After more than four decades of quadriplegia, I’m tired. My bones are weary from battling everything from pressure sores and pneumonia to stage III cancer. My question these days is never “Why, God?” It’s most often “How?” How do I keep on going? How do I care about others when I’m consumed with my own physical challenges? How can I be kind and civil when pain wracks me?
The other morning Ken could see the weariness in my eyes. Right before I wheeled out to go to the van, he said, “Wait here; I know exactly what you need.” He rushed back with a yellow post-it note. On it he had penned the letter ‘C’ with a felt-tipped marker. I gave him an odd look. “It stands for Courage,” he said, “the courage of Christ. I can see it in your eyes, Joni, and you can do this day. I know you can!” With that, he pressed the post-it on my shirt, right above my heart.
I can’t explain what happened next, but I could feel God’s encouragement.
Ken only said a few words, but they were brimming with power and life. His was a declaration of the good he saw in me; or, at least the good he wanted to see. And God gave me his amazing grace to rise to the occasion.
Even the best of Christians can feel the weight of weariness. It’s why Hebrews 3:13 tells us to “Encourage one another daily.” Think of the people you’ll see today: friends recovering from surgery, neighbors dealing with grief, coworkers coping with pain. Whether you say it in an email, over the phone, or in person, your words have the capacity to change their countenance and character. And the best word? The Word made flesh, Jesus, who always has courageous words of life.
Oh, Father, I need the courage of Christ to face this day’s demands. Thank you for making me strong in him.
Joni Eareckson Tada, Founder of Joni and Friends, is an international advocate for people with disabilities. A diving accident in 1967 left Joni with permanent quadriplegia. After rehabilitation she emerged with new skills and fresh determination to help others in similar situations. She founded Joni and Friends in 1979 to minister to people living with disability. For over 40 years Joni and Friends has served thousands of families navigating disability, and has delivered over 225,000 wheelchairs and Bibles to individuals with disabilities in developing nations. Joni has survived breast cancer twice and lives with chronic pain and weakening lungs. By God’s grace Joni perseveres, keeping an active schedule, including radio recording, writing, and providing leadership and encouragement to the Joni and Friends staff. Joni and her husband Ken reside in Calabasas, California.
A person who is paranoid has fears, such as being watched, harmed or poisoned. He or she does not trust others and is suspicious that others are “out to get” him or her. These seem very real.
It’s normal to wonder if people are talking about you when you hear them whispering as you walk into a room. These thoughts are usually passed off and not dwelled upon for most people. We give them little credence. Not a problem.
A person who is paranoid, however, does dwells upon suspicious thoughts. He or she goes out of their way to prove their suspicions even though no evidence exists to confirm their thoughts. It’s very hard to reason or speak what is real.
Paranoia is usually found in small degrees in almost every mental illness.
Symptoms
Use and/or withdrawal of certain drugs, such as marijuana, crack cocaine and angel dust (PCP)
Alcohol withdrawal
Deafness or problems with hearing
Illnesses that affect the central nervous system, such as Alzheimer’s disease or other dementias, a stroke, a brain tumor
Mental illnesses, such as bipolar disorder or schizophrenia
Paranoid personality disorder, (PPD)
How to Recognize Paranoia
A person with paranoia may also:
Appear cold and aloof
Be withdrawn and anxious in social situations
Act stubborn and combative
Appear “on guard” at all times, out of fear of being controlled or harmed
A paranoid person also:
Complains about his or her health and often feels vulnerable and inferior to others
Holds grudges easily
Displays bitterness and resentment toward others
May be easily drawn into religious cults or other groups with strict beliefs
Is quite susceptible to conspiracy theories, religious or political
Can have delusions of being persecuted
Treatment
Treatment for paranoia depends on its cause. If it is a symptom of another condition, treatment for the condition will often take care of or lessen the paranoia. Paranoid personality disorder is treated with counseling, support therapy and often with medication. Treatment for this disorder is not easy, though, due to the nature of paranoia. Persons who are paranoid often do not trust others including doctors, therapists or family members trying to help them get treatment. It is likely that you will need to intervene, patiently and gently.
Ministering to the paranoid treatment requires a huge commitment. Typically you’ll see lots of anger as they confront others of mistreating them.
What You Can Do for a Friend or Relative
The most important thing you can do is to encourage your friend or relative to get professional help. Be aware that you may need to make the initial appointment with a professional. You may also need to take them to the appointment and stay with them. Be supportive. Paranoia requires patience, understanding, love and encouragement of the person’s loved ones and friends.
Those close relationships are typically what frees a person who struggles.
Be aware of the types of medication your friend or relative takes and when they should take it. You should also alert their physician or psychiatrist to any side effects that you notice when they do or do not take their medication.
If I may, I would suggest a movie for you, “A Beautiful Mind.” This may give you a little insight.
“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.”
It’s easy to romanticize physical suffering — especially when you’re not the one experiencing it.
