O Lord, God of my salvation, I cry out day and night before you. 2 Let my prayer come before you; incline your ear to my cry! 3 For my soul is full of troubles, and my life draws near to Sheol. 4 I am counted among those who go down to the pit; I am a man who has no strength, 5 like one set loose among the dead, like the slain that lie in the grave, like those whom you remember no more, for they are cut off from your hand. 6 You have put me in the depths of the pit, in the regions dark and deep.
Psalm 88:1-6, ESV
I definitely needed this Psalm today. Yesterday I went to the doctor and was blindsided by news that really isn’t good, at all. Of course, I also have this ongoing struggle with depression. Today I feel like I’m running a marathon with ‘leg weights’ on.
This particular Psalm is radically different than the others.
This Psalm has no kind words, and no praise to God for deliverance. It is a singularly sad song. Imagine if you will, a huge stone fortress in the mountains. Every room has a door, and every room a window. All except one. No light enters this room. There is no entrance or exit, no way to get free. Psalm 88 describes living that torturous experience.
I like my Psalms to be strengthening or encouraging.
But then comes this one! Life unravels and frays. Everything gets confusing. Life comes apart. The thought of being one who is irretrievably lost and damned, it saturates my thinking. The despair is beyond belief, I have no words to describe its special variety of darkness.
Anyone who has walked into this hell will understand.
Am I ‘less’ a Christian because of this vicious despair? Some would say so. The writer in verse 1-2, calls out to God. (I guess this what you are supposed to do). There is a sense of consistency in his cry. In verses 3-5, we see him evaluating his position. Again, there is a underground current of despair.
There is simply no help, no deliverance for him.
It’s a bitter and painful place to be. There are no explanations why life has gotten so nasty and bitter and out-of-control. But one thing that Psalm 88 does quite well, it strips you of any dignity that you have left.
(Does this make any sense at all?)
There is so much embedded in the book of Psalms. Comfort, faith, victory and hope are what we find. But in Ps. 88, we find a black pearl, the only one of its kind. Somehow, we dare not leave it behind, just because we don’t understand it.
I’m convinced that it has tremendous power to the disciple who is in endless pain. Just vocalizing this Psalm does something to us. These real words help. This Psalm is ours.
“Lord Jesus Christ, you are for me medicine when I am sick; you are my strength when I need help; you are life itself when I fear death; you are the way when I long for heaven; you are light when all is dark; you are my food when I need nourishment.”
Our theology makes all the difference in fighting depression, writes Kathryn Greene-McCreight, Author of “Darkness, Is My Only Companion” and Episcopal priest.
Here is an excerpt where she introduces the depression of Christians:
In his Problem of Pain, C. S. Lewis says that suffering is uniquely difficult for the Christian, for the one who believes in a good God. If there were no good God to factor into the equation, suffering would still be painful, and ultimately meaningless.
For the Christian, who believes in the crucified and risen Messiah, suffering is always meaningful. It is meaningful because of the one in whose suffering we participate, Jesus. This is neither to say, of course, that suffering will be pleasant, nor that it should be sought. Rather, in the personal suffering of the Christian, one finds a correlate in Christ’s suffering, which gathers up our tears and calms our sorrows and points us toward his resurrection.
In the midst of a major mental illness, we are often unable to sense the presence of God at all. Sometimes all we can feel is the complete absence of God, utter abandonment by God, the sheer ridiculousness of the very notion of a loving and merciful God. This cuts to the very heart of the Christian and challenges everything we believe about the world and ourselves.
I have a chronic mental illness, a brain disorder that used to be called manic depression, but now is less offensively called bipolar disorder. I have sought help from psychiatrists, social workers, and mental health professionals; one is a Christian, but most of my helpers are not. I have been in active therapy with a succession of therapists over many years, and have been prescribed many psychiatric medications, most of which brought quite unpleasant side effects, and only a few of which relieved my symptoms. I have been hospitalized during the worst times and given electroconvulsive therapy treatments.
All of this has helped, I must say, despite my disinclination toward medicine and hospitals. They have helped me to rebuild some of “myself,” so that I can continue to be the kind of mother, priest, and writer I believe God wants me to be.
During these bouts of illness, I would often ask myself: How could I, as a faithful Christian, be undergoing such torture of the soul? And how could I say that such torture has nothing to do with God? This is, of course, the assumption of the psychiatric guild in general, where faith in God is often viewed at best as a crutch, and at worst as a symptom of disease.
