The Bible is plumb full of commentary on depression. King David experienced intermittent times of intense depression. He was a man who had to work through a great deal of it, and we can see that he succeeded in breaking through into freedom.
Would David today be treated with antidepressants? Could he have been treated at a mental hospital? (I honestly think the answer is “yes” to these questions. He was definitely devastated by depression at certain times.)
There is no question he experienced both spiritual and physical depression. But I believe that David teaches us that depression has a spiritual component in our fallenness. It has to be treated holistically, covering both the physical and the spiritual. It’s like having two hands injured but only treating just one of them.
We need to discern the difference between:
depression caused by guilt (sin)
depression caused by a medical issue (organic)
depression as a reaction to a trauma or loss (reaction)
This is key. These all can be working at the same time (and very often do). But there will only be a partial release if there is only a partial solution. The three can overlap each other. Any of the three can be the predominant kind of depression.
The points below deal primarily with “guilt” or “sin depression.” (I’m not qualified to speak out on the othe1) Confession of sin may free us from certain issues of depression.r two.)
13″If you don’t confess your sins, you will be a failure. But God will be merciful if you confess your sins and give them up.” Proverbs 28:13 (CEV)
2) The story of Cain and Abel reveals the issue of “angry depression” taking over a person’s actions.
“6The LORD said to Cain:
What’s wrong with you? Why do you have such an angry look on your face? 7If you had done the right thing, you would be smiling. But you did the wrong thing, and now sin is waiting to attack you like a lion. Sin wants to destroy you, but don’t let it!”
3) David was depressed until he confessed his sin of adultery with Bathsheba.
3“When I refused to confess my sin, my body wasted away, and I groaned all day long. 4 Day and night your hand of discipline was heavy on me. My strength evaporated like water in the summer heat.” Psalm 32:3-4 (NLT)
4) The way out of depression caused by guilt is confession and seeking God’s forgiveness.
5 “Finally, I confessed all my sins to you and stopped trying to hide my guilt. I said to myself, “I will confess my rebellion to the Lord.” And you forgave me! All my guilt is gone.
1 Oh, what joy for those whose disobedience is forgiven, whose sin is put out of sight! 2 Yes, what joy for those whose record the Lord has cleared of guilt, whose lives are lived in complete honesty!”
Psalm 32:5 , 1-2
5) If you are a Christian and are experiencing “moderate-to-heavy” depression, I would encourage you to seek out medical help. Medication may be helpful to get through this rough time, and talk therapy can be a life-saver. If your depression is caused from guilt, it will NOT get better, until you deal with it in the presence of God.
Now I’m not a physician, nor is this post medical advice.If you are experiencing thoughts of depression and suicide seek out help immediately. Call 911 right now.
Your regular doctor can guide you to a good psychiatrist which may help.
Mental illnesses in parents represent a risk for children in the family. These children have a higher risk for developing mental illnesses than other children. When both parents are mentally ill, the chance is even greater that the child might become mentally ill.
The risk is particularly strong when a parent has one or more of the following: Bipolar Disorder, an anxiety disorder, ADHD, schizophrenia, alcoholism or other drug abuse, or depression. Risk can be inherited from parents, through the genes.
An inconsistent, unpredictable family environment also contributes to psychiatric illness in children. Mental illness of a parent can put stress on the marriage and affect the parenting abilities of the couple, which in turn can harm the child.
Some protective factors that can decrease the risk to children include:
Knowledge that their parent(s) is ill and that they are not to blame
Help and support from family members
A stable home environment
Therapy for the child and the parent(s)
A sense of being loved by the ill parent
A naturally stable personality in the child
Positive self esteem
Inner strength and good coping skills in the child
A strong relationship with a healthy adult
Friendships, positive peer relationships
Interest in and success at school
Healthy interests outside the home for the child
Help from outside the family to improve the family environment (for example, marital psychotherapy or parenting classes)
Medical, mental health or social service professionals working with mentally ill adults need to inquire about the children and adolescents, especially about their mental health and emotional development. If there are serious concerns or questions about a child, it may be helpful to have an evaluation by a qualified mental health professional.
Individual or family psychiatric treatment can help a child toward healthy development, despite the presence of parental psychiatric illness. The child and adolescent psychiatrist can help the family work with the positive elements in the home and the natural strengths of the child. With treatment, the family can learn ways to lessen the effects of the parent’s mental illness on the child.
Unfortunately, families, professionals, and society often pay most attention to the mentally ill parent, and ignore the children in the family. Providing more attention and support to the children of a psychiatrically ill parent is an important consideration when treating the parent.
