100% Pure Depression

 

depression

Answer me quickly, O Lord!
    My spirit fails!
Hide not your face from me,
    lest I be like those who go down to the pit.
Let me hear in the morning of your steadfast love,
    for in you I trust.
Make me know the way I should go,
    for to you I lift up my soul.

Psalm 143:7-8

I am not a psychiatrist nor a licensed therapist. I am just an ordinary man serving God’s flock. Yet if I were to speak I would speak on the subject of clinical depression. The stats are pretty grim. Depression affects 16.1 million people, or 6.7% of the population every year, age 18 or older. The median age is 32.5 years old. (These are just U.S. stats only.)

I’ve come to understand this much through my own struggles. It seems that there are three types of depression to consider.

These ‘big three’ seldom stand alone; they mix or overlap each other to make diagnosis difficult. Only a doctor can make that, but we can at least know that these three are most likely behind our issues. You can have these three working against you at once.

the big three:

1) Guilty depression- when our behavior hasn’t been what it should be (sin), this is the source of condemnation. Jesus forgives us, so we should forgive ourselves. Guilty depression is very hurtful and damaging to our spirits. Often our healing will come when we draw close to the Lord Jesus.

2) Organic depression- when it’s built into our DNA and part of our very being; it becomes fundamental to your personality. You can compare it to  someone who has diabetes or MS. We live in a fallen world and genetics affects us at this core level.

3) Reactionary depression when we react to some bad news or injury, or working too much with no time off. We react to difficulties in this way when outside forces infringe upon our inner heart. Often God sends us an elder or a mature believer to come and help us out.  This is fortuitous indeed to have someone to speak through our confusion.

Each of these are different, but if you could identify them it may help you move through them more gracefully. These three can overlap. Perhaps it’s helpful to see reactionary depression as the most common, while guilty depression can be the most hurtful to the believer’s heart.

Satan is involved in the intensification of each.

He creeps in and slowly strangles all hope. Worship and the Word is critical and necessary weapons for us out us to walk-out clean and clear. We must defend ourselves (and others) with these weapons that the Father has given us.

Knowing the type of depression will give you understanding and perhaps this will help you defuse the situation. These things have helped me personally to work through my own issues.

“Anxiety in the heart of man causes depression, but a good word makes it glad.”

Proverbs 12:25

Statistics in opening paragraph from Anxiety and Depression Assn of America. These numbers are just for the U.S. Here is their website: https://adaa.org/about-adaa/press-room/facts-statistics

Jesus Wept

When I was a kid I learned no one wanted to hear me cry.

When I was little, I had a temper like a small hurricane. I didn’t like to be teased and would become angry and cry if anyone teased me. I was always told, “Go to your room and cry. No one wants to hear you crying.” So I did.

But my temper tantrum just didn’t end there.

You see, the way our house was designed, my bedroom was, I think, supposed to be a family room. It had two doors opposite one another so that it functioned as a hallway between the dining room and the back hallway where the bathroom and other bedrooms were. When I was sent to my room, I would run into the room and slam one of these two doors.

Because of some principle of physics that I don’t even remotely understand, the door would not completely close and the slamming would cause the other door to fly open and hit the closet. So then I would run over and slam that door, with the same result, until my mom yelled, “Quit slamming those G** damned doors!”

The belief that no one wanted to hear me cry or witness my temper tantrums stuck with me for a long time. The way I always interpreted that statement was that no one cares how I feel. When bad things happened to me later in life, I told no one because I didn’t think they would care. When I was the most depressed, I kept it a secret because I was ashamed of feeling so bad and didn’t want to waste anyone’s time.

It turns out that many of the things we learn as kids just aren’t true.

This is one of those things. Okay, so maybe there are people who don’t care. A lot of them. But there are also people who do care. People, like me, who when they ask “How are you?” they really want to know, even if how you are is horrible. The world is full of loving, compassionate people who have struggled just like you and me, and want to help us find a way through the temper tantrum of the day.

And even if you can’t find anyone in your life who cares, Jesus cares.

John 11:35 records that “Jesus wept.” Why was He weeping? Not because Lazarus was dead, for He knew death was not the end of Lazarus. Jesus wept out of compassion for those who mourned the death of Lazarus.

In 1 Peter 5:7, the apostle wrote, “Cast all your anxiety on him because he cares for you.” He really does, you know. And so do His followers, though sometimes they don’t know how to show it.

 

Social Anxiety Understood

“In any social situation, I felt fear. I would be anxious before I even left the house, and it would escalate as I got closer to a college class, a party, or whatever. I would feel sick in my stomach-it almost felt like I had the flu. My heart would pound, my palms would get sweaty, and I would get this feeling of being removed from myself and from everybody else.”

“When I would walk into a room full of people, I’d turn red and it would feel like everybody’s eyes were on me. I was embarrassed to standoff in a corner by myself, but I couldn’t think of anything to say to anybody. It was humiliating. I felt so clumsy, I couldn’t wait to get out.”