Saints like Amy Carmichael, who spent over twenty years bedridden, and Joni Eareckson Tada, a quadriplegic who lives in constant pain, can evoke peaceful images of unbroken communion with God. We may imagine that it’s easier for them to endure pain and weakness than it is for the rest of us.
Yet the reality of physical suffering is that it’s insistent and intrusive. No one gets used to it. Pain demands our attention. Time slows to a crawl, particularly in the middle of the night, when we’re begging God for the relief of sleep. We feel alone and isolated. No one else can enter the prison that our bodies have become.
Pain Accumulates
If that weren’t enough, physical pain rarely exists in isolation — it’s usually accompanied by loss, weakness, and dependence. Often, we require help with basic daily needs, and we worry about the burden we’re putting on others. We second-guess every request, not wanting to bother someone one more time. Will people get tired and think we’re “too much”? Do they resent their lack of freedom?
We longingly remember the carefree days before our physical struggles altered our lives, when we could do what we wanted. Now we measure our energy in teaspoons rather than buckets. We weigh every decision, every action. Saying yes to one activity means saying no to many others. It is hard not to envy those with fit bodies, who seem to have no cares.
Pain, loneliness, and longing can give way to depression and despair. We cry out to the Lord for relief, but relief doesn’t come. The cancer spreads. Sleep eludes us. The pain intensifies. The medicine stops working. The side effects multiply. Our caregivers grow weary. Our friends stop checking in. Our resources run dry.
Doubt Advances
The vibrant faith we once had begins to fade — which is exactly what Satan wants to happen as we suffer. He wants us to doubt and fall away from God, convinced that he is indifferent to our cries. Satan knows that we’re susceptible to discouragement when we’re physically depleted, so that’s when he attacks. As physical needs scream for attention, Satan whispers to us, “Does God even hear you, let alone really care for you? If he does, why isn’t he delivering you?”
“If God’s greatest blessing is himself, then perhaps sustenance is a more precious gift than deliverance.”
Insidious doubts slip in, making us question beliefs we once held rock-solid: Are we deeply loved by an all-powerful Father? As soon as we recognize the mental shift, we need to stop and cry out to God, asking him to meet us in our sorrow, to deliver us from our pain, and to show us evidence of his goodness and love. Are we fixating on all that we’ve lost, on how God hasn’t delivered us, on how hopeless we feel? Or do we recognize that God is with us, working for our good, and caring for us each moment?
What we think about in the moments of our deepest pain is critical. Our mindset will determine how we approach the questions that bombard us. Here are three common questions I’ve asked:
How can God be “for me” if I’m still suffering?
How can God use my weakness for good?
What good can come in moments of overwhelming pain?
How can God be ‘for me’ if I’m still suffering?
Sometimes God miraculously delivers us when we plead for relief, like at the parting of the Red Sea. Other times he sustains us, as he did with manna in the wilderness. The Red Sea deliverance freed the Israelites, but their need for manna kept them dependent on God. In gathering manna, they had a harder time forgetting their reliance on God. And if God’s greatest blessing is himself, then perhaps sustenance is a more precious gift than deliverance, since it can keep us in constant communion with him.
Take the apostle Paul. He begged God for deliverance from his thorn in the flesh, but instead he received grace — grace to bear the thorn, grace to be content with weakness, grace that would carry him through other trials as well (2 Corinthians 12:7–10).
When we realize that we can depend on God in our weakness, we learn to trust him in everything. Anyone can thank God for quick deliverance from physical suffering, but we often forget him until the next crisis. Yet when he sustains us in our pain, we’re confident that he is with us always.
How can God use my physical weakness for good?
We may think our physical weakness is keeping us from maximum fruitfulness, but that’s impossible. Our weaknesses are a part of God’s plan for our lives; they are intertwined with our calling. Paul thought his thorn was hampering his ministry, but God knew that it was the key to his strength: it forced Paul to be wholly dependent on God. When we are depleted and exhausted, lacking any resources of our own — it is then that we fully rely on God.
And in that reliance, we discover the power of God flowing through us — the same power that raised Jesus from the dead (Ephesians 1:19–20). This power keeps us enduring when we want to give up; it showcases God’s glory and brings lasting change. Because Paul relied on God’s provision, he accomplished more for the kingdom with his thorn than he could have without it. His greatest strength lay in his submission to Christ.
Even Jesus’s greatest strength appeared in his greatest physical weakness.
Throughout his ministry, Jesus impacted others by his actions. He calmed the storm with a word. He fed five thousand with a few loaves and fish. He cast out demons, healed the sick, and raised the dead. He turned the world upside down.
But at the end of his ministry, from the Last Supper on, Jesus allowed others to act upon him: he was led away, he was whipped and mocked, he was beaten and crucified. When he submitted to his captors, the crowds saw weakness rather than what was really there: Jesus’s strength and power.
Just before these horrific events, Jesus begged God to take the cup of suffering from him. But it was through Christ’s submission to the will of the Father — to torture and humiliation, to physical abuse and carrying his own cross — that God brought about the most astonishing display of his power and grace.
Broken Believers 