Counseling Others

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Ruth and Naomi

In the last several years, I have grown very skeptical of my own ability to give out sound counsel.  For the most part I have refrained from doing so, and rather have attempted to introduce them to the wisdom and love of Jesus.  Its like a triangle– Jesus, them, and myself occupying each corner.  All I do when I counsel someone is to help them see the Lord.  Hopefully, once a dialogue has taken place I step back and let the supernatural happen.

Much of counseling is facilitating or creating an environment that you can gather information.  Your friend feels that you and your surroundings are “safe” and he/she opens up in that situation.  Almost all of the the time, a certain level of confidentiality must exist and be understood as being “in place”.  A key fact is getting your “permission to counsel.” This must happen in order for the counselee to really receive.

Job and his Three Friends

Usually when I meet with someone, I do not attempt to sound profound, or wise.  Far from it! Instead, I am wary of myself.  I think I’m like a flare shot up in the inky darkness, I  just want to give a few brief moments of illumination before the moment passes. But when God speaks he will enlighten fully and bring understanding. “In his light, we see light”, (Ps. 36:9).

Remember that Job’s friends were at their best when silently sitting with him in the ash and rubble. At that moment, they were very effective counselors.  The problem came when they began to verbally explain why Job’s personal disaster took place.  Very often I find that people have a need to be needed.  They give counsel so they can feel good about themselves.  There is a lot of Christian counseling out there that is sabotaged by this inherent flaw.

Part of speaking wisely to a friend must include the option that I might be totally off-the-wall.  Whatever I say must not be “ex cathedra“, or as truth unchallenged.  Just because I’m giving you counsel does not make me superior, wiser or more authoritative.  It really should take as much humility to counsel, as it takes to be counseled. I can think of an easy dozen encounters that I’m embarrassed by– and will never be able to retract. Yes, mistakes will be made, but we should trust the Holy Spirit to use those missteps. He is sovereign.

“Peer-to-peer” counseling is very much a blessing.  A great need exists in the church for this particular ministry.  But to be a source of wisdom to another should be both a sobering, and a clarifying experience.  We should beware of the pitfalls, and wary of our flesh and its desire for greatness, glory and fame.  To be a counselor can be quite dangerous and I should not seek this place unless its thrust on me. A good counselor is almost always reluctant.

“If you young fellows were wise, the devil couldn’t do anything to you, but since you aren’t wise, you need us who are old.”  Martin Luther

“If you have knowledge, let others light their candles at it.”   Thomas Fuller

ybic, Bryan

 

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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

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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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Bearing Down Broken

rock climber's hands. sandia mountains, albuquerque, new mexico.

We often come to our discipleship broken. We can’t pretend otherwise. We’re a bundle of inconsistencies, surrounded by fear and hubris. But the Lord is calling us to follow Him.

I’m convinced that the mentally ill, the rascal, and the loser are already half-way to repentance. We have nothing to offer anyone. And in quiet moments we understand our issues. We know we aren’t prime discipleship material.

“Brothers and sisters, think of what you were when you were called. Not many of you were wise by human standards; not many were influential; not many were of noble birth. 27 But God chose the foolish things of the world to shame the wise; God chose the weak things of the world to shame the strong. 28 God chose the lowly things of this world and the despised things—and the things that are not—to nullify the things that are,”

1 Corinthians 1:26-28, NIV

Honestly, I’m just one of the foolish ways God shares His love. I make no claim to perfection. I’m throughly inconsistent. And I wish it was different.

“But God chose,” and we are the chosen. We’ve the ones selected to “shame the wise;” we are called to “shame the strong.” It seems that this is more than we can handle. We are not wired for this.

The Holy Spirit comes to fill us, and when we are full we can do this. We activate the cross and humble our pride– and doing this just makes me available for Him to use, as He sees fit.

You stand in an unbroken line; centuries of believers have proceeded you. You were called to the kingdom “for such a time as this” (Esther 4:14). We are right where God has determined for us to be. Chosen for this very moment.

Weakness, or smallness are your only qualifications. The Lord uses the broken. It’s time to bear down broken. We’re waiting for you to take your place.

