Antidepressants for Believers?

What do you think of Christians taking antidepressants?

By Pastor John Piper, given on March 30, 2010

The following is an edited transcript of the audio.

What do you think of Christians taking antidepressants? I have been on them and have been accused of not relying on God.

That relates to an earlier question about how any physical or personal means that you use can signify that you’re not relying on God. So eating might be a failure to rely on God, because he might just fill your stomach by miracle, and you don’t have to eat. Or not sleeping would be a way of relying more on God, since you don’t have to have your psyche made stable by sleep at night. And so on.

God has ordained physical means. Aside from the ones that seem more natural, like food, there’s medicine: aspirin, Nyquil, etc. This water is helping my throat right now. [Sips it.] Was that sip a failure to rely on God?

Could be. “Just throw this away and rely on God! He will keep your throat moist. You don’t need to be drinking. You’re an idolater, Piper. You’re idolizing this because you’re depending on it.”

Well, the reason that’s not the case is because God has ordained for me to thank him for that. He created it and he made this body to need a lot of fluid. And it’s not a dishonor to him if I honor him through his gift.

Now the question is, “What medicines are like that or not like that?” Taking an aspirin?

My ophthalmologist told me about 4 years ago, “Take one baby aspirin a day and you will postpone cataracts or glaucoma or something.” He said, “I can see just the slightest little discoloration, and the way it works is that circulation helps.” So he told me to pop one of these little pills in my little vitamin thing. And I take it every day. And I just said, “Lord, whether I have eyes or not is totally dependent on you. But if you would like me to use this means, I would.”

My answer is that when you start working with peoples’ minds, you are in a very very tricky and difficult situation. But I think I want to say that, while nobody should hasten towards medication to alter their mental states—even as I say it I think of caffeine, right?—nevertheless, I know from reading history, like on William Cooper, and by dealing with many people over the years, that there are profoundly physical dimensions to our mental conditions.

Since that’s the case, physical means can be appropriate. For me it’s jogging. I produce stuff in my brain by jogging. But that might not work for somebody else, and they might be constantly unable to get on top of it emotionally. I just don’t want to rule out the possibility that there is a physical medication that just might, hopefully temporarily, enable them to get their equilibrium, process the truth, live out of the strength of the truth, honor God, and go off it.

When I preached on this one Easter Sunday a woman wrote me, thanking me that I took this approach. She said, “You just need to know that I live on these things, and I know what it was like 20 years ago and the horrors and the blackness of my life. And now I love Christ, I trust Christ, I love my husband, our marriage is preserved, and I’ll probably be on these till I’m dead.”

So I’m not in principle opposed. I just want to be very cautious in the way we use antidepressants.


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Battle Scars

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It is a bad habit to try to teach without personal knowledge. We can preach, but we do not possess. This is one of the occupational hazards of those of us in our profession. It seems to carry a horrible curse of spiritual sterility, that the wise believer ultimately sees.

It’s been 13 years since a diagnosis of Bipolar 1 was made. I believe I was BP in my teens. Life is a roller-coaster for me, up and down, with a twist or two along the way. I am now fairly aware at 56 that much of my earthly existence  has already been lived. Life can become such a grind. I’m tired and broken, and ready for eternity.

“One should go to sleep as homesick passengers do, saying, “Perhaps in the morning we shall see the shore.”

–Henry Ward Beecher

Billy Bray (a bearer of an unfortunate name) was an illiterate Cornish evangelist in the 1850s. He was heard to pray this: “Lord, if any have to die this day, let it be me, for I am ready.” By faith, I do understand these sentiments. I am ready to go as well.

I love collecting good quotes. (I also have a site at http://www.CrossQuotes.org.) But here’s two more good ones:

“God buries His workmen but carries on His work.”   -Charles Wesley

“If we really think that home is elsewhere and that this life is a “wandering to find home,” why should we not look forward to the arrival?”  – C.S. Lewis

Sorry if I’m being maudlin. But the battle is so long, and it doesn’t ever let up, does it? We all can become weary after a while. What we need is to be ‘shut in’ with the Lord. The Word reminds us:

Strengthening the souls of the disciples, encouraging them to continue in the faith, and saying that through many tribulations we must enter the kingdom of God”

 Acts 14:22

“Tribulations” are common, and each must battle through them. And without being melodramatic, we each must walk through the blazing furnace. But I can also boldly attest that there is more than enough grace for each of us. We just need to become desperate enough. (Which shouldn’t be too hard).

Armor is given. Wearing it means you’ll survive (and thrive) to see another day. Those who may suggest that the Christian life is a “bed of roses,” I would say that they haven’t read Ephesians 6. If there is no war, why would the Holy Spirit tell us to put it on?

“Finally, be strong in the Lord and in the strength of his might. 11 Put on the whole armor of God, that you may be able to stand against the schemes of the devil.” 

Eph. 6:10-11

We are starting to finally learn we must fall in love with Jesus. He receives us with a massive kind of love. And His mercy meets us at every doubtful corner. You have His Word on it. Simply ask Him to come to you. 

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Kyrie eleison, Bryan

(Lord, have mercy.)

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Hope for the Hopeless [Joy]

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12 Rejoice in hope, be patient in tribulation, be constant in prayer.”

Romans 12:12

Three things are critical for the New Testament believer:

  1. To rejoice out of a real hope,
  2. a deliberate endurance,
  3. and a prayer life that is unceasing.

These three are vital for us if we want to be authentic saints. These three aspects must become foremost in our discipleship.

Of the three, the first is to rejoice out of a real hope is the most important. It seems like I take the most “hits” over this one. There is a constant erosion  over my joy and my hope. I encounter the false belief that I will be one of the damned. A variation is that I’m ‘cursed’ by God and my life from this point is always going to be hellish and miserable. Frozen like a mosquito in ancient amber.

For me, my mental illness is a sin– the sin of despair. I don’t insist on the right terminology or of definitions. Some believe these issues are demonic. Some wonder about the use of meds, or the value of seeing a psychiatrist or going into therapy. These are all valid, but it seems like polishing the brass rails as the Titanic is seeking.

I won’t try to give answers, because there isn’t a single one to be found. There’s a complexity about the human heart, and God’s sovereign plan that I can’t venture anything. I will only suggest we give room for our own misunderstandings. Perhaps it’s the presence of Jesus we can agree on.

Rejoice in hope,” goes a long ways to combat the enemy, our own fallenness and our own sin of despair. A ‘song to the Lord’ breaks our souls free and is the brokenbelievers true hope is the best antidepressant. But I vote we keep singing out of our cells (Acts 16:25).

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