Category: medications

Thinking About Mental Illness

“Brothers and sisters, do not be children in your thinking; yet in evil be infants, but in your thinking be mature.”

1 Corinthians 14:20

Those of us who are broken have to think through lots of stuff. But Jesus is our Teacher, and He fully intends to educate His disciples. Following Him is to be vibrantly alive, and yet I still must deal with the issues of living, and of having a growing faith that is becoming real at long last.

I’ve found that this really isn’t a “one and you’re done” experience.

The Bible describes a slow growth into the image of Jesus– -painstakingly learning about our frosty hearts, and how God keeps pouring His “super-heated” grace on the broken. We’re finally becoming ‘poor in Spirit’ and we’re learning to ‘mourn’ over our sins, perhaps we realize that we’ve fallen quite short of His will for us. (Matt. 5:3-4).

This list isn’t orderly or exhaustive, and it’s written primarily for the mentally ill Christian believer:

  • Stigma-This is one of the basic hazards that come with being a believer with a mental illness. People will whisper and treat you like you’re a moron, even in God’s church. You’ll try to become thick-skinned and ask Jesus for His help. He understands you completely. Even the Lord’s own family considered Him mentally disturbed. You’re in good company.

“And when those who belonged to Him (His kinsmen) heard it, they went out to take Him by force, for they kept saying, He is out of His mind (beside Himself, deranged)!” Mark 3:21, Amplified.

  • Medications– This will be a stretching time as you must determine what’s best for you, your family, and basic functionality. There will be many opinions and definite issues that ‘disciples.’ must navigate. Some say that therapy and ‘meds’ are wrong. Perhaps for some. No matter what though, your patience will be required and you’ll need to seek His wisdom. He will tell you what to do.
  • “Not neglecting to meet together, as is the habit of some” must anchor us. We were built for real fellowship.  It’s quite easy to attempt to go it alone, but that isn’t what God wants, it’s wrong. Not being with others is a disease of the spiritual heart. I’ve chafed at this from time to time. 
  • Therapy— To go or not to go? I happen to believe a good counselor is worth their weight in gold, but a bad therapist can be a real challenge to your faith. Figure out your tolerance level on this. Quite often I simply need a good listener, and listening is a skill that is developed over time. Find a listener.
  • Marriage—  A good spouse is your key to managing your mental illness. God has gifted them to deal with your disability; they’re your partner in this. Bring them into some of your appointments. Talk, and listen. Learn to pray and worship together. Read the Word out loud. Remember they are learning too. Your disability is also shaping their own discipleship to Jesus. 
  • Family— They’ll often feel the brunt of your issues. It is good to be aware of this and adjust to their needs. Above all, don’t flog yourself for your failings. Allow God to redeem your situation. Trust in the Lord, and try not get in His way. He wants to renew things. Always look for creative ways to love your family. (Surprise ice cream does wonders!)
  • Work— Not surprisingly, some employers have very little tolerance for your issues, but the law says is that they can’t discriminate against a mental illness. I hope it won’t come down to that.

Title I of the Americans with Disabilities Act (ADA) and Section 501 of the Rehabilitation Act of 1973 (Section 501) are the federal laws that protect people with disabilities, including mental health disabilities, from discrimination at work. 

  • Fellow strugglers-– Finding other mentally ill believers is priceless. When I meet someone who also struggles with severe depression I want to give them a big bear hug. We instantly have a rapport that isn’t easily defined. Finally, there is someone who understands my battle!
  • Prayer and worship—Desperate prayers have a tendency to get answered. Start praying for five minutes a day. Pray, do not complain. Be real, not religious. Talk with Jesus like he was your best friend. Prayer is the key to making the above work. Prayer is the “heartbeat” of heaven. And of course–worship! (The real stuff, not religious.)
  • The Word of God–the scriptures (especially the Psalms) are pretty real stuff. Check out Psalm 88, it’s especially written for the one who struggles.

We have the joy of combining our discipleship with our illness.

This is a formidable task. But the Helper, the Holy Spirit stands ready to give us His wisdom. He graces us with intense spiritual power. The battle rages and times get tough. Perhaps “grittiness” should we should add to the fruits of the Holy Spirit? I’ve now walked with Him for over 40 years now, and I know Jesus has never left me alone. He never lets me ‘twist in the wind.’ He promised, I’m never alone. No matter what.

The Lord truly will accommodate your illness with His power and grace. He promised.

He always does this for His children. No believer is ever overlooked or forgotten. He is constantly aware of you. What comfort and peace that brings.

“There is no circumstance, no trouble, no testing, that can ever touch me until, first of all, it has gone past God and past Christ, right through to me. If it has come that far, it has come with a great purpose.” 

— Alan Redpath

These are some of the areas that are affected by your mental illness. A wise spouse, pastor, elder, friend, or therapist can do wonders when things get difficult. Sometimes we need a new perspective as we sort things out. God will often use others to bandage and heal us. That’s the way He works.

“There has never been the slightest doubt in my mind that the God who started this great work in you would keep at it and bring it to a flourishing finish on the very day Christ Jesus appears.”

Philippians 1:6, Message

bry-signat (1)

FYI. I have another site up and running, alaskabibleteacher.com.

 

Walking the Tightrope

The Balancing Act

Circus performers have my enthusiastic admiration– especially the tightrope walkers! They move with such grace and courage. Their work above the crowds must be perfect, or else. I don’t even want to consider their failure. (I hope they can bounce).

