A Deep Crisis of Faith

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Church response to the mentally ill

By Peter Andres

Are people of faith with a mental illness different from those who have a physical illness? Much about mental illness still remains a mystery. That’s one of the reasons people are tempted to spiritualize the problem. They hope that the person with mental illness would be able to gain spiritual strength and thus gain victory over the illness.

What remains hard for many to understand is that having a mental illness and being a strong person of faith is no different than having a serious physical illness and being a strong person of faith.

How can church leaders encourage support of people with a mental illness? What does a person with a mental illness need to help him or her feel accepted and part of the congregation? How does the Christian message and experience take on meaning under these circumstances? What exactly is mental illness, anyway?

Marja Bergen, in her book, Riding the Roller Coaster (Northstone, 1999), describes her experiences living with bipolar disorder. She talks about the many important factors that helped make her life with this illness tolerable and manageable. Having a supportive husband, friends, and service systems were critical, but she also acknowledges the importance of a spiritual home.

Her church friends learned to understand her illness and provided spiritual nurture, especially during difficult times. She speaks about friendships which include a common belief as being the most valuable ones she’ll have. But she also admits that she was fortunate in this regard.

Sadly, many people with mental illness who look for spiritual help during difficult times face ignorance, stigma, avoidance, and judgment. The spiritual counsel and prayer these people receive frankly do more harm than good.

Understanding mental illness, even from the professional, scientific perspective, is still very much a work in progress. Schizophrenia and its related disorders, bipolar disorder (also known as manic depression), major depression, panic and obsessive-compulsive disorders, are all considered mental illnesses. It is estimated that between 15 percent to 20 percent of North Americans will, at some time in their lives, experience a mental illness. Most of these will suffer debilitating depression.

Evidence suggests there are probably organic (biochemical) reasons for the illness, or psycho-social origins — or a combination of the two. Treatments that deal with the symptoms include medications, psychotherapy or a blend of both.

What is clear to people working in the field is that the experience of the illness goes far beyond living with the symptoms. While a person who has a physical illness — even cancer — suffers discomfort and anxiety related to the illness, those who have a mental illness suffer from a constellation of additional issues. These all affect their ability to return to wellness. One of them is stigma, both internally and externally imposed. There’s also the loss of self-worth and self-efficacy that might come with a loss of job, friends, marriage and the feelings of being separated from God.

How can the church assist someone in a situation as devastating as this?

1. Church leaders and church members need to know that a mental illness is not the same as a spiritual crisis. Nor is the absence of healing, especially after fervent prayer, a sign of judgment or lack of faith.

2. There should be no judgment about the use of mood altering medications. Medications are commonly needed to treat the bio-chemical causes for the disorder and radically help many keep their symptoms under control.

3. Quality of life for a person suffering from mental illness does not depend on a complete remission from the illness.

What church members need to know is that many experience a recovery which allows them to return to an active and fulfilling life — but still continue to experience times that are difficult. Recovery from mental illness means: the return of a positive sense of self, usually through meaningful endeavour (work, vocation), a circle of meaningful relationships, a place to live that the person can call his or her own, and a spiritual life that feels a reconnection with God.

The recovering person can be experiencing personal brokenness and limitations, yet have valuable gifts to offer to the church community.

Peter Andres is a regional director for MCC Supportive Care Services, a non-profit charitable organization which supports people with disabilities — including people with mental health issues. He can be contacted at peter@mccscs.com.

 

Tobacco Use: Putting Down the Cigarette

By Brendan McLean, NAMI Communications Manager

Studies have shown that individuals living with mental illness die 25 years earlier than the general population. Part of the reason is due to smoking related diseases. At the end of July, the Smoking Cessation Leadership Center held a webinar on the importance of quitting smoking.

“Peers Helping Peers: Ways to Quit Tobacco with Rx for Change” consisted of a panel of experts from around the country, including Ken Duckworth, M.D., medical director of NAMI, and discussed the addictive power of tobacco, ways that will help people quit smoking and the role peer counselors can play.

Individuals living with mental illness are disproportionately represented among those who smoke. Forty-four percent of people who smoke have a mental illness. However, this percentage can be much higher when compared to a specific mental illness. For example, studies have shown that between 62 and 90 percent of individuals living with schizophrenia smoke.

This high rate of smoking means that one-half of the 435,000 tobacco related deaths that occur in the U.S. each year are people who have a mental illness. NAMI Hearts & Minds was created to offer resources on quitting smoking and other healthy lifestyle choices that promote wellness in both mind and body.

So why is smoking common among people who live with mental illness? As Frank Vitale, the National Director of the Pharmacy Partnership for Tobacco Cessation, states in the webinar , smoking was often used as a reward in psychiatric hospitals. “The culture has promoted smoking in a sense,” he said. “I remember working in a psychiatric hospital and we were literally told to tell patients that if you take your medication you can smoke. Or if you go to group you can smoke.”

Helping individuals living with mental illness who smoke can produce a number of benefits. As described by Vitale in the webinar, there are six benefits.