“In my search for a counselor, I visited a secular psychologist, read books written by extremist biblical counselors, and had tearful talks with my own general practitioner. I wish I had known then what TYPES of Christian counselors were out there and how on earth I could find help I could trust and afford.”
Why Educate Yourself about Christian Counseling?
Perhaps you do not suffer from depression, have a great marriage, kids seem to be doing okay, everything is fine. Why should you look into various types of Christian counsel?
1) Think of a Christian counselor as an invaluable resource, much like the family lawyer, pediatrician, or accountant. When problems arise, wouldn’t it be nice to already have the information you need regarding local counseling services?
2) It’s always a good idea to have information at hand so that you can guide distraught friends and family members to a trusted counselor who can offer biblical guidance and support.
If you are a believing Christian, I MUST recommend seeking a Christian counselor.
“Consequently, you are no longer foreigners and aliens, but fellow citizens with God’s people and members of God’s household.”
The Problem with Secular Counsel
Many secular counselors will take your faith into consideration when treating you. However, as citizens of heaven,seeking counsel from a non-Christian is much like seeking counsel from someone who doesn’t speak your language…and he or she does not speak yours. Progress and inroads could be made, but in the long run, little will be accomplished.
There is wisdom and truth from godly counsel:
“The godly offer good counsel; they know what is right from wrong.”
Find a Christian who is a professional counselor. There are a number of directories on the internet. Each individual counselor is different from the next, however, and you will need to interview any counselor before you decide to use his or her services.
If Possible, Find a Specialist
You may wish to choose a counselor who specializes in a specific area. There a number of issues for which people seek counsel, including:
Coping with Stress
Major life changes
Religious doubt/ confusion
Sexual/ intimacy difficulties
The first thing to consider when choosing a Christian counselor is whether or not they are capable or qualified to handle the particular issue you seek counsel for. A marriage counselor may not be the best person to go to if your thirteen year old daughter is battling anorexia. This seems like a given; however, be sure your counselor has experience handling your specific issue.
Decide whether or not you would feel more comfortable seeing a man or a woman for your particular problem.
Seek a Licensed Professional
Also, if you seek counsel outside of your church, make sure your counselor is a licensed professional. I suggest finding a professional who holds a minimum of a master’s degree in their field of study, who has completed the required number of supervised hours, and who has passed your state’s examination to become a licensed counselor.
Remember that most counselors employed by churches are Professional counselors, but few are not. A church counselor should be qualified through their educational experience, should have some sort of license or certification that enables them to counsel (generally they have a Christian counseling certification awarded from various Christian counseling training programs or colleges.)
Interview Your Prospective Counselor BEFORE Your First Session
Going into a counseling session before you know where your counselor is coming from can be dangerous, especially when you are in a vulnerable emotional position unable to clearly think or discern the counsel you receive.
Before your first session, make the counselor shares your faith and concerns about the issue at hand. If possible, bring a trusted companion along to get their opinion about the practice you are considering.
Some questions to ask your potential counselor are:
What is your Christian counseling approach?
Do they adhere strictly to biblical counseling or do they consider psychological approaches as well?
What license or certification do you have? Is it from an accredited college? A Christian college? A training program?
Are you affiliated with any particular Christian counseling organization?
How do you integrate the bible into your counseling sessions?
How do your incorporate prayer into your counseling practice?
Do you have experience counseling people with (insert the issue for which you seek counsel)?
What is your payment structure?
Will my insurance cover my sessions with you?
What is your view on psychoanalysis, medication treatments for psychological ailments, and other scientific approaches to mental illness?
If you have an opportunity to interview your potential counselor in his or her office, take a good look at the books on the bookshelves. The types of books displayed give you an excellent indication of the types of counsel you will receive.
Before you make your final decision, pray on it, consult your Bible, and if possible, talk to your trusted general practitioner before seeking therapy.
Educate yourself about the various types of Christian counselors. When finding a Christian counselor, remember to find a licensed, experienced CHRISTIAN professional capable of addressing your specific issue. Interview your prospective counselor before attending your first session. Go prepared with a series of questions that will help your gain knowledge about the kind of counsel you will be receiving. Prayerfully consider whether or not you and the counselor are a good fit.
Taken from a great website for believers with issues:
What do you say to people who ask if you’ll eventually stop taking medication?
I say to people that they don’t expect a diabetic to stop taking insulin, or someone with a heart condition to stop taking blood thinners. I have a chronic, lifetime disease and the only responsible thing for me to do is stick with my medications.
