What’s Your Take on Christians Using Antidepressants?
by Pastor John Piper
I’m going to say that there are times when I think it is appropriate, but I want to go there cautiously and slowly, with warnings.
Depression is a very complex thing.
It’s got many layers. I think we all would agree that there are conditions in which nobody would deny that certain people are depressed in a pathological way because they’re immobile. They’re not even able to function.
And then there’s a continuum of discouragements and wrestlings with having an ‘Eeyore-type’ personality, which may or may not be depressed.
So that means that I want to be so careful not to have a knee-jerk reaction. When you come into my office and describe to me your discouragements, I don’t want my first response to be, “See a doctor and get a prescription.”
I fear that is way too quick today. The number of people on antidepressants as a first course rather than the last course is large.
And the assumption is that you can’t make any progress in counseling unless you get yourself stabilized or something.
So I just want to be very cautious.
As a Christian who believes that Christ is given by the Holy Spirit to deliver us from discouragements and from unbelief and sorrow and to help us live a life of usefulness, what makes me able to allow for antidepressants is the fact that medicine corresponds to physical realities.
And the physical realities are that we get headaches that make us almost unable to think. Migraine headaches can put a man out. And we are pretty much OK if the doctor can help us find some medicine that would not let us get these immobilizing headaches.
And the headaches clearly have a spiritual impact, because they’re making me unable to read my Bible and function in relation to people that I want to love and serve. And so medicine becomes spiritually effective in that way.
In the short run especially, sometimes long term—then I think, in God’s grace and mercy, we should take it as a gift from his hand.
If that physical dimension could be helped by medicine.
So we apply this principle that we all use to depression, and then the fact that the body is included in depression. Whether we should use the terms “chemical imbalances”—I’ve read both sides on that. Some people say that there is no scientific evidence for such a thing and others say that it is a given. Whatever. Everybody knows that there are physical dimensions to depression.
There will be no wheelchairs, canes, or even ‘seeing-eye dogs’ allowed in heaven. Outside the gates, you will find a huge pile of crutches.
Some of us have been struggling with mental or physical illness, facing a daily battle against invisible demons that others cannot comprehend. It is a lonely journey, as many people around us don’t understand the depths of our pain, and they unknowingly contribute to our isolation. Their lack of understanding can be hurtful, as it reinforces the feeling of being abandoned and forgotten.
In these moments, we might even question our faith and wonder why God has afflicted us with such burdens. We might ask ourselves if we are being punished or somehow cursed. These thoughts can shake the foundations of our beliefs and leave us feeling lost and disheartened.
However, it is important to remember that our struggles do not define us.
God’s promises do. We are so much more than our illnesses. We are warriors, fighting battles that others cannot see. Each day we wake up and continue to fight, we display immense strength and resilience.
Though it may feel like we are walking a solitary path, it is important to know that we are not alone. There are others out there who understand our struggles, who have experienced similar pain, and who can offer support and empathy. It may take time to find them, but they are there, waiting to walk alongside us on this journey.
In our darkest moments, it can be helpful to lean on spiritual things, to seek understanding in prayer or worship. Connecting with the Holy Spirit can bring a sense of comfort and peace, even in the midst of our pain.
Remember, we are not alone in this.
We are surrounded by a community of individuals who have faced similar battles and who are rooting for our success. Our worth is not determined by our illnesses, but by the strength and resilience we show in the face of adversity. Let us continue to fight, knowing that there is hope and healing on the horizon.
But these things shouldn’t separate us from our Father’s love.
I believe He loves “his special needs” children even more. There’s a special intimacy that leads to gentleness and wisdom. He loves you enough to give you these wonderful gifts.
We believe that our transformation is happening, more and more, into the image of Christ. We are becoming like him (hence the word, Christlikeness). This is a long process, but it is happening! (Philippians 1:6). God has given his word. Don’t give up. It may take years, or maybe taking just a few moments.
