Often there is so much of ‘life’ that we must try to handle. There’s far too many things that confuse us. Faced with many issues beyond our control, we seldom seek the best answer. We are hoping just to survive reasonably unscathed through the latest intense conflict.
Mental illness has its unique trials. Those of us afflicted know the instability it brings us. We go from crisis-to-collapse everyday, (and sometimes even before lunch-time!) Some people have no concept of how much energy it takes just trying to appear ‘normal.’
Sometimes sadness is the best we can do. Trying to find a positive note seems empty and futile. I know a woman who must battle with pain every day. She has to manage every minute of every day with her handicap. She is a wonderful Christian, and she still exudes a gentle faith in her Savior.
We may seem cursed in this life. But Jesus died for this. His love for you is constant and sure.
Sometimes however the only way out is through. We simply must go through the many issues that face us. We must plow through such darkness, that has no precedent. We are the rescued ones, but only because he has made us so. The lost are now found. And we were really, really lost.
We go through, but not without grace. We may step through, but not without pain. So much of our confusion rides on a fascination with the ways of sin and darkness. The ways of the “dark one” may enchant us, but never fulfill us.
We can rest in that we are our Father’s foremost concern.
“He guides me in the paths of righteousness for His name’s sake”
We can puncture the surrounding evil by a simple decision to be faithful to Jesus.Darkness may pursue us, but it will never defeat us. We advance through this pain to the glory of God. He alone can make us triumph. Only Him.
“For I am confident of this very thing, that He who began a good work in you will perfect it until the day of Christ Jesus”
Philippians 1:6
“I do not understand the mystery of grace — only that it meets us where we are and does not leave us where it found us.”
DOES RECURRING DEPRESSION PREVENT A FRUITFUL MINISTRY?
Long before the proliferation of mass media, Charles Spurgeon was known and revered throughout the Christian world. Scholars of his era labeled him, “the prince of expositors.” His commentaries, devotionals, and sermons are still being published, generations after his death.
So many folks in London wanted to hear him preach that he occasionally pleaded with church members to stay home so unsaved visitors could get a seat and hear the gospel. The pages of his book, Lectures to My Students, should be dog-eared by every vocational or volunteer teacher of the Bible.
Yet, depression dogged Charles Haddon Spurgeon (1834-1892) most of his adult life. A major bout with despondency occurred in 1858 when he was 24, serving as a pastor in London. That’s when he wrote, “My spirits were sunken so low that I could weep by the hour like a child, and yet I know not what I wept for.” Repeated episodes spawned these words: “Causeless depression cannot be reasoned with…as well fight with the mist as with this shapeless, undefinable, yet all-beclouding hopelessness.”
What can we learn from this depression-prone, yet outrageously fruitful leader?
Depression doesn’t necessarily hinder ministry effectiveness. He often didn’t feel like serving, yet enabled by God’s grace, he kept giving himself to others. No matter how physically and emotionally drained he was, most Mondays he wrote out by longhand the previous day’s sermon so it could later be published.
The pain of despondency may expand one’s usefulness by cultivating dependency and humility. Spurgeon said that despondency was “my trial, my thorn in the flesh that Satan wanted to use to take me down, and God wanted to use to deepen my dependency on Him.”
A favorite verse of his was 2 Corinthians 12:9, where God told Paul, “My grace is sufficient for you, for my power is made perfect in weakness.” In reference to this verse, Spurgeon said, “My job is not to supply the power, but the weakness. That’s one job I’m good at! It’s God’s job to supply the power.”
Openness about one’s depression may encourage others, and point them to God’s sustaining grace. Spurgeon’s transparency concerning his depression was rare for his day. Knowing how many people suffered in silence with this malady, he preached a message to show others how he coped with it (titled “When a Preacher Is Downcast”). From experience, he learned and taught an ironic truth captured in my favorite Spurgeon quote: “God gets from us the most glory when we get from Him much grace.”
His life and ministry demonstrate that depression and spiritual maturity aren’t mutually exclusive. Depression didn’t negate Spurgeon’s godliness, nor did his steadfast use of spiritual disciplines cure it.
Biographies of and articles about Spurgeon don’t always mention his predilection for depression. Yet reading about his accomplishments and ministry output will show you what God can do through a yielded person not in spite of the depression, but possibly because of it. Spurgeon also suffered from severe gout in his later years, long before the medical intervention could eliminate or minimize the pain.
I benefited enormously from Arnold Dallimore’s Spurgeon (Banner of Truth, 1984). Also, in a chapter of John Piper’s Future Grace, titled “Faith in Future Grace Versus Despondency,” you can read about Spurgeon’s battle with depression.
Blessings, Terry Powell
Check out his blog at https://penetratingthedarkness.com/. His ministry is focused on Christians experiencing clinical depression. It is a good ministry that is touching many.
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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