Recurring Depression and Fruitful Ministry

Charles Spurgeon, “The Prince of Expositors” 1834-1892

DOES RECURRING DEPRESSION PREVENT A FRUITFUL MINISTRY?

The ‘Depression-Prone’ Preacher

by Terry Powell

Long before the proliferation of mass media, he was known and revered throughout the Christian world. Scholars of his era labeled him, “the prince of expositors.” His commentaries, devotionals, and sermons are still being published, generations after his death.

So many folks in London wanted to hear him preach that he occasionally pleaded with church members to stay home so unsaved visitors could get a seat and hear the gospel. The pages of his book, Lectures to My Students, should be dog-eared by every vocational or volunteer teacher of Bible.

Yet, depression dogged Charles Haddon Spurgeon (1834-1892) most of his adult life. A major bout with despondency occurred in 1858 when he was 24, serving as a pastor in London. That’s when he wrote, “My spirits were sunken so low that I could weep by the hour like a child, and yet I know not what I wept for.” Repeated episodes spawned these words: “Causeless depression cannot be reasoned with…as well fight with the mist as with this shapeless, undefinable, yet all-beclouding hopelessness.”

What can we learn from this depression-prone, yet outrageously fruitful leader?

  1. Depression doesn’t necessarily hinder ministry effectiveness. He often didn’t feel like serving, yet enabled by God’s grace, he kept giving himself to others. No matter how physically and emotionally drained he was, most Mondays he wrote out by longhand the previous day’s sermon so it could later be published.
  2. The pain of despondency may expand one’s usefulness by cultivating dependency and humility. Spurgeon said that despondency was “my trial, my thorn in the flesh that Satan wanted to use to take me down, and God wanted to use to deepen my dependency on Him.” A favorite verse of his was 2 Corinthians 12:9, where God told Paul, “My grace is sufficient for you, for my power is made perfect in weakness.” In reference to this verse, Spurgeon said, “My job is not to supply the power, but the weakness. That’s one job I’m good at! It’s God’s job to supply the power.”

  3. Openness about one’s depression may encourage others, and point them to God’s sustaining grace. Spurgeon’s transparency concerning his depression was rare for his day. Knowing how many people suffered in silence with this malady, he preached a message to show others how he coped with it (titled “When a Preacher Is Downcast”). From experience he learned and taught an ironic truth captured in my favorite Spurgeon quote: “God gets from us most glory when we get from Him much grace.”

  4. His life and ministry demonstrate that depression and spiritual maturity aren’t mutually-exclusive. Depression didn’t negate Spurgeon’s godliness, nor did his steadfast use of spiritual disciplines cure it.

Biographies of and articles about Spurgeon don’t always mention his predilection for depression. Yet reading about his accomplishments and ministry output will show you what God can do through a yielded person not in spite of depression, but possibly because of it. Spurgeon also suffered from severe gout in his later years, long before medical intervention could eliminate or minimize the pain.

I benefited enormously from Arnold Dalimore’s Spurgeon (Banner of Truth, 1984). Also, in a chapter of John Piper’s Future Grace, titled “Faith in Future Grace Versus Despondency,” you can read about Spurgeon’s battle with depression. In 2014, Zack Eswine wrote a more thorough coverage of Spurgeon’s despondency: Spurgeon’s Sorrows: Realistic Hope for Those Who Suffer from Depression (Christian Focus Publishers)

Terry teaches in the areas of Church Ministry and Ministry Leadership at Columbia International University in South Carolina. He has served as a Christian Education staff member for three  churches, and he’s a licensed preacher in the Presbyterian Church of America.  His current books in print are Serve Strong:  Biblical Encouragement to Sustain God’s Servants, and  Now That’s Good A Question!  How To Lead Quality Bible Discussions. Terry has been married for 46 years, and has two sons, a daughter-in-law, one grandson, and a dachshund.  His constant prayer is, “Lord, make me half the man my dog thinks I am!”

Check out his blog at https://penetratingthedarkness.com/. His ministry is focused on Christians experiencing clinical  depression and other mental issues.

 

 

Mental Illness in Children & Teens

Does your child go through intense mood changes?

