Category: stigma

Depression: Some Questions

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.

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“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.

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On Being Loved More Gently (My Disability)

There will be no wheelchairs, canes, or even ‘seeing-eye dogs’ allowed in heaven. Outside the gates, there will be a huge pile of crutches.

Some of us have been struggling with mental or physical illness.  Some people don’t understand us and they walk away.  This really hurts, and we can isolate ourselves even more.  We feel not only forsaken but even “cursed” by God.

But these things shouldn’t separate us from our Father’s love.  He loves “his special needs” children even more.

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.

I’m seeing lately that spiritual growth and getting older often work hand-in-hand (and why shouldn’t they?)  Often as we get older, we’ll start having many different issues.  When you’re 60 years old, you don’t have the same situations that you had when you were 30.  Physically we grow and understand things differently, and this works into us spiritually. 

Becoming older (and hopefully wiser) we will blend discipleship and age together, especially when the Word and Spirit are present.

“Every time I think of you, I give thanks to my God. Whenever I pray, I make my requests for all of you with joy, for you have been my partners in spreading the Good News about Christ from the time you first heard it until now.”  

“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 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 even ‘seeing-eye dogs’ allowed in heaven.

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.”

Romans 8:18

 

The Only Army that Shoots its Wounded

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By Dwight L. Carlson

From an article in Christianity Today, February 9, 1998

“The only army that shoots its wounded is the Christian army,” said the speaker, a psychologist who had just returned from an overseas ministry trip among missionaries. He summed up the philosophy of the group he worked with as:

1. We don’t have emotional problems. If any emotional difficulties appear to arise, simply deny having them.

2. If we fail to achieve this first ideal and can’t ignore a problem, strive to keep it from family members and never breathe a word of it outside the family.

3. If both of the first two steps fail, we still don’t seek professional help.

I have been a Christian for 50 years, a physician for 29, and a psychiatrist for 15. Over this time I have observed these same attitudes throughout the church—among lay leaders, pastors, priests, charismatics, fundamentalists, and evangelicals alike. I have also found that many not only deny their problems but are intolerant of those with emotional difficulties.

Many judge that others’ emotional problems are the direct result of personal sin. This is a harmful view. At any one time, up to 15 percent of our population is experiencing significant emotional problems. For them our churches need to be sanctuaries of healing, not places where they must hide their wounds.

THE EMOTIONAL-HEALTH GOSPEL

Several years ago my daughter was battling leukemia. While lying in bed in the hospital, she received a letter, which read in part:

Dear Susan, You do not know me personally, but I have seen you in church many times….I have interceded on your behalf and I know the Lord is going to heal you if you just let Him. Do not let Satan steal your life—do not let religious tradition rob you of what Jesus did on the cross—by His stripes we were healed.

The theology behind this letter reminded me of a bumper sticker I once saw: “Health and Prosperity: Your Divine Right.” The letter writer had bought into a “healing in the atonement” theology that most mainstream evangelicals reject.

According to this traditional faith-healing perspective, Christ’s atonement provides healing for the body and mind just as it offers forgiveness of sins for the soul. The writer meant well, but the letter created tremendous turmoil for my daughter. While evangelicals have largely rejected “health and wealth” preaching—that faithful Christians will always prosper physically and financially—many hold to an insidious variation of that prosperity gospel. I call it the “emotional-health gospel.”

The emotional-health gospel assumes that if you have repented of your sins, prayed correctly, and spent adequate time in God’s Word, you will have a sound mind and be free of emotional problems.

Usually the theology behind the emotional-health gospel does not go so far as to locate emotional healing in the Atonement (though some do) but rather to redefine mental illnesses as “spiritual” or as character problems, which the church or the process of sanctification can handle on its own. The problem is, this is a false gospel, one that needlessly adds to the suffering of those already in turmoil.

This prejudice against those with emotional problems can be seen in churches across the nation on any Sunday morning. We pray publicly for the parishioner with cancer or a heart attack or pneumonia. But rarely will we pray publicly for Mary with severe depression, Charles with incapacitating panic attacks, or the minister’s son with schizophrenia. Our silence subtly conveys that these are not acceptable illnesses for Christians to have.

