Handling a Diagnosis of Tardive Dyskinesia

 

Tardive Dyskinesia (TD) is a condition of involuntary, repetitive movements of the jaw, tongue or other body movements. It frequently is a side effect of the long-term use of antipsychotic drugs used to treat schizophrenia or bipolar disorder. It is almost always permanent. I’ve been told Vitamin E might help a bit.  Benzodiazepines have also been used with mixed results on a short-term basis.

Some examples of these types of involuntary movements include:[3]

  • Grimacing
  • Tongue movements
  • Lip smacking
  • Lip puckering
  • Pursing of the lips
  • Excessive eye blinking

(Wikipedia)

I recently was diagnosed as having TD after the use of Zyprexa. My version is my lower jaw moves from side-to-side, unless I concentrate on not doing it. I quickly revert to this involuntary movement when I’m not aware of it. I recently saw a video of myself (with my family) and sure enough there I was, doing the ‘jaw thing.’ It was very obvious. It was also very embarrassing. (I have the ‘lithium jitters’— where my hands always shake, but TD is different.)

There are a couple of things I might mention:generics7

1) I’ve discovered that there is a real social isolation with this TD stuff. To be doing this in public is “not acceptable.” I have had people come up to me wanting to know what’s my problem. Since I can’t control the movement I just say, “It’s my meds— they affect me this way.” In a way it’s like wearing a neon sign saying, “I’m a fruit cake.” Having a mental illness is stigma enough, but the TD just puts a new edge on it.

2) As a natural introvert the isolation has only deepened. (I avoid crowds and most social engagements.) I guess if the truth be told, I’m uncomfortable when others look at me strangely or whisper to each other. My standard ‘paranoia level’ has taken a new twist. I feel like I’m always compelled to explain. I guess I’m embarrassed when others are embarrassed.

3) I settle myself down in my faith to cope. I know I’m not alone in this– the Lord Jesus is always with me. He holds me tight through all these twists and turns. Since I isolate myself so much, I savor the connection I have with a few friends who have become inured to my condition. Social media helps out— Facebook is a gift.

4) One of the things I try to remember are the issues of selfishness and pride. I keep reminding myself it’s not about me all the time. One of the significant areas mentally ill people deal with is self-absorbed thinking. It seems it comes with the illness.

5) I try to keep a sense of humor everyday. It breaks down the mental pain to tolerable levels. We can take ourselves too seriously sometimes. Be more patient with yourself.

I certainly ask that you remember me in prayer. I’m in ‘uncharted waters’ (it seems) and I sometimes feel all alone with my mental illness and all its tangents. I want good to come out of this. (An instantaneous healing would be o.k. too.)

 

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A Benefit of Depression

Thanking God For Pain

by Terry Powell,

Even when emotional pain is not the direct result of sin, it pays dividends in the war against sin.

When I’m extremely depressed and prone to fits of weeping, my heart is obviously softer than usual. And it’s during such times that the Holy Spirit often convicts me of wrong thoughts or behavior patterns. Since I’m already in a dependent state due to depression. I pray more often, if only for relief. And anytime I’m in a “seeking God” mode, the Holy Spirit is more liable to engage in a purifying work within my heart. So in a sense, tears spawned by physiologically-induced depression can serve as a cleansing agent.

Depression also drives me to the Word of God for relief.

Memorization of promises, especially from the Psalms and Prophetic books, instills a disciplined study habit that carries over even when the depression is gone. I’m reminded of the hard truth in Psalm 119:71, that affliction of any sort can deepen my dependence on God’s Word: “It is good for me that I was afflicted, that I may learn Thy statutes.”

Paul’s words also illustrate the point I’m making. His burdensome experience wielded benefits for the spiritual realm. Referring to an affliction he encountered in Asia, he wrote: “We were burdened excessively, beyond our strength, so that we despaired even of life; indeed, we had the sentence of death within ourselves in order that we should trust not in ourselves, but in God who raises the dead” (2 Corinthians 1:8-9).