People wonder about medications’ long-term effects on the brain. I explain that while the medications’ effects appear to be reversible as soon as you stop taking them, the long-term effects of having repeated depressive episodes appear to be absolutely dire. There is lesioning of the hippocampus, and brain cells die. And this is in addition to the havoc that such repeated episodes cause in your daily life.
Imagine you have heart disease. You’re prescribed medication, you do better for a while, so you stop the meds. Then you have another heart attack, so you go back on the medication to get better. Twelve heart attacks later, what kind of shape are you in? It’s obviously crazy. If you have recurrent depression, you are not being “courageous” or “genuine” to go off your medication. You’re being foolish.
Can you explain the importance of balancing therapy and medication?
Different treatments work for different people, and I am open to the endless possibilities out there. But for most people, a combination of medication and therapy is the surest-fire way to handle depression.
The medication alleviates the worst symptoms and lets you function again. It makes life and the world bearable. But once you have emerged from the horror, you need to learn skills for managing the illness. You need to understand where it comes from. You need to make your peace with the idea that you cannot be fully yourself without the use of medications or other support structures.
And you need someone capable who can keep an eye on you. Ideally, you also need to understand the structure of your own personality and who you are; this gives you a feeling of peace and allows you to get through a difficult time with dignity.
By his mid-twenties, Solomon established himself as a multi-disciplinary wunderkind, earning international accolades for his work as a novelist, journalist and historian. After the death of his mother, the then 31 year old Solomon descended into a major depression, rendering him unable to work or even care for himself. He was helped by a combination of medications and talk therapy. This experience formed the bedrock for his National Book Award-winning “Noonday Demon: An Atlas of Depression”, a tour de force examining the disorder in personal, cultural, and scientific terms.
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.
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.
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.
It is 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.
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.
Use and/or withdrawal of certain drugs, such as marijuana, crack cocaine and angel dust (PCP)
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 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
Can have delusions of being persecuted
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. Paranoia treatment requires a huge commitment.
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.
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 film for you to watch, “A Beautiful Mind“. This may give you insight into what you are dealing with.
The Psalms are a classical example of self encouragement. The writer sometimes fell in to some moments of depression and he would write encouraging words to uplift his spirit. Today these have become encouragement verses or scriptures for us to emulate. Read Psalm 42. It is somewhat an unusual portion of scripture, in as the writer addresses his/her own soul. That alone makes it unique. And if we think it out, we become aware of an awesome truth.
“I suggest that the main trouble in this whole matter of spiritual depression in a sense is this, that we allow our self to talk to us instead of talking to our self . . . Take those thoughts that come to you the moment you wake up in the morning. You have not originated them, but they start talking to you, they bring back the problems of yesterday, etc. Somebody is talking. Who is talking to you? Your self is talking to you. Now this man’s treatment was this; instead of allowing this self to talk to him, he starts talking to himself. ‘Why art thou cast down, O my soul?‘ he asks. His soul had been depressing him, crushing him. So he stands up and says: ‘Self, listen for moment, I will speak to you.’ Do you know what I mean? If you do not, you have had but little experience . . . We must stand up as this man did and say: ‘Why are you cast down? Why are you disquieted within me?’ . . . instead of listening placidly to him and allowing him to drag you down and depress you. For that is what he will always do if you allow him to be in control.”
D. M. Lloyd-Jones, Spiritual Depression: Its Causes and Cure (Grand Rapids: Eerdmans Publishing Co., 1982), pp. 20,21.
When I allow myself to indulge in anger, impatience, worry, pride, or spite, I provide an entrance for Satan to enter my life and run rampant through my mind. He doesn’t have to scheme, plan or deceive me. He can walk right in and begin chasing my self-centered emotions all over the place. My impatience breeds irritation; irritation– anger. Anger chases bitterness, and bitterness– unkindness. Satan just keeps bringing more and more situations and circumstances in my life that wreak havoc with fruit of the spirit. In my weakened state, my heart is left vulnerable to more and more assaults.
“He who has no rule over his own spirit is like a city that is broken down and without walls.”
The Bible teaches us that we are responsible for our behavior. As believers we simply do not have the option to allow depressive self-talk to go on unedited and unchallenged. If we think about it, as we are depressives and the mentally ill, we must take a stand! This idea can help us through much anguish of soul. The concept of ‘kindling’ a depressive bout can lead us to ‘flare up,’ and get out-of-control. Remember, depression is both physical, emotional, and spiritual issue.