Does your child have extreme behavior changes too? Does your child get too excited or silly sometimes? Do you notice he or she is very sad at other times? Do these changes affect how your child acts at school or at home?

Some children and teens with these symptoms may have bipolar disorder, a serious mental illness. Read on to understand more.

What is bipolar disorder?

Bipolar disorder is a serious brain illness. It is also called manic-depressive illness. Children with bipolar disorder go through unusual mood changes. Sometimes they feel very happy or “up,” and are much more active than usual. This is called mania. And sometimes children with bipolar disorder feel very sad and “down,” and are much less active than usual. This is called depression.

Bipolar disorder is not the same as the normal ups and downs every kid goes through. Bipolar symptoms are more powerful than that. The illness can make it hard for a child to do well in school or get along with friends and family members. The illness can also be dangerous. Some young people with bipolar disorder try to hurt themselves or attempt suicide.

Children and teens with bipolar disorder should get treatment. With help, they can manage their symptoms and lead successful lives.

Who develops bipolar disorder?

Anyone can develop bipolar disorder, including children and teens. However, most people with bipolar disorder develop it in their late teen or early adult years. The illness usually lasts a lifetime.

How is bipolar disorder different in children and teens than it is in adults?

When children develop the illness, it is called early-onset bipolar disorder. This type can be more severe than bipolar disorder in older teens and adults. Also, young people with bipolar disorder may have symptoms more often and switch moods more frequently than adults with the illness.

What causes bipolar disorder?

Several factors may contribute to bipolar disorder, including:

  • Genes, because the illness runs in families. Children with a parent or sibling with bipolar disorder are more likely to get the illness than other children.
  • Abnormal brain structure and brain function.
  • Anxiety disorders. Children with anxiety disorders are more likely to develop bipolar disorder.

The causes of bipolar disorder aren’t always clear. Scientists are studying it to find out more about possible causes and risk factors. This research may help doctors predict whether a person will get bipolar disorder. One day, it may also help doctors prevent the illness in some people.

What are the symptoms of bipolar disorder?

Bipolar mood changes are called “mood episodes.” Your child may have manic episodes, depressive episodes, or “mixed” episodes. A mixed episode has both manic and depressive symptoms. Children and teens with bipolar disorder may have more mixed episodes than adults with the illness.

Mood episodes last a week or two—sometimes longer. During an episode, the symptoms last every day for most of the day.

Mood episodes are intense. The feelings are strong and happen along with extreme changes in behavior and energy levels.

Children and teens having a manic episode may:

  • Feel very happy or act silly in a way that’s unusual
  • Have a very short temper
  • Talk really fast about a lot of different things
  • Have trouble sleeping but not feel tired
  • Have trouble staying focused
  • Talk and think about sex more often
  • Do risky things.

Children and teens having a depressive episode may:

  • Feel very sad
  • Complain about pain a lot, like stomachaches and headaches
  • Sleep too little or too much
  • Feel guilty and worthless
  • Eat too little or too much
  • Have little energy and no interest in fun activities
  • Think about death or suicide.

Do children and teens with bipolar disorder have other problems?

Bipolar disorder in young people can co-exist with several problems.

  • Substance abuse. Both adults and kids with bipolar disorder are at risk of drinking or taking drugs.
  • Attention deficit/hyperactivity disorder, or ADHD. Children with bipolar disorder and ADHD may have trouble staying focused.
  • Anxiety disorders, like separation anxiety. Children with both types of disorders may need to go to the hospital more often than other people with bipolar disorder.
  • Other mental illnesses, like depression. Some mental illnesses cause symptoms that look like bipolar disorder. Tell a doctor about any manic or depressive symptoms your child has had.

Sometimes behavior problems go along with mood episodes. Young people may take a lot of risks, like drive too fast or spend too much money. Some young people with bipolar disorder think about suicide. Watch out for any sign of suicidal thinking. Take these signs seriously and call your child’s doctor.

How is bipolar disorder diagnosed?

