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:
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:
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 I’m 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 big help, as well as my two blogs.
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 know I have to.
I ask that you remember me in prayer from time-to-time. 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. But, I’m not too finicky.) Sorry for so much.
If you can’t pray, don’t feel at all impinged upon.
“At some point in the Alps, the guides warn tourists not to talk nor sing, nor even to whisper, lest the reverberation of their words in the air may start an avalanche from its poise on the mountain, and bring it down upon the villages and homes in the valley. There are men and women who are carrying such loads of duty, anxiety, or sorrow—that the slightest addition to the weight would crush them. They are battling bravely against odds.
They are holding out under great pressure, sustained by a trembling hope of getting through, at last, successfully. They are bearing up under a burden of difficulty or trouble, comforted by the expectation that in the end—their darkness will turn to light. But everything is “in the balance”.
Then along comes one of these gloomy discouragers.
He has no perception of the fitness of things. He lacks that delicate, sympathetic feeling which enables men of a finer grain and a nobler quality—to enter into the experience of others and put strength into their hearts. He discovers the trouble through which his friends are passing. But instead of speaking a word of cheer to help them to be victorious, he talks in a pessimistic or disheartening way which makes their difficulties seem greater, their burdens heavier, and their sorrows altogether hopeless!
It is hard to be patient with such people, for they are really enemies of human happiness!
They make life immeasurably harder for everyone they meet. They take the brightness out of the sunniest day; the blue out of the clearest sky; and something of the gladness out of the happiest heart. Then they make work harder for every toiler—and pain keener for every sufferer! There ought to be a law making it a crime—for one man to discourage another, and affixing severe penalties to every violation of this law!
How much better it would be—if instead of being discouragers, we would all learn to be encouragers of others! The value of words of cheer is incalculable!
There is an old story of a fireman who was climbing up a ladder amid smoke and flame, trying to reach a high window—to rescue a child from a burning building! The man had almost gained the window—but the heat was so intense, and the smoke so blinding, that he staggered on the ladder and seemed about to turn back. The great crowd below was watching him with breathless interest and, seeing him waver and hesitate, began to “cheer” him! This nerved the fireman anew for his heroic task, and in a moment the brave fellow had entered the house and soon returned, saving the child. It is ‘cheer’ that people need, not discouragement, when they are fighting a hard battle!
Men who give us only their doubts and fears, are misanthropists. True philanthropy brings us hope and heartening. The truest helpers of others—are those who always have words of exhortation and inspiration to speak, who always are encouragers.”
“I would go to the deeps a hundred times to cheer a downcast spirit. It is good for me to have been afflicted, that I might know how to speak a word in season to one that is weary.”
“Do not judge others, and you will not be judged. Do not condemn others, or it will all come back against you. Forgive others, and you will be forgiven.”
Luke 6:37
This is probably the most common sin that people commit. We stand in judgement more often than we realize, and it turns into an automatic response over time. The pointing of the finger has become an art form, and we can be deliciously mean and be applauded by others at the same time.
Our culture has been steeped in the judging of others. We point our fingers and focus our attention on the things that are not appropriate. Christians have a built-in knack for doing so and are tailor made for practicing this sin.
Repeatedly we are told not to judge others. And we repeatedly we do so. The Word tells us we are not to point our fingers, and Jesus was clear on this issue, stating that our own forgiveness would be nullified if we wouldn’t forgive. This is a little too much truth for us and we look for detours that circumvent so we spare ourselves the act of forgiving.
On the other hand, we demand that we be treated fairly by others. We expect leniency and a fair shake. We become hypersensitive to any perceived slight or a voice inflection. We wince under unjust judgments. We resent unkind fault-finding. We demand that people shall judge us fairly. We claim forbearance and charity in our derelictions in duty and for blemishes in our character. But can we expect other people to be any more lenient towards us than we are toward them?
We squabble and position ourselves into the best light possible. The words of Jesus get nullified or interpreted so repentance is avoided. We say we have a gift of discernment, and Jesus is begging us to drop every particular issue.
37 “Do not judge others, and you will not be judged. Do not condemn others, or it will all come back against you. Forgive others, and you will be forgiven. 38 Give, and you will receive. Your gift will return to you in full—pressed down, shaken together to make room for more, running over, and poured into your lap. The amount you give will determine the amount you get back.”
Here are things I’ve heard over the years that we must take a second look at. Here are some possible answers.
“There must be something wrong with your spiritual life.”
Yes, depression CAN be a result of sin. BUT depression is NOT always a result of sin! If it is, God will tell you loud and clear what the problem is. This saying piles on the guilt for the depressed Christian. It’s unlikely that their depression has a spiritual cause, and this implies that they are not good enough spiritually.
