Category: psychotherapy

Delusions of the First Person Variety

I need to briefly share what delusions are like.  I’m going to flip the switch and flood the room with light, and watch the “critters” scuttle to find a hiding place. 
I’m doing this to help heal myself, and for you to understand this awful state of mind.
First of all, let’s define things. 

Delusion n.
A false belief held despite strong evidence against it; self-deception. Delusions are common in some forms of psychosis. 

Delusion de·lu·sion n.
A false belief strongly held in spite of invalidating evidence, especially as a symptom of mental illness.

Typically, my delusions have a common core of pride or self-centered thinking. For instance, I have experienced all of these to a degree:

  1. A woman loves me and she is secretly trying to be with me. This is very flattering and egocentric.  This  one can really mess with your thought-life. (Ego.)
  2. I’m the center of the universe, people really do not exist, except when they come into my life or influence.  [This one is a bit metaphysical.] See #7.
  3. I have special powers that ‘know” a person’s motives, plans and heart.  I am hyper-discerning.  The opposite can be true at times, where I become exposed to people, which necessitates me never leaving my room. I feel “naked” and of course, very uncomfortable.
  4. I get paranoid, thinking people are plotting with each other behind my back, working to destroy me.  Chat rooms, and Facebook are focal points for me with this one, but not always.  With this one I get really verbal, and I start zapping people.  I guess because it’s the internet I can do this with impunity.
  5. Clocks are always at the top of the hour, like- 7:00 am.  Or they are at the bottom of the hour, like 11:30 pm.  I call this “chronosynchronism.” I believe this is evidence that my life is orchestrated, purposeful, and this is evidence I am very significant.  This is my latest.  And it really isn’t super disruptive.
  6. I can read secret messages in books meant for me.  I also line up spaces in what I’m reading to form an unbroken line.  I compulsively do this.
  7. The big one is this, I am in my form of “The Truman Show”.  The universe is just a set and I am the only living thing out there.  Everything is focused on me (of course).
  8. I hear voices sometimes, but mostly a radio or sometimes the “dot-dash-dot” of a telegraph.  I think its trying to warn me in some code.  It can be persistent. And it can be disruptive. Paranoid because my giftedness is the primary reason for the NSA to control me.
  9. My wife intends to poison me.
  10. Personal hygiene issues. Afraid of being murdered in the shower creates a super-phobia. I once went 6 weeks without showering. (I made my own eyes ‘water’, lol).
I guess all of these have one thing in common. 

They are self-centered.  They are unreasonable and illogical.  They are compulsive. And yes, meds do work.  And the above list?  The delusions are only mild-to-moderate issues of delusional paranoia.  There are so many Christians and non-Christians who have worse. I once met a man who seriously believed he was Jesus. (And no, I didn’t worship him).

As a believer working out his discipleship, I’ve discovered that humility and openness is always the way of keeping one tethered to reality.  However, I have a fear that I will break loose and never come out again.  I MUST live in “brokenness”.  (So in a strange way, following Jesus Christ is easier.)

Also, I must be open to things that will invalidate my delusion.  Even if I’m 99% convinced, that 1% will cause me to consider thinking through a scenario.  Truth is your best friend when you are challenging a delusional paranoid.  But it has to be gently applied. Life doesn’t have be lived this way. Also, delusions will often ‘morph’ and change and take on modified characteristics. This seems to be part of the mental illness, but can also indicate demonic oppression (or both even).

A psychiatrist should be informed in most cases. Very often meds will be necessary to get you through this time, but not always. But sometimes.

Praying for delusional behavior

People have prayed for me, more then I have prayed for myself.  Your intercession bridges a gap over this illness.  When you pray, you power up the energy cells and get instructions.  It may mean wait, or proceed.  Every person and situation is different.

“Do not believe that he who seeks to comfort you lives untroubled among the simple and quiet words that sometimes do you good. His life has much difficulty and remains far behind yours. Were it not otherwise he would never been able to find these words.”
Rainer Maria Rilke
Prayer is always the best approach.

So many delusions and so little time. They will vary from person-to-person. An active prayer may help, “Lord, may it be the real me who touches the real You.” Remember, Jesus stands at the right hand of his Father praying for you [which can’t be all bad].

