Category: mental illness

Understanding Suicide

Getting a Grip on Suicide

"Suicide" by Manet, 1877
"Suicide" by Manet, 1877

 Can a Christian believer attempt suicide?  My own first-hand experience rings out a resounding YES!  We can be so driven by major depression that it effects our relationship with the God who loves us and pushes us into a place of complete hopelessness. Very often, it is an attack by evil upon our lives.

 Suicide is not a mental illness in itself, but a serious potential consequence of many mental disorders, particularly major depression.

Who is most likely to commit suicide? Suicide rates are highest in teens, young adults, and the elderly. People over the age of 65 have the highest rate of suicide. Although women are more likely to attempt suicide, men are more likely to be successful.

 Suicide risk also is higher in the following groups:

•Older people who have lost a spouse through death or divorce  

•People who have attempted suicide in the past

•People with a family history of suicide

•People with a friend or co-worker who committed suicide

•People with a history of physical, emotional, or sexual abuse

•People who are unmarried, unskilled, or unemployed

•People with long-term pain, or a disabling or terminal illness

•People who are prone to violent or impulsive behavior

•People who have recently been released from a psychiatric hospitalization (This often is a very frightening period of transition.)

•People in certain professions, such as police officers and health care providers who work with terminally ill patients

•People with substance abuse problems

What are the warning signs for suicide? Following are some of the possible warning signs that a person may be at risk for suicide:

•Excessive sadness or moodiness — Long-lasting sadness and mood swings can be symptoms of depression, a major risk factor for suicide.

 •Sudden calmness — Suddenly becoming calm after a period of depression or moodiness can be a sign that the person has made a decision to end his or her life.

  •Withdrawal — Choosing to be alone and avoiding friends or social activities also are possible symptoms of depression. This includes the loss of interest or pleasure in activities the person previously enjoyed.

 •Changes in personality and/or appearance — A person who is considering suicide might exhibit a change in attitude or behavior, such as speaking or moving with unusual speed or slowness. In addition, the person might suddenly become less concerned about his or her personal appearance.  

•Dangerous or self-harmful behavior — Potentially dangerous behavior, such as reckless driving, engaging in unsafe sex, and increased use of drugs and/or alcohol might indicate that the person no longer values his or her life.

•Recent trauma or life crisis — A major life crises might trigger a suicide attempt. Crises include the death of a loved one or pet, divorce or break-up of a relationship, diagnosis of a major illness, loss of a job, or serious financial problems.  

•Making preparations — Often, a person considering suicide will begin to put his or her personal business in order. This might include visiting friends and family members, giving away personal possessions, making a will, and cleaning up his or her room or home. Some people will write a note before committing suicide.

 •Threatening suicide — Not everyone who is considering suicide will say so, and not everyone who threatens suicide will follow through with it. However, every threat of suicide should be taken seriously.

Can suicide be prevented? Definitely. In many cases suicide can be averted. Research suggests that the best way to prevent suicide is to know the risk factors, be alert to the signs of depression and other mental disorders, recognize the warning signs for suicide, and intervene before the person can complete the process of self-destruction.

Praying for and listening to the afflicted should be something we practice.  The despair of the suicidal is intense, but it gets dangerous when that despair turns into resignation and calmness (without a resolution).

 

Being Held, Being Secure

Being Held, Being Secure

All that the Father gives Me will come to Me, and the one who comes to Me I will by no means cast out.  John 6:37

 

Being insecure is like sipping sulfuric acid from a teacup.  What we drink in is corrosive and harmful, when we think it is ok.  We become saturated with anxiety and overloaded with doubt.  We feel very unsure about ourselves, and become introspective to a fault.

Somehow verses like John 6:37 don’t work or apply to us.  Such is strength of our hopelessness.  It is durable and strong.  Christians who struggle with “feeling saved” have a formidable enemy just within themselves, not taking in Satan’s attacks on their mind.

This verse helps us understand some things.  First, there is a “chain of custody” in regards to spiritual headship.  What comes to the Father, gets transferred to the Son.  To enable this, there is something like a magnetic pull that people become drawn to Jesus.  (Aside note:  Jesus is wildly popular and esteemed among unbelievers; it is the Church that gives people heartburn!)

When we are attracted to Him, the pull intensifies.  We grow sensitive and more sure.  When we pass over that symbolic line we discover that we have great assurance of His love.  The statement is made, “I will by no means cast out.” 

“Every person the Father gives me eventually comes running to me. And once that person is with me, I hold on and don’t let go”. –John 6:37, The Message

“He holds on”!  He doesn’t let go!  This attachment of Jesus to us is strong  and sure.  Our issue comes when we focus on self and forget about Him.  Thinking exclusively about your sin, and weakness, and mental illness takes back to the “acid in a teacup” analogy.  But enough of that; let us live confidently, looking boldly on Christ and feeling His grip.  He can’t de-attach Himself.

Get the Nail Gun: Understanding Your Guilt

But you, dear friends, carefully build yourselves up in this most holy faith by praying in the Holy Spirit, staying right at the center of God’s love, keeping your arms open and outstretched, ready for the mercy of our Master, Jesus Christ. –Jude 1:21

 

The world does not know what to do with all our guilt.  It affects every person and what we think about.  Guilt is much more destructive then Hurricane Katrina ever was. People talk about being crippled by guilt.  Psychiatrists have come out and said that 80% of their patients could be healed if people could resolve their guilt and their remorse for their past sins.  So much drinking and drug abuse is simply trying to numb yourself, if just for a little while.  Forgiving yourself is not an easy thing.  We must remember that all sin committed ultimately is against Jesus, and we must put our hearts in position for grace and mercy to fill us.  The Holy Spirit hovers over us, and yet He does not condemn.  He is not the accuser; He is the Helper and the Comforter.  The Holy Spirit convicts but He will not condemn.

