Thirsty For the Real? [Psalm 42]

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This particular Psalm is used by pastors and Christian therapists frequently in their counseling. It powerfully resonates to those afflicted with mental illness and the myriad of issues we all have to deal with. It is God’s word to this generation. It meets us precisely where we are at today.

For me personally, it is a potent antidepressant and reading it encourages me.  I copied this selection from Eugene Peterson’s “The Message.”  I so hope that it releases and refreshes you.  Read it slowly, and let it work inside you. (I use this translation sometimes to get a fresh take on the Word.) Try to read through it slowly, and maybe out loud, for maximum effect. Ask the Holy Spirit to help you.

Psalm 42

A psalm of the sons of Korah

 1-3 A white-tailed deer drinks from the creek;
I want to drink God,
deep draughts of God.
I’m thirsty for God-alive.
I wonder, “Will I ever make it—
arrive and drink in God’s presence?”
I’m on a diet of tears—
tears for breakfast, tears for supper.
All day long
people knock at my door,
Pestering,
“Where is this God of yours?”

 4 These are the things I go over and over,
emptying out the pockets of my life.
I was always at the head of the worshiping crowd,
right out in front,
Leading them all,
eager to arrive and worship,
Shouting praises, singing thanksgiving—
celebrating, all of us, God’s feast!

 5 Why are you down in the dumps, dear soul?
Why are you crying the blues?
Fix my eyes on God—
soon I’ll be praising again.
He puts a smile on my face.
He’s my God.

 6-8 When my soul is in the dumps, I rehearse
everything I know of you,
From Jordan depths to Hermon heights,
including Mount Mizar.
Chaos calls to chaos,
to the tune of whitewater rapids.
Your breaking surf, your thundering breakers
crash and crush me.
Then God promises to love me all day,
sing songs all through the night!
My life is God’s prayer.

 9-10 Sometimes I ask God, my rock-solid God,
“Why did you let me down?
Why am I walking around in tears,
harassed by enemies?”
They’re out for the kill, these
tormentors with their obscenities,
Taunting day after day,
“Where is this God of yours?”

 11 Why are you down in the dumps, dear soul?
Why are you crying the blues?
Fix my eyes on God—
soon I’ll be praising again.
He puts a smile on my face.
He’s my God.

~Selah.

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The Numbers Don’t Lie: Mental Illness in America

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~Mental Illness in America, 2016

Mental disorders are common in the United States and internationally. An estimated 26.2 percent of Americans ages 18 and older — about one in four adults — suffer from a diagnosable mental disorder in a given year.1

When applied to the 2004 U.S. Census residential population estimate for ages 18 and older, this figure translates to 57.7 million people.2 Even though mental disorders are widespread in the population, the main burden of illness is concentrated in a much smaller proportion — about 6 percent, or 1 in 17 — who suffer from a serious mental illness.1

In addition, mental disorders are the leading cause of disability in the U.S. and Canada.3 Many people suffer from more than one mental disorder at a given time. Nearly half (45 percent) of those with any mental disorder meet criteria for 2 or more disorders, with severity strongly related to comorbidity.1

In the U.S., mental disorders are diagnosed based on the Diagnostic and Statistical Manual of Mental Disorders, fourth edition (DSM-V).4

Mood Disorders

Mood disorders include major depressive disorder, dysthymic disorder, and bipolar disorder.

  • Approximately 20.9 million American adults, or about 9.5 percent of the U.S. population age 18 and older in a given year, have a mood disorder.1,2
  • The median age of onset for mood disorders is 30 years.5
  • Depressive disorders often co-occur with anxiety disorders and substance abuse.5

Major Depressive Disorder

  • Major Depressive Disorder is the leading cause of disability in the U.S. for ages 15-44.3
  • Major depressive disorder affects approximately 14.8 million American adults, or about 6.7 percent of the U.S. population age 18 and older in a given year.1, 2
  • While major depressive disorder can develop at any age, the median age at onset is 32.5
  • Major depressive disorder is more prevalent in women than in men.6

Dysthymic Disorder

  • Symptoms of dysthymic disorder (chronic, mild depression) must persist for at least two years in adults (one year in children) to meet criteria for the diagnosis. Dysthymic disorder affects approximately 1.5 percent of the U.S. population age 18 and older in a given year.1, This figure translates to about 3.3 million American adults.2
  • The median age of onset of dysthymic disorder is 31.1