An experienced doctor will carefully examine your child. There are no blood tests or brain scans that can diagnose bipolar disorder. Instead, the doctor will ask questions about your child’s mood and sleeping patterns. The doctor will also ask about your child’s energy and behavior. Sometimes doctors need to know about medical problems in your family, such as depression or alcoholism. The doctor may use tests to see if an illness other than bipolar disorder is causing your child’s symptoms.

How is bipolar disorder treated?

Right now, there is no cure for bipolar disorder. Doctors often treat children who have the illness in a similar way they treat adults. Treatment can help control symptoms. Treatment works best when it is ongoing, instead of on and off.

1. Medication. Different types of medication can help. Children respond to medications in different ways, so the type of medication depends on the child. Some children may need more than one type of medication because their symptoms are so complex. Sometimes they need to try different types of medicine to see which are best for them.

Children should take the fewest number and smallest amounts of medications as possible to help their symptoms. A good way to remember this is “start low, go slow”. Always tell your child’s doctor about any problems with side effects. Do not stop giving your child medication without a doctor’s help. Stopping medication suddenly can be dangerous, and it can make bipolar symptoms worse.

2. Therapy. Different kinds of psychotherapy, or “talk” therapy, can help children with bipolar disorder. Therapy can help children change their behavior and manage their routines. It can also help young people get along better with family and friends. Sometimes therapy includes family members.

What can children and teens expect from treatment?

With treatment, children and teens with bipolar disorder can get better over time. It helps when doctors, parents, and young people work together.

Sometimes a child’s bipolar disorder changes. When this happens, treatment needs to change too. For example, your child may need to try a different medication. The doctor may also recommend other treatment changes. Symptoms may come back after a while, and more adjustments may be needed. Treatment can take time, but sticking with it helps many children and teens have fewer bipolar symptoms.

You can help treatment be more effective. Try keeping a chart of your child’s moods, behaviors, and sleep patterns. This is called a “daily life chart” or “mood chart.” It can help you and your child understand and track the illness. A chart can also help the doctor see whether treatment is working.

How can I help my child or teen?

Help your child or teen get the right diagnosis and treatment. If you think he or she may have bipolar disorder, make an appointment with your family doctor to talk about the symptoms you notice.

If your child has bipolar disorder, here are some basic things you can do:

  • Be patient
  • Encourage your child to talk, and listen to him or her carefully
  • Be understanding about mood episodes
  • Help your child have fun
  • Help your child understand that treatment can help him or her get better.

How does bipolar disorder affect parents and family?

Taking care of a child or teenager with bipolar disorder can be stressful for you too. You have to cope with the mood swings and other problems, such as short tempers and risky activities. This can challenge any parent. Sometimes the stress can strain your relationships with other people, and you may miss work or lose free time.

If you are taking care of a child with bipolar disorder, take care of yourself too. If you keep your stress level down you will do a better job. It might help your child get better too.

Where do I go for help?

If you’re not sure where to get help, call your family doctor. You can also check the phone book for mental health professionals. Hospital doctors can help in an emergency.

I know a child or teen who is in crisis. What do I do?

If you’re thinking about hurting yourself, or if you know someone who might, get help quickly.

  • Do not leave the person alone
  • Call your doctor
  • Call 911 or go to the emergency room
  • Call a toll-free suicide hotline: 1-800-273-TALK (8255) for the National Suicide Prevention Lifeline.

Contact NIMH to find out more about bipolar disorder.

National Institute of Mental Health
Science Writing, Press & Dissemination Branch
6001 Executive Boulevard
Room 8184, MSC 9663
Bethesda, MD 20892-9663

Phone: 301-443-4513 or
Toll-free: 1-866-615-NIMH (6464)
TTY Toll-free: 1-866-415-8051
Fax: 301-443-4279
E-mail: nimhinfo@nih.gov
Web site: www.nimh.nih.gov

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Dancing With Bruises

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Bruises seem to be part of life’s package to us. Some will be serious, most minor. But each are noted, and some will just have to be endured.

Dancers are some of the most wonderful people I know. Their gracefulness can be seen both on and off the stage. A dancer’s training is far from easy. By choosing to become dancers they have made a decision to absorb pain. Their toes and feet are blistered and bruised; they take constant abuse. Some must live with chronic tendinitis. Their feet bleed sometimes, and pain is their constant companion. Two things to consider.