 
 “Who is to condemn? Christ Jesus is the one who died—more than that, who was raised—who is at the right hand of God, who indeed is interceding for us.”

Romans 8:34

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How Does Your Church See Mental Illness?

Going my way?
This should give direction and dialogue on the issues faced by every church member. It is a great opportunity we have been given— to minister to every person in the Body of Christ. —Bryan
by Ken Camp, Associated Baptist Press  —

Living with depression — or any other form of mental illness — is like viewing life “through a glass darkly,” according to Jessy Grondin, a student in Vanderbilt University’s Divinity School. “It distorts how you see things.”

Like one in four Americans, (25%), wrestles significantly with a mental illness.

Depression is one of the most common types of mental illness, along with bipolar disorder, another mood-altering malady. Other forms of mental illness include schizophrenia and disorders related to anxiety, eating, substance abuse and attention deficit/hyperactivity.

Like many Americans with mental illness, Grondin and her family looked to the church for help. And she found the response generally less-than-helpful. “When I was in the ninth grade and hospitalized for depression, only a couple of people even visited me, and that was kind of awkward. I guess they didn’t know what to say,” said Grondin, who grew up in a Southern Baptist church in Alabama.

Generally, most Christians she knew dealt with her mood disorder by ignoring it, she said. “It was just nonexistent, like it never happened,” she said. “They never acknowledged it.” When she was an adolescent, many church members just thought of her as a troublemaker, not a person dealing with an illness, she recalled.

Mental Illness that affects believers must be accepted by the Church.

A few who acknowledged her diagnosed mood disorder responded with comments Grondin still finds hurtful. “When dealing with people in the church … some see mental illness as a weakness — a sign you don’t have enough faith,” she said. “They said: ‘It’s a problem of the heart. You need to straighten things out with God.’ They make depression out to be a sin, because you don’t have the joy in your life a Christian is supposed to have.”

A Baylor University study revealed that among Christians who approached their local church for help in response to a personal or family member’s diagnosed mental illness, more than 30 percent were told by a minister that they or their loved one did not really have a mental illness. And 57 percent of the Christians who were told by a minister that they were not mentally ill quit taking their medication.

It’s not a sin to be sick.

That troubles neuroscientist Matthew Stanford. “It’s not a sin to be sick,” he insists. Stanford, professor of psychology and neuroscience and director of the doctoral program in psychology at Baylor, acknowledges religion’s longstanding tense relationship with behavioral science. And he believes that conflict destroys lives. “Men and women with diagnosed mental illness are told they need to pray more and turn from their sin. Mental illness is equated with demon possession, weak faith and generational sin,”

Stanford writes in his recently released book, Grace for the Afflicted. “The underlying cause of this stain on the church is a lack of knowledge, both of basic brain function and of scriptural truth.” As an evangelical Christian who attends Antioch Community Church in Waco, Texas, Stanford understands underlying reasons why many Christians view psychology and psychiatry with suspicion. “When it comes to the behavioral sciences, many of the early fathers were no friends of religion. That’s certainly true of Freud and Jung,” he noted in an interview.

Often sin is not the main issue.

Many conservative Christians also believe the behavioral sciences tend to justify sin, he added, pointing particularly to homosexual behavior. In 1973, the American Psychiatric Association famously removed homosexuality from its revised edition of its Diagnostic and Statistical Manual of Mental Disorders. As a theologically conservative Christian, Stanford stressed that scripture, not the Diagnostic and Statistical Manual, constitutes the highest authority.

But that doesn’t mean the Bible is an encyclopedia of knowledge in all areas, and all people benefit from scientific insights into brain chemistry and the interplay of biological and environmental factors that shape personality. Furthermore, while he does not presume to diagnose with certainty cases of mental illness millennia after the fact, Stanford believes biblical figures — Job, King Saul of Israel and King Nebuchadnezzar of Babylon, among others — demonstrated symptoms of some types of mental illness. “Mental disorders do not discriminate according to faith,” he said.

Regardless of their feelings about some psychological or psychiatric approaches, Christians need to recognize mental illnesses are genuine disorders that originate in faulty biological processes, Stanford insisted. “It’s appropriate for Christians to be careful about approaches to treatment, but they need to understand these are real people dealing with real suffering,” he said. Richard Brake, director of counseling and psychological services for Texas Baptist Child & Family Services, agrees. “The personal connection is important. Church leaders need to be open to the idea that there are some real mental-health issues in their congregation,” Brake said.