  1. It can improve the overall quality of life.
  2. It can increase the length and number of healthy years of life.
  3. It can improve the effects of medication. Hydrocarbons, which are produced when anything is burned, cause the body to metabolize medications faster than you normally would. As a consequence, many people who smoke often need more medication than if they did not smoke. However, if the individual decides to quit, their clinician should be alerted so they can adjust the amount of medication the individual is receiving.
  4. It can decrease social isolation. Many people who don’t smoke are often hesitant to socialize with those who do.
  5. It can save money—lots of money. Cigarette packs cost nearly $8 in D.C. and upwards of $15 in Manhattan. Over the course of 50 years, if a person were to only smoke one pack of cigarettes a day, at $6 a pack, one would spend nearly $110,000.
  6. It helps promote recovery.

The problem is that there has been lack of focus on smoking cessation by mental health providers. Some providers believed that doing so caused an increased risk of relapse: symptoms would worsen or the individual would return to abusing drugs or alcohol. However, research has shown that there is no truth to either of these claims.

The truth, though, is that people want to quit. Nearly 75 percent of current smokers have said they want to quit and 65 percent have tried to quit in the last year. But sometimes you just need a little help. To learn more about the importance of quitting smoking and how peers can help, listen to a recording of the webinar online.

Thank You, Nami

This is a terrific post dealing with a major issue with those of us who struggle so hard, with mental illness. Think this through and let me know what you think. Pastor Bryan can be reached at,  flash99603@hotmail.com

“How I finally quit smoking!” A Great Blog and a Super Post.

http://wp.me/p1rYch-ZN

Six Hours One Friday

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Mere Christianity
Who Really Has the Answer?
I’m Glad You Asked

Six Hours One Friday
The Day Christ Died
God Came Near

From Resurrection to Pentecost
It’s Not About Me
At Jesus’ Feet
Won by Love

Grace
What’s So Amazing About Grace?
Peace Like a River
A Love Worth Giving
The Light and the Glory

Walking with God Day by Day
Streams in the Desert
A Life God Rewards
In the Footsteps of Jesus

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Be Blessed, Linda K

This is a “stack poem,” a type of found poem that Samuel Peralta wrote about on dVerse Poets Pub today.

Linda K has a wonderful site– well worth a look… http://lindakruschke.wordpress.com/

The Blessings of a Long Struggle

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It’s a familiar story. A person has become a Christian in recent years and is engaged in spiritual practices–prayer, Bible study, meditation, church attendance, fellowship, tithing, and/or the sacraments. They’ve listened closely to their priest or pastor and have developed some formulas that are supposed to help them overcome the problems, sins, and weaknesses in their lives.

They’ve heard sermons and/or read books that have titles that start with “Three Steps,” “Five Keys,” and “Four Ways,” that are supposed to lead them to the abundant Christian life. They see progress in their lives but are discouraged because they still struggle with certain sins, problems, and/or weaknesses. Some feel like they can’t overcome the very deep negative legacy from the unhealthy family they grew up in.

Church leadership would do many believers a service by teaching them about how God can bring good out of their protracted struggle. No , it’s not God’s will for us to habitually sin , but God, in his tender mercies can work redemptively in this long and frustrating battle.

One of the first good things that can come out of a long battle with a character flaw or problem is deliverance from a formulaic Christian faith. “Do these three things and your problem will go away” you learn from a best–seller, but your problem doesn’t go away. The fallen human heart is a complex and formidable thing, and these canned approaches are a little like taking a squirt gun to a forest fire.

When people experience sustained adversity, their lives feel out of control, and they will often grab on to formulas to give them a sense of righting a ship that’s taking on water. Unfortunately, they end up trusting in the formulas more than God himself. Faith in formulas will always eclipse faith in God. The Christian life is more about a restful trust in a Person than embracing a set of principles no matter how spiritual those principles may sound.

The New Testament is clear on the centrality of faith (not self–effort or formulas) in the overcoming life:

When asked by his disciples what they must do to do the works God requires, Jesus answered, “The work of God is this: to believe on the one he has sent” (John 6:28, 29). When describing the person who overcomes the world, the Apostle John said, “He who believes that Jesus is the Son of God” (I John 5:4, 5).

The failure of formulas is a good experience because it drives the believer to faith in the living God. In this faith, there is a wonderful exchange: I give Christ my pitiful attempts to live the victorious Christian life and he gives me his transforming power to overcome sin. However, this exchange may not happen overnight; it may be a process that takes years.

For those of you in a long struggle, please be comforted by the mercies of God that endure forever. If he can forgive a murderer and adulterer like David, he can forgive you and me. Please take the advice that Winston Churchill gave the British people during World War II: “Never, never, never, never give up ” or listen to the lyrics from a U2 song called “Miracle Drug” : ” There is no failure here, sweetheart/ Just when you quit.” Even better is C.S. Lewis from The Business of Heaven:

“I know all about the despair of overcoming chronic temptations. It is not serious, provided self–offended petulance, annoyance at breaking records, impatience, etc. don’t get the upper hand. No amount of falls will really undo us if we keep on picking ourselves up each time. We shall of course be very muddy and tattered children by the time we reach home, but the bathrooms are already, the towels put out, and the clean clothes in the airing cupboard. The only fatal thing is to lose one’s temper and to give it up. It is when we notice the dirt that God is most present in us: it is the very sign of his presence.”

Amen.

ybic, Jonathan

Jonathan is a old friend of mine. He writes like I wish I could. You would do well to visit his site. http://www.openheavensblog.com/ –Bryan