Should I Take Medication?

What’s Your Take on Christians Using Antidepressants?

by Pastor John Piper

I’m going to say that there are times when I think it is appropriate, but I want to go there cautiously and slowly, with warnings.

Depression is a very complex thing.

It’s got many layers. I think we all would agree that there are conditions in which nobody would deny that certain people are depressed in a pathological way because they’re immobile. They’re not even able to function.

And then there’s a continuum of discouragements and wrestlings with having an ‘Eeyore-type’ personality, which may or may not be depressed.

So that means that I want to be so careful not to have a knee-jerk reaction. When you come into my office and describe to me your discouragements, I don’t want my first response to be, “See a doctor and get a prescription.”

I fear that is way too quick today. The number of people on antidepressants as a first course rather than the last course is large.

And the assumption is that you can’t make any progress in counseling unless you get yourself stabilized or something.

So I just want to be very cautious.

As a Christian who believes that Christ is given by the Holy Spirit to deliver us from discouragements and from unbelief and sorrow and to help us live a life of usefulness, what makes me able to allow for antidepressants is the fact that medicine corresponds to physical realities.

And the physical realities are that we get headaches that make us almost unable to think. Migraine headaches can put a man out. And we are pretty much OK if the doctor can help us find some medicine that would not let us get these immobilizing headaches.

And the headaches clearly have a spiritual impact, because they’re making me unable to read my Bible and function in relation to people that I want to love and serve. And so medicine becomes spiritually effective in that way.

In the short run especially, sometimes long term—then I think, in God’s grace and mercy, we should take it as a gift from his hand.

If that physical dimension could be helped by medicine.


So we apply this principle that we all use to depression, and then the fact that the body is included in depression. Whether we should use the terms “chemical imbalances”—I’ve read both sides on that. Some people say that there is no scientific evidence for such a thing and others say that it is a given. Whatever. Everybody knows that there are physical dimensions to depression.

Admitting I Need Jesus

When I was in the sixth grade, a friend invited me to her church. My parents didn’t go to church, but said I could go with Clarissa if I wanted to. Before long, I was spending at least three days a week with my church friends. I learned who Jesus was and that if I believed in Him I would be saved.

I believed, though I didn’t fully understand my need for a Savior.

It would be many years and much wayward living later before I would realize the importance of the Apostle Paul’s words to the church in Rome. “For I am not ashamed of the gospel, for it is the power of God for salvation to everyone who believes, to the Jew first and also to the Greek. For in it the righteousness of God is revealed from faith to faith; as it is written, ‘But the righteous man shall live by faith.’” (Romans 1:16–17 NASB).

It’s easy to think “of course I’m not ashamed of the gospel.” Why would anyone be ashamed of the good news that Jesus died for our sins so that we might be reconciled to Him?

But at its core, faith in the gospel requires the believer to say “I can’t do this myself.”

Well, let me tell you a little secret that believers and nonbelievers often forget. We humans, with all our self-importance, like to think we’re the kings and queens of the universe. We strut around like peacocks, patting ourselves on the back for our so-called brilliance. And you know what? We even pass that audacity onto our poor children, encouraging them to be little independent dynamos. But hey, who needs divine intervention when we’ve got our fabulous human ego, right? wink

I remember a time when my son was in high school and because of a snow day his class schedule was changed. As a result, he took the wrong books. He called to ask me to bring the right books to the school office on my way to work, which I happily agreed to do. When I got to the office to drop them off, the school secretary chided me for bailing him out. “These kids need to learn to be responsible or suffer the consequences,” she said.

I’ve thought of that encounter often, being thankful that Jesus didn’t say the same to the Father when the plan of salvation was put into place. What if Jesus had said, “You know Dad, these humans need to be more responsible or suffer the consequences.” We’d all be doomed.

And so, although it requires me to admit I can’t do it alone, I choose to live by faith in the One who gives me His righteousness.

For the broken believer (which is all of us, if we’re honest), it is all the more important to be okay with something less than full independence. We were created to be dependent on God and on one another. We were created to live in community and relationship with others.

Note: A version of this article was originally published in the January 2020 issue of The Christian Journal, a publication I highly recommend, and not just because they publish some of my writing.

I am Jonah

1 “But Jonah was greatly displeased and became angry. 2 He prayed to the LORD, “O LORD, is this not what I said when I was still at home? That is why I was so quick to flee to Tarshish. I knew that you are a gracious and compassionate God, slow to anger and abounding in love, a God who relents from sending calamity. 3 Now, O LORD, take away my life, for it is better for me to die than to live.”

