Tag: depression

Depression: Take Another Look

 

Depression has been called the “common cold” of mental disorders, and one source estimates that it disrupts the lives of 30 to 40 million Americans.

Depression is too complicated to solve with a single answer.

Gary Collins, in Christian Counseling: A Comprehensive Guide (Dallas: Word, 1988), lists eight major categories of causes for depression,* and six major approaches to treating it. Each one has multiple options within each category. In addition, people use the word “depression” to cover everything from disappointment over losing a baseball game, to the terrifying gloom that drives people to suicide.

The Bible does not use the word “depression,” although it describes people whom we might call depressed. It certainly doesn’t mention antidepressant drugs. However, there are a few general principles I would recommend when trying to deal with depression:

Aim to work on the causes of your depression, not just the symptoms. Scripture points to many issues of sin or conflict that can affect your emotions; most counselors would agree that depression can result from other underlying issues. Don’t just worry about the depression itself; check to see what other problems need attention.

Realize that you can’t base life on your emotions.  Christians base life on truth, not feelings. Philippians 4:1 commands us to rejoice (whether we feel like it or not!). And James 1:2 asks us to “Consider it all joy when we fall into various trials.” Notice that James doesn’t tell us to feel joyful; he tells us to reckon, to choose to think about your situation as a spot where you can have joy.

Choosing to trust truth rather than your feelings may require a lot of faith. And if that is what we mean by asking if faith can solve depression, then faith may be enough in some cases. Trusting what God says rather than your feelings, is certainly a more realistic approach to life!

However, many people talk about “faith” and only mean a vague hope that God will somehow pull them through. That’s too nebulous a concept to be reliable. Many of the same people who claim to have faith keep plunging through life ignoring God’s principles for healthy living. If we spurn the good advice that the Bible contains, we won’t escape the consequences – even if we have faith.

Is it right to use antidepressant drugs?

Or is faith enough to solve the problem?  Some cases of depression may be caused by chemical imbalances. If that is the cause, then antidepressant drugs may be the answer. God has allowed mankind to learn about many medical tools, and He sometimes uses medicine to heal. There may also be some cases of depression so severe that medications are necessary to bring the sufferer to the place where they can tackle some of the other issues; such cases might require medication, at least temporarily. I know of no Scripture that forbids such use.

However, any medications should be used with caution.

Virtually any medicine has some side effects. Drugs can mask the symptoms, allowing you to ignore root causes. Some people may use antidepressants to avoid approaches that require you to deal with other unresolved issues. It seems easier to pop a pill. A general rule of thumb is to try other strategies first, unless the depression is so severe that the person endangers themselves or finds themselves unable to participate in other therapies.

Depression is a complex area, and severe problems of depression deserve the attention of a pastor or other counselor.

Dr. John Bechtle

There seems like there are eight major causes of depression. (1) Biological factors, (2) Learned helplessness (sense of being trapped and unable to remedy an intolerable situation), (3) Parental rejection, (4) Abuse, (5) Negative thinking, (6) Life stress, (7) Anger, (8) Guilt.

[Josh McDowell and Bob Hostetler, Josh McDowell’s Handbook on Counseling Youth (Dallas, Texas: Word Publishing, 1996), chapter 5; Gary R. Collins, Christian Counseling: A Comprehensive Guide, revised edition (Dallas, Texas: Word Publishing, 1988).]

 

Grief Sucks but God Restores Hope

It’s been 15 days since I got the news. My sister Suz passed away at 4:00 a.m. on a Thursday morning.

I hate that phrase, “passed away.” It makes it sound like she floated off in a gondola across the sea.

She died. Why do we shroud death in such wishy-washy language?

I never went to visit her before she died. I had plans to visit Memorial Day weekend. But that was a week too late. I really need to stop planning to visit loved ones who are sick and just do it.

The cards and condolences all give me permission to grieve this terrible loss. But I’m scared to let myself grieve. I can’t think about this loss of my oldest sister without remembering the loss of our sister Peggy (who also died on a Thursday), and Daddy before her, and Mom before him. The grief seems too much to bear.

Grieving is doubly difficult when every impulse to let tears fall feels like teetering on the rim of the pit of depression. What if I let the grief run free and it drags me into that hell I haven’t really known in over 20 years? I remember that place of desperation all too well and I refuse to go back there.

It’s not that I haven’t cried about her being gone. I definitely have, but it terrifies me when I do. And why do the tears keep coming back once they’ve been cried? How do I grieve but continue to live? 