Bipolar Disorder

  • Bipolar disorder affects approximately 5.7 million American adults, or about 2.6 percent of the U.S. population age 18 and older in a given year.1, 2
  • The median age of onset for bipolar disorders is 25 years.5

Suicide

  • In 2006, 33,300 (approximately 11 per 100,000) people died by suicide in the U.S.7
  • More than 90 percent of people who kill themselves have a diagnosable mental disorder, most commonly a depressive disorder or a substance abuse disorder.8
  • The highest suicide rates in the U.S. are found in white men over age 85.9
  • Four times as many men as women die by suicide9; however, women attempt suicide two to three times as often as men.10

Schizophrenia

  • Approximately 2.4 million American adults, or about 1.1 percent of the population age 18 and older in a given year,11, 2 have schizophrenia.
  • Schizophrenia affects men and women with equal frequency.12
  • Schizophrenia often first appears in men in their late teens or early twenties. In contrast, women are generally affected in their twenties or early thirties.12

Anxiety Disorders

Anxiety disorders include panic disorder, obsessive-compulsive disorder, post-traumatic stress disorder, generalized anxiety disorder, and phobias (social phobia, agoraphobia, and specific phobia).

  • Approximately 40 million American adults ages 18 and older, or about 18.1 percent of people in this age group in a given year, have an anxiety disorder.1,2
  • Anxiety disorders frequently co-occur with depressive disorders or substance abuse.1
  • Most people with one anxiety disorder also have another anxiety disorder. Nearly three-quarters of those with an anxiety disorder will have their first episode by age 21.5 5

Panic Disorder

  • Approximately 6 million American adults ages 18 and older, or about 2.7 percent of people in this age group in a given year, have panic disorder.1, 2
  • Panic disorder typically develops in early adulthood (median age of onset is 24), but the age of onset extends throughout adulthood.5
  • About one in three people with panic disorder develops agoraphobia, a condition in which the individual becomes afraid of being in any place or situation where escape might be difficult or help unavailable in the event of a panic attack.12

Obsessive-Compulsive Disorder (OCD)

  • Approximately 2.2 million American adults age 18 and older, or about 1.0 percent of people in this age group in a given year, have OCD.1, 2
  • The first symptoms of OCD often begin during childhood or adolescence, however, the median age of onset is 19.5

Post-Traumatic Stress Disorder (PTSD)

  • Approximately 7.7 million American adults age 18 and older, or about 3.5 percent of people in this age group in a given year, have PTSD.1, 2
  • PTSD can develop at any age, including childhood, but research shows that the median age of onset is 23 years.5
  • About 19 percent of Vietnam veterans experienced PTSD at some point after the war.13 The disorder also frequently occurs after violent personal assaults such as rape, mugging, or domestic violence; terrorism; natural or human-caused disasters; and accidents.

Generalized Anxiety Disorder (GAD)

  • Approximately 6.8 million American adults, or about 3.1 percent of people age 18 and over, have GAD in a given year.1, 2
  • GAD can begin across the life cycle, though the median age of onset is 31 years old.5
To finish reading this article, you will need to go to its source at:

http://www.nimh.nih.gov/health/publications/the-numbers-count-mental-disorders-in-america/index.shtml  

 

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The Hours

When clinical depression is “on-the-clock” it can be sheer agony. It resists and lingers, sometimes for days and days. (It can last for months if untreated.) But it seems that it is these “hours” that are scarcely endurable. It’s truly all this “wasted” time that can seem most unbearable to the afflicted.

“I was mute and silent,
I refrained even from good,
And my sorrow grew worse.”

–Psalm 39:2, NASB

Depressed people tend to suffer in silence and isolate themselves from the outside world. When you’re depressed, you feel less motivated to go out, make contact, socialize or participate in activities, or doing anything at all. It’s all you can do just to get out of bed.

Days, even weeks can go by without wanting to see anyone or talk to anyone. This aggravates feelings of isolation. Often depressed people do not want to talk about their problem or simply feel misunderstood.

Similarly, prolonged and intense feelings of depression can lead to loneliness. Treating the symptoms of depression may help resolve the problem but it isn’t a sure thing. Finding good relationships can push you out of a depression. Loneliness often fuels my depression. Find understanding friends that you can talk with.

unbelieving-believersBeating depression or loneliness does not start with having more friends, or a relationship, although it can help. It really starts from within and is a process that takes time and care. We can be tempted to scrap friendships because they’re a lot of work. But they maybe one of the keys to healing. Experience has taught me that humans go through life in patterns. (We ‘ll do the same thing over and over again.) Even in different situations, these patterns will be repeated and simply generate the same results. A friend can be a new and strategic solution to breaking free.

