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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Being Sick

Potter shaping a ceramic plate on a pottery wheel

Potter shaping a ceramic plate on a pottery wheel

“So Miriam was kept outside the camp for seven days, and the people waited until she was brought back before they traveled again.”

Numbers 12:15

To be numbered among the chronically ill often can mean a transition into frustration. We can not do what we want, we are ‘trapped’ by a disease we never asked for, and held hostage by our minds and bodies. It seems apart, from the management of our symptoms, we have little time to do anything else. We once had a job– a career… and our time was occupied by that. We were accustomed to something more than this illness.

I once was a pastor of a small church here in Homer, Alaska. I also taught Gospels for many years at the Alaska Bible Institute. I loved both. They defined my identity and gave me purpose. I loved helping people and teaching the Word. I strived to be faithful in the ministry. My wife and two children were also significant and all of these things led me to think they would always be there. I was living my dream (in a good way.)

With the sudden onset of a brain tumor, followed up by a diagnosis of Bipolar disorder (BP), I knew I had to step out of the ministry. I simply could not function. My depression grew more profound with the stillborn death of our third child. Things suddenly ground to a stand-still as we tried to process what has happening to us. I guess I just couldn’t understand and more or less just shut down. I spent months in bed, unable to function.

Some people were jewels. Others were mean and uncaring. (I had to learn to take the good with the bad.) I suppose I should have been more forth-coming, but things were so tangled up inside I couldn’t verbalize a thing. The post-op surgery was an ordeal, as I had to learn many things all over again. Years later I ended up on disability; I was unable to work, and no one would hire me. My symptoms were so unpredictable, and things were too erratic. The BP was giving me it’s customary depression, as well as paranoia and hallucinations.

Sometimes, like Miriam, we are quarantined by the Lord for his purposes. The isolation is worse that the pain it seems. We wonder why this is happening, and fabricate lies about our worthiness or God’s goodness. In our isolation things seem polarized to extremes. Our value seems to be ripped apart by our illness. We can feel cursed, or worse.

I have been slow to learn this: God brings good out of the dark. I’m embarrassed by my lack of acquiring this truth.

“We now have this light shining in our hearts, but we ourselves are like fragile clay jars containing this great treasure. This makes it clear that our great power is from God, not from ourselves.”

2 Corinthians 4:7

This light must shine. The treasure is found in clay vessels. Brokenness only means the treasure is now seen clearly. It’s important to note: treasure loses none of its value by being surrounded by broken clay.

“We are pressed on every side by troubles, but we are not crushed. We are perplexed, but not driven to despair. We are hunted down, but never abandoned by God. We get knocked down, but we are not destroyed.”

2 Corinthians 4:8-9

Troubles of various ilk come to us. They are variegated and unplanned. No matter what their nature, God holds his people in place while everything else is falling apart. But there is no magic wand; the pain will probably continue. But for the broken believer, there comes another dimension; a new supernatural layer of grace to bolster our beleaguered faith. We will triumph through this thing, and we will stand– because He makes us stand.

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God in Charge

Consider the birds of the sky: They don’t sow or reap or gather into barns, yet your heavenly Father feeds them. Aren’t you worth more than they?”

Matthew 6:31 

“God, who foresaw your tribulation, has specially armed you to go through it, not without pain but without stain.”

–C.S. Lewis

“The bridge of grace will bear your weight, brother. Thousands of big sinners have gone across that bridge, yea, tens of thousands have gone over it. Some have been the chief of sinners and some have come at the very last of their days but the arch has never yielded beneath their weight. I will go with them trusting to the same support. It will bear me over as it has for them.”

–Charles Spurgeon

“I am graven on the palms of His hands. I am never out of His mind. All my knowledge of Him depends on His sustained initiative in knowing me. I know Him, because He first knew me, and continues to know me. He knows me as a friend, One who loves me; and there is no moment when His eye is off me, or His attention distracted for me, and no moment, therefore, when His care falters.”