I believe Jesus understands us perfectly. He is up to something quite wonderful.
“And I am certain that God, who began the good work within you, will continue his work until it is finally finished on the day when Christ Jesus returns.”
Philippians 1:3-6, NLT
It is my wish for you that you could walk in your own shoes, and not be somebody else. Also that you would know the grace of God intimately. Being disabled means special efforts will often be necessary, but Jesus’ love for your soul will be molded to fit that disability. There will be no wheelchairs or canes, or ‘seeing-eye dogs’ allowed in heaven. (Check out Rev. 21:3-4.)
I like to imagine that there will be a considerable pile outside the gates. Glory awaits.
“I consider that our present sufferings are not worth comparing with the glory that will be revealed in us.”
“You are the light of the world. A city set on a hill cannot be hidden. 15 Nor do people light a lamp and put it under a basket, but on a stand, and it gives light to all in the house.”
Matthew 5:14-15, ESV
Overall, I think this Manning quote is a great observation. We, the torn and wounded, often try to hide, secluding ourselves in the “Island of Misfit Toys.” (Got to love 60s TV.) We pretty much accept our lot as eccentric or even damaged merchandise.
Maybe we choose to isolate ourselves more than we want to admit. Could that be what we do? Are we still embarrassed and ashamed by all that we’ve done?
This may come as a shock, but the Church doesn’t need any more gifted people.
But it does need broken people who understand ‘the giftedness of the flawed.” When we conceal, we diminish the Church by our absence. We can ostracize ourselves, through a self imposed shame— but the Church will suffer. We need to show them that everyone can be healed, even screwy ‘fruit-cakes’ like us.
I recently had the privilege of speaking to a class of young Bible college students.
My subject was decidedly not on being successful, but on being a failure. Whole courses are geared toward ministerial success– but where are the ones for failure? I think that it just might be as important, in the long run. Very few of us have arrived.
No human effort can ever erase your past.
I have tried and it can’t be done. I have blitzed my brains on drugs and booze, but I still remember the people I’ve hurt. (And I pray for them.) There really isn’t a cure for the evil we have done. I believe in forgiveness. And I hold to the idea that are sins are never to be a subject of guilty accusation–
“He will again have compassion on us; he will tread our iniquities underfoot. You will cast all our sins into the depths of the sea.”
Micah 7:19
Now completely extracted from us, our iniquity is put in a very deep place. But there are the memories of an unkind word, or a sad and dark foolishness that we must learn to live with. There will be many regrets, and we face the terrible consequences of our sins, but it’s enough to know that all is under the blood of Jesus.
We are indeed forgiven. Completely.
We are now to live as forgiven sinners, yet precious in God’s eyes. We discover that although the Father has no favorites among His children, but He does have intimates. We are to live the rest of our lives for His glory, exploring that intimacy. We are now His light, whether we want it or not.
“Leave the broken, irreversible past in God’s hands, and step out into the invincible future with Him.”
Here are things I’ve heard over the years that we must take a second look at. Here are some possible answers.
“There must be something wrong with your spiritual life.”
Yes, depression CAN be a result of sin. BUT depression is NOT always a result of sin! If it is, God will tell you loud and clear what the problem is. This saying piles on the guilt for the depressed Christian. It’s unlikely that their depression has a spiritual cause, and this implies that they are not good enough spiritually.
“Repent and ask forgiveness for your sin!”
Depression is a result of sin, in that if there was no sin in the world depression wouldn’t exist. But then, neither would diabetes, cancer, or any other illness… Sin caused the world to be not-perfect, therefore illness exists. It’s a sin to be depressed, any more than it is to have any other illness. Depression can be used by God to encourage repentance, but in that case, it will be crystal clear exactly what sin you should repent of. If you don’t know or have just a vague sense of guilt, your depression is not the result of sin.
“You need to have more faith.” “Have faith in God.”
