Category: Linda Kruschke

Depression and Diabetes

DepressionCaseStudy_clip_image001For some reason lately I’ve been thinking about the similarities between diabetes and depression. I know that depression can be one of the complications of diabetes, but that is something I learned only when I did a little research about diabetes and isn’t what I want to share about these two diseases.

I do not have diabetes, but I do know people who do. Diabetes is a disease for which there is no “cure,” though there are treatments that can minimize the symptoms and complications that can arise from this disease. Some people with diabetes do a great job of taking such good care of themselves and following their doctor’s orders that they are virtually symptom free. You would never know they had diabetes unless they told you. I’ve known other diabetics who don’t follow doctor’s orders, and the outcome was terrible.

Dealing with diabetes is not an easy road. For people with Type 2 diabetes, a strict diet and exercise are a must, and monitoring blood sugar levels is essential. For people with Type 1 diabetes, insulin injections are also necessary because their bodies do not produce any of this necessary hormone. It is a lifelong affliction, the potential effects of which can be minimized but never forgotten or ignored.

I believe that for some people depression is similar to diabetes in that it is never cured. These people are prone to depression, and may have suffered through one or more episodes of major depression in their lives. From a statistical standpoint, a person who has had more than two major depressive episodes is highly likely to have another in their lifetime. But it isn’t inevitable that they will. Just as the symptoms of diabetes can be prevented or minimized with careful management, so the symptoms of depression can be prevented or minimized with proper care.

Caveat: I am not a doctor and this post is not intended as medical advice. It simply an observation that has been on my mind lately and is helpful for me in understanding my own challenges to keep depression at bay.

There are some people who, like the person with Type 1 diabetes, need medication to help keep them stable and to prevent major depression from setting in. (Though this may be a small percentage, just as Type 1 diabetes is much rarer than Type 2.)  But everyone who struggles with depression can help prevent or minimize the effects of a relapse by taking steps to truly care of themselves. Diet and exercise can be part of this self-care, but for the person who lives with the knowledge of depression there is a mental and spiritual component of their self-care that goes beyond what is required of the diabetic.

Many years ago the doctor I was seeing told me I would be on antidepressants for the rest of my life. Having now been off them for 13 years and not suffered another major depressive episode in all that time, I think I can safely say she was wrong. But in the last few years I have come to understand that I am one of those people who cannot take for granted that depression is strictly a part of my past. It is forever a part of who I am and I must never forget the misery it has caused me and could cause me again if I do not take care of my mental and spiritual health.

For me, warding off a relapse of depression requires that I choose to engage in regular prayer time; to listen to music that is encouraging and uplifting, and avoid music that is depressing; to talk to a Christian friend if something is bothering me; to take a periodic inventory of my own actions and attitudes, and correct any that are negative; and to trust in the Holy Spirit to guide my thoughts, putting on the whole armor of God. When I do these things, I can live in such a way that others would never know that depression is a part of my life. But if I neglect these things for too long, I will soon detect the specter of depression looming in my heart and in my mind, and the outcome will be terrible.

Just as the diabetic can never forget that they have diabetes and neglect their diet and health regimen, I can never forget that depression is ever a part of me and neglect my mental and spiritual regimen. I must be ever vigilant and cling to Jesus as my Rock, trusting in His promises, and following His commands and precepts to love, forgive, and be content.

 

ysic, Linda K.

 

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Dreaming of Forgiveness

This article was originally posted on my blog, Linda Kruschke’s Blog, here. When Pr. Bryan asked me to contribute to Broken Believers, I knew this was one post I wanted to share here.

Important caveat: In this article I am not suggesting that unforgiveness or other unrepentant sin is the root of all depression. There are many causes of severe depression. Sometimes the depression of a person can have multiple causes and exacerbating factors. This is just my story, and I believe I’m not alone in the root of my struggle. I write this for those who, like me, have been hurt and have hung onto the bitterness that such wrongs can cause.

As I write this, I’m sitting in the Portland, Oregon airport waiting to board my flight to Boston with a layover in Houston. It’s 10:47 p.m. and I’ll soon (I hope) be on the red eye, trying to get some sleep. I doubt it will be the kind of deep sleep that leads to dreaming.

For the past couple of days a blog post idea has been flitting around in my head that has to do with dreaming. Or more accurately, it has to do with a specific dream. I decided this was the perfect opportunity to write that post.

This is a true story of a dream I had 13 years ago, but it is as vivid in my memory today as it was the moment I awoke from it. But before I get to the dream, a little background (some of which those who have read much of my blog will already know, some of which I’ve only shared one-on-one with people I know).

I had been struggling with major clinical depression for almost 7 years. There had been some good days, weeks, maybe even a month here and there, during that 7 years. But never any lasting relief. Even before that I had dealt with low grade depression for a long as I could remember. Through it all I blamed one person for all my misery. I’d been blaming him for almost 20 years. I was sure what he had done was the reason for my depression and that there was nothing I could do about it. I had become convinced that I would always be miserable. My regular mantra was that he had ruined my life.

So you might be wondering what he did that was so terrible. I’ve thought a lot about whether I would include that piece of information here. I’ve shared it with friends, but I’ve decided not to do so in my blog. I believe that this post will have a greater impact if I don’t because the principles I learned through this story aren’t dependent on the wrong that was done to me. Just as we don’t know what the thorn was in Paul’s side that he asked the Lord to remove (2 Corinthians 12:7-10), so that his story has a universal message that Jesus’ grace is sufficient for any suffering, I think my story will have more universal appeal if the reader can fill in the blanks with whatever wrong has been done to them.

You might also be wondering if my life really was miserable during this time so as to warrant being depressed. I assure you it was not. I was (and still am) married to a wonderful man who loves me and would do anything for me. We lived in a nice house. I had graduated from law school cum laude and had a pretty good job. My sweet, loveable son was also born during this time. I actually had, as George Bailey would say, “a wonderful life.”

Still, I was in utter despair and medication was not helping. I mentioned in a previous post about my friend June who invited me to my first Bible study, which happened towards the end of my 7 years of major depression. It was while I was attending this Bible study on a weekly basis that I had the dream.

Okay, now to the dream. It started out with me standing at the checkout counter at the grocery story. I paid for my groceries and turned to leave. There he was, on his knees, asking me to forgive him. But I walked away. Suddenly I was at the post office mailing some letters. I finished my business with the postal clerk and turned to leave. There he was again, on his knees, asking me to forgive him. But I walked away. This scenario was repeated at the bank, the library, and several other of the regular places one goes in life.

He was everywhere in my life in this dream, but not trying to ruin it. He was always asking for forgiveness. I awoke from the dream and knew immediately what I needed to do. God had been trying to tell me this very thing in various ways for quite some time, but I hadn’t listened. I couldn’t ignore this clear message of forgiveness.

So that is what I did. It wasn’t easy, and I had to pray for God to help me, but I forgave him. Suddenly a flood of names came to my mind. People who had “trespassed against me” in some way or another over the years; people I was holding a grudge against. All the bitterness I had been holding in my heart came pouring out and I began to cry. I asked God for forgiveness for my failure to forgive for so long.

The effect on my depression was not immediate, but it didn’t take very long compared to how long I had been struggling. Within just a few months I was off antidepressants and have not had to take them since. There are still days, sometimes weeks, when the darkness returns (though not as deeply as it had consumed me for those 7 years). For me, I can usually trace the lurking threat of depression to someone I’m angry with, someone I need to forgive. I’m reminded of the lesson of dreaming of forgiveness.

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