Pastors much carefully reach out to the mentally ill.

Ministers often have training in pastoral counseling to help people successfully work through normal grief after a loss, but may lack the expertise to recognize persistent mental-health problems stemming from deeper life issues or biochemical imbalances, he noted. Internet resources are available through national mental-health organizations and associations of Christian mental-health providers. But the best way to learn about available mental health treatment — and to determine whether ministers would be comfortable referring people to them — is through personal contact, Brake and Stanford agreed. “Get to know counselors in the community,” Brake suggested. “Find out how they work, what their belief systems are and how they integrate them into their practices.”

Mental-health providers include school counselors and case managers with state agencies, as well as psychiatrists and psychologists in private practice or associated with secular or faith-related treatment facilities, he noted. Stanford and Brake emphasized the vital importance of making referrals to qualified mental-health professionals, but they also stressed the role of churches in creating a supportive and spiritually nurturing environment for people with mental-health disorders. Mental illness does not illustrate lack of faith, but it does have spiritual effects, they agreed. “Research indicates people with an active faith life who are involved in congregational life get through these problems more smoothly,” Brake said.

You can’t fix the issues, but you can love them.

Churches cannot “fix” people with mental illness, but they can offer support to help them cope. “The church has a tremendous role to play. Research shows the benefits of a religious social support system,” Stanford said. They stressed the importance of creating a climate of unconditional love and acceptance for mentally ill people in church — a need Grondin echoed. “There needs to be an unconditional sense of community and relationships,” she said. She emphasized the importance of establishing relationships that may not be reciprocally satisfying all the time.

People with mental-health issues may not be as responsive or appreciative as some Christians would like them to be, she noted. “Others need to take the initiative and keep the relationship established. People don’t realize how hard it can be (for a person with a mood disorder) to summon the courage just to get out of bed,” Grondin said. Christians who seek to reach out to people with mental illness need to recognize “they are not able to see things clearly, and it’s not their fault,” Grondin added.

Mostly, Christians need to offer acceptance to people with mental illness — even if they don’t fully understand, she insisted. “Just be present. Offer support and love,” Grondin concluded. “You won’t always know what to say. Just speak words of support into a life of serious struggles. That means more than anything.”

(EDITOR’S NOTE — Camp is managing editor of the Texas Baptist Standard.)
 

A great book:

“Grace for the Afflicted: A Clinical and Biblical Perspective on Mental Illness” [Paperback] can be found at www.Amazon.com, by Matthew S. Stanford Ph.D

*******

For more information: National Alliance on Mental Illness (800) 950-6264 Anxiety Disorders Association of America (240) 485-1001  Depression & Bipolar Support Alliance (800) 826-3632  American Association of Christian Counselors (800) 526-8673 Stephen Ministries (314) 428-2600

 

Thinking About Mental Illness

“Brothers and sisters, do not be children in your thinking; yet in evil be infants, but in your thinking be mature.”

1 Corinthians 14:20

Those of us who are broken have to think through lots of stuff. But Jesus is our Teacher, and He fully intends to educate His disciples. Following Him is to be vibrantly alive, and yet I still must deal with the issues of living, and of having a growing faith that is becoming real at long last.

I’ve found that this really isn’t a “one and you’re done” experience.

The Bible describes a slow growth into the image of Jesus– -painstakingly learning about our frosty hearts, and how God keeps pouring His “super-heated” grace on the broken. We’re finally becoming ‘poor in Spirit’ and we’re learning to ‘mourn’ over our sins, perhaps we realize that we’ve fallen quite short of His will for us. (Matt. 5:3-4).

This list isn’t orderly or exhaustive, and it’s written primarily for the mentally ill Christian believer:

  • Stigma-This is one of the basic hazards that come with being a believer with a mental illness. People will whisper and treat you like you’re a moron, even in God’s church. You’ll try to become thick-skinned and ask Jesus for His help. He understands you completely. Even the Lord’s own family considered Him mentally disturbed. You’re in good company.

