Category: mental illness

Should I Take Medication?

What’s Your Take on Christians Using Antidepressants?

by Pastor John Piper

I’m going to say that there are times when I think it is appropriate, but I want to go there cautiously and slowly, with warnings.

Depression is a very complex thing.

It’s got many layers. I think we all would agree that there are conditions in which nobody would deny that certain people are depressed in a pathological way because they’re immobile. They’re not even able to function.

And then there’s a continuum of discouragements and wrestlings with having an ‘Eeyore-type’ personality, which may or may not be depressed.

So that means that I want to be so careful not to have a knee-jerk reaction. When you come into my office and describe to me your discouragements, I don’t want my first response to be, “See a doctor and get a prescription.”

I fear that is way too quick today. The number of people on antidepressants as a first course rather than the last course is large.

And the assumption is that you can’t make any progress in counseling unless you get yourself stabilized or something.

So I just want to be very cautious.

As a Christian who believes that Christ is given by the Holy Spirit to deliver us from discouragements and from unbelief and sorrow and to help us live a life of usefulness, what makes me able to allow for antidepressants is the fact that medicine corresponds to physical realities.

And the physical realities are that we get headaches that make us almost unable to think. Migraine headaches can put a man out. And we are pretty much OK if the doctor can help us find some medicine that would not let us get these immobilizing headaches.

And the headaches clearly have a spiritual impact, because they’re making me unable to read my Bible and function in relation to people that I want to love and serve. And so medicine becomes spiritually effective in that way.

In the short run especially, sometimes long term—then I think, in God’s grace and mercy, we should take it as a gift from his hand.

If that physical dimension could be helped by medicine.

So we apply this principle that we all use to depression, and then the fact that the body is included in depression. Whether we should use the terms “chemical imbalances”—I’ve read both sides on that. Some people say that there is no scientific evidence for such a thing and others say that it is a given. Whatever. Everybody knows that there are physical dimensions to depression.

Has God Given Up on You?

“If we are unfaithful,
    he remains faithful,
    for he cannot deny who he is.” 

2 Timothy 2:13

There are often times of great despair; when sin or sickness is definitely front and center. Losing hope is an easy response for mere mortals like us. There can be a place where the darkness won’t lift; and it’s at that point you realize that you’re simply in over your head.

I know that feeling quite well.

I have depressive disorder and because of that I tend to camp out at the margins where it seems like the grace of God evaporates. Whether it is my sin or circumstances, I occasionally feel pretty much abandoned, and it usually is something self-inflicted. (Or is it? I’m not always sure.)

We have this glaring tendency to put ourselves in where we should not have been. And condemnation means no comfort can get through to us.

We wonder if God has finally given up on us, throwing us in the trash heap of lost souls. We might feel that’s what we deserve. He simply gives up on us.

“Many are saying about me, “God won’t rescue him.” 

Psalm 3:2

In Psalm 3, David has come to the realization that his sins have “tainted” him. He talks of many enemies that have suddenly gathered, and they are claiming that David had now gone outside of God’s grace and favor. Forever.

The theology of this seemed logical. David had sinned greatly. And he had. David’s sin of adultery and murder was heinous and depraved. His enemies suggested that God would now abandon him. It seems logical, doesn’t it.

Our own sin may be excessive, but God’s faithfulness is to the uttermost.

”Lord, your love reaches to the heavens, your loyalty to the skies.’‘

Psalm 36:5

The grace of God is limitless. It is beyond human comprehension or reasoning. When He committed Himself it was for forever. King David understood this, and would survive the devastating fall-out from his sins. Indeed he would reap all that he sowed (Gal. 6:7-8). But God still loved him, no matter what.

You see, Jesus has taken every ounce of your sin upon Himself.  

That includes your faithlessness. He has done this astonishing thing out of the deep depths of His love and mercy. We don’t deserve it and we can’t pretend it is something else. A heart that’s been welded to His knows this. We are “saved by grace through faith.”

Do you still feel God has abandoned you forever?

Dear one, there is an unholy war on the saints that Satan is waging. He hates your simple trust in God and will shake it anyway he can. He blisters believers and hopes to discourage them. And he doesn’t ever fight fair.

“The Lord appeared to us in the past, saying:“I have loved you with an everlasting love; I have drawn you with unfailing kindness.”

Jeremiah 31:3

Take a look at my other site: alaskabibleteacher.com. Thanks.

A Sound Mind

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“A sound mind.” For some of us that doesn’t seem remotely possible. We’ve come to believe this is only true for others, maybe, but not me. As mentally ill people we seem to think that we shouldn’t be this way. Given enough time our illness becomes fused to our spirit and soul. We buy the lie and choose to live defeated. Only the Lord Jesus can break this chain.

