Depression and Diabetes

DepressionCaseStudy_clip_image001For some reason lately I’ve been thinking about the similarities between diabetes and depression. I know that depression can be one of the complications of diabetes, but that is something I learned only when I did a little research about diabetes and isn’t what I want to share about these two diseases.

I do not have diabetes, but I do know people who do. Diabetes is a disease for which there is no “cure,” though there are treatments that can minimize the symptoms and complications that can arise from this disease. Some people with diabetes do a great job of taking such good care of themselves and following their doctor’s orders that they are virtually symptom free. You would never know they had diabetes unless they told you. I’ve known other diabetics who don’t follow doctor’s orders, and the outcome was terrible.

Dealing with diabetes is not an easy road. For people with Type 2 diabetes, a strict diet and exercise are a must, and monitoring blood sugar levels is essential. For people with Type 1 diabetes, insulin injections are also necessary because their bodies do not produce any of this necessary hormone. It is a lifelong affliction, the potential effects of which can be minimized but never forgotten or ignored.

I believe that for some people depression is similar to diabetes in that it is never cured. These people are prone to depression, and may have suffered through one or more episodes of major depression in their lives. From a statistical standpoint, a person who has had more than two major depressive episodes is highly likely to have another in their lifetime. But it isn’t inevitable that they will. Just as the symptoms of diabetes can be prevented or minimized with careful management, so the symptoms of depression can be prevented or minimized with proper care.

Caveat: I am not a doctor and this post is not intended as medical advice. It simply an observation that has been on my mind lately and is helpful for me in understanding my own challenges to keep depression at bay.

There are some people who, like the person with Type 1 diabetes, need medication to help keep them stable and to prevent major depression from setting in. (Though this may be a small percentage, just as Type 1 diabetes is much rarer than Type 2.)  But everyone who struggles with depression can help prevent or minimize the effects of a relapse by taking steps to truly care of themselves. Diet and exercise can be part of this self-care, but for the person who lives with the knowledge of depression there is a mental and spiritual component of their self-care that goes beyond what is required of the diabetic.

Many years ago the doctor I was seeing told me I would be on antidepressants for the rest of my life. Having now been off them for 13 years and not suffered another major depressive episode in all that time, I think I can safely say she was wrong. But in the last few years I have come to understand that I am one of those people who cannot take for granted that depression is strictly a part of my past. It is forever a part of who I am and I must never forget the misery it has caused me and could cause me again if I do not take care of my mental and spiritual health.

For me, warding off a relapse of depression requires that I choose to engage in regular prayer time; to listen to music that is encouraging and uplifting, and avoid music that is depressing; to talk to a Christian friend if something is bothering me; to take a periodic inventory of my own actions and attitudes, and correct any that are negative; and to trust in the Holy Spirit to guide my thoughts, putting on the whole armor of God. When I do these things, I can live in such a way that others would never know that depression is a part of my life. But if I neglect these things for too long, I will soon detect the specter of depression looming in my heart and in my mind, and the outcome will be terrible.

Just as the diabetic can never forget that they have diabetes and neglect their diet and health regimen, I can never forget that depression is ever a part of me and neglect my mental and spiritual regimen. I must be ever vigilant and cling to Jesus as my Rock, trusting in His promises, and following His commands and precepts to love, forgive, and be content.

 

ysic, Linda K.

 

Thinking Out Things

There is a full treatment that the Father intends to work in us. And He will work in us, and we can’t prevent its work.  We don’t really want Him to make us a saint.  But He carries out a different plan.  We shouldn’t be entirely surprised to have Him inside of us, working and building.  We really are brought to a point when the things He does will need to be tolerated, at least.

To be a Christian is a challenging endeavour.  Just ike taffy is pulled to an amazing length, it will always unfold and duplicated.  This work starts to insist that we turn over everything ugly and evil and we turn over the nastiness that wants to invade our darkness.  We are the lost sheep, and we honestly renounce a corruption of our hearts, and the desire to wander away.

There is one of those stories, which can be found in many different cultures.  It is this– a man wears a mask, for several years.  He never takes it off.  The mask is a permanent fixture in His life.  As the moment of revelation when the mask comes off, we all discover that he has been changed, transformed by the wearing of the mask.

Will you wear the mask?

Might it be, that it you will “put on the Lord Jesus Christ, and make no provision for the flesh,” transformation will happen as we start to “wear Him” through our unique and surprising life.  We have been bonded to Him, and He is now working “Christlikedness” inside us.  If we try to evaluate the Lords work, we maybe disappointed.  But we so seldom discern these things properly.  However it is clear that He has not postponed His work, but is actively seeking it to work in our lives.