  • They choose to dance. Dancers have an iron-will and a elegant grace. I suppose that is why they can dance.
  • The scars and bruises often become “badges of honor.” And they wouldn’t have it any other way. They would rather dance in pain, than not to dance at all.

Someone once compared depression as a “mental bruise.” I understand this. As depressed people, we must choose to walk out our lives from this pain. I know what it is like to bury myself in my bed for several weeks. My own mental bruise was simply more than I could take. There was a sensation of sinking into blackness, a sense of total and complete despair. I felt completely lost, and completely alone.

I prayed. I groaned, and I prayed. My sense of being totally lost was beyond comprehension. Dear reader, this was something quite real, and you must become aware of these things. Some of your friends are suffering. And it is a hellish and desperate depression.dancer-feet

To my Christian friends. Yes, I believe Jesus died for all my sins. He has forgiven me of much evil, I know that will live for eternity (with you). But mental illness is real, and like other illnesses it seldom is caused by evil or Satan. We would never say that diabetics are that way because of the enemy. Now the dark one will surely exploit it, but I think you give him far too much credit if you suggest he was able to initiate it. Satan just doesn’t have the spiritual “voltage.”

So, inspired by my dancing friends, and the Holy Spirit– I will make the choice to dance again. I’m pretty bruised, but I will try to ignore the pain. I would exult in my God, walk in His love, “leaping with joy like calves let out to pasture” (Malachi 4:2.)

“A bruised reed he will not break, and a smoldering wick he will not snuff out, till he has brought justice through to victory.”

Isaiah 42:3

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Drowning in Despair

 

despair (2)“For we do not want you to be ignorant, brethren, of our trouble which came to us in Asia: that we were burdened beyond measure, above strength, so that we despaired even of life.”

   2 Corinthians 1:8

“…we should all fortify ourselves against the dark hours of depression by cultivating a deep distrust of the certainties of despair. Despair is relentless in the certainties of its pessimism. But we have seen again and again, from our own experience and others’, that absolute statements of hopelessness that we make in the dark are notoriously unreliable. Our dark certainties are not sureties.”

John Piper

It is my ‘deliberateness’, and not my impulsiveness that gives me the most concern.   I know ‘despair’.  I know what it is like to be ‘backed into a corner’ and then feel the empty desperation of being lost.  But you must understand, there can be a weird seductiveness to ‘being lost’, a ‘strange sort of nobility’, a twisted honor, when it comes to despair.

Piper talks about the ‘dark certainties’ of knowing you are lost.  Now this really seems rather bizarre, that people could do this intentionally, without duress.  But I’m afraid to tell you that it happens all the time.  Despair is chosen over the option of life. This is the ‘lostness’ of the race of Adam.

Pop culture has given us words, albeit in a simplistic form.  I just happened to think right now of an old AC/DC  song, ‘Highway to Hell‘.  The lyrics are pretty basic, very simple, but the lead singer seems to really have a chronically, decided dedication to being one of the irretrievably lost.  He formats a ‘certain glory’ to being part of the damned.  This is a simplistic approach to the next stop– a more advanced case of stark-white despair, suicide. (We can call this ‘spiritual hubris,’ or even, “drugs, sex, and rock-n-roll.”)

In examining the striated world of despair, we must come to the interesting place when our foolishness combined with our arrogance produces a decision to be lost.  Of course, our fear of God must be extracted from the situation.  But for the eager candidate for despair, this is not an insurmountable problem.

Escaping this ‘drowning despair’ we must first dethrone our right to personal sovereignty.  And secondly, we need to grab the concept that God’s grace has an ultimate power that supersedes our notions of a ‘deserved’ love.  (It is completely undeserved).  We must believe that somehow, someway God chooses us out of a pile, a pile of the worst and ugliest.  And somehow, He delights in doing this, and He is Lord.

We are meant to be the people of redemptive hope. 

