Tag: depression

The Awful Pain of Job

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“Oh, why give light to those in misery,
    and life to those who are bitter?
21 They long for death, and it won’t come.
    They search for death more eagerly than for hidden treasure.22 They’re filled with joy when they finally die, and rejoice when they find the grave.
23 Why is life given to those with no future,
    those God has surrounded with difficulties?”

Job 3:20-23, NLT

Job begins to curse his very existence. Life has become far too brutal. He has lost everything. At this point Job is completely undone.

There is an endless grief that even his tears can’t help.

In Job’s first speech he asks some basic questions:

  • Why is light given to those who are full of pain?
  • Why does life unfold to the one who rather not live anymore?

There is a powerful wish or desire in this three verses. He wants to die, and end the charade. He wishes for non-existence and laments that he can not die fast enough. His terrible pain has taken his life.

People with disabilities and chronic pain can understand Job’s welcome craving for any sort of release. Once they were “whole” people. Death was something to be avoided at all costs. But now it is seen as an escape.

Job simply wants out.

Hurting people will often turn to drinking and drugging as a way of coping. We’ll try anything to numb our thinking. It’s what gets us through the day. We are bitter, and we are lost.

For Job (the patron saint of pain) finds that nothing will fix him. His friends have come, but they seem to only accuse and confuse job. Honestly he is better when they just sat with him in silence. If you read the book of Job you will understand.

“God wants us to choose to love him freely, even when that choice involves pain, because we are committed to him, not to our own good feelings and rewards. He wants us to cleave to him, as Job did, even when we have every reason to deny him hotly.”

–Philip Yancey

“Come quickly, Lord, and answer me, for my depression deepens. Don’t turn away from me, or I will die. Let me hear of your unfailing love each morning, for I am trusting you. Show me where to walk, for I give myself to you.”

Psalm 143:7-8

 

ybic, Bryan

 

What Not to Say to a Depressed Person

 

by Therese J Brochard

I’m always on the lookout for articles that touch on ways to communicate to a friend or family member who is depressed. It’s a delicate issue and one that deserves some serious attention.  What follows is what you should, and should not say to a loved one struggling with depression. — Bryan

Nearly 21 million adults in the United States experience clinical depression (aka major depressive disorder) every year.

Odds are someone close to you is among them.

 1. Snap out of it!

Your loved one hasn’t left the house in what seems like days. Should you tell him to pull himself up by his bootstraps and just snap out of it?

Don’t say it.

You may be tempted to tell someone who’s depressed to stop moping around and just shake it off. But depression is not something patients can turn on and off, and they’re not able to respond to such pleas. Instead, tell your loved one that you’re available to help them in any way you can.

 

2. What do you have to be depressed about?

In a world full of wars, hunger, poverty, abuse, and other ills, you may feel impatient when someone you love feels depressed. So do you remind him how lucky he is?

Don’t say it.

You can’t argue someone out of feeling depressed, but you can help by acknowledging that you’re aware of his pain. Try saying something like “I’m sorry that you’re feeling so bad.”

 

3. Why don’t you go for a nice walk?

Exercise is a known way to lift your mood. Is it a good idea to suggest that your loved one with depression go out and enjoy some fresh air and activity?

Say it — but with a caveat.

By definition, depression keeps you from wanting to engage in everyday activities. But you can show your support by offering to take a walk, go to a movie, or do some other activity with your loved one. How about: “I know you don’t feel like going out, but let’s go together.”

 

4. It’s all in your head.

Some people believe that depression is an imaginary disease and that it’s possible to think yourself into feeling depressed and down. Should you tell your loved one that depression is just a state of mind — and if she really wanted to, she could lift her mood with positive thoughts?

Don’t say it.

Suggesting that depression is imagined is neither constructive nor accurate. Although depression can’t be “seen” from the outside, it is a real medical condition and can’t be thought or wished away. Try saying instead: “I know that you have a real illness that’s causing you to feel this way.”

 

5. Seeing a therapist is probably a good idea.

You think your loved one could benefit from talking to a mental health professional. Should you say so?

Say it. And say it again.

Reinforcing the benefits of treatment is important. Encourage the idea of getting professional help if that step hasn’t yet been taken. This is especially important if your loved one has withdrawn so much that she is not saying anything. Try telling her, “You will get better with the right help.” Suggest alternatives if you don’t see any improvement from the initial treatment in about six to eight weeks.

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For other suggestions on what to say and what not to say, check out Everyday Health’s post.

Also, see Psych Central’s our list of the worst things to say to someone who’s depressed.

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Therese J. Borchard writes the daily blog, “Beyond Blue,” on Beliefnet.com.
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Elijah Had Issues as Well

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Elijah and the Angel

“Then Elijah walked for a whole day into the desert. He sat down under a bush and asked to die. “I have had enough, Lord,” he prayed. “Let me die. I am no better than my ancestors.”

