Category: medications

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

Paranoia & Delusions

superhero_400pxDelusional 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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Depression: A Few Questions

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.

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“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.

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