Because of our problems, our addictions, we must clearly renounce our evil folly of despair.  These are the issues that make us vulnerable.  There is a seductiveness to ‘giving up’ and taking up the sin of despair.  There can be a ‘weird romance’ that lures those who ‘walk out lostness’.  We are pulled into a vortex of an exotic melancholy with a dash of fatalism, which makes it reasonable and weirdly heroic. But is it not even more heroic to live in hope?

“Why are you downcast, O my soul? Why so disturbed within me?  Put your hope in God, for I will yet praise him, my Savior and 6 my God. My soul is downcast within me; therefore I will remember you.”

Psalm 42:5-6

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‘Sunning Ourselves in the Smiles of God’

A boy stood on a windy hillside, flying a kite. He continued to release the string of the kite and it went higher and higher until it was completely out of sight. One of his friends walked up and asked how he knew there was still a kite on the other end. He replied. “I know it’s there I feel it tugging on the line.” Like the kite, we can’t see heaven with our eyes, but we feel it tugging at our souls!

As a person with Bipolar its easier in some ways to think about that place I am journeying to.  Through many cycles of mania and depression I find this present life gets old, and the more I hear about heaven, the more excited I get.  I imagine a life without meds, and the constant monitoring of my moods.

 Heaven is described as:

  1. a great reward, Mt 5:11
  2. present suffering not worthy to be compared with future glory, Rom 8:18, 
  3. eternal weight of glory far beyond all comparison, 2 Cor 4:17,18,
  4. surpassing riches of His grace towards us, Eph 2:7, 
  5. beyond all we could ask for or even think, Eph 3:20.

I think of my infirmities and pain.  I can’t wait to “shed” this mental illness. 

To be free from it will be one of best thing I can think of.  To take off my depression, like a heavy coat on a warm day. To sit with Jesus in a garden with living water, that’s more refreshing than any iced tea. Eternity is my favorite thing to think about–

“Where the unveile’d glories of the Deity shall beat full upon us, and we forever sun ourselves in the smiles of God.

—Ezekiel Hopkins 

I want to encourage you who are struggling now, with depression, anger,  schizophrenia, paranoia, abuse, OCD, addictions, PTSD or Bipolar, etc.  There is a day coming for us, when we will forget the agonizing battles that have gone on within us.  I boldly tell you with all the strength I can muster–there is coming the day.  So take hope and journey one more day, thinking of heaven.

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Schizophrenia, An Opportunity to Love


Do you know someone who seems like he or she has “lost touch” with reality? Does this person talk about “hearing voices” no one else can? Does he or she see or feel things no one else can? Does this person believe things that aren’t true?

Sometimes people with these symptoms have schizophrenia, a serious illness.

What is schizophrenia?

Schizophrenia is a serious brain illness. Many people with schizophrenia are disabled by their symptoms.

People with schizophrenia may hear voices other people don’t hear. They may think other people are trying to hurt them. Sometimes they don’t make any sense when they talk. The disorder makes it hard for them to keep a job or take care of themselves.

Who gets schizophrenia?

Anyone can develop schizophrenia. It affects men and women equally in all ethnic groups. Teens can also develop schizophrenia. In rare cases, children have the illness too.

When does it start?

Symptoms of schizophrenia usually start between ages 16 and 30. Men often develop symptoms at a younger age than women. People usually do not get schizophrenia after age 45.

What causes schizophrenia?

Several factors may contribute to schizophrenia, including:

  • Genes, because the illness runs in families
  • The environment, such as viruses and nutrition problems before birth
  • Different brain structure and brain chemistry.

Scientists have learned a lot about schizophrenia. They are identifying genes and parts of the brain that may play a role in the illness. Some experts think the illness begins before birth but doesn’t show up until years later. With more study, researchers may be able to predict who will develop schizophrenia.

What are the symptoms of schizophrenia?

Schizophrenia symptoms range from mild to severe. There are three main types of symptoms.

