Category: medications

Ignoring a Mentally Ill Believer

“And he will answer, ‘I tell you the truth, when you refused to help the least of these my brothers and sisters, you were refusing to help me.’”

Matthew 25:45, NLT

The truth of the matter is that the Church can be the wrong place to have a mental illness. This is a generalization, I know. But many times it is true. We have a strong tendency to offer only token acknowledgement of “the least among us.” We will smile and nod, and, oh so quickly move away; we feel we’ve performed our ‘duty’ as a Christian. We are somewhat relieved to ‘get away’ and dodge the problem person.

Stereotypes abound for the mentally ill.

After all, they can be demanding, unpredictable, and dangerous. The worst are those who are dirty, unkempt. They say things that are odd and out-of-place. Have weird delusions and paranoia. They move to the margins, and usually sit in the back. But as a general rule, the mentally ill get ignored.

“People with mental illness sometimes behave in ways other people don’t understand and can’t make sense of. People with severe depression sometimes stay in bed all day, unable to manage the most basic motivation to move. People with anxiety disorders can be gripped by irrational or even unidentifiable fears that don’t incapacitate other people. Those affected by psychotic disorders may see things that aren’t real, hear voices that don’t exist, and sometimes lose the ability to discern reality at all.”

Amy Wilson, Christianity Today, 4/10/13

Often, a believer must find valuable help outside ‘the four walls’ of the Church. Some resources are often found with wise psychiatrists and caring therapists in clinical care. Medications (which can be a godsend) cab give the afflicted somd relief. The local Church just don’t always have the resources, but that is ok It isn’t their role exactly.

However, the Church has the only ‘real corner’ of the spiritual side of things.

The body of believers encourages, teaches and guides. Without it, the mentally ill Christian would be severely effected. The local church feeds us spiritually. It can’t be replaced. It has ‘the goods’ for discipleship. It has the Word of God and motivating worship. It has elders and other leaders who shepherd each believer, into a holy life. It provides fellowship which the believer with a mental illness must have.

It’s also a place of ministry: each one using his/her gift in the corporate body of the saints. This is vital. The broken believer has an opportunity to serve, which is such a factor in the walk of the disciple. We need them in our fellowships, and they need to be there too. God blesses those who will serve Him in this. Fellowship is critical for disabled believers.

As Jesus’ representatives in this present moment, we need to extend our hands. We may not fully understand the afflicted, but we can reach through the issues (ours and theirs) and administer the love of Jesus.

We should pray that this scourge of mental illness will be lifted out of our society.

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Social Anxiety Understood

“In any social situation, I felt fear. I would be anxious before I even left the house, and it would escalate as I got closer to a college class, a party, or whatever. I would feel sick in my stomach-it almost felt like I had the flu. My heart would pound, my palms would get sweaty, and I would get this feeling of being removed from myself and from everybody else.”

“When I would walk into a room full of people, I’d turn red and it would feel like everybody’s eyes were on me. I was embarrassed to standoff in a corner by myself, but I couldn’t think of anything to say to anybody. It was humiliating. I felt so clumsy, I couldn’t wait to get out.”

Social phobia, also called social anxiety disorder, is diagnosed when people become overwhelmingly anxious and excessively self-conscious in everyday social situations. People with social phobia have an intense, persistent, and chronic fear of being watched and judged by others and of doing things that will embarrass them. They can worry for days or weeks before a dreaded situation.

This fear may become so severe that it interferes with work, school, and other ordinary activities, and can make it hard to make and keep friends.

While many people with social phobia realize that their fears about being with people are excessive or unreasonable, they are unable to overcome them. Even if they manage to confront their fears and be around others, they are usually very anxious beforehand, are intensely uncomfortable throughout the encounter, and worry about how they were judged for hours afterward.

Social phobia can be limited to one situation (such as talking to people, eating or drinking, or writing on a blackboard in front of others) or maybe so broad (such as in generalized social phobia) that the person experiences anxiety around almost anyone other than the family.

Physical symptoms that often accompany social phobia include blushing, profuse sweating, trembling, nausea, and difficulty talking.

When these symptoms occur, people with social phobia feel as though all eyes are focused on them. 

Social phobia affects about 15 million American adults. 

Women and men are equally likely to develop the disorder, which usually begins in childhood or early adolescence. There is some evidence that genetic factors are involved. Social phobia is often accompanied by other anxiety disorders or depression, and substance abuse may develop if people try to self-medicate their anxiety.

The use of anti-anxiety drugs may be used and they can help you get through “bad patches” when anxiety becomes too much. It’s possible that these meds can help. Let your doctor guide you.

Understand that social anxiety can be successfully treated with certain kinds of psychotherapy or medications. You probably should find someone who understands what you’re dealing with. They need to be good listeners and have an encouraging voice.

Bringing in a pastor or elder must be considered.

Prayer and counsel are critical. Holding on to God’s promises is necessary and as you deal with this it can be God’s way of strengthening your walk. The Word is packed full of His promises. The Lord knows-He wants you to take up and understand what He wants to give you in this.