The emotional-health gospel is also communicated by some of our most listened-to leaders. I heard one national speaker make the point that “At the cross you can be made whole. Isaiah said that ‘through his stripes we are healed’ … not of physical suffering, which one day we will experience; we are healed of emotional and spiritual suffering at the cross of Jesus Christ.” In other words, a victorious Christian will be emotionally healthy. This so-called full gospel, which proclaims that healing of the body and mind is provided for all in the Atonement, casts a cruel judgment on the mentally ill.

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Don’t Shoot the Wounded

Two authors widely read in evangelical circles, John MacArthur and Dave Hunt, also propagate views that, while sincerely held, I fear lead us to shoot our wounded. In his book “Beyond Seduction”, Hunt writes, “The average Christian is not even aware that to consult a psychotherapist is much the same as turning oneself over to the priest of any other rival religion,” and, “There is no such thing as a mental illness; it is either a physical problem in the brain (such as a chemical imbalance or nutritional deficiency) or it is a moral or spiritual problem.”

MacArthur, in “Our Sufficiency in Christ”, presents the thesis that “As Christians, we find complete sufficiency in Christ and his provisions for our needs.” While I agree with his abstract principle, I disagree with how he narrows what are the proper “provisions.” A large portion of the book strongly criticizes psychotherapy as one of the “deadly influences that undermine your spiritual life.” He denounces “so-called Christian psychologists and psychiatrists who testified that the Bible alone does not contain sufficient help to meet people’s deepest personal and emotional needs,” and he asserts, “There is no such thing as a ‘psychological problem’ unrelated to spiritual or physical causes.

God supplies divine resources sufficient to meet all those needs completely.” Physically caused emotional problems, he adds, are rare, and referring to those who seek psychological help, he concludes: “Scripture hasn’t failed them—they’ve failed Scripture.”

A PLACE FOR PROFESSIONALS

When adherents of the emotional-health gospel say that every human problem is spiritual at root, they are undeniably right. Just as Adam’s fall in the garden was spiritual in nature, so in a very true sense the answer to every human problem—whether a broken leg or a burdened heart—is to be found in the redeeming work of Christ on the cross. The disease and corruption process set into motion by the Fall affected not only our physical bodies but our emotions as well, and we are just beginning to comprehend the many ways our bodies and minds have been affected by original sin and our fallen nature. Yet the issue is not whether our emotional problems are spiritual or not—all are, at some level—but how best to treat people experiencing these problems.

Many followers of the emotional-health gospel make the point that the church is, or at least should be, the expert in spiritual counseling, and I agree. Appropriate spiritual counseling will resolve issues such as salvation, forgiveness, personal morality, God’s will, the scriptural perspective on divorce, and more. It can also help some emotional difficulties. But many emotional or mental illnesses require more than a church support network can offer.

I know it sounds unscriptural to say that some individuals need more than the church can offer—but if my car needs the transmission replaced, do I expect the church to do it? Or if I break my leg, do I consult my pastor about it? For some reason, when it comes to emotional needs, we think the church should be able to meet them all. It can’t, and it isn’t supposed to.

This is why the emotional-health gospel can do so much harm. People who need help are prevented from seeking it and often made to feel shame for having the problem. Thankfully, more and more people in the Christian community are beginning to realize that some people need this extra help. If professionals and church leaders can recognize the value of each other’s roles, we will make progress in helping the wounded. Forty percent of all individuals who need emotional help seek it first from the church, and some of these will need to be referred to mental-health professionals.

Church leaders should get to know Christian therapists in their communities so they can knowledgeably refer people with persistent emotional problems.

Should I Take Medication?

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.

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.

If that physical dimension could be helped by medicine—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.

 

© Desiring God, desiringGod.org

John Piper is the Pastor for Preaching at Bethlehem Baptist Church in Minneapolis, Minnesota. He grew up in Greenville, South Carolina, and studied at Wheaton College, where he first sensed God’s call to enter the ministry. He went on to earn degrees from Fuller Theological Seminary (B.D.) and the University of Munich (D.theol.). For six years he taught Biblical Studies at Bethel College in St. Paul, Minnesota, and in 1980 accepted the call to serve as pastor at Bethlehem. John is the author of more than 30 books and more than 25 years of his preaching and teaching is available free at desiringGod.org. John and his wife, Noel, have four sons, one daughter, and an increasing number of grandchildren.
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