Welcoming His Judgement

To be judged by God is an awful thing.  It is always immutable and just.  He brings to us the inevitable awareness of the guilt and rebellion that we have secretly harbored for years.  We try to dodge His correction like a boxer does to the punches of his opponent.

We see judgement with a distinct clarity; as if it was to be avoided like the plague.  We fear Him, but like an eccentric guest at our special dinner party.  He is unpredictable, and sometimes will pull out the table cloth, in spite of the plates and dishes.  He does amazing tricks, but to us He seems a bit capricious and not at all in control of Himself.  We really don’t trust Him. Not really, anyway.

But the judgement of God is never punishment.  It is always corrective however, with a desire for us to find good and health in its presence.  We can contaminate our hearts with a wrong perspective.  But He is love, and our sin and iniquity won’t change that about Him.

He loves us so much, that He is obligated to correct us.  Some here have had great Dads.  The were active in our lives.  They were not perfect, but it didn’t matter; Dad loved us and that was all we needed.  Everything God does, comes out of this matrix of love.  When we truly grasp how much someone loves us, we can open up to anything they might say.

He does correct us, which can be harsh and difficult.  But God carefully weighs out the situation, just like a druggist weighs out to the milligram of the medicine we need.  He does discern, and gives no one more then they need.  He is definitely aware, and has no desire to destroy us.  Quite the opposite.

When we are judged for a particular sin or iniquity, we will know it.  But within that correction we will find no darkness or maliciousness.  Within our Father, there is nothing that would suggest evil or a desire to inflict pain.  He most definitely is not a sadist.  When we are corrected, we need to accept it, and receive it.  At the bottom of this, we will find that there is nothing but love.

Explaining the Levels of Discipleship

And anyone who does not carry his cross and follow me cannot be my disciple.

(Luke 14:27 NIV)

There are various people in the world back in Jesus’ day as there are today. There were sometimes vast crowds (“multitude” In the KJV) of people numbering in the thousands. (Luke 12:1) The size of these crowds of people apparently ebbed and flowed. Sometimes there were just a few followers, and sometimes it was in the thousands.

Then there were the unnamed disciples. These apparently sometimes numbered in the hundreds. (John 6:66-67, Luke 6:17 NIV)

Then there were the twelve. (Matthew 10:1-4)

Then out of the twelve, there was an “inner circle”: Peter, who was given a promise that nobody else was given — namely that he would be the rock that Jesus would build His church upon (Matthew 16:18). Then there was James and John, the disciple that “Jesus loved” who were the only disciples present to see the transfiguration. (Mark 9:2)

Present day is little different. We all have different stations. There are evangelists, such as Billy Graham, teachers, like Joyce Meyer, and pastors of huge churches like Pastor David Yonggi Cho, and pastors of small community churches. There are elders and deacons and the congregation. There are people minister to youth, and the little old lady who brings the wonderful dishes to the pot luck dinners… All the way down to people who only go to church on Easter and Christmas.

So. How strong of a walk with Jesus do you want? It is up to you. Though God calls many, He is very polite. If you are among the called, He leaves it up to you how close you want to draw to him.

Sure it sounds great in theory – but in practice, you will find there is a cost. Sure the reward is great but so is the cost. And the devil will remind you of all the things you are “missing out on” in hopes of discouraging you.

You have to take up your cross. Not a fun task as anyone who has seen or heard about Mel Gibson’s Passion of the Christ will know. What is the “cross”? I misunderstood this for years. Your cross is not suffering for your own sins – though you will reap what you sow – everyone, believers or not, will in some fashion will reap what they sow. The cross that Jesus carried was a burden that he carried for others. If you take up burdens for other people, you are bearing your cross.

Remember Love is a choice of behavior – not a warm fuzzy emotion. Emotions go away. Love is eternal.

By this all men will know that you are my disciples, if you love one another.

(John 13:35 NIV)

 

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A.L. Howard is the founder of www.modernchristianissues.org: A Christian Apologetics Blog which attempts to provide biblical answers to tough questions — Bible Apologetics for the layman — designed to be a resource of Biblical Apologetics that you do not have to be a scholar to understand. He has been studying creation science and Bible prophecy since the early 1980s. Visit the site to explore salvation, evolution vs creation science (creationism), cults, the 12 steps and Christianity and much more.

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