Hebrews 11:1, “Now faith is the substance of things hoped for, the evidence of things not seen.” How much faith does it take to hold onto the Christian faith when emotions scream at you daily to give up, get out and turn against God? Very often a depressed Christian will be hanging onto faith by their fingernails in something that requires a ton of faith.
“Taking antidepressants is playing God, He can heal you.”
Yes, God can heal. Sometimes he doesn’t just flick a switch to make the illness vanish, sometimes the healing comes through the conventional ways of doctors, psychiatrists, counselors, therapists, and medication. By persuading someone not to take their medicines in preference for a quick, supernatural healing that God may not have in store for them, the sufferer is being denied something that will help them, right now.
“Scripture says everything that happens is for your own good!”
The actual verse found in Romans 8:28, “And we know that in all things God works for the good of those who love him, who have been called according to his purpose.” This verse in no way implies that the sufferer should sit back and accept the illness for the rest of their life. It also does not say that illnesses are not to be fought with the intention of a cure. While God may well have things to do with a depressed person, the illness is not a good thing itself, and it may take years before you see positive results from it.
“You’ve been prayed for, why has nothing changed?”
This can be expressed in several ways and spoken by one of two different groups of people: either the person who asked for prayer or those who prayed for them. We’ll break the underlying situation into two areas: something definite was experienced in the prayer time: chains were obviously broken and new freedom gained, or, nothing apparently happened at all. That is, “I know God set you free,” why aren’t you free yet?
“Depression is a self-discipline problem.”
Self-discipline is important to a Christian. We have to be disciplined enough not to break the laws of the land, and to obey our God. But no amount of discipline will get rid of a medical problem. This statement implies that the sufferer is lazy and could become better by sheer force of will. This is not possible and causes a lot of guilt.
“You’re depressed because you choose to be.”
Why would anyone choose depression? It is hell on earth. It destroys everything it touches. Families, marriages, jobs, churches, and ministries- faith, peace, hope, and love. Depression corrodes all that it touches.
Does a diabetic or cancer patient choose their disease? Does the blind or the deaf person wake up in the morning and decide they aren’t going to keep being handicapped? These are the questions I would ask.
“You just need to rebuke that spirit of depression and tell it to leave you. Don’t let Satan steal your joy.”
There are two problems with this statement. One problem is the assumption that depression is caused by demonic oppression. The other problem is the assumption that joy and happiness are the same things. Blaming a “spirit of depression” can be a wonderful cop-out. Just cast out the spirit and you’re cured! No need for long-term support, prayer, counseling, or anything at all! And with this statement comes the implicit assumption that once again it’s your fault you’re depressed, this time because you’re not “spiritual” enough to get rid of the troublesome spirit yourself.
Yes, it is possible that demonic oppression can cause depression. No, demons are not responsible for every case of depression. Imagine what would happen if this statement was directed at someone with cancer, hemophilia, or osteoporosis (“Just cast out that demon attacking your bones and be strong again! God wants to see you running marathons!”).
The second problem with this statement is that joy is equated with happiness. People with depression are not going to be the happiest souls in the church. I’ve heard it said that happiness depends on what happens, whereas joy can exist in very unhappy situations.
“There’s no such thing as mental illness, it’s all in your mind”
Saying this denies that there is anything actually wrong with the depressed person, and implies that they are just making it up. This piles on the guilt again! A mental illness can be defined as one that affects the mind; the brain is allowed to get ill, just as the liver and lungs are.
“It’s your own fault you’re depressed”
This is the kind of thing that Job’s “comforters” said, and it didn’t help then either. Bad things can happen to good people. Denying this hurts the sufferer.
“Pull yourself together”
If you’ve been trying, someone saying this to you comes across as “You haven’t been trying hard enough, do more, and more, and more until you get it right.” So back you go, pushing more and more, and still getting nowhere because you cannot pull yourself out of depression by your bootstraps, and you can’t fix a medical problem by force of will.
Broken Believers 