— J.I. Packer

 

 

 

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

 

 

The Only Army that Shoots its Wounded

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By Dwight L. Carlson

From an article in Christianity Today, February 9, 1998

The only army that shoots its wounded is the Christian army,” said the speaker, a psychologist who had just returned from an overseas ministry trip among missionaries. He summed up the philosophy of the group he worked with as:

1. We don’t have emotional problems. If any emotional difficulties appear to arise, simply deny having them.

2. If we fail to achieve this first ideal and can’t ignore a problem, strive to keep it from family members and never breathe a word of it outside the family.

3. If both of the first two steps fail, we still don’t seek professional help.

I have been a Christian for 50 years, a physician for 29, and a psychiatrist for 15. Over this time I have observed these same attitudes throughout the church—among lay leaders, pastors, priests, charismatics, fundamentalists, and evangelicals alike. I have also found that many not only deny their problems but are intolerant of those with emotional difficulties.

Many judge that others’ emotional problems are the direct result of personal sin. This is a harmful view. At any one time, up to 15 percent of our population is experiencing significant emotional problems. For them our churches need to be sanctuaries of healing, not places where they must hide their wounds.

THE EMOTIONAL-HEALTH GOSPEL

Several years ago my daughter was battling leukemia. While lying in bed in the hospital, she received a letter, which read in part:

Dear Susan, You do not know me personally, but I have seen you in church many times….I have interceded on your behalf and I know the Lord is going to heal you if you just let Him. Do not let Satan steal your life—do not let religious tradition rob you of what Jesus did on the cross—by His stripes we were healed.

The theology behind this letter reminded me of a bumper sticker I once saw: “Health and Prosperity: Your Divine Right.” The letter writer had bought into a “healing in the atonement” theology that most mainstream evangelicals reject.

According to this traditional faith-healing perspective, Christ’s atonement provides healing for the body and mind just as it offers forgiveness of sins for the soul. The writer meant well, but the letter created tremendous turmoil for my daughter. While evangelicals have largely rejected “health and wealth” preaching—that faithful Christians will always prosper physically and financially—many hold to an insidious variation of that prosperity gospel. I call it the “emotional-health gospel.”

The emotional-health gospel assumes that if you have repented of your sins, prayed correctly, and spent adequate time in God’s Word, you will have a sound mind and be free of emotional problems.

Usually the theology behind the emotional-health gospel does not go so far as to locate emotional healing in the Atonement (though some do) but rather to redefine mental illnesses as “spiritual” or as character problems, which the church or the process of sanctification can handle on its own. The problem is, this is a false gospel, one that needlessly adds to the suffering of those already in turmoil.

This prejudice against those with emotional problems can be seen in churches across the nation on any Sunday morning. We pray publicly for the parishioner with cancer or a heart attack or pneumonia. But rarely will we pray publicly for Mary with severe depression, Charles with incapacitating panic attacks, or the minister’s son with schizophrenia. Our silence subtly conveys that these are not acceptable illnesses for Christians to have.

The emotional-health gospel is also communicated by some of our most listened-to leaders. I heard one national speaker make the point that “At the cross you can be made whole. Isaiah said that ‘through his stripes we are healed’ … not of physical suffering, which one day we will experience; we are healed of emotional and spiritual suffering at the cross of Jesus Christ.” In other words, a victorious Christian will be emotionally healthy. This so-called full gospel, which proclaims that healing of the body and mind is provided for all in the Atonement, casts a cruel judgment on the mentally ill.

shooting

Don’t Shoot the Wounded

Two authors widely read in evangelical circles, John MacArthur and Dave Hunt, also propagate views that, while sincerely held, I fear lead us to shoot our wounded. In his book “Beyond Seduction”, Hunt writes, “The average Christian is not even aware that to consult a psychotherapist is much the same as turning oneself over to the priest of any other rival religion,” and, “There is no such thing as a mental illness; it is either a physical problem in the brain (such as a chemical imbalance or nutritional deficiency) or it is a moral or spiritual problem.”