Healthy thinking is a wonderful gift. That’s important to note. I can’t earn it; nor can I fabricate it. It must be simply acknowledged and received as a bonus. We must come humbly and broken. I suppose that is where we become the happiest and healthiest.

In 1 Timothy 1:7 we’re told that we have a salvation that includes:

  • incredible power,
  • love,
  • and a sound (healthy) mind.

These three are a gift from God. You don’t buy a gift, nor do you earn it. Rather it comes from Someone who loves you (!) and only wants to restore you. We may have issues, but the Spirit is sound and lucid. He speaks so we understand.

Afflicted people will find what they need from the Holy Spirit of God. Mental illness isn’t a death sentence. Rather it’s a grand opportunity for God to teach us about His power in the middle of our pain.

The healthy mind is one that is clear and life-giving. It is without any sick or crippling deficiencies. It’s a mind that is vigorous and robust. Those of us who struggle with a mental illness this is fantastically good news. And it maybe that you’re certainly impaired but even then you’re given a strength to use in service in the body. Everyone has a gift and calling.

There is nothing worse than fighting through muddled thinking when you’re having mental issues. Names, dates and memories disappear in the fog. It can be frightening. I know what it’s like to be afraid of one’s own mind. It seems like it’s trying its best to kill me. (Some of you can ‘read-between-the-lines’ and understand exactly what I am saying.)

My own experience is that the Holy Spirit is working, with my meds, to hold me in a good place. Just as a diabetic must take insulin, so I need to take my antidepressants. The brain is an organ that can get sick also. We live in a fallen and broken world. We are human and therefore vulnerable just like anyone else. (Somehow, we imagine better.)

Grace does heal many, but there are some who will find ‘weakness’ becoming their real strength.

The very presence of the Holy Spirit is what enables. Broken believers are coming to see that their illnesses are helping them to be weak enough for God to use. It’s not how strong you are, but it’s how weak. “It is not that we think we are qualified to do anything on our own. Our qualification comes from God,” 2 Cor. 3:5, NLT.

— Michael Yaconelli

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“When the Japanese mend broken objects, they aggrandize the damage by filling the cracks with gold [‘kintsukuroi’]. They believe that when something’s suffered damage and has a history it becomes more beautiful.”

–Barbara Bloom

 

 

100% Pure Depression

 

depression

“Answer me quickly, O Lord!
    My spirit fails!
Hide not your face from me,
    lest I be like those who go down to the pit.
8 Let me hear in the morning of your steadfast love,
    for in you I trust.
Make me know the way I should go,
    for to you I lift up my soul.“

Psalm 143:7-8

I am not a psychiatrist nor a licensed therapist. I am just an ordinary man serving God’s flock. Yet if I were to speak I would speak on the subject of clinical depression. The stats are pretty grim. Depression affects 16.1 million people, or 6.7% of the population every year, age 18 or older. The median age is 32.5 years old. (These are just U.S. stats only.)

I’ve come to understand this much through my own struggles. It seems that there are three types of depression to consider.

These ‘big three’ seldom stand alone; they mix or overlap each other to make diagnosis difficult. Only a doctor can make that, but we can at least know that these three are most likely behind our issues. You can have these three working against you at once.

the big three:

1) Guilty depression-– when our behavior hasn’t been what it should be (sin), this is the source of condemnation. Jesus forgives us, so we should forgive ourselves. Guilty depression is very hurtful and damaging to our spirits. Often our healing will come when we draw close to the Lord Jesus.

2) Organic depression-– when it’s built into our DNA and part of our very being; it becomes fundamental to your personality. You can compare it to  someone who has diabetes or MS. We live in a fallen world and genetics affects us at this core level.

3) Reactionary depression— when we react to some bad news or injury, or working too much with no time off. We react to difficulties in this way when outside forces infringe upon our inner heart. Often God sends us an elder or a mature believer to come and help us out.  This is fortuitous indeed to have someone to speak through our confusion.

Each of these are different, but if you could identify them it may help you move through them more gracefully. These three can overlap. Perhaps it’s helpful to see reactionary depression as the most common, while guilty depression can be the most hurtful to the believer’s heart.

Satan is involved in the intensification of each.

He creeps in and slowly strangles all hope. Worship and the Word is critical and necessary weapons for us out us to walk-out clean and clear. We must defend ourselves (and others) with these weapons that the Father has given us.

Knowing the type of depression will give you understanding and perhaps this will help you defuse the situation. These things have helped me personally to work through my own issues.

“Anxiety in the heart of man causes depression, but a good word makes it glad.”

Proverbs 12:25

Statistics in opening paragraph from Anxiety and Depression Assn of America. These numbers are just for the U.S. Here is their website: https://adaa.org/about-adaa/press-room/facts-statistics