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How Things Happen

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31 He put another parable before them, saying, “The kingdom of heaven is like a grain of mustard seed that a man took and sowed in his field. 32 It is the smallest of all seeds, but when it has grown it is larger than all the garden plants and becomes a tree, so that the birds of the air come and make nests in its branches.”

33 He told them another parable. “The kingdom of heaven is like leaven that a woman took and hid in three measures of flour, till it was all leavened.”

Matthew 13:31-33, ESV

These are perhaps the three most potent verses in the entire Bible. And whenever you find “potency” you will find a strong possibility of exponential growth. It may be a steady synergy, or an explosive fission. Either way, it’s going to grow!

Both the seed and the yeast have so much in common. They are two sides of the same proverbial coin. And they represent explosive growth. If they are unleashed, watch out! They are both “pep and power” and now set loose they will take off.

The seed is put in the ground and the yeast in the flour. And the farmer and the baker both do their initial work of planting or kneading, and then they just stand back, their work is pretty much done. They now just let “nature” take its course.

These parables Jesus taught here are small— but hardly less significant because of their brevity. These two can bury you with all they imply and mean. When we think clearly about yeast in your cupboard and that single seed in its package, we should see the “life” that resides in them, and the potential that waits.

I think much about the Church. At times, I admit I get frustrated with it. I get judgmental, and fearful that it won’t survive into the next century.  I truly understand that I can be critical. At times my friends must deal with my “ugliness,” but still they put up with me. (They are true friends.)

The kingdom is growing, and advancing. I love the wonderful promise in Isaiah 9:6, (usually read at Christmas time only. A mistake.) But Isaiah 9:7 is also pretty amazing too,

“His government and its peace
    will never end.
He will rule with fairness and justice from the throne of his ancestor David
    for all eternity.
The passionate commitment of the Lord of Heaven’s Armies
    will make this happen!”

Let it grow, let it grow! 

*

ybic, Bryan

kyrie elesion.

Jamison and Steel: Interviews on Suicide

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NAMI’s Interviews With Danielle Steel & Kay Jamison

Last year, Steel published His Bright Light, a memoir of her son, Nick Traina, who committed suicide at age 19 after a life-long battle with bipolar disorder (manic depression). More recently, Jamison has published Night Falls Fast: Understanding Suicide, combining research, clinical expertise and personal experience to explore one of the world’s leading causes of death.On February 8, the Senate Appropriations Subcommittee on Labor, Health, Human Resources, Education & Related Agencies will hold a hearing on suicide prevention that will include testimony from best-selling author Danielle Steel and Professor Kay Redfield Jamison, author of several academic and popular books on mental illness.

Interviews with Steel and Jamison have appeared in “Spotlight,” a special supplement to The Advocate, the quarterly publication of the National Alliance for the Mentally Ill (NAMI). Conducted by NAMI executive director Laurie Flynn, they offer a possible preview of Steel and Jamison’s testimony on Tuesday. Excerpts follow below.

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Dr. Kay Jamison

NAMI’s Interview with Kay Jamison
Spotlight (Winter 1999/2000)

NAMI: What do we know about the linkage between suicide and mental illness?

Jamison: The most important thing to know is that 90 to 95 percent of suicides are associated with one of several major psychiatric illnesses: depression, bipolar illness, schizophrenia, drug and alcohol abuse, and personality disorders. These are obviously treatable illnesses. Another thing people don’t think about enough or emphasize enough is that because cancer and heart disease hit older people, they are seen as lethal illnesses. Because the age of onset for mental illnesses is very, very young, people don’t tend to think of mental illnesses as the potentially lethal illnesses they are. It’s important for people to understand that they have an illness to begin with and then that they get good treatment for it.

NAMI: You have spoken specifically of suicide and college students.

Jamison: Yes. Suicide is the second major killer of college aged kids. It’s the second leading killer of young people generally.

NAMI: You also have pointed out that, worldwide, suicide is the second leading killer of women between ages 15 and 45. These statistics are staggering, yet most people don’t seem to be aware of it.

Jamison: Absolutely. Across the world. There are almost two million suicides a year worldwide. I think people just don’t have any sense of the enormity of it. Suicide unfortunately has been so individualized and, because of the early suicide movement in this country, so separated from mental illness. People working in the field of suicide concentrated on existential factors and vague sorts of things, when in fact the underlying science is very clear that they’re associated with a few mental illnesses.