MacArthur, in “Our Sufficiency in Christ”, presents the thesis that “As Christians, we find complete sufficiency in Christ and his provisions for our needs.” While I agree with his abstract principle, I disagree with how he narrows what are the proper “provisions.” A large portion of the book strongly criticizes psychotherapy as one of the “deadly influences that undermine your spiritual life.” He denounces “so-called Christian psychologists and psychiatrists who testified that the Bible alone does not contain sufficient help to meet people’s deepest personal and emotional needs,” and he asserts, “There is no such thing as a ‘psychological problem’ unrelated to spiritual or physical causes.

God supplies divine resources sufficient to meet all those needs completely.” Physically caused emotional problems, he adds, are rare, and referring to those who seek psychological help, he concludes: “Scripture hasn’t failed them—they’ve failed Scripture.”

A PLACE FOR PROFESSIONALS

When adherents of the emotional-health gospel say that every human problem is spiritual at root, they are undeniably right. Just as Adam’s fall in the garden was spiritual in nature, so in a very true sense the answer to every human problem—whether a broken leg or a burdened heart—is to be found in the redeeming work of Christ on the cross. The disease and corruption process set into motion by the Fall affected not only our physical bodies but our emotions as well, and we are just beginning to comprehend the many ways our bodies and minds have been affected by original sin and our fallen nature. Yet the issue is not whether our emotional problems are spiritual or not—all are, at some level—but how best to treat people experiencing these problems.

Many followers of the emotional-health gospel make the point that the church is, or at least should be, the expert in spiritual counseling, and I agree. Appropriate spiritual counseling will resolve issues such as salvation, forgiveness, personal morality, God’s will, the scriptural perspective on divorce, and more. It can also help some emotional difficulties. But many emotional or mental illnesses require more than a church support network can offer.

I know it sounds unscriptural to say that some individuals need more than the church can offer—but if my car needs the transmission replaced, do I expect the church to do it? Or if I break my leg, do I consult my pastor about it? For some reason, when it comes to emotional needs, we think the church should be able to meet them all. It can’t, and it isn’t supposed to.

This is why the emotional-health gospel can do so much harm. People who need help are prevented from seeking it and often made to feel shame for having the problem. Thankfully, more and more people in the Christian community are beginning to realize that some people need this extra help. If professionals and church leaders can recognize the value of each other’s roles, we will make progress in helping the wounded. Forty percent of all individuals who need emotional help seek it first from the church, and some of these will need to be referred to mental-health professionals.

Church leaders should get to know Christian therapists in their communities so they can knowledgeably refer people with persistent emotional problems.

 

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Chosen, (But Chastened Nevertheless)

“God never punishes his children in the sense of avenging justice. He chastens as a father does his child, but he never punishes his redeemed as a judge does a criminal. It is unjust to exact punishment from redeemed souls since Christ has been punished in their place. How shall the Lord punish twice for one offense?”

–CH Spurgeon

“He remembers our frame and knows that we are dust. He may sometimes chasten us, it is true, but even this He does with a smile, the proud, tender smile of a Father who is bursting with pleasure over an imperfect but promising son who is coming every day to look more and more like the One whose child he is.”

  –AW Tozer

 

 

 

Depression Detectives [Diagnosis]

depression

There are three types of depression to consider: What type do you have? Sometimes there will be a toxic mix of them.

  1. Guilty depression- when our behavior hasn’t been what it should be (sin), this is the source of condemnation.
  2. Organic depression- when it’s built into our DNA and part of our very being; it is fundamental in your personality. You can compare it to  someone who has diabeties or MS.
  3. Reactionary depression when we react to some bad news or an injury, a car crash, or working too much with no time off

Typically your depression will originate from one of the three kinds. Each will have different methods, but identifying them could help you move through them more gracefully. There can be an overlap, however. Reactionary depression is the most common, and Guilty depression can be the most hurtful to the Christian.

Satan is involved in the intenification of each, he condemns and strangles all hope. Worship and the Word “punches his lights out.”

Knowing the type of depression will give you understanding and help you defuse the situation. These things have helped me personally.

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