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.

 

A Statement of Dedicated Ministry

My calling is sure.  My challenge is big.  My vision is clear.  My desire is strong. My influence is eternal.  My impact is critical.  My values are solid.  My faith is tough.  My mission is urgent. My purpose is unmistakable. My direction is forward.  My heart is genuine.  My strength is supernatural.  My reward is promised.  And my God is real. ”

“I refuse to be dismayed, disengaged, disgruntled, discouraged, or distracted.  Neither will I look back, stand back, fall back, go back or sit back.  I do not need applause, flattery, adulation, prestige, stature or veneration.  I have no time for business as usual, mediocre standards, small thinking, normal expectations, average results, ordinary ideas, petty disputes or low vision.  I will not give up, give in, bail out, lie down, turn over, quit or surrender.  I’m dedicated to doing the work of the ministry. God help me.”

 There is such a thing as a “Seal of Good Housekeeping” that is given as a mark of approval.  As I read the above quotation, I thought of all the men and women that could make this declaration.  So many that we could approve of and to put a definitive seal of Kingdom approval on. 

I have friends in ministry in Mexico, India, China, Italy, Peru, Kazakhstan, San Francisco and so many other places.  They stand boldly and minister lovingly.  We must pray for them, all the time.  People like you and me who suffer with a mental illness are poor candidates for this level of intense ministry.  But we make great prayer warriors!

As we pray, standing in the gap for others, often we will experience a release from our own issues.  They just melt away.  I focus on you, and I won’t hurt as much.  I have to reach out, so God can reach in. This is what Jesus intends for me as His disciple; “in training.”

Thinking Out Things

There is a full treatment that the Father intends to work in us. And He will work in us, and we can’t prevent its work.  We don’t really want Him to make us a saint.  But He carries out a different plan.  We shouldn’t be entirely surprised to have Him inside of us, working and building.  We really are brought to a point when the things He does will need to be tolerated, at least.

To be a Christian is a challenging endeavour.  Just ike taffy is pulled to an amazing length, it will always unfold and duplicated.  This work starts to insist that we turn over everything ugly and evil and we turn over the nastiness that wants to invade our darkness.  We are the lost sheep, and we honestly renounce a corruption of our hearts, and the desire to wander away.

There is one of those stories, which can be found in many different cultures.  It is this– a man wears a mask, for several years.  He never takes it off.  The mask is a permanent fixture in His life.  As the moment of revelation when the mask comes off, we all discover that he has been changed, transformed by the wearing of the mask.

Will you wear the mask?

Might it be, that it you will “put on the Lord Jesus Christ, and make no provision for the flesh,” transformation will happen as we start to “wear Him” through our unique and surprising life.  We have been bonded to Him, and He is now working “Christlikedness” inside us.  If we try to evaluate the Lords work, we maybe disappointed.  But we so seldom discern these things properly.  However it is clear that He has not postponed His work, but is actively seeking it to work in our lives.

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.