1 Kings 19:4

Poor Elijah.  He was bold and heroic, taking on the enemy at Mt. Carmel.  A mighty victory was amazing, but here he is, completely defeated and overpowered by his own fear and doubt.  How defeated was he?  We hear him begging to be allowed to die. 

He was overwhelmed.

You could say that Elijah was saturated with fear.  He could not resist taking on the conflict.  It seemed to him that everything was now directed at him.  He couldn’t take one step forward.  So, he folded.  Everything was affecting him on a personal level, and he was not built to take the load.

Many of God’s children come to this point.

He was shorting out.  His internal circuits were not designed for this.  He crumbles under the weight.  As we read the text, it all seems to be a bit off.  We shake our heads and wonder about strange Elijah.  We see him incapacitated by his doubt and fear.  But it doesn’t seem to us to be an issue.  The prophets of Baal wouldn’t deceive the Israelites anymore. After all, he had just achieved a fantastic victory that should propel him to the next encounter.

“Elijah was a human being just like us.”

James 5:17

The servants of the Lord are vulnerable.  As we step into the flow of God’s presence we will come “face-to-face “with things that are beyond us.  Often we will find ourselves pushed beyond our limits, backed in a corner and stripped of our weaponry.  Our enemies now turn to face us without fear of reprisal.

Our Father deals gently with a wounded servant.

Elijah had been crippled.  He had nothing more to give.  We can shake our head, and pass him by as a casualty of a spiritual war. But the funny thing is that God tells his story, he has been added to the narrative of scripture.  His falterings, and failings has become our focal point.  Elijah, with all his issues must be faced, and we must look at him.

We see the tenderness and gentleness of God as He deals with His bruised servant. God loves His broken believers. (1 Kings 19:12-13).

His Spirit is oh so gentle.

He comes whispering.  He lifts Elijah at Elijah’s pace.  A painful rebuke, and there isn’t a harsh word of correction, it is not even considered.  Our Father deals carefully with a wounded servant.  Elijah would go on to serve Jehovah.  Elijah would be a changed man.

God had mended him.

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(Background: 1 Kings 18-19)

Medical: Paranoia & Delusions

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Delusional disorder, (previously called paranoid disorder,) is a type of serious mental illness called a “psychosis“ in which a person cannot tell what is real from what is imagined. The main feature of this disorder is the presence of delusions, which are unshakable beliefs in something untrue.

People with delusional disorder experience non-bizarre delusions, which involve situations that could occur in real life, such as being followed, poisoned, deceived, conspired against, or loved from a distance. These delusions usually involve the misinterpretation of perceptions or experiences.

In reality, however, the situations are either not true at all or highly exaggerated.

People with delusional disorder often can continue to socialize and function normally, apart from the subject of their delusion, and generally do not behave in an obviously odd or in a bizarre manner. This is unlike people with other psychotic disorders, who also might have delusions as a symptom of their disorder. In some cases, however, people with delusional disorder might become so preoccupied with their delusions that their lives are disrupted.

Types of delusional disorder

There are different types of delusional disorder based on the main theme of the delusions experienced. The types of delusional disorder include:

  • Erotomanic — Someone with this type of delusional disorder believes that another person, often someone important or famous, is in love with him or her. The person might attempt to contact the object of the delusion, and stalking behavior is not uncommon.
  • Grandiose — A person with this type of delusional disorder has an over-inflated sense of worth, power, knowledge, or identity. The person might believe he or she has a great talent or has made an important discovery.
  • Jealous — A person with this type of delusional disorder believes that his or her spouse or sexual partner is unfaithful.
  • Persecutory — People with this type of delusional disorder believe that they (or someone close to them) are being mistreated, or that someone is spying on them or planning to harm them. It is not uncommon for people with this type of delusional disorder to make repeated complaints to legal authorities.
  • Somatic — A person with this type of delusional disorder believes that he or she has a physical defect or medical problem.
  • Mixed — People with this type of delusional disorder have two or more of the types of delusions listed above.

Basic Principles

There are no systematic studies on treatment approaches and results in Delusional Disorder. The patient’s distrust and suspiciousness usually prevents any contact with a therapist.

Hospitalization

Hospitalization is indicated if a potential for danger is present; otherwise outpatient management is advisable. Unfortunately, involuntary hospitalization may increase distrust and resentment and increase the patient’s persecutory delusions.

Antipsychotic Drugs

Antipsychotic medication may be useful, particularly for accompanying anxiety, agitation, and psychosis. Because patients may be suspicious of medication, depot forms may be helpful. Although antipsychotics may have a good response, they are often only marginally effective for specific forms of Delusional Disorder.Other Therapies

Other treatments have been tried (electroconvulsive therapy, insulin shock therapy, and psychosurgery), but these approaches are not recommended.

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