NAMI: Knowing what we do about illness and its treatability allows us to be able to discuss preventing suicide.

Jamison: Right. [U.S. Surgeon General] Dr. David Satcher’s emphasis has been very strong on three fronts. One is public awareness. Secondly, intervention and all that’s involved in making doctors and others more able to ask the kinds of questions needed to uncover mental illness. And then, thirdly, to support the science that’s necessary to study suicide.

NAMI: What else can policy makers and public officials do?

Jamison: I think we have to have public officials talking about it. When you have someone like Jesse Ventura out there saying these outrageous things-I think it’s really beyond the pale-we’ve got to have the president of the United States saying look we’ve got a real epidemic here, and there’s something we can do about it. People are dying from not gaining access to treatment-or from having three days in the hospital, and then going out and dying.

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DANIELLE STEEL

NAMI’s Interview with Danielle Steel
Spotlight (Winter 1999)

NAMI: “His Bright Light” is a very personal story about a very painful subject, the mental illness and death of a child. What did you hope people would learn by sharing your story?

Steel: I hoped first of all that people would come to know my son, and learn what an extraordinary person he was. I wrote the book to honor him, and to share with people what a remarkable person he was, in spite of his illness. I also wrote it to share with people the challenges we faced, so that they feel less alone and less isolated with their pain, in similar situations. I wrote it to give people hope and strength as they follow a similar path to ours.

NAMI: What did you learn from this painful tragedy?

Steel: I’m not sure yet what I learned from the tragedy, except that one can and must survive. But from his life, I learned a great deal about courage and perseverance, and love.

NAMI: Lots of people in America might be facing signs of a mental illness in one of their children. What about Nick’s behavior made you realize that it was more severe than just the normal growing pains of a child?

Steel: Nick was different. Always. His moods were more extreme. I sensed from early on, that despite his many wonderful qualities, there was something very wrong. I knew it in my gut, as I think many parents do.

NAMI: How long did it take for Nick to be diagnosed as manic-depressive and receive treatment for that condition?

Steel: Nick was not clearly diagnosed as manic depressive until he was 16, a good 12 years after we began the pursuit of the causes for his ‘differences’. He received no medication until he was 15, and did not receive the most effective medications until he was 16. A long and very painful wait for all concerned!

NAMI: Prior to knowing of Nick’s manic depression, what did mental illness mean to you? Did you associate stigma with mental illness?

Steel: I don’t think I realized, before Nick, that one could still be functional, or seemingly functional, if mentally ill. I thought of it as something totally incapacitating, and of people who were shut away. I don’t think I realized how intelligent and capable mentally ill people can still be. I’m not sure I did associate a stigma with mental illness. It just seemed like a sickness, and not necessarily a shameful one. I just thought of Nick as sick, whatever it was called, and wanted him to be cured.

NAMI: How did Nick deal with the knowledge that he had a mental illness?

Steel: For a long time, Nick himself was in denial about his illness. And eventually, he accepted it. In the last year, he told people he was manic-depressive. Before that, when he felt ‘normal’ on medications, he believed he was cured. He had a hard time accepting at first that he would be manic-depressive all his life.

NAMI: Are schools able to cope with the mental illness of a child?

Steel: In most cases, I don’t believe they are. It is a huge challenge for all to meet, and certainly hard on the other kids to have one child acting out. We were very lucky, in Nick’s high school years we finally found a wonderful school that understood the problem, accepted him as he was, and was willing to work with him in a framework he could cope with. They were remarkably flexible and creative. But for most schools, it’s asking a lot to expect them to adapt to a mentally ill child.

NAMI: If you could tell a family member who is caring for someone who is mentally ill one thing, what would that be?

Steel: Never give up. Get the best help you can. Keep trying, keep loving, keep giving, keep looking for the right answers, and love, love, love, love. Don’t listen to the words, just listen to your heart.

NAMI: What do you think support groups like NAMI can do for families coping with the mental illness of a loved one?

Steel: I think groups like NAMI can provide support, both emotional and practical—the knowledge that you are not alone. And resources, where to go, who to talk to, what works. You need all the information you can get, and it is just about impossible to do it alone.

NAMI: Stereotyping the mentally ill as violent and dangerous is pervasive in America. How do we change this perception?

