The apostle Paul once wrote, “For our light and momentary troubles are achieving for us an eternal glory that far outweighs them all.” 2 Corinthians 4:17 (NIV).
The troubles we face don’t seem light or momentary. They feel heavy and often permanent. Especially when one struggles with troubles like mental illness, fibromyalgia and other chronic pain syndromes, physical disabilities, and cancer. Surely Paul was mistaken when he described our troubles as light and momentary. Perhaps his life was a different experience?
No, Paul knew what he was talking about; he knew about all about troubles.
He was flogged and beaten, threatened with stoning, and thrown in jail multiple times for proclaiming Christ. He was shipwrecked not once, not twice, but three times. Although the Bible doesn’t tell us how Paul died, other historical documents suggest that he was beheaded.
Once he chose to follow Christ and proclaim His name, Paul’s life was anything but easy, his troubles anything but light and momentary. And yet, compared to the eternal glory his passion for Christ was earning for him, he could truthfully call them light and momentary.
Our burdens become light when we give them to Jesus.
“Come to me, all you who are weary and burdened, and I will give you rest.” Matthew 11:28 (NIV). He will carry the load if only we are willing to give it up. Sometimes he brings fellow believers alongside to help with this.
Our troubles become momentary when we see them from an eternal perspective. “But do not forget this one thing, dear friends: With the Lord a day is like a thousand years, and a thousand years are like a day.” 2 Peter 3:8 (NIV). In our earthly bodies we are bound by time and can be easily fooled by it.
In God’s kingdom, time becomes somewhat irrelevant.
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 disorderexperience 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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Here are things I’ve heard over the years that we must take a second look at. Here are some possible answers.
“There must be something wrong with your spiritual life.”
Yes, depression CAN be a result of sin. BUT depression is NOT always a result of sin! If it is, God will tell you loud and clear what the problem is. This saying piles on the guilt for the depressed Christian. It’s unlikely that their depression has a spiritual cause, and this implies that they are not good enough spiritually.
“Repent and ask forgiveness for your sin!”
Depression is a result of sin, in that if there was no sin in the world depression wouldn’t exist. But then, neither would diabetes, cancer, or any other illness… Sin caused the world to be not-perfect, therefore illness exists. It’s a sin to be depressed, any more than it is to have any other illness. Depression can be used by God to encourage repentance, but in that case, it will be crystal clear exactly what sin you should repent of. If you don’t know or have just a vague sense of guilt, your depression is not the result of sin.
“You need to have more faith.” or “Have faith in God.”
Hebrews 11:1, “Now faith is the substance of things hoped for, the evidence of things not seen.” How much faith does it take to hold onto the Christian faith when emotions scream at you daily to give up, get out and turn against God? Very often a depressed Christian will be hanging onto faith by their fingernails in something that requires a ton of faith.
“Taking antidepressants is playing God, He can heal you.”
Yes, God can heal. Sometimes he doesn’t just flick a switch to make the illness vanish, sometimes the healing comes through the conventional ways of doctors, psychiatrists, counselors, therapists, and medication. By persuading someone not to take their medicines in preference for a quick, supernatural healing that God may not have in store for them, the sufferer is being denied something that will help them, right now.
“Scripture says everything that happens is for your own good!”
The actual verse found in Romans 8:28, “And we know that in all things God works for the good of those who love him, who have been called according to his purpose.” This verse in no way implies that the sufferer should sit back and accept the illness for the rest of their life. It also does not say that illnesses are not to be fought with the intention of a cure. While God may well have things to do with a depressed person, the illness is not a good thing itself, and it may take years before you see positive results from it.
“You’ve been prayed for, why has nothing changed?”
This can be expressed in several ways and spoken by one of two different groups of people: either the person who asked for prayer or those who prayed for them. We’ll break the underlying situation into two areas: something definite was experienced in the prayer time: chains were obviously broken and new freedom gained, or, nothing apparently happened at all. That is, “I know God set you free,” why aren’t you free yet?
“Depression is a self-discipline problem.”
Self-discipline is important to a Christian. We have to be disciplined enough not to break the laws of the land, and to obey our God. But no amount of discipline will get rid of a medical problem. This statement implies that the sufferer is lazy and could become better by sheer force of will. This is not possible and causes a lot of guilt.
“You’re depressed because you choose to be.”
Why would anyone choose depression? It is hell on earth. It destroys everything it touches. Families, marriages, jobs, churches, and ministries- faith, peace, hope, and love. Depression corrodes all that it touches.
Does a diabetic or cancer patient choose their disease? Does the blind or the deaf person wake up in the morning and decide they aren’t going to keep being handicapped? These are the questions I would ask.
“You just need to rebuke that spirit of depression and tell it to leave you. Don’t let Satan steal your joy.”
There are two problems with this statement. One problem is the assumption that depression is caused by demonic oppression. The other problem is the assumption that joy and happiness are the same things. Blaming a “spirit of depression” can be a wonderful cop-out. Just cast out the spirit and you’re cured! No need for long-term support, prayer, counseling, or anything at all! And with this statement comes the implicit assumption that once again it’s your fault you’re depressed, this time because you’re not “spiritual” enough to get rid of the troublesome spirit yourself.
Yes, it is possible that demonic oppression can cause depression. No, demons are not responsible for every case of depression. Imagine what would happen if this statement was directed at someone with cancer, hemophilia, or osteoporosis (“Just cast out that demon attacking your bones and be strong again! God wants to see you running marathons!”).
The second problem with this statement is that joy is equated with happiness. People with depression are not going to be the happiest souls in the church. I’ve heard it said that happiness depends on what happens, whereas joy can exist in very unhappy situations.
“There’s no such thing as mental illness, it’s all in your mind”
Saying this denies that there is anything actually wrong with the depressed person, and implies that they are just making it up. This piles on the guilt again! A mental illness can be defined as one that affects the mind; the brain is allowed to get ill, just as the liver and lungs are.
“It’s your own fault you’re depressed”
This is the kind of thing that Job’s “comforters” said, and it didn’t help then either. Bad things can happen to good people. Denying this hurts the sufferer.
“Pull yourself together”
If you’ve been trying, someone saying this to you comes across as “You haven’t been trying hard enough, do more, and more, and more until you get it right.” So back you go, pushing more and more, and still getting nowhere because you cannot pull yourself out of depression by your bootstraps, and you can’t fix a medical problem by force of will.
“They came, bringing to him a paralytic carried by four men.4 And when they could not get near him because of the crowd, they removed the roof above him, and when they had made an opening, they let down the bed on which the paralytic lay.”
Mark 2:3-4
In this Gospel story recorded in Mark 2:1-12 we read of the four friends who brought the paralyzed man to Jesus. What a privilege it is to carry those we love to our Lord for His healing presence to surround them.
Their simple faith is what we are called to. “Paralyzed” people are waiting for us to only act. If God gives us eyes to see, we will see them.
I was inspired to write this simple poem as I thought about this man and his friends. I hope it blesses you.
Let Me Carry You
You lie alone broken and weak Unsure if you will make it through Seeing a future dark and bleak To Jesus let me carry you
Your daily troubles set in stone Seem heavy with unchanging hue And though you think you’re all alone To Jesus, I will carry you
You struggle to remember love Ev’ry feeling painfully blue I will bring God’s grace from above To Jesus let me carry you
Broken Believers 