Like Paul, pain inevitably draws me closer to the Lord. That’s why I can thank Him for the pain, as explained in the poem that follows.

THANK YOU FOR THE PAIN

 

Thank you for the broken heart;

it is softer than before.

Since the pain ripped it apart

it’s insensitive no more.

How can I salute the pain?

Now I am more prone to pray,

to yield to my Savior’s reign,

and to let Him have His way.

I’ve no choice but to depend

on the Lord’s sustaining grace.

And He’ll pay a dividend

for each tear upon my face.

For God accepts as sacrifice

a heart that’s broken in two.

He’s already paid the price

for all that I’m going through.

There is no way I would choose

the hurt, all the times I’ve cried.

Yet it’s a gift I won’t refuse,

for it cleanses me inside.

I’m driven to wield Your Sword;

to give the Spirit His due.

So thank you for the pain, Lord,

for it draws me close to you.

How has a despondent spirit, or another kind of affliction, facilitated a closer relationship with Christ?

your brother,

Terry

 

Terry teaches in the areas of Church Ministry and Ministry Leadership at Columbia International University in South Carolina. He has served as a Christian Education staff member for three  churches, and he’s a licensed preacher in the Presbyterian Church of America.  His current books in print are Serve Strong:  Biblical Encouragement to Sustain God’s Servants, and  Now That’s Good A Question!  How To Lead Quality Bible Discussions. Terry has been married for 46 years, and has two sons, a daughter-in-law, one grandson, and a dachshund.  His constant prayer is, “Lord, make me half the man my dog thinks I am!”

Check out his blog at https://penetratingthedarkness.com/. His ministry is focused on Christians experiencing clinical  depression and other mental issues.

 

 

Preaching to Yourself

PREACHING TO YOURSELF ABOUT HOPE

by Terry Powell

Have you ever “preached to yourself?” I’m referring to the act of fighting negative and unbiblical thought patterns with the Word of God. It’s also called “biblical self-talk,” reminding yourself of truth that counteracts Satan’s lies. In Future Grace, John Piper illustrates how the Psalmist battled despondency by preaching to himself:

In Psalm 73:26 the psalmist says, “My flesh andmy heart may fail.” Literally the verb is simply“My flesh and my heart fail!” I am despondent! I am discouraged! But then immediately he firesa broadside against his despondency: “’But God is the strength of my heart and my portion forever.” The psalmist does not yield.blunbelief with counterattack.

The poem that follws is a type of sermon delivered to myself. The stanzas are painfully realistic about the hopelessness that accompanies my depression. Yet the poem ends on a more positive note, citing another verse from the Psalms in which the author t back to despair and exalts God as the object of hope. What makes preaching to myself effective is reminding myself of God: Who He is, what He has done and what He had pledged Himself to do.

Hopeless?

Fleeting, it’s like a bird in flight,

Or like a shooting star at night,

Or lightning that spans the sky—

Gone in the blink of an eye.

Elusive, like the fog that lifts

When morning sun sends its gifts;

Or the zigzagging butterfly

That you can’t catch. No use to try.

That’s my relationship to hope:

It’s like a wet bar of soap

That keeps giving me the slip.

Can’t keep it within my grip.

Hope that a blinding beam of light

Will penetrate my soul’s dark night.

Hope that it won’t seem so strange

That habits of the heart can change.

Can God plant hope within a heart

For peace of mind and a fresh start?

Though right now I am without it,

God shouts “Yes!” Should I doubt it?

 

Why are you in despair, O my soul?

And why have you become disturbed within me?

Hope in God, for I shall yet praise Him,

The help of my countenance, and my God (Ps. 42:11).

