Category: SAD

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

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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

 

Killing My Sin, Before It Kills Me

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We are for the most part anyway, eager to please God. We are Jesus’ people with the occasional brush with sin. But hey, who doesn’t? But that attitude must be questioned.

“My little children, these things I write to you, so that you may not sin.”

1 John 2:1

John hopes that his readers would make a choice— not to commit sin. After all, what soldier goes into battle with the intent of getting just a little wounded? Often we will sin just because it seems so inevitable, and we feel we can’t help ourselves. (But the reality is that we can.)

But the Holy Spirit now lives inside. Cooperation with Him is needed. Often we will work ourselves into a ‘no win scenario’ where we believe that sin rules. We can’t beat it, so we stop trying. That is common, and sad.

‘Passivity’ is defined as not participating readily or actively; inactive. When we are passive spiritually, we disengage ourselves from any effort of living holy and pure lives. Not being ‘hot’, but content to be lukewarm. At this point sin becomes, reluctantly, tolerated. “After all, I’m a sinner, what else can I do?”

Mentally ill people are often passive. We are told that we have an uncontrolled illness which dictates that we act ‘irresponsible.’ Our depression often escalates and we feel victimized by it. My experience has taught me that there are three kinds of depression:

  • organic depression, or the ‘biochemistry’ of the disease,
  • guilty depression, the kind that feels bad because of what we’ve done (or didn’t do),
  • reactionary depression, the type we feel when experiencing a loss, a loved one, or a job

Depression will almost always fall in these three categories. And passivity plays a part in all three. We  frequently feel victimized and ‘acted upon.’ When it comes to our discipleship we don’t act, we react. We are utterly convinced of the Bible— God’s truth, but we are so sporadic we can’t seem to get it to work for any length of time.

Yes, we are believers. And yes, we have issues. We’re waiting for a miracle, and hope we get a breakthrough soon.

At the base point of our lives, quite often, there is a passive attitude. Passivity aggravates our depression or mental illness. It deepens, spreading through our lives like a contagious illness. Our discipleship sputters and stalls. We no longer act on God’s Word, but we find ourselves fabricating a faith that makes allowances for our situation.

But we must ‘act the miracle.’ Everything God gives… everything… must be received by a convinced faith. We must be persuaded to give up our flawed ideas, and believe God for the real thing. I opened up this with 1 John 2:1. But there’s much more to this verse:

“My little children, these things I write to you, so that you may not sin.  And if anyone sins, we have an Advocate with the Father, Jesus Christ the righteous.”

I don’t want you to sin. Avoid sin. But even if you do— we have someone who will plead our case before God. He stands and argues our plight. He loves us that much.

 

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The Real Treasures, [Weaknesses]

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As Christians often our theology tells us that mental illness, depression, and bipolar disorder have no place in the believer’s life.  So we hide, sneaking into our sessions with our therapists, and change the subject to minimize our exposure to direct questions. We have had to hide our issues really well. 

But I would submit to you that it is we who are closest to the Kingdom of God. It is far easier for us to approach the Father, in our brokenness, humility, and general lostness. We have needs; a sound mind, a healthy body and we know it. We have no illusions of wellness, nothing can convince us that we are well. We are not.

We are broken and only our loving creator can mend us.

You might say that the Church needs us. An Archbishop was given an ultimatum by the Huns who surrounded his cathedral. “You have 24 hours to bring your wealth to these steps”, the war-leader demanded. The next morning the Archbishop came out leading the poor, the blind, the lame, and the lunatics. “Where is your treasure? Why have you brought out these… people?” The Archbishop simply and quietly replied, “These are the treasures of the Church, these who are weak are our valuables. They make us rich.”

We often can value giftedness more than weakness.

I am afraid the the Western Church no longer sees its “treasures” like it should. In our pride and self-centeredness we have operated our churches like successful businesses. We value giftedness more than weakness. We definitely have no room for the desperately weak. I suppose it’s time for the Church to begin to act like Jesus.

Church isn’t where you meet. Church isn’t a building. Church is what you do. Church should be a verb.  Church is who you are. Church is the human outworking of the person of Jesus Christ. Let’s not go to Church, let’s be the Church.

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Coming Apart at the Seams, [S.A.D.]

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Seasonal Affective Disorder is real

If you notice periods of depression that seem to accompany seasonal changes during the year, you may suffer from seasonal affective disorder (SAD). This condition is characterized by recurrent episodes of depression – usually in late fall and winter – alternating with periods of normal or high mood the rest of the year.

Most people with SAD are women whose illness typically begins in their twenties, although men also report SAD of similar severity and have increasingly sought treatment. SAD can also occur in children and adolescents, in which case the syndrome is first suspected by parents and teachers. Many people with SAD report at least one close relative with a psychiatric condition, most frequently a severe depressive disorder (55 percent) or alcohol abuse (34 percent).

What are the patterns of SAD? Symptoms of “winter SAD” usually begin in October or November and subside in March or April. Some patients begin to slump as early as August, while others remain well until January. Regardless of the time of onset, most patients don’t feel fully back to normal until early May.

Their depressions are usually mild to moderate, but they can be severe. Very few patients with SAD have required hospitalization, and even fewer have been treated with electroconvulsive therapy.

The usual characteristics of recurrent winter depression include:

  • oversleeping,
  • daytime fatigue,
  • carbohydrate craving
  • and weight gain, although a patient does not necessarily show these symptoms.

Additionally, there are the usual features of depression, especially decreased sexual interest, lethargy, hopelessness, suicidal thoughts, lack of interest in normal activities, and social withdrawal.

Treating your SAD

Light therapy is now considered the first-line treatment intervention, and if properly dosed can produce relief within days. Antidepressants may also help, and if necessary can be used in conjunction with light. In about 1/10th of cases, annual relapse occurs in the summer rather than winter, possibly in response to high heat and humidity. During that period, the depression is more likely to be characterized by insomnia, decreased appetite, weight loss, and agitation or anxiety.

Interestingly, patients with such “reverse SAD” often find relief with summer trips to cooler climates in the north. Generally, normal air conditioning is not sufficient to relieve this depression, and an antidepressant may be needed. In still fewer cases, a patient may experience both winter and summer depressions, while feeling fine each fall and spring, around the equinoxes. The most common characteristic of people with winter SAD is their reaction to changes in environmental light.

Latitudes effect attitudes
Latitudes effect attitudes

Patients living at different latitudes note that their winter depressions are longer and more profound the farther north they live. Patients with SAD also report that their depression worsens or reappears whenever the weather is overcast at any time of the year, or if their indoor lighting is decreased. SAD is often misdiagnosed as hypothyroidism, hypoglycemia, infectious mononucleosis, and other viral infections.

http://www.ncpamd.com/seasonal.htm

http://www.mayoclinic.com/health/seasonal-affective-disorder/DS00195

http://www.alaskanorthernlights.com/

 

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