To be a mentally ill or disabled Christian is just as formidable. We must walk out our condition 24/7, 365 days a year. It is relentless. We struggle with a weakness that pits us against symptoms and gravity of a spiritual kind. We get little support from others– sometimes criticism. It often is a very solitary feeling. We are often overlooked or scorned.

My particular rope is depression. Everyday I mount up and walk out on to it, holding my breath. I still fall a lot, but have a good safety net, and the Holy Spirit is my strength. Losing my balance happens. I pick myself up and climb up the ladder for another go at it.

“In fact, we expected to die. But as a result, we stopped relying on ourselves and learned to rely only on God, who raises the dead. 10 And he did rescue us from mortal danger, and he will rescue us again. We have placed our confidence in him, and he will continue to rescue us. 11 And you are helping us by praying for us.”

2 Corinthians 1:9-11, NLT

We must rely on God. It is His “job” to keep us, repeatedly. So day by day I “walk the line.” My meds are my balance pole, and I don’t need any special attention. I do whatever the day brings, and even that is from His hand.

Delusions of the First Person Variety

I need to briefly share what delusions are like.  I’m going to flip the switch and flood the room with light, and watch the “critters” scuttle to find a hiding place. 
I’m doing this to help heal myself, and for you to understand this awful state of mind.
First of all, let’s define things. 

Delusion n.
A false belief held despite strong evidence against it; self-deception. Delusions are common in some forms of psychosis. 

Delusion de·lu·sion n.
A false belief strongly held in spite of invalidating evidence, especially as a symptom of mental illness.

Typically, my delusions have a common core of pride or self-centered thinking. For instance, I have experienced all of these to a degree:

  1. A woman loves me and she is secretly trying to be with me. This is very flattering and egocentric.  This  one can really mess with your thought-life. (Ego.)
  2. I’m the center of the universe, people really do not exist, except when they come into my life or influence.  [This one is a bit metaphysical.] See #7.
  3. I have special powers that ‘know” a person’s motives, plans and heart.  I am hyper-discerning.  The opposite can be true at times, where I become exposed to people, which necessitates me never leaving my room. I feel “naked” and of course, very uncomfortable.
  4. I get paranoid, thinking people are plotting with each other behind my back, working to destroy me.  Chat rooms, and Facebook are focal points for me with this one, but not always.  With this one I get really verbal, and I start zapping people.  I guess because it’s the internet I can do this with impunity.
  5. Clocks are always at the top of the hour, like- 7:00 am.  Or they are at the bottom of the hour, like 11:30 pm.  I call this “chronosynchronism.” I believe this is evidence that my life is orchestrated, purposeful, and this is evidence I am very significant.  This is my latest.  And it really isn’t super disruptive.
  6. I can read secret messages in books meant for me.  I also line up spaces in what I’m reading to form an unbroken line.  I compulsively do this.
  7. The big one is this, I am in my form of “The Truman Show”.  The universe is just a set and I am the only living thing out there.  Everything is focused on me (of course).
  8. I hear voices sometimes, but mostly a radio or sometimes the “dot-dash-dot” of a telegraph.  I think its trying to warn me in some code.  It can be persistent. And it can be disruptive. Paranoid because my giftedness is the primary reason for the NSA to control me.
  9. My wife intends to poison me.
  10. Personal hygiene issues. Afraid of being murdered in the shower creates a super-phobia. I once went 6 weeks without showering. (I made my own eyes ‘water’, lol).
I guess all of these have one thing in common. 

They are self-centered.  They are unreasonable and illogical.  They are compulsive. And yes, meds do work.  And the above list?  The delusions are only mild-to-moderate issues of delusional paranoia.  There are so many Christians and non-Christians who have worse. I once met a man who seriously believed he was Jesus. (And no, I didn’t worship him).

As a believer working out his discipleship, I’ve discovered that humility and openness is always the way of keeping one tethered to reality.  However, I have a fear that I will break loose and never come out again.  I MUST live in “brokenness”.  (So in a strange way, following Jesus Christ is easier.)

Also, I must be open to things that will invalidate my delusion.  Even if I’m 99% convinced, that 1% will cause me to consider thinking through a scenario.  Truth is your best friend when you are challenging a delusional paranoid.  But it has to be gently applied. Life doesn’t have be lived this way. Also, delusions will often ‘morph’ and change and take on modified characteristics. This seems to be part of the mental illness, but can also indicate demonic oppression (or both even).

A psychiatrist should be informed in most cases. Very often meds will be necessary to get you through this time, but not always. But sometimes.

Praying for delusional behavior

People have prayed for me, more then I have prayed for myself.  Your intercession bridges a gap over this illness.  When you pray, you power up the energy cells and get instructions.  It may mean wait, or proceed.  Every person and situation is different.

“Do not believe that he who seeks to comfort you lives untroubled among the simple and quiet words that sometimes do you good. His life has much difficulty and remains far behind yours. Were it not otherwise he would never been able to find these words.”
Rainer Maria Rilke
Prayer is always the best approach.

So many delusions and so little time. They will vary from person-to-person. An active prayer may help, “Lord, may it be the real me who touches the real You.” Remember, Jesus stands at the right hand of his Father praying for you [which can’t be all bad].

 
 “Who is to condemn? Christ Jesus is the one who died—more than that, who was raised—who is at the right hand of God, who indeed is interceding for us.”

Romans 8:34

bry-signat (1)

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:

  • 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 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.