“And when those who belonged to Him (His kinsmen) heard it, they went out to take Him by force, for they kept saying, He is out of His mind (beside Himself, deranged)!” Mark 3:21, Amplified.

  • Medications– This will be a stretching time as you must determine what’s best for you, your family, and basic functionality. There will be many opinions and definite issues that ‘disciples.’ must navigate. Some say that therapy and ‘meds’ are wrong. Perhaps for some. No matter what though, your patience will be required and you’ll need to seek His wisdom. He will tell you what to do.
  • “Not neglecting to meet together, as is the habit of some” must anchor us. We were built for real fellowship.  It’s quite easy to attempt to go it alone, but that isn’t what God wants, it’s wrong. Not being with others is a disease of the spiritual heart. I’ve chafed at this from time to time. 
  • Therapy— To go or not to go? I happen to believe a good counselor is worth their weight in gold, but a bad therapist can be a real challenge to your faith. Figure out your tolerance level on this. Quite often I simply need a good listener, and listening is a skill that is developed over time. Find a listener.
  • Marriage—  A good spouse is your key to managing your mental illness. God has gifted them to deal with your disability; they’re your partner in this. Bring them into some of your appointments. Talk, and listen. Learn to pray and worship together. Read the Word out loud. Remember they are learning too. Your disability is also shaping their own discipleship to Jesus. 
  • Family— They’ll often feel the brunt of your issues. It is good to be aware of this and adjust to their needs. Above all, don’t flog yourself for your failings. Allow God to redeem your situation. Trust in the Lord, and try not get in His way. He wants to renew things. Always look for creative ways to love your family. (Surprise ice cream does wonders!)
  • Work— Not surprisingly, some employers have very little tolerance for your issues, but the law says is that they can’t discriminate against a mental illness. I hope it won’t come down to that.

Title I of the Americans with Disabilities Act (ADA) and Section 501 of the Rehabilitation Act of 1973 (Section 501) are the federal laws that protect people with disabilities, including mental health disabilities, from discrimination at work. 

  • Fellow strugglers-– Finding other mentally ill believers is priceless. When I meet someone who also struggles with severe depression I want to give them a big bear hug. We instantly have a rapport that isn’t easily defined. Finally, there is someone who understands my battle!
  • Prayer and worship—Desperate prayers have a tendency to get answered. Start praying for five minutes a day. Pray, do not complain. Be real, not religious. Talk with Jesus like he was your best friend. Prayer is the key to making the above work. Prayer is the “heartbeat” of heaven. And of course–worship! (The real stuff, not religious.)
  • The Word of God–the scriptures (especially the Psalms) are pretty real stuff. Check out Psalm 88, it’s especially written for the one who struggles.

We have the joy of combining our discipleship with our illness.

This is a formidable task. But the Helper, the Holy Spirit stands ready to give us His wisdom. He graces us with intense spiritual power. The battle rages and times get tough. Perhaps “grittiness” should we should add to the fruits of the Holy Spirit? I’ve now walked with Him for over 40 years now, and I know Jesus has never left me alone. He never lets me ‘twist in the wind.’ He promised, I’m never alone. No matter what.

The Lord truly will accommodate your illness with His power and grace. He promised.

He always does this for His children. No believer is ever overlooked or forgotten. He is constantly aware of you. What comfort and peace that brings.

“There is no circumstance, no trouble, no testing, that can ever touch me until, first of all, it has gone past God and past Christ, right through to me. If it has come that far, it has come with a great purpose.” 

— Alan Redpath

These are some of the areas that are affected by your mental illness. A wise spouse, pastor, elder, friend, or therapist can do wonders when things get difficult. Sometimes we need a new perspective as we sort things out. God will often use others to bandage and heal us. That’s the way He works.

“There has never been the slightest doubt in my mind that the God who started this great work in you would keep at it and bring it to a flourishing finish on the very day Christ Jesus appears.”

Philippians 1:6, Message

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FYI. I have another site up and running, alaskabibleteacher.com.

 

Welcome to Schizophrenia

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 that others can’t? 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–we call this paranoia. 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.

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.”

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.

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

The Mayo Clinic: Good, solid and trustworthy, a great introduction.

WebMd: Early Signs to look for.

World Health Organization: More advanced, but still accessible and understandable.