1. Positive symptoms refer to a distortion of a person’s normal thinking and functioning. They are “psychotic” behaviors. People with these symptoms are sometimes unable to tell what’s real from what is imagined. Positive symptoms include:

  • Hallucinations: when a person sees, hears, smells, or feels things that no one else can. “Hearing voices” is common for people with schizophrenia. People who hear voices may hear them for a long time before family or friends notice a problem.
  • Delusions: when a person believes things that are not true. For example, a person may believe that people on the radio and television are talking directly to him or her. Sometimes people believe that they are in danger-that other people are trying to hurt them.
  • Thought disorders: ways of thinking that are not usual or helpful. People with thought disorders may have trouble organizing their thoughts. Sometimes a person will stop talking in the middle of a thought. And some people make up words that have no meaning.
  • Movement disorders: may appear as agitated body movements. A person with a movement disorder may repeat certain motions over and over. In the other extreme, a person may stop moving or talking for a while, a rare condition called “catatonia.”

2. Negative symptoms refer to difficulty showing emotions or functioning normally. When a person with schizophrenia has negative symptoms, it may look like depression. People with negative symptoms may:

  • Talk in a dull voice
  • Show no facial expression, like a smile or frown
  • Have trouble having fun
  • Have trouble planning and sticking with an activity, like grocery shopping
  • Talk very little to other people, even when they need to.

3. Cognitive symptoms are not easy to see, but they can make it hard for people to have a job or take care of themselves. Cognitive symptoms include:

  • Trouble using information to make decisions
  • Problems using information immediately after learning it
  • Trouble paying attention.

 

Helpful Links for Further Thought 

Source, NIMH: http://www.nimh.nih.gov/index.shtml

http://www.mcculloughsite.net/stingray/2006/02/15/christianity-and-mental-illness.php

http://xrysostom.blogspot.com/2005/06/can-mentally-ill-people-go-to-heaven.html

 

 

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Traveling Mercies, [The Journey]

Things can get pretty grim just living life.  But add a disability, and suddenly blam! It gets worse.  A mental illness intensifies life, and the weird concoction of symptoms and hospitals, therapists and medications and family/friends is a bit daunting for anyone. Imagine, that it’s a bit like running through the wilderness slathered in ‘bacon grease,’ trying to stay ahead from the bears (I’m writing this from Alaska, hence the bear imagery, lol.)

My walk with Jesus has extreme variations (at least, on my part.)  I’m up, and then I’m down.  I’m on fire and then I’m cold.  I struggle to attempt at least a modicum of consistency, wishing I could just put two ‘good days’ together.  I am ashamed by this volatility.  The apostle Peter, or David are probably the only guys in scripture I can really understand.

The impulsivity of my mental illness has driven me to turn my credit cards over to Lynn.  I try to avoid liquor stores, porn sites, and urges to strip off my clothes and run down Pioneer Avenue.  I definitely try to go to Church, read the Bible and pray.  But I have been known to hallucinate, I hear things, and get awfully paranoid.  I’m always, it seems just one step ahead of my psychiatrist in avoiding the hospital.  (And I want to keep it that way.) And suicidality is an almost real monster– always lurking for me under my bed.

But I have also learned many other things from being a mentally ill believer:

  • When its really dark, His love always comes through. He understands me. He intentionally ‘looks’ for me. He’ll never quit on me.
  • My discipleship is not about the externals of my theology, but it’s about romance from my heart.
  • In my pathetic brokenness, He is my strength and my shield. Always.
  • Worship and prayer are more like invasive “medical procedures” that keep me alive.
  • Love. I’m learning to be kinder and more aware of others then ever before.
  • I want to live in the Light and respond to others in Christlike way. Never out of my fallen sinfulness.

I suppose I could add more, if I thought about it.  Ultimately, it all comes down to the presence of Jesus Christ coming to meet me, to forgive me and to change me.  This simple blog is saturated with posts that other Brokenbelievers can wade through, and some just might help, lol.

The title of this post alludes to a quote I found. I’ve gently modified it. Not sure where I found it. But it gives the explanation for all that I’ve said:

“Life should NOT be a journey to heaven with the
intention of arriving safely in an attractive and well
preserved body, but rather to skid in sideways,
with bruises and band-aids, and some tears as well, body thoroughly used up, totally worn out and screaming… “WOO HOO what a ride!”

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