Social phobia, also called social anxiety disorder, is diagnosed when people become overwhelmingly anxious and excessively self-conscious in everyday social situations. People with social phobia have an intense, persistent, and chronic fear of being watched and judged by others and of doing things that will embarrass them. They can worry for days or weeks before a dreaded situation.

This fear may become so severe that it interferes with work, school, and other ordinary activities, and can make it hard to make and keep friends.

While many people with social phobia realize that their fears about being with people are excessive or unreasonable, they are unable to overcome them. Even if they manage to confront their fears and be around others, they are usually very anxious beforehand, are intensely uncomfortable throughout the encounter, and worry about how they were judged for hours afterward.

Social phobia can be limited to one situation (such as talking to people, eating or drinking, or writing on a blackboard in front of others) or maybe so broad (such as in generalized social phobia) that the person experiences anxiety around almost anyone other than the family.

Physical symptoms that often accompany social phobia include blushing, profuse sweating, trembling, nausea, and difficulty talking.

When these symptoms occur, people with social phobia feel as though all eyes are focused on them. 

Social phobia affects about 15 million American adults. 

Women and men are equally likely to develop the disorder, which usually begins in childhood or early adolescence. There is some evidence that genetic factors are involved. Social phobia is often accompanied by other anxiety disorders or depression, and substance abuse may develop if people try to self-medicate their anxiety.

The use of anti-anxiety drugs may be used and they can help you get through “bad patches” when anxiety becomes too much. It’s possible that these meds can help. Let your doctor guide you.

Understand that social anxiety can be successfully treated with certain kinds of psychotherapy or medications. You probably should find someone who understands what you’re dealing with. They need to be good listeners and have an encouraging voice.

Bringing in a pastor or elder must be considered.

Prayer and counsel are critical. Holding on to God’s promises is necessary and as you deal with this it can be God’s way of strengthening your walk. The Word is packed full of His promises. The Lord knows-He wants you to take up and understand what He wants to give you in this.

“Fear not, for I am with you; be not dismayed, for I am your God; I will strengthen you, I will help you, I will uphold you with my righteous right hand.”

Isaiah 41:10

OCD: Rituals and Obsession

“I couldn’t do anything without rituals. They invaded every aspect of my life. Counting really bogged me down. I would wash my hair three times as opposed to once because three was a good luck number and one wasn’t. It took me longer to read because I’d count the lines in a paragraph. When I set my alarm at night, I had to set it to a number that wouldn’t add up to a ’bad’ number.”

“I knew the rituals didn’t make sense, and I was deeply ashamed of them, but I couldn’t seem to overcome them until I had therapy.”

“Getting dressed in the morning was tough, because I had a routine, and if I didn’t follow the routine, I’d get anxious and would have to get dressed again. I always worried that if I didn’t do something, my parents were going to die. I’d have these terrible thoughts of harming my parents. That was completely irrational, but the thoughts triggered more anxiety and more senseless behavior. Because of the time I spent on rituals, I was unable to do a lot of things that were important to me.”

People with obsessive-compulsive disorder (OCD) have persistent, upsetting thoughts (obsessions) and use rituals (compulsions) to control the anxiety these thoughts produce. Most of the time, the rituals end up controlling them.

For example, if people are obsessed with germs or dirt, they may develop a compulsion to wash their hands over and over again. If they develop an obsession with intruders, they may lock and relock their doors many times before going to bed. Being afraid of social embarrassment may prompt people with OCD to comb their hair compulsively in front of a mirror-sometimes they get “caught” in the mirror and can’t move away from it. Performing such rituals is not pleasurable. At best, it produces temporary relief from the anxiety created by obsessive thoughts.

Other common rituals are a need to repeatedly check things, touch things (especially in a particular sequence), or count things. Some common obsessions include having frequent thoughts of violence and harming loved ones, persistently thinking about performing sexual acts the person dislikes, or having thoughts that are prohibited by religious beliefs. People with OCD may also be preoccupied with order and symmetry, have difficulty throwing things out (so they accumulate), or hoard unneeded items.

Healthy people also have rituals, such as checking to see if the stove is off several times before leaving the house. The difference is that people with OCD perform their rituals even though doing so interferes with daily life and they find the repetition distressing. Although most adults with OCD recognize that what they are doing is senseless, some adults and most children may not realize that their behavior is out of the ordinary.

OCD affects about 2.2 million American adults, and the problem can be accompanied by eating disorders, other anxiety disorders, or depression.  It strikes men and women in roughly equal numbers and usually appears in childhood, adolescence, or early adulthood. One-third of adults with OCD develop symptoms as children, and research indicates that OCD might run in families.

The course of the disease is quite varied. Symptoms may come and go, ease over time, or get worse. If OCD becomes severe, it can keep a person from working or carrying out normal responsibilities at home. People with OCD may try to help themselves by avoiding situations that trigger their obsessions, or they may use alcohol or drugs to calm themselves.

OCD usually responds well to treatment with certain medications and/or exposure-based psychotherapy, in which people face situations that cause fear or anxiety and become less sensitive (desensitized) to them.

Source: http://www.nimh.nih.gov/index.shtml

Bryan Lowe