Category: mental or physical illness

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

The Awful Pain of Job

job-and-his-friends

“Oh, why give light to those in misery,
    and life to those who are bitter?
21 They long for death, and it won’t come.
    They search for death more eagerly than for hidden treasure.22 They’re filled with joy when they finally die, and rejoice when they find the grave.
23 Why is life given to those with no future,
    those God has surrounded with difficulties?”

Job 3:20-23, NLT

Job begins to curse his very existence. Life has become far too brutal. He has lost everything. At this point Job is completely undone.

There is an endless grief that even his tears can’t help.

In Job’s first speech he asks some basic questions:

  • Why is light given to those who are full of pain?
  • Why does life unfold to the one who rather not live anymore?

There is a powerful wish or desire in this three verses. He wants to die, and end the charade. He wishes for non-existence and laments that he can not die fast enough. His terrible pain has taken his life.

People with disabilities and chronic pain can understand Job’s welcome craving for any sort of release. Once they were “whole” people. Death was something to be avoided at all costs. But now it is seen as an escape.

Job simply wants out.

Hurting people will often turn to drinking and drugging as a way of coping. We’ll try anything to numb our thinking. It’s what gets us through the day. We are bitter, and we are lost.

For Job (the patron saint of pain) finds that nothing will fix him. His friends have come, but they seem to only accuse and confuse job. Honestly he is better when they just sat with him in silence. If you read the book of Job you will understand.

“God wants us to choose to love him freely, even when that choice involves pain, because we are committed to him, not to our own good feelings and rewards. He wants us to cleave to him, as Job did, even when we have every reason to deny him hotly.”

–Philip Yancey

“Come quickly, Lord, and answer me, for my depression deepens. Don’t turn away from me, or I will die. Let me hear of your unfailing love each morning, for I am trusting you. Show me where to walk, for I give myself to you.”

Psalm 143:7-8

 

ybic, Bryan

 

What Not to Say to a Depressed Person

 

by Therese J Brochard

I’m always on the lookout for articles that touch on ways to communicate to a friend or family member who is depressed. It’s a delicate issue and one that deserves some serious attention.  What follows is what you should, and should not say to a loved one struggling with depression. — Bryan

Nearly 21 million adults in the United States experience clinical depression (aka major depressive disorder) every year.

Odds are someone close to you is among them.

 1. Snap out of it!

Your loved one hasn’t left the house in what seems like days. Should you tell him to pull himself up by his bootstraps and just snap out of it?

Don’t say it.

You may be tempted to tell someone who’s depressed to stop moping around and just shake it off. But depression is not something patients can turn on and off, and they’re not able to respond to such pleas. Instead, tell your loved one that you’re available to help them in any way you can.

 

2. What do you have to be depressed about?

In a world full of wars, hunger, poverty, abuse, and other ills, you may feel impatient when someone you love feels depressed. So do you remind him how lucky he is?

Don’t say it.

You can’t argue someone out of feeling depressed, but you can help by acknowledging that you’re aware of his pain. Try saying something like “I’m sorry that you’re feeling so bad.”

 

3. Why don’t you go for a nice walk?

Exercise is a known way to lift your mood. Is it a good idea to suggest that your loved one with depression go out and enjoy some fresh air and activity?

Say it — but with a caveat.

By definition, depression keeps you from wanting to engage in everyday activities. But you can show your support by offering to take a walk, go to a movie, or do some other activity with your loved one. How about: “I know you don’t feel like going out, but let’s go together.”

 

4. It’s all in your head.

Some people believe that depression is an imaginary disease and that it’s possible to think yourself into feeling depressed and down. Should you tell your loved one that depression is just a state of mind — and if she really wanted to, she could lift her mood with positive thoughts?

Don’t say it.

Suggesting that depression is imagined is neither constructive nor accurate. Although depression can’t be “seen” from the outside, it is a real medical condition and can’t be thought or wished away. Try saying instead: “I know that you have a real illness that’s causing you to feel this way.”

 

5. Seeing a therapist is probably a good idea.

You think your loved one could benefit from talking to a mental health professional. Should you say so?

Say it. And say it again.

Reinforcing the benefits of treatment is important. Encourage the idea of getting professional help if that step hasn’t yet been taken. This is especially important if your loved one has withdrawn so much that she is not saying anything. Try telling her, “You will get better with the right help.” Suggest alternatives if you don’t see any improvement from the initial treatment in about six to eight weeks.

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For other suggestions on what to say and what not to say, check out Everyday Health’s post.

Also, see Psych Central’s our list of the worst things to say to someone who’s depressed.

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Therese J. Borchard writes the daily blog, “Beyond Blue,” on Beliefnet.com.
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When Losers Are Loved

Before the bush, He calls to us

“Instead, God chose things the world considers foolish in order to shame those who think they are wise. And he chose things that are powerless to shame those who are powerful.”

1 Corinthians 1:27, NLT

God has particular preferences when it comes to peculiar people.  He selectively chooses.  These choices are made up in his mind and heart.  For us to criticize them, is by association, faulting God. It just happens to be that He likes losers. He chooses uneven performers over the gifted and learned.

“Remember, dear brothers and sisters, that few of you were wise in the world’s eyes or powerful or wealthy when God called you.”

1 Corinthians 1:26

There have been very many men and women tossed out on the trash heap of humanity.  They are often regarded as useless and irrelevant. But God loves the outcast and forgotten.

We who are the disabled know weakness intimately. We must deal with it 24/7; and it never takes a holiday. We are broken believers who are in love with Jesus and yet we are broken. Talk about having faith for healing?

What about the faith to be sick?

People who have experienced dealings so harsh– most likely— there is little pride or arrogance left. These are usually the marginalized, the losers. People like Moses,

“Moses said to God, “Who am I that I should go to Pharaoh and bring the children of Israel out of Egypt?”

Exodus 3:11

Someone once said, “When God intends to use a man or woman He takes them and crushes them.”  The inevitable breaking is followed by a release of the Holy Spirit from their lives.  Moses is proof of God’s renovating presence.  You want the presence? Prepare for years of roughness, and misunderstanding. Prepare for the crushing.

At the burning bush, Moses was given the assignment of returning, confronting Pharaoh, and leading all the captives to the Promised Land of Canaan.  He had just spent 40 years as a refugee/shepherd.  In spite of a good education he had received while in Egypt as a prince, that wasn’t why he had been selected.

Moses has definite feelings of inadequacy and failure.

And his time in the desert did nothing to relieve this.  But a 40 year “prison” term will do that.  In chapter 4 of Exodus we read “the back and forth” conversation between Moses and the Lord God.  All of Moses’ objections were consistently volleyed back with comfort and promise.

As you read this, you may be aware of God’s presence. 

He has called you to do something for him.  Maybe you have wandered off the path, gotten lost and suffered much.  The “desert” will do that.  But it all can be forgiven.  His alert grace is a velvet battering ram of grace and love.  He will (and does) discipline you–but only because he is passionately in love with your soul, and His glory.