How could I, as a Christian, indeed as a theologian of the church, understand anything in my life as though it were separate from God? This is clearly impossible. And yet how could I confess my faith in that God who was “an ever-present help in trouble” (Ps. 46:1) when I felt entirely abandoned by that God? And if this torture did have something to do with God, was it punishment, wrath, or chastisement? Was I, to use a phrase of Jonathan Edwards’s, simply a “sinner in the hands of an angry God”?
I started my journey into the world of mental illness with a postpartum depression after the birth of our second child. News outlets are rife with stories of women who destroy their own children soon after giving birth. It is absolutely tragic. Usually every instinct in the mother pushes toward preserving the life of the infant. Most mothers would give their own lives to protect their babies. But in postpartum depression, reality is so bent that that instinct is blocked. Women who would otherwise be loving mothers have their confidence shaken by painful thoughts and feelings.
Depression is not just sadness or sorrow.
When I am depressed, every thought, every breath, every conscious moment hurts.
And often the opposite is the case when I am hypomanic: I am scintillating both to myself, and, in my imagination, to the whole world. But mania is more than speeding mentally, more than euphoria, more than creative genius at work. Sometimes, when it tips into full-blown psychosis, it can be terrifying. The sick individual cannot simply shrug it off or pull out of it: there is no pulling oneself “up by the bootstraps.”
And yet the Christian faith has a word of real hope, especially for those who suffer mentally. Hope is found in the risen Christ. Suffering is not eliminated by his resurrection, but transformed by it. Christ’s resurrection kills even the power of death, and promises that God will wipe away every tear on that final day.
But we still have tears in the present.
We still die. In God’s future, however, death itself will die. The tree from which Adam and Eve took the fruit of their sin and death becomes the cross that gives us life.
The hope of the Resurrection is not just optimism, but keeps the Christian facing ever toward the future, not merely dwelling in the present. But the Christian hope is not only for the individual Christian, nor for the church itself, but for all of Creation, bound in decay by that first sin: “Cursed is the ground because of you … It will produce thorns and thistles for you …” (Gen. 3:17-18).
This curse of the very ground and its increase will be turned around at the Resurrection. All Creation will be redeemed from pain and woe. In my bouts with mental illness, this understanding of Christian hope gives comfort and encouragement, even if no relief from symptoms. Sorrowing and sighing will be no more. Tears will be wiped away. Even fractious [unruly, irritable] brains will be restored.
“Darkness: My Only Companion”
Kathryn Greene-McCreightis assistant priest at St. John’s Episcopal Church in New Haven, Connecticut, and author of Darkness Is My Only Copanion: A Christian Response to Mental Illness (Brazos Press, 2006).
There’s been a death in my family. A young man just 24 years old passed a week ago. He was the only child of my aunt and uncle, and they are rightfully devastated. The whole thing is pain on steroids–as awful as it gets. Shock and grief is saturating our family.
We’re all asking why.
A young man who’s just learning how to live is gone. He was in the springtime of his life. His faith in Jesus was just beginning, and he was starting to sort things out, just like we all do. He is gone, but we’ll meet him again.
“Who gathered this flower?’ The gardener answered, ‘The Master.’ And his fellow servant held his peace.”
I wonder if the shock will ever wear off. I suppose it will, but it will come little by little. Jesus must have time to heal and hold in the meantime. He promised us.
I find my words to his mom and dad are nothing more than Teflon. They don’t stick, and maybe they even hurt.
Grief on this level defies words of human comfort and consolation. I am frustrated to counsel pain on this level. I’m ashamed when I do. I keep my mouth shut and that’s not easy for me.
There’s terrible guilt, anger and isolation.
The Holy Spirit is strongly emphasizing prayer now. I realize that only He can heal, guiding their suffering and healing to an outcome they can’t see. I know, I am certain that Jesus will come and touch his parents, but perhaps our intercession is what it will take to make this happen.
We must stand against Satan and push him away.
In the olden days, medicine was dispensed in powder form, not pills. The pharmacist would measure out a powder to give to the sick. In a sense, this is what God does. He carefully gives what is needed and not a grain more than necessary. I believe this.
Please don’t condemn yourself for speaking trite and inadequate words. You must rest in God’s work now, and realize that only He can heal and comfort pain and anger on this level. Job’s friends were at their best when they said nothing.
Sometimes all you can do is pray fervently. And that is enough.
“He will wipe away every tear from their eyes, and death shall be no more, neither shall there be mourning, nor crying, nor pain anymore, for the former things have passed away.”
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. Take care when this happens.
The manic phase of bipolar disorder– Signs and symptoms of the manic phase of bipolar disorder may include:
Types of bipolar disorder Bipolar disorder is divided into three 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 may 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).
Broken Believers 