It is a good thing to know that Jesus Christ sees and understands. 

But it’s also good to have someone with “skin on.”  Someone you can see and touch.  That’s precisely why we have the Church.  People who believe and touch each other deeply, helping each other up.  Depression does not do very well in the true Body of Christ.

“Brethren, even if anyone is caught in any trespass, you who are spiritual, restore such a one in a spirit of gentleness; each one looking to yourself, so that you too will not be tempted. Bear one another’s burdens, and thereby fulfill the law of Christ.”

Galatians 6:1-2

Dear broken believer, take solace in the people in the church. Learn to confide with those who understand. Sometimes I wonder if God has arranged my mental illness so that I will reach out to others. Perhaps He allows it to bless His Church?

“The church is not a select circle of the immaculate, but a home where the outcast may come in. It is not a palace with gate attendants and challenging sentinels along the entrance-ways holding off at arm’s-length the stranger, but rather a hospital where the broken-hearted may be healed, and where all the weary and troubled may find rest and take counsel together.” 

–James H. Aughey

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Growth in the Troughs of Life

This post has been floating around in my head for almost two weeks now, and I had fully intended to post it here at Broken Believers last weekend, but just didn’t get it done. In retrospect, learning of the great trough our dear brother Bryan is going through, I realize that either I should have made the time or the timing of posting it today is part of God’s design. All I know for sure is that it needs to be posted.

I recently purchased a new book titled The Soul of C.S. Lewis that consists of one-page reflections on various quotes from many of Lewis’ best-loved writings followed by a Bible verse. The book has 10 different contributing authors, and each essay is not attributed to an individual author, but they are all wonderful. Today I want to share a little about one of those essays, along with my own thoughts on the topic at hand.

The Lewis quote that begins the essay is from The Screwtape Letters, one of my favorites of Lewis’ fiction. Although fictional, there is a great deal of truth about the struggles and potential downfalls of the believer in Christ to be found in this short collection of letters between Screwtape, a high-level demon, and Wormwood, his nephew who is a low-level tempter in the minions of Satan. The quote at hand is:

“It is during such trough periods, much more than during peak periods, that it is growing into the sort of creature He wants it to be.” Screwtape, chap. 8, p. 40.

The trough periods Screwtape refers to are the low times in life that for some are manifested as periods of deep depression. Many a strong Christian has experienced such troughs over and over throughout their lives. I have experienced them to differing degrees myself, and our dear Bryan is experiencing just such a trough now. They are certainly no fun, and we often wish we could avoid them altogether, but experience tells us that is not possible. Perhaps it is not even truly preferable in the grand scheme of things as God sees it.

In the essay based on this quote, the author writes:

“Although the emotional peaks are bright and lovely and certainly more enjoyable, that doesn’t mean that the trough is the wrong place for us. The truth is that God is often most at work in the troughs—the hard places where we feel most desolate and alone. Sometimes when we’re trying to clamber back up to the peak, God may be calling us to stay awhile in the trough.”

“At these times we often feel full of confusion, fear, and sadness because we cannot see God’s hand at work, molding us by the very things we wish to escape. It is often only afterward, when he has moved us to a different place, that we can look back and see how he was working in the midst of the difficult spots.” The Soul of C.S. Lewis, pg. 115.

As I read this essay, I was reminded of Psalm 23. This well-known and beloved Psalm begins and ends in the peaks – “The Lord is my Shepherd, I shall not want” and “I will dwell in the house of the LORD forever.” But in the middle is a definite trough – “the valley of the shadow of death.” I’m pretty sure there is no trough deeper or darker than this valley. But – and this is the important part – we don’t travel that valley alone. God is with us in the valley of the shadow of death, He is with us in the troughs of life.

The valleys of deep depression are not signs that we have been forsaken by God or that God has given up on us. He is walking with us through that valley, using every step of the way to help us grow in faith and grace, so that we will be able to dwell in the house of the Lord forever. So let us not try to clamber out of the troughs we encounter ahead of God and by our own power, but let us instead walk close by our Lord, following in His footsteps to see where He will lead. He is our Light in the darkness of the deep valley. May we stop to see all that He is illuminating there.

Jesus said, “I have come into the world as a light, so that no one who believes in me should stay in darkness.” John 12:46 (NIV).