I know this deep sadness is different from major clinical depression. I know the reason for these tears. When my depression was at its worst I had no idea why I couldn’t stop crying. The incessant tears served no discernible purpose. But the head knowledge that my tears of late do have a purpose—the loss of someone I dearly love—doesn’t alleviate the fear that they may drag me into another bout of depression.

The other day I queued up a few Chris Stapleton songs on YouTube while I worked on a relatively mindless project. I fondly reminisced about when she bought us tickets to see him at a small venue in Portland. Then a song came on that I hadn’t heard him sing before called “Drink a Beer.” The next thing I know I’m bawling and my heart feels like it’s breaking into a million little pieces and being compressed in a vise all at once.

Today, as every day for the last two weeks, the hard cider in the fridge calls to me. I usually wait until after work to have one. But I’m on vacation this week and today 3:00 p.m. seemed like a good time to have one. It’s 5:00 p.m. somewhere, right? And at least I’m not drinking tequila in her honor.

Maybe it’s the compound grief that is making it harder for me to cope with this loss. I don’t remember it being quite so unbearable when Peggy died, but then Suz was there with me for that loss. We began the grieving together. Now all my family support it on the other end of a telephone line.

When Mom and then Dad died, I was already depressed. My grief was fused with the vague despair of my mental illness. I suppose it could be that fusion that makes grieving so difficult now. I can’t seem to separate the two states of sorrow.

And yet this spiritual discipline of writing my thoughts and fears on paper helps me to gain a clearer perspective. I’m reminded as I write of a favorite Bible verse. John 11:35 says, “Jesus wept.” The occasion was the death of his dear friend Lazarus. Even though Jesus knew he was about to raise Lazarus to life again, Jesus modeled grief over the loss of a loved one. He declared in that shortest verse that tears are a normal part of this broken life we live in a world of sorrow upon sorrow.

The same apostle who recorded this verse penned the book of Revelation where we are told God “will wipe every tear from their eyes. There will be no more death or mourning or crying or pain, for the old order of things has passed away.” Revelation 21:4 NIV.

These tears I cry for my sister are normal. This grief is okay. Today won’t be the last time I grieve this loss. This will likely not be the last loss I will know in this broken world.

“We will never be the same as we were before this loss, but are ever so much the better for having had someone so great to lose.”

Counseling Others

 

“Rash language cuts and maims, but there is healing in the words of the wise.”

Proverbs 12:18, Message

Lately, I have grown skeptical of my own ability to give out sound counsel.  For the most part I have refrained from doing so, lately, I introduce them to the wisdom and love of Jesus.  It seems like a it’s a bit like a triangle– Jesus, them and myself–we each have a corner.  All I do when I counsel someone is to help them see the Lord.  Hopefully, once a dialogue has taken place I step back and let the supernatural happen.

Much of counseling is facilitating or creating an environment that you can gather information.  Probably your friend feels that you and your surroundings are “safe” and he/she can open up in that situation.  Almost all of the time, a certain level of confidentiality must exist and be understood as being “in place” even among peers.  

A key fact is getting permission to counsel.This should happen in order for the counselee to really receive.

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Job with his Friends

Usually when if I meet with someone, I don’t want to sound profound, or wise; I’m still trying to follow Jesus myself.  I recognize the Holy Spirit gifts the un-gifted. But I’m also pretty much aware of my own short-comings. (I guess this can make me a better listener and not a talker?)

Remember that Job’s friends were at their best when silently sitting with him in the ash and rubble. At that moment, they were very effective counselors.  The problem came when they verbally explain why Job’s personal disaster took place.  Very often I find that people have a need to be needed.  Some well-meaning believers give counsel so they can feel good about themselves. 

I’m afraid there is a lot of Christian counseling out there that is sabotaged by this inherent flaw.

Part of speaking wisely to a friend must include the option that I might be totally off-the-wall! Whatever I say must not be “ex cathedra“, or as truth unchallenged.  And just because I’m giving you counsel does not make me superior, wiser or more authoritative.  It really should take as much humility to counsel, as it takes to be counseled. I can think of an easy dozen encounters that I’m embarrassed by– and will never be able to retract. Mistakes are made, but we should trust the Holy Spirit to use those missteps. He is sovereign.

Peer-to-peer counseling is very much a blessing.  A great need exists in the church for this particular ministry.  But to be a source of wisdom to another should be both a sobering, and a clarifying experience.  To be a counselor can be quite dangerous, spiritually speaking, and I should not seek this place unless its thrust on me. A good counselor is almost always reluctant.