“Fear not, for I am with you; be not dismayed, for I am your God; I will strengthen you, I will help you, I will uphold you with my righteous right hand.”

Isaiah 41:10

Facing Down Your Dragon

“For I am ready to fall,
    and my pain is ever before me.”

Psalm 38:17

Over 85 million Americans live in chronic pain. That’s amazing. Maybe you’re one of them and maybe you just want to understand — perhaps you have a friend or family member who is hurting. They’re facing their dragon and that can be a challenge.

Pain can be constant, or, it can be intermittent. It shows up unpredictably. One never knows when. But believe me, it is terribly real, even if it’s not continual. I look at my dragon in the eye far too often. Way too often.

There are different kinds and various levels to it. Healthcare people often use the Numerical Rating Scale (NRS). Pain is ranked by numbers between 1-10, the higher the number the greater the pain.

Christians are part of that 85 million. We’re not immune just because we believe in Jesus. Some of us will hurt.

Coping with Chronic Pain

  • Learn all you can about your particular issue. I’m constantly looking and hopefully learning all I can, I want to be an expert. Research things. Google and Wikipedia can be deep reservoirs of knowledge.
  • Learn how to worship and pray in a brand new way. Things have changed now and seeking Him becomes a challenge, and, it can be easier.
  • Insomnia
  • Depression or anxiety, or both.
  • Fatigue, or stress.
  • Mood swings.
  • Doctors and meds.

Advice to Caregivers

I have to warn you, severe pain can make your dear one irrational. Pain can get so intense that you will find it impossible to relate to the sufferer. I once had a fierce battle with Complex regional pain syndrome (CRPS) in both forearms. Most doctors rate this as one of the worst types of pain to have.

Morphine didn’t help. Lynnie (my wife) could only watch and pray as the dragon kept attacking me, over and over. She watched me writhe in pain and she was pretty much helpless.

I was very angry, wildly rude and terribly mean. I was frustrated because I couldn’t communicate how bad the pain was. Over and over I tried to share how I was feeling, but words were not enough.

Some advance the idea that you need to find enough faith to be healed, but what about having enough faith to live in constant pain?

“Pain is no evil, unless it conquers us.”

     Charles Kingsley

Medical: Paranoia & Delusions

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Delusional disorder, (previously called paranoid disorder,) is a type of serious mental illness called a “psychosis“ in which a person cannot tell what is real from what is imagined. The main feature of this disorder is the presence of delusions, which are unshakable beliefs in something untrue.

People with delusional disorder experience non-bizarre delusions, which involve situations that could occur in real life, such as being followed, poisoned, deceived, conspired against, or loved from a distance. These delusions usually involve the misinterpretation of perceptions or experiences.

In reality, however, the situations are either not true at all or highly exaggerated.

People with delusional disorder often can continue to socialize and function normally, apart from the subject of their delusion, and generally do not behave in an obviously odd or in a bizarre manner. This is unlike people with other psychotic disorders, who also might have delusions as a symptom of their disorder. In some cases, however, people with delusional disorder might become so preoccupied with their delusions that their lives are disrupted.

Types of delusional disorder

There are different types of delusional disorder based on the main theme of the delusions experienced. The types of delusional disorder include:

  • Erotomanic — Someone with this type of delusional disorder believes that another person, often someone important or famous, is in love with him or her. The person might attempt to contact the object of the delusion, and stalking behavior is not uncommon.
  • Grandiose — A person with this type of delusional disorder has an over-inflated sense of worth, power, knowledge, or identity. The person might believe he or she has a great talent or has made an important discovery.
  • Jealous — A person with this type of delusional disorder believes that his or her spouse or sexual partner is unfaithful.
  • Persecutory — People with this type of delusional disorder believe that they (or someone close to them) are being mistreated, or that someone is spying on them or planning to harm them. It is not uncommon for people with this type of delusional disorder to make repeated complaints to legal authorities.
  • Somatic — A person with this type of delusional disorder believes that he or she has a physical defect or medical problem.
  • Mixed — People with this type of delusional disorder have two or more of the types of delusions listed above.

Basic Principles

There are no systematic studies on treatment approaches and results in Delusional Disorder. The patient’s distrust and suspiciousness usually prevents any contact with a therapist.

Hospitalization

Hospitalization is indicated if a potential for danger is present; otherwise outpatient management is advisable. Unfortunately, involuntary hospitalization may increase distrust and resentment and increase the patient’s persecutory delusions.

Antipsychotic Drugs

Antipsychotic medication may be useful, particularly for accompanying anxiety, agitation, and psychosis. Because patients may be suspicious of medication, depot forms may be helpful. Although antipsychotics may have a good response, they are often only marginally effective for specific forms of Delusional Disorder.Other Therapies

Other treatments have been tried (electroconvulsive therapy, insulin shock therapy, and psychosurgery), but these approaches are not recommended.

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