“Repent and ask forgiveness for your sin!”
Depression is a result of sin, in that if there was no sin in the world depression wouldn’t exist. But then, neither would diabetes, cancer, or any other illness… Sin caused the world to be not-perfect, therefore illness exists. It’s a sin to be depressed, any more than it is to have any other illness. Depression can be used by God to encourage repentance, but in that case, it will be crystal clear exactly what sin you should repent of. If you don’t know or have just a vague sense of guilt, your depression is not the result of sin.
“You need to have more faith.” or “Have faith in God.”
Hebrews 11:1, “Now faith is the substance of things hoped for, the evidence of things not seen.” How much faith does it take to hold onto the Christian faith when emotions scream at you daily to give up, get out and turn against God? Very often a depressed Christian will be hanging onto faith by their fingernails in something that requires a ton of faith.
“Taking antidepressants is playing God, He can heal you.”
Yes, God can heal. Sometimes he doesn’t just flick a switch to make the illness vanish, sometimes the healing comes through the conventional ways of doctors, psychiatrists, counselors, therapists, and medication. By persuading someone not to take their medicines in preference for a quick, supernatural healing that God may not have in store for them, the sufferer is being denied something that will help them, right now.
“Scripture says everything that happens is for your own good!”
The actual verse found in Romans 8:28, “And we know that in all things God works for the good of those who love him, who have been called according to his purpose.” This verse in no way implies that the sufferer should sit back and accept the illness for the rest of their life. It also does not say that illnesses are not to be fought with the intention of a cure. While God may well have things to do with a depressed person, the illness is not a good thing itself, and it may take years before you see positive results from it.
“You’ve been prayed for, why has nothing changed?”
This can be expressed in several ways and spoken by one of two different groups of people: either the person who asked for prayer or those who prayed for them. We’ll break the underlying situation into two areas: something definite was experienced in the prayer time: chains were obviously broken and new freedom gained, or, nothing apparently happened at all. That is, “I know God set you free,” why aren’t you free yet?
“Depression is a self-discipline problem.”
Self-discipline is important to a Christian. We have to be disciplined enough not to break the laws of the land, and to obey our God. But no amount of discipline will get rid of a medical problem. This statement implies that the sufferer is lazy and could become better by sheer force of will. This is not possible and causes a lot of guilt.
“You’re depressed because you choose to be.”
Why would anyone choose depression? It is hell on earth. It destroys everything it touches. Families, marriages, jobs, churches, and ministries- faith, peace, hope, and love. Depression corrodes all that it touches.
Does a diabetic or cancer patient choose their disease? Does the blind or the deaf person wake up in the morning and decide they aren’t going to keep being handicapped? These are the questions I would ask.
“You just need to rebuke that spirit of depression and tell it to leave you. Don’t let Satan steal your joy.”
There are two problems with this statement. One problem is the assumption that depression is caused by demonic oppression. The other problem is the assumption that joy and happiness are the same things. Blaming a “spirit of depression” can be a wonderful cop-out. Just cast out the spirit and you’re cured! No need for long-term support, prayer, counseling, or anything at all! And with this statement comes the implicit assumption that once again it’s your fault you’re depressed, this time because you’re not “spiritual” enough to get rid of the troublesome spirit yourself.
Yes, it is possible that demonic oppression can cause depression. No, demons are not responsible for every case of depression. Imagine what would happen if this statement was directed at someone with cancer, hemophilia, or osteoporosis (“Just cast out that demon attacking your bones and be strong again! God wants to see you running marathons!”).
The second problem with this statement is that joy is equated with happiness. People with depression are not going to be the happiest souls in the church. I’ve heard it said that happiness depends on what happens, whereas joy can exist in very unhappy situations.
“There’s no such thing as mental illness, it’s all in your mind”
Saying this denies that there is anything actually wrong with the depressed person, and implies that they are just making it up. This piles on the guilt again! A mental illness can be defined as one that affects the mind; the brain is allowed to get ill, just as the liver and lungs are.
“It’s your own fault you’re depressed”
This is the kind of thing that Job’s “comforters” said, and it didn’t help then either. Bad things can happen to good people. Denying this hurts the sufferer.
“Pull yourself together”
If you’ve been trying, someone saying this to you comes across as “You haven’t been trying hard enough, do more, and more, and more until you get it right.” So back you go, pushing more and more, and still getting nowhere because you cannot pull yourself out of depression by your bootstraps, and you can’t fix a medical problem by force of will.
Broken Believers 