When inward or outward trials come, what are some Bible truths or text that you “preach to yourself”?

ybic,

Terry

Terry teaches in the areas of Church Ministry and Ministry Leadership at Columbia International University in South Carolina. He has served as a Christian Education staff member for three  churches, and he’s a licensed preacher in the Presbyterian Church of America.  His current books in print are Serve Strong:  Biblical Encouragement to Sustain God’s Servants, and  Now That’s Good A Question!  How To Lead Quality Bible Discussions. Terry has been married for 46 years, and has two sons, a daughter-in-law, one grandson, and a dachshund.  His constant prayer is, “Lord, make me half the man my dog thinks I am!”

Check out his blog at https://penetratingthedarkness.com/. His ministry is focused on Christians experiencing clinical  depression and other mental issues.

Faith: Make Me Thy Fuel

“Give me the love that leads the way, The faith that nothing can dismay, The hope no disappointments tire, The passion that will burn like fire, Let me not sink to be a clod: Make me Thy fuel, Flame of God.”

– Amy Carmichael

“Seek not to understand that thou mayest believe, but believe that thou mayest understand.”

 –Augustine

“Faith, as Paul saw it, was a living, flaming thing leading to surrender and obedience to the commandments of Christ.”

  –A.W. Tozer

“Faith shows the reality of what we hope for; it is the evidence of things we cannot see.”

Hebrews 11:1

 

 

 

No Substitute for Fire

“In everyone’s life, at some time, our inner fire goes out. It is then burst into flame by an encounter with another human being. We should all be thankful for those people who rekindle the inner spirit.”

    Albert Schweitzer

“No erudition, no purity of diction, no width of mental outlook, no flowers of eloquence, no grace of person can atone for lack of fire. Prayer ascends by fire. Flame gives prayer access as well as wings, acceptance as well as energy. There is no incense without fire; no prayer without flame.”

  –E.M. Bounds

“Catch on fire with enthusiasm and people will come for miles to watch you burn.”

 Charles Wesley

“For our God is a devouring fire.”

Hebrews 12:29. NLT

 

 

When Despair Empties You

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“It is through much tribulation that we enter the kingdom of Heaven.”  

Acts 14:22

As a broken believer this happens. I breakdown, my faith is questioned, and I feel all alone. Issues like a simple hot shower and eating something seem impossible. I’m embarrassed to say I once went 34 days with a shower. I laid in bed unable to function. That is the insidious truth about chronic depression, I know it well. God seems far, far away from me. Life doesn’t matter anymore.

There is much I can do before  it gets to this point. And although life seems insurmountable. Clinical depression kills people. It slowly devours “a sound mind.” It cripples before it takes away your life. There is nothing quite like it; people tell you it will pass, and that you’ll see the sun again. But at the time that seems to be the worst advice ever given.

For God has not given us a spirit of fear, but of power and of love and of a sound mind.”

2 Timothy 1:7

Meds help a lot. I take Zoloft and that is a godsend. I never miss a dose. I know I’m not bulletproof. I’ve taken it for several years now. (It’s like insulin for a diabetic).

Afflicted souls are special to God. And that truly comforts me. Sometimes it seems like there is an invisible tether that holds from completely dropping off the edge. When I do pray, it is desperate and brief. More like a quiet scream for help. There are no frills and no eloquence, but I know I’m being heard by Him who guards my soul.

People for the most part, are of little help. I admit that my attitude can be less than stellar. “Unless you have been lost in this section of hell yourself, it’s best if you just shut up.” (I don’t really say this, but I’m tempted to.)

But there are a few that can speak. Almost always these are the ones who have been through some affliction themselves. They have been hurt and they ‘walk with a limp.’ I’m convinced that they can speak in direct proportion to the pain they themselves have suffered. I once woke up to another pastor praying prostrate on my bedroom floor. He didn’t have to do or say anything else. He left without saying some ‘pious’ word to me, what he did was wonderfully done.

“I will trust Him. Whatever, wherever I am, I can never be thrown away. If I am in sickness, my sickness may serve Him; in perplexity, my perplexity may serve Him; if I am in sorrow, my sorrow may serve Him. My sickness, or perplexity, or sorrow may be necessary causes of some great end, which is quite beyond us. He does nothing in vain.”   