“If you young fellows were wise, the devil couldn’t do anything to you, but since you aren’t wise, you need us who are old.”  Martin Luther

“If you have knowledge, let others light their candles at it.”   Thomas Fuller

 

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Good Grief, [Post by James Winsor]

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How Depression is a Blessing in Disguise

A darkness creeps into the soul and smothers it. Who knows why, how long it will last, or what will make it go away. You feel like you have nothing left to give to anyone else. You don’t want anyone around, except that one person who knows how to lift the darkness. You can’t and don’t want to explain how you feel. You don’t know why you’re sad, and you feel embarrassed by it because you have a pretty nice life. You can see why hungry, sick or poor people would be sad, but not you.

If you’re up to it, you try to process thoughts about God or words to or from God. This feels impossible. At best, God is distant. He couldn’t care about these stupid, unjustifiable feelings. There are people with real problems; God should be much more concerned about them. At worst, God becomes a very active enemy. He judges you for feeling this way. He wants you to just drop this selfish, self-centered, self pity trip. Doesn’t the Bible command, “Rejoice in the Lord always?” You’re a long way from doing that. Every word of good cheer seems to condemn you more for not being cheery.

As you deal with these feelings, you start to see what’s at the bottom. For the most part, it’s self-loathing. You just can’t stand being around you! Sometimes you can’t see the causes for the self-loathing. It’s just there and it won’t go away. I hate being me, and anyone who really knew me would hate me. The people who love me only do because they don’t know me.

Sometimes the self-loathing turns outward. It explodes into a kind of rage against the world. Now the darkness has covered not only your heart, but your eyes. You can’t see outside of yourself. You have trouble remembering there is an outside world. When you wake up to that fact, you again see the self-centeredness and hate it all the more.

It doesn’t seem possible to break out or for anyone to break into it. Even God doesn’t seem to know how to break inside the darkness. Some of the most spiritually-rich Christians I know experience depression. Some of them medicate it. Some don’t. But it doesn’t make that much difference when it comes to the soul. You can’t medicate the soul.

God is up to something in your depression. There are things God can do for you better when you’re depressed. Someone once said that God empties in order to fill, and kills in order to raise up. God could have made a world where depression is impossible. He could have made a world where sin, death and Satan are not on the scene. But God decided ahead of time that it was better to do things His way. There was something important that He could do with a broken world that He couldn’t do with a perfect world.

In paradise, Adam and Eve did not know God as well as you do. They walked and talked with Him, but were ignorant of what God was really about. God is self-sacrificing, self-giving love. Adam and Eve didn’t have a clue about Good Friday. They didn’t need Good Friday. Do you realize what that means? They didn’t need God’s self-sacrificial love. All they needed was a creator and provider. They didn’t need a Savior.

But that’s what’s best about Him. He saves sinners by dying for them. When Jesus was on the cross, you were loathed enough. God took out all of His holy loathing, and it was over. There is nothing more important in your life than God’s saving love for sinners.

Depression is a cold, gray wind that blows you off the cliff.

You can’t find anything inside yourself to cling to, to hope in, to claim as a basis for God’s acceptance.

All you have is Jesus and His love for sinners.

His resurrection of sinners in Himself. His baptizing of this sinner, you. That’s all you have. You fall into the water and lose yourself. But once you fall in, you can only see the love of God in Christ. A purple robe for mocking. A brown cross. Silver nails. Red blood. A white robe shining forth from the darkness of the tomb.

Have you ever noticed that you can see the farthest at night? In the daytime the most distant object you can see is the sun – a mere 93 million miles away. But at night your eye takes in countless stars and galaxies that are many light years away. Your vision is greatly improved in the darkness.

So it is with depression. When you are having bright days of happy sunshine, you can’t see too much further than your studies, sports, work, friends, family or possessions. A very small world. But in the darkness of depression you begin to see the glistening vast expanse of God’s love in Christ.

And when you are full of self-loathing and darkness, the love of Christ is all you have. And as it turns out, you don’t have Christ at all until all you have is Christ.

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The Rev. James Winsor is pastor at Risen Christ Lutheran Church in Arvada, Colorado.

Taken from the Spring 2002 edition of Higher Things magazine. You can write Higher Things at P.O. Box 58011, Pleasant Prairie, WI 53158-8011.  http://www.issuesetc.org