Satan has a ministry–it is to accuse you before the Father.  He is malicious and savage.  He delights in reminding you of your sin and evil. He unceasingly pounds you.  The devil has an evil plan for your life, and works continuously to implement it.  Guilt and remorse are just two weapons at his disposal.

We honor God when we accept our sin, and His forgiveness.  Our verse from Jude declares that we must keep ourselves in the love that God has for us.  It takes intentional effort.  Our guilt is heavy, so we must put it down.  And then we must deliberately stand and purposefully open our outstretched arms to His forgiveness.  We need to “keep ourselves in the love of God”.  I get out my “spiritual nail gun” and fix myself in His love.

Guilt is like wounding ourselves.  Satan pokes our wound in order irritate it.  We learn to hide it from God, and others.  But these things are killing us. It’s like having gangrene. And the brutal sorrow and regret consume us.  I guess that is why we have Jude 1:21 in the first place.

All About Meds for Depression

Depression is commonly treated with antidepressant medications. Antidepressants work to balance some of the natural chemicals in our brains. These chemicals are called neurotransmitters, and they affect our mood and emotional responses. Antidepressants work on neurotransmitters such as serotonin, norepinephrine, and dopamine.

The most popular types of antidepressants are called selective serotonin reuptake inhibitors (SSRIs). These include:

  • Fluoxetine (Prozac)
  • Citalopram (Celexa)
  • Sertraline (Zoloft)
  • Paroxetine (Paxil)
  • Escitalopram (Lexapro).

Other types of antidepressants are serotonin and norepinephrine reuptake inhibitors (SNRIs). SNRIs are similar to SSRIs and include venlafaxine (Effexor) and duloxetine (Cymbalta). Another antidepressant that is commonly used is bupropion (Wellbutrin). Bupropion, which works on the neurotransmitter dopamine, is unique in that it does not fit into any specific drug type.

SSRIs and SNRIs are popular because they do not cause as many side effects as older classes of antidepressants. Older antidepressant medications include tricyclics, tetracyclics, and monoamine oxidase inhibitors (MAOIs). For some people, tricyclics, tetracyclics, or MAOIs may be the best medications.

What are the side effects?

Antidepressants may cause mild side effects that usually do not last long. Any unusual reactions or side effects should be reported to a doctor immediately.

The most common side effects associated with SSRIs and SNRIs include:

  • Headache, which usually goes away within a few days.
  • Nausea (feeling sick to your stomach), which usually goes away within a few days.
  • Sleeplessness or drowsiness, which may happen during the first few weeks but then goes away. Sometimes the medication dose needs to be reduced or the time of day it is taken needs to be adjusted to help lessen these side effects.
  • Agitation (feeling jittery).
  • Sexual problems, which can affect both men and women and may include reduced sex drive, and problems having and enjoying sex.

Tricyclic antidepressants can cause side effects, including:

  • Dry mouth.
  • Constipation.
  • Bladder problems. It may be hard to empty the bladder, or the urine stream may not be as strong as usual. Older men with enlarged prostate conditions may be more affected.
  • Sexual problems, which can affect both men and women and may include reduced sex drive, and problems having and enjoying sex.
  • Blurred vision, which usually goes away quickly.
  • Drowsiness. Usually, antidepressants that make you drowsy are taken at bedtime.

People taking MAOIs need to be careful about the foods they eat and the medicines they take. Foods and medicines that contain high levels of a chemical called tyramine are dangerous for people taking MAOIs. Tyramine is found in some cheeses, wines, and pickles. The chemical is also in some medications, including decongestants and over-the-counter cold medicine.

Mixing MAOIs and tyramine can cause a sharp increase in blood pressure, which can lead to stroke. People taking MAOIs should ask their doctors for a complete list of foods, medicines, and other substances to avoid. An MAOI skin patch has recently been developed and may help reduce some of these risks. A doctor can help a person figure out if a patch or a pill will work for him or her.

How should antidepressants be taken?

People taking antidepressants need to follow their doctors’ directions. The medication should be taken in the right dose for the right amount of time. It can take three or four weeks until the medicine takes effect. Some people take the medications for a short time, and some people take them for much longer periods. People with long-term or severe depression may need to take medication for a long time.

Once a person is taking antidepressants, it is important not to stop taking them without the help of a doctor. Sometimes people taking antidepressants feel better and stop taking the medication too soon, and the depression may return. When it is time to stop the medication, the doctor will help the person slowly and safely decrease the dose. It’s important to give the body time to adjust to the change. People don’t get addicted, or “hooked,” on the medications, but stopping them abruptly can cause withdrawal symptoms.

If a medication does not work, it is helpful to be open to trying another one. A study funded by NIMH found that if a person with difficult-to-treat depression did not get better with a first medication, chances of getting better increased when the person tried a new one or added a second medication to his or her treatment.

Good source for personal research: http://www.nimh.nih.gov/index.shtml

Healthy Place on Depression Meds: http://www.healthyplace.com/depression/antidepressants/list-of-antidepressants/menu-id-68/

And Buzzle’s List:  http://www.buzzle.com/articles/depression-medication-list-of-antidepressants.html