John Henry Newman

Take care of yourself. If this isn’t your first major depression, prepare in advance spiritually for the next. Identify those ‘dear-hearts’ who can help you in advance. Keep taking your meds, even if you think your o.k. And speak often with the Lord, and learn to listen to His voice. That “sound mind” is a promise for those who truly need it.

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A Dangerous Prayer That Was Answered

A Special Christmas Memory

Scene 1 October, 1978. A shopping center parking lot in Indianapolis, before stores opened. The place I chose for an extended quiet time with the Lord.

Having recently resigned an associate church staff position, God’s Spirit convicted me of pride, and the need for a more others-centered ministry in my next vocational role. With grave sincerity and through tears, I pleaded, “Lord, give me a servant heart.”

Scene 2 Late November 1978. My dad, 59, was rapidly declining due to kidney failure. I spoke with his physician from the V. A. hospital in Durham, North Carolina. “Your dad doesn’t have long,” he insisted. “Perhaps just a few weeks. Besides, your mom desperately needs some rest and could use your help.”

Totally bedridden, dad didn’t want nurses or orderlies taking care of his most intimate needs, such as emptying his bedpan and cleaning him.

Scene 3 December 2-4, 1978. Friday, I flew to Durham and rented a motel room, where mom could rest. She’d been trying to sleep for weeks in his hospital room. For three nights, I took her place in dad’s room. During the day, we took turns caring for him. A bad plague of diarrhea exacerbated his need for mundane assistance. Throughout those three days and nights, he repeatedly called for the bedpan.

Though physically helpless, dad’s mind was clear. We enjoyed numerous chats about life and my future ministry plans.

Scene 4 Near sunrise, Monday December 4, 1978. A few hours before my return flight to Indiana. In all my 29 years, I couldn’t remember feeling so weary. At least hourly throughout that last night, dad called for the bedpan. I felt numb, listless from lack of sleep. My head pounded. When I finally fell asleep just before daylight, again I heard, “Son, I need the bedpan.”

That was the last straw. Though I loved my dad fiercely, I silently thought, “No! Not again!” Selfishness marked my attitude. I wasn’t moved by compassion for dad’s discomfort. I was annoyed by my own discomfort. But as I lumbered the few steps to his bed, I heard a clear, out-of-the-blue whisper from God’s Spirit: “Terry, I’m answering your prayer. Remember that servant heart you prayed for?”

When I finished the cleanup, that’s the time dad chose to look at me and say, with heartfelt gratitude, “Son, I’m sorry you have to do this. But you are even gentler with me than your mom. I really appreciate your coming.”

I leaned over toward dad’s face, smiled, and said with all honesty, “It’s a privilege to serve you, dad. I love you!”

Be careful what you pray for.

Dad entered the presence of Jesus on Christmas Day, in the same room—ironically, with me asleep in the chair beside his bed.

At first I thought, “No, Lord—not on Christmas Day. Why did You take him today of all days? Now this holiday will forever be tainted by the memory of his passing.”

Then God’s Spirit reversed my thinking. “What better gift could I give your dad than an end to his pain, and welcome him with open arms into My forever presence?!”

Before I told the nurse on duty that dad had died, I whispered, “Merry Christmas, Dad.”

What is your favorite Christmas memory?

 

your brother,

Terry

Terry teaches in the areas of Church Ministry and Ministry Leadership at Columbia International University in South Carolina. He has served as a Christian Education staff member for three  churches, and he’s a licensed preacher in the Presbyterian Church of America.  His current books in print are Serve Strong:  Biblical Encouragement to Sustain God’s Servants, and  Now That’s Good A Question!  How To Lead Quality Bible Discussions. Terry has been married for 46 years, and has two sons, a daughter-in-law, one grandson, and a dachshund.  His constant prayer is, “Lord, make me half the man my dog thinks I am!”

Check out his blog at https://penetratingthedarkness.com/. His ministry is focused on Christians experiencing clinical  depression and other mental issues.