Danielle: Information. Obviously there must be some mentally ill people who are violent and/or dangerous. But I suspect that most are not. Nick certainly wasn’t either of those, he was gentle, loving, smart, funny, compassionate, extremely perceptive about people, and very wise. I cannot conceive of Nick as ‘dangerous,’ although ultimately he was a danger to himself. But for the most part, I think the turmoils of the mentally ill are directed within and not without.

NAMI: What do you think the average American should know about mental illness?

Steel: I think most people should know how common it is…I also think people should know how serious it is when it goes untreated. And how potentially lethal it can be. It is vitally important to get good treatment, the right medication, and good support. If you let a bad cold turn into bronchitis and then pneumonia, without medication, it can kill you. If you do not treat serious diabetes, it can kill you. If mental illness goes untreated, it can kill you.

NAMI: We know that having “hope” is important to battling any disease. What hope do you see for people with mental illness?

Steel: I see a huge amount of hope. The medications today can give people whole, happy, productive lives. There are lots and lots of people with mental illness holding down good jobs, even with important careers, happy family lives, and doing great things. It is possible to lead a good and happy life if you are mentally ill. If those who are doing just that would speak up, it would give great hope to all those who are still groping their way along in the dark.

NAMI: What is Nick’s legacy?

Steel: Nick’s legacy is the love we had and have for him, the word we have spread of what a terrific person he was. In his lifetime, he touched countless lives, with his warmth, with his mind, with his music, with his words. Through his experiences, others have and will learn. Through the Nick Traina Foundation, hopefully we can bring help to others, in his name.

 

For more information or assistance, please contact NAMI at: http://www.nami.org/

 

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Prepare for Flames and Floods

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“But now, O Jacob, listen to the Lord who created you.
O Israel, the one who formed you says,
“Do not be afraid, for I have ransomed you.
I have called you by name; you are mine.

2 When you go through deep waters,
I will be with you.
When you go through rivers of difficulty,
you will not drown.
When you walk through the fire of oppression,
you will not be burned up;
the flames will not consume you.”

Isaiah 43:1-2, NLT

“YARNELL, Ariz. (AP) — July 1, an Arizona forest fire into an out-of-control inferno that trapped and killed 19 firefighters, nearly all of them members of an elite crew of “hotshots,” authorities said Monday. It was the nation’s biggest loss of firefighters in a wildfire in 80 years.”

“This is as dark a day as I can remember,” Gov. Jan Brewer said in a statement. Firefighters have a dangerous job. They put their lives on the line.

The promises here in Isaiah 43 meant to prepare us, and promise us. Fires burn and consume. Floods keep growing and multiplying. Yet in this world full of fires and floods, we have these promises of His presence in the middle of it all. He intends to be right there when things are going very, very wrong.

And dear broken believer, trials and tribulations are a fact of life for us. Life is often full of badness, but my God, we learn. (Oh, how we learn.) You may be struggling now, but we are being made into something wonderful.

“Dear friends, don’t be surprised at the fiery trials you are going through, as if something strange were happening to you.” –1 Peter 4:12

No surprises– burning trials– something strange? Hardly, it’s just the life of a saint, as he travels home to heaven. And isn’t heaven is worth just a little temporary pain? (I walk with a cane, so I’ll be behind you a bit.) 

The reality is this, the Isaiah verses declare that there will be floods, and rivers to cross, and fires and flames. These are going to happen. But, the Lord does promise that He will walk with you, as your Companion, and Protector.

“It is quite useless knocking at the door of heaven for earthly comfort. It’s not the sort of comfort they supply there.” –C.S. Lewis

We are looking to be given comfortable things, naturally easy things. Like lots of money in our bank accounts, bills paid off. A redesigned kitchen would be nice. And one of those huge refrigerators (big enough to hang a cow in.) A new VW Jetta, maybe. But this is not the comfort that God is supplying us.

You may have to shift things in your thinking. But maybe you have already learned this, and might just need a tiny reminder. There is a definite upside to this– the presence of the Holy Spirit. He is standing at your side, and you will know his true comfort and assistance. It is a promise. And it is yours. (But not the VW, most likely).

*

ybic, Bryan

Kyrie elesion. (Lord, have mercy)
 
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