronic drug abuse may occur in conjunction with any mental illness identified in the American Psychiatric Association (DSM-IV). Some common serious mental disorders associated with chronic drug abuse include schizophrenia, bipolar disorder, manic depression, attention deficit hyperactivity disorder (ADHD), generalized anxiety disorder, obsessive-compulsive disorder, post-traumatic stress disorder, panic disorder, and antisocial personality disorder. Many of these disorders carry with them an increased risk of drug abuse.

Disorders With Increased Risk of Drug Abuse

  • Antisocial personality disorder 15.5%
  • Manic episode 14.5%
  • Schizophrenia 10.1%
  • Panic disorder 04. 3%
  • Major depressive episode 04.1%
  • Obsessive-compulsive disorder 03.4%
  • Phobias 02.1%

 Source: National Institute of Mental Health.

How prevalent are co-occurring disorders?

Co-occurring disorders are very common. In 2002 an estimated 4.0 million adults met the criteria for both serious mental illness and substance dependence or abuse in the past year.

Which occurs first–chronic drug abuse or serious mental illness?

It depends. In some cases, people suffering from serious mental disorders (often undiagnosed ones) take drugs to alleviate their symptoms–a practice known as self-medicating. According to the American Psychiatric Association, individuals with schizophrenia sometimes use substances such as marijuana to mitigate the disorder’s negative symptoms (depression, apathy, and social withdrawal), to combat auditory hallucinations and paranoid delusions, or to lessen the adverse effects of their medication, which can include depression and restlessness.

In other cases mental disorders are caused by drug abuse. For example, MDMA or Ecstasy, produces long-term deficits in serotonin function in the brain, leading to mental disorders such as depression and anxiety. Chronic drug abuse by adolescents during formative years is a particular concern because it can interfere with normal socialization and cognitive development and thus frequently contributes to the development of mental disorders.

Finally, chronic substance abuse and serious mental disorders may exist completely independently of one another.

Can people with co-occurring disorders be treated effectively?

Yes, chronic drug abusers who also suffer from mental illness can be treated. Researchers currently are investigating the most effective way to treat drug abusers with mental illness, and especially whether or not treating both conditions simultaneously leads to better recovery. Currently, the two conditions often are treated separately or without regard to each other. As a result, many individuals with co-occurring disorders are sent back and forth between substance abuse and mental health treatment settings.

Source: http://www.justice.gov/ndic/pubs7/7343/index.htm

For more info on the Dual Diagnosis see: http://bipolar.about.com/cs/dualdiag/a/0008_dual_diag.htm

Let the Church Be the Church

Brennan Manning

“Any church that will not accept that it consists of sinful men and women, and exists for them, implicitly rejects the gospel of grace. As Hans Kung wrote, “it deserves neither God’s mercy nor men’s trust”.

The church must constantly be aware that its faith is weak, its knowledge dim, its profession of faith halting, that there is not a single sin or failing which it has not in one way or another been guilty of.

And though it is true that the church must always disassociate itself from sin, it can never have any excuse for keeping any sinners at a distance. If the church remains self-righteously aloof from failures, irreligious and immoral people, it cannot enter justified into God’s kingdom. But if it is constantly aware of its guilt and sin, it can live in joyous awareness of forgiveness. The promise has been given to it that anyone who humbles himself will be exalted.”

Brennan Manning