Our national mental health care system is in crisis. Long fragile, fragmented, and inadequate, it is now in serious peril. In 2003, the presidential New Freedom Commission presented a vision for a life-saving, recovery-oriented, cost-effective, evidence-based system of care. States have been working to improve the system, but progress is minimal.
Today, even those states that have worked the hardest stand to see their gains wiped out. As the country faces the deepest economic crisis since the Great Depression, state budget shortfalls mean budget cuts to mental health services.
The country as a whole was graded D. No states received an A grade, and only six (Connecticut, Maine, Maryland, Massachusetts, New York and Oklahoma) received a B. Eighteen states got C’s, a whopping 21 got D’s – and 6 states (Arkansas, Kentucky, Mississippi, South Dakota, West Virginia and Wyoming) got a failing grade – F. The state I live in, Alaska, received a D.
The budget cuts are coming at a time when mental health services are even more urgently needed. It is a vicious cycle that destroys lives and creates more significant financial troubles for states and the federal government in the long run.
One in four Americans experience mental illness at some point in their lives. The most serious conditions affect 10.6 million people. Mental illness is the greatest cause of disability in the nation, and twice as many Americans live with schizophrenia than with HIV/AIDS.
We know what works to save lives and help people recover. In the face of crisis, America needs to move forward, not retreat. We cannot leave our most vulnerable citizens behind.
Depression has been called the “common cold” of mental disorders, and one source estimates that it disrupts the lives of 30 to 40 million Americans.
Depression is too complicated to solve with a single pat answer.
Gary Collins, in Christian Counseling: A Comprehensive Guide (Dallas: Word, 1988), lists eight major categories of causes for depression,* and six major approaches to treating it. Each one has multiple options within each category. In addition, people use the word “depression” to cover everything from disappointment over losing a baseball game to the terrifying gloom that drives people to suicide.
The Bible does not use the word “depression,” although it describes people whom we might call depressed. It certainly doesn’t mention antidepressant drugs. However, there are a few general principles I would recommend when trying to deal with depression:
Aim to work on the causes of your depression, not just the symptoms. Scripture points to many issues of sin or conflict that can affect your emotions; most counselors would agree that depression can result from other underlying issues. Don’t just worry about the depression itself; check to see what other problems need attention.
Realize that you can’t base life on your emotions. Christians base life on truth, not feelings. Philippians 4:1 commands us to rejoice (whether we feel like it or not!). And James 1:2 asks us to “Consider it all joy when we fall into various trials.” Notice that James doesn’t tell us to feel joyful; he tells us to reckon, to choose to think about your situation as a spot where you can have joy.
Choosing to trust truth rather than your feelings may require a lot of faith. And if that is what we mean by asking if faith can solve depression, then faith may be enough in some cases. Trusting what God says rather than your feelings is certainly a more realistic approach to life!
However, many people talk about “faith” and only mean a vague hope that God will somehow pull them through. That’s too nebulous a concept to be reliable. Many of the same people who claim to have faith keep plunging through life ignoring God’s principles for healthy living. If we spurn the good advice that the Bible contains, we won’t escape the consequences – even if we have faith.
Is it right to use antidepressant drugs? Or is faith enough to solve the problem? Some cases of depression may be caused by chemical imbalances. If that is the cause, then antidepressant drugs may be the answer. God has allowed mankind to learn about many medical tools, and He sometimes uses medicine to heal. There may also be some cases of depression so severe that medications are necessary to bring the sufferer to the place where they can tackle some of the other issues; such cases might require medication, at least temporarily. I know of no Scripture that forbids such use.
However, any medications should be used with caution. Virtually any medicine has some side effects. Drugs can mask the symptoms, allowing you to ignore root causes. Some people may use antidepressants to avoid approaches that require you to deal with other unresolved issues. It seems easier to pop a pill. A general rule of thumb is to try other strategies first, unless the depression is so severe that the person endangers themselves or finds themselves unable to participate in other therapies.
Depression is a complex area, and severe problems of depression deserve the attention of a pastor or other counselor.
Author: Dr. John Bechtle
*Eight major causes of depression. (1) Biological factors, (2) Learned helplessness (sense of being trapped and unable to remedy an intolerable situation), (3) Parental rejection, (4) Abuse, (5) Negative thinking, (6) Life stress, (7) Anger, (8) Guilt. [Josh McDowell and Bob Hostetler, Josh McDowell’s Handbook on Counseling Youth (Dallas, Texas: Word Publishing, 1996), chapter 5; Gary R. Collins, Christian Counseling: A Comprehensive Guide, revised edition (Dallas, Texas: Word Publishing, 1988).]
Christianity Today interviews Steven Curtis Chapman as he opens up about losing his daughter, their family’s arduous journey, and a new album of songs chronicling the path of pain and hope.
Interview by Mark Moring | posted 11/02/2009
It’s been a year and a half since Steven Curtis Chapman lost his youngest daughter, 5-year-old Maria Sue, to a tragic accident at the family’s Tennessee home. Maria’s death rocked her father’s world, causing Steven and his wife, Mary Beth, to question God and their faith, while also clinging to the hope of things to come. The grieving process brought Steven, like King David, to his knees, simultaneously shouting at God while also desperately grasping for hope. Chapman journaled the journey, which he likens to penning his own Psalms—and not surprisingly, many of them turned into songs, and now his first album since Maria’s passing, “Beauty Will Rise.”
Chapman spoke with CT about losing his daughter, the “black hole” of pain and despair, and the glimmers of life they’ve clung to through the last 18 months—including the opening of Maria’s Big House of Hope, a healing home in China for special needs children. The Chapmans had already adopted two Chinese girls before Maria, so returning to China over the summer to open Maria’s Big House was a bittersweet time to both mourn Maria yet again, but to celebrate her life and legacy.