 4 But the LORD replied, “Have you any right to be angry?”

Jonah 4:1-4, NIV 

Jonah is the very essence of the modern Christian who prefers God to be just like them (only more so.)  Just like Jonah we can be:

  1. unbelieving,
  2. unaccepting and
  3. unforgiving.

When you mix the three, (in a kind of “Jonah smoothie”) you will have something quite religious– but very toxic.  A toxicity that normally should require protective clothing and a quarantine.

Jonah has a sense of who God really is.  But, he disagrees.  In his eyes, God is way too excessive, way too elaborate in His love.  He makes way too many possibilities for forgiveness.  It drives him nuts, to serve a God that is way too liberal with His love.  It seems to push Jonah to try to readjust the love of God on his own.

In the eyes of Mr. Jonah, he simply must modify the “way of salvation.”  In his way of thinking, he can’t let God, be wholly God.  Jonah simply must step in, and dial back the real tendency of God to venture into His excessive and foolish love.  He must be thinking that what God is doing is way too outrageous, and far too far for human reasoning.

Amazingly, Jonah knows God deeply.  He knows, and he is afflicted by the grace that God has for these Ninevites.  Jonah doesn’t get vague, rather he gets specific.  He becomes more aware.  Verse 2 states Jonah’s deep awareness that God is simply too good for people, He is far too rich and generous with the behavior of people who live way too loose.

Since God seems so excessive we feel we must adjust Him.

It seems we must work to make Him more acceptable, and to redefine Him into a more focused kind of religious faith.  Something that makes sense to us His followers.  Something in the way the World perceives Him.  It so seems that this is a job that almost every believer jumps at. (I vote to send God to “rehab.”) :-)

But the LORD replied, “Have you any right to be angry?”  The Lord speaks specifically to Jonah.  He asks a question, which is a very good idea, when confronting foolish thinking.  “Have you any right?”  This question reverberates and echos through the corridors inside our hearts.  It seems our right doesn’t extend that far.  Being “angry” with God (and the way He does things,) is never an acceptable way of thinking.

Simply put, you have no right.  You have nothing.  There isn’t any allowance or prerogative given, that allows you to alter and adjust the way God wants His reputation and character to be made public.  Sorry, you can’t “airbrush” Him to meet the perceived ideas of the mass population.  He will not allow you to “photoshop” His face or presence, to make His love more presentable.

Has God Given Up on You?

If we are unfaithful,
    he remains faithful,
    for he cannot deny who he is.” 

2 Timothy 2:13

There are often times of great despair; when sin or sickness is definitely front and center. Losing hope is an easy response for mere mortals like us. There can be a place where the darkness won’t lift; and it’s at that point you realize that you’re simply in over your head.

I know that feeling quite well.

I have depressive disorder and because of that I tend to camp out at the margins where it seems like the grace of God evaporates. Whether it is my sin or circumstances, I occasionally feel pretty much abandoned, and it usually is something self-inflicted. (Or is it? I’m not always sure.)

We have this glaring tendency to put ourselves in where we should not have been. And condemnation means no comfort can get through to us.

We wonder if God has finally given up on us, throwing us in the trash heap of lost souls. We might feel that’s what we deserve. He simply gives up on us.

“Many are saying about me, “God won’t rescue him.” 

Psalm 3:2

In Psalm 3, David has come to the realization that his sins have “tainted” him. He talks of many enemies that have suddenly gathered, and they are claiming that David had now gone outside of God’s grace and favor. Forever.

The theology of this seemed logical. David had sinned greatly. And he had. David’s sin of adultery and murder was heinous and depraved. His enemies suggested that God would now abandon him. It seems logical, doesn’t it.

Our own sin may be excessive, but God’s faithfulness is to the uttermost.

”Lord, your love reaches to the heavens, your loyalty to the skies.’

Psalm 36:5

The grace of God is limitless. It is beyond human comprehension or reasoning. When He committed Himself it was for forever. King David understood this, and would survive the devastating fall-out from his sins. Indeed he would reap all that he sowed (Gal. 6:7-8). But God still loved him, no matter what.

You see, Jesus has taken every ounce of your sin upon Himself.  

That includes your faithlessness. He has done this astonishing thing out of the deep depths of His love and mercy. We don’t deserve it and we can’t pretend it is something else. A heart that’s been welded to His knows this. We are “saved by grace through faith.”

Do you still feel God has abandoned you forever?

“The Lord appeared to us in the past, saying:“I have loved you with an everlasting love; I have drawn you with unfailing kindness.”

Jeremiah 31:3

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