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.

 

Eighty Thousand +

We just passed a milestone of sorts.  BB has surpassed the 80,000 mark, which is somewhat remarkable.

It has done more for me than anyone else.  I’m doing my best to write posts that have substance and significance.  And I have worked to produce a post a day, that has meaning for struggling and mentally ill Christians.  And guess what? I have learned that there is a lot of us out there, and not a whole lot of support out there.

The little map on the upper right shows where the posts are coming from.  It visualizes where BB is being accessed.  The scope is breathtaking, as BB is reaching out to hearts in central Asia, India, Africa and Malaysia.  We even received someone in the Vatican.  BB is active in every continent except one, Antarctica.   I guess the penguins don’t really need the support of BB.  But if they do, BB will be right there!

I have to admit, your “responses” that come to me are most tremendous!  I love each comment.  I understand that to take the time to respond is a luxury.  It means so much.  I do, very much so, treasure your responses.

Eighty thousand in just two years.  Amazing!  Let Him be praised for His grace on this gentle work of peace and kindness.

When You Are Scorned

“My tears have been my food
day and night,
while they say to me all the day long,
“Where is your God?”  Psalm 42:3, ESV

I have a vivid and clear memory of meeting this well-groomed gentleman walking up the steps of BART in Berkeley.  He was dressed in the sophisticated twill jacket with a vest, and carried a elegant brief case.  I myself, had been preaching on Telegraph Avenue, very close to the open gates of UC Berkeley.  It was a solid and definite ministry, and the thick crowds were quite open to the Gospel.  After our pre-determined time, we shut down and all headed for home.

I was catching the subway back to the Mission district  in downtown San Francisco when I met him coming up the steps.  It was just him and I as we met.  He stopped, and looked at me, very focused and intent.  He then said, “I so wish we could feed you to the lions, again.”  He spoke coldly, and thoughtfully.  It was chilling.

It floored me, as I slowly realized he had no idea of how I spent the last four hours.  Whatever was animating him, it knew what I had been doing.  The amazing part of this, is that he was dressed as a professor, part of the teaching staff at UC Berkeley.  I was impressed initially by his bearing, and just his composure, and all of this seemed to be a  result of a collegiate decorum or a special demeanor.

As I considered this contact with him, I was shakened. He knew who I was, and what I was up to.  I wish that I could tell you that I responded to him, with a precise and zinging word that brought him to salvation. But that was not the case.  I was instantly and deeply deflated, and as I stood there looking directly at him, I felt vulnerable, and perhaps a bit humbled.

But what I was touching was the power of scorn.  It had become a bare wire, that was just there.  But the contact had not just been a ‘shocking’ experience of the moment (which we have so many.)

“3But first you must realize that in the last days some people won’t think about anything except their own selfish desires. They will make fun of you 4and say, “Didn’t your Lord promise to come back.  Yet the first leaders have already died, and the world hasn’t changed a bit.” 2 Peter 3:3-4, CEV

We must deal with an evil (propagated against believers) that scorns the idea of an advancing evil, or a darkness that pursues the believer.  As I think about this, it seems to be like one of those juvenile delinquents who let out the air of four full tires on our car.  We wish it didn’t happen, but we can’t pretend, by looking the other way.

We confront, face-to-face, an evil that twists us, and declares that things are not what they seem to be.  It all comes down to an awareness that our presence has a bit of “transformation” to it.  There will be scorners, those who know the art of mocking our faith.  They specialize in this evil, without fear.

Dear one, don’t let the scorn and mocking of a few malign and then destroy your faith. You have come too far to let this happen.  The vulgar voices shouldn’t sidetrack you or direct you down an evil path.  The scorn from the evil that surrounds you, it can destroy or strengthen you.  Take it as it comes.  Hold on to what is good.

Becoming a Truthful Person

“Jesus answered, “I am the way, and the truth, and the life. The only way to the Father is through me.”  John 14:6, NCV

*********************

As we travel through this amazing life, we’ll experience so many things.  We engage every kind of scenario.  Much of it is good, but some will be bad.  When my Mom would give me medicine, she would often mix it with sugar.  But I could still taste the bitter, even with the added sweetness.

We have come to the place where we must swallow the truth.  We are learning to see that truth must be accepted.  We are brought to a place where we must take the truth in, and become true people.  The Word is the place where we start to assimilate what is real and true.  We are confronted “point blank” by what is real and trustworthy.  Falsehood flakes off us, and we begin to bask in the solid and eternal.

We are supposed to become people of the truth.  What is false should have no real business with us.  It is alien to the believer in Jesus.  It is a gear that no longer “syncs” in our mechanism.  We only mesh with the truth from this moment on.  We have been altered and we now see things from a brand new perspective.

We belong to the truth.  It is who we are, and nothing should distract us.  So much however assaults us, and we must focus pretty much exclusively on the things we know are authentic.  Our faith is to be bona fide and true blue.  There should be not the  slightest hint of duplicity.  We must avoid the trap of becoming fraudulent to our generation.

Each of us must accept the truth.  About ourselves, and about the unfolding of this life, about the reality of evil and salvation.  The presence of Jesus turns life upside down.  The things that were on the bottom have now moved to the top. Everything has been tilted.  It’s not surprising that we have issues as we try to sort things out.

I want to be a truthful person.  Lies and half-truths are fluent in my world.  I become inured to what is real, as I choose the lie.  And the amazing thing, is when I lie, the other person seems to know it on some deep level.  I suppose I am a terrible liar, and my attempt at sincerity only makes it worse.  I think I could make several million dollars if I could only teach people how to lie better.

Truth must become an intimate friend.  We need to be guided by what is real and sincere. “Buy truth, and do not sell it, get wisdom and instruction and understanding.” Proverbs 23:23.  There has to be a firm grip on what is true, and certainly we cannot barter it away.  Christians are to be truthful, even in a world that isn’t.

 

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