Should I Take Medication?

What’s Your Take on Christians Using Antidepressants?

by Pastor John Piper

I’m going to say that there are times when I think it is appropriate, but I want to go there cautiously and slowly, with warnings.

Depression is a very complex thing.

It’s got many layers. I think we all would agree that there are conditions in which nobody would deny that certain people are depressed in a pathological way because they’re immobile. They’re not even able to function.

And then there’s a continuum of discouragements and wrestlings with having an ‘Eeyore-type’ personality, which may or may not be depressed.

So that means that I want to be so careful not to have a knee-jerk reaction. When you come into my office and describe to me your discouragements, I don’t want my first response to be, “See a doctor and get a prescription.”

I fear that is way too quick today. The number of people on antidepressants as a first course rather than the last course is large.

And the assumption is that you can’t make any progress in counseling unless you get yourself stabilized or something.

So I just want to be very cautious.

As a Christian who believes that Christ is given by the Holy Spirit to deliver us from discouragements and from unbelief and sorrow and to help us live a life of usefulness, what makes me able to allow for antidepressants is the fact that medicine corresponds to physical realities.

And the physical realities are that we get headaches that make us almost unable to think. Migraine headaches can put a man out. And we are pretty much OK if the doctor can help us find some medicine that would not let us get these immobilizing headaches.

And the headaches clearly have a spiritual impact, because they’re making me unable to read my Bible and function in relation to people that I want to love and serve. And so medicine becomes spiritually effective in that way.

In the short run especially, sometimes long term—then I think, in God’s grace and mercy, we should take it as a gift from his hand.

If that physical dimension could be helped by medicine.


So we apply this principle that we all use to depression, and then the fact that the body is included in depression. Whether we should use the terms “chemical imbalances”—I’ve read both sides on that. Some people say that there is no scientific evidence for such a thing and others say that it is a given. Whatever. Everybody knows that there are physical dimensions to depression.

Admitting I Need Jesus

When I was in the sixth grade, a friend invited me to her church. My parents didn’t go to church, but said I could go with Clarissa if I wanted to. Before long, I was spending at least three days a week with my church friends. I learned who Jesus was and that if I believed in Him I would be saved.

I believed, though I didn’t fully understand my need for a Savior.

It would be many years and much wayward living later before I would realize the importance of the Apostle Paul’s words to the church in Rome. “For I am not ashamed of the gospel, for it is the power of God for salvation to everyone who believes, to the Jew first and also to the Greek. For in it the righteousness of God is revealed from faith to faith; as it is written, ‘But the righteous man shall live by faith.’” (Romans 1:16–17 NASB).

It’s easy to think “of course I’m not ashamed of the gospel.” Why would anyone be ashamed of the good news that Jesus died for our sins so that we might be reconciled to Him?

But at its core, faith in the gospel requires the believer to say “I can’t do this myself.”

Well, let me tell you a little secret that believers and nonbelievers often forget. We humans, with all our self-importance, like to think we’re the kings and queens of the universe. We strut around like peacocks, patting ourselves on the back for our so-called brilliance. And you know what? We even pass that audacity onto our poor children, encouraging them to be little independent dynamos. But hey, who needs divine intervention when we’ve got our fabulous human ego, right? wink

I remember a time when my son was in high school and because of a snow day his class schedule was changed. As a result, he took the wrong books. He called to ask me to bring the right books to the school office on my way to work, which I happily agreed to do. When I got to the office to drop them off, the school secretary chided me for bailing him out. “These kids need to learn to be responsible or suffer the consequences,” she said.

I’ve thought of that encounter often, being thankful that Jesus didn’t say the same to the Father when the plan of salvation was put into place. What if Jesus had said, “You know Dad, these humans need to be more responsible or suffer the consequences.” We’d all be doomed.

And so, although it requires me to admit I can’t do it alone, I choose to live by faith in the One who gives me His righteousness.

For the broken believer (which is all of us, if we’re honest), it is all the more important to be okay with something less than full independence. We were created to be dependent on God and on one another. We were created to live in community and relationship with others.

Note: A version of this article was originally published in the January 2020 issue of The Christian Journal, a publication I highly recommend, and not just because they publish some of my writing.

When God Makes Toast

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“The sinners in Zion are terrified;
    trembling grips the godless:
“Who of us can dwell with the consuming fire?
    Who of us can dwell with everlasting burning?”

Isaiah 33:14, NIV

There is a strange lack in the Church, and quite frankly, it is disturbing. Our churches have operated on nothing for so long, what we think is normal isn’t even close. We really should compare ourselves to the young Church in the early chapters of the Book of Acts. Each believer had his own personal “flame” resting and abiding on them.

“Suddenly a sound like the blowing of a violent wind came from heaven and filled the whole house where they were sitting. They saw what seemed to be tongues of fire that separated and came to rest on each of them.”

Acts 2:2-3

Our churches should be places where we directly encounter the Lord God. I would like to suggest that our elders, and our ushers, start handing out life-preservers, and flares. (Rafts, of course, should be readily available.) For who can know what will happen when we make “first contact” with the Living God. All provision for survival should be made. Ambulances should become routine when the Church meets.

Agape love can completely undo us. It seems meeting with God is a bit like dwelling in a nuclear reactor, of love and of mercy and grace.

When God’s presence rips into us full blast, we will have to decide whether to take Him in His tumultuous power, or walk away unscathed. Do we fully understand the power that we so blithely invoke? We often tolerate something less, to see that our life isn’t turned upside down. Perhaps we reason, or think, that this is the most terrible thing that could happen to us.

His special grace just can’t be filtered out without changing the gospel.

We are bread in His toaster. He sears us with divine grace. (He then slathers us with ‘butter.’) Something akin to a deep agape love singes on us, and perhaps we might easily ignite. But perhaps that is what it is all about anyway, isn’t it?

Repeated Sin

I must tell you this right from the start! You must believe it before we can go any further.

(I want to apologize for my brother pastors who may have told you otherwise.)

1 John 3:6-9 

Over and over, we sin the same sin until it has become habitual. It is exactly the opposite of godliness (that’s why we call it ungodliness.) It’s truly the other side of the proverbial coin. It haunts everyone who sincerely wants to follow Jesus.

Let’s understand these things. I’ve listed seven consequences of repeated sin.

  1. It creates hypocrisy and self-hatred.
  2. It nullifies witness, and the work of missions.
  3. It cancels out real praise, worship, and Bible reading.
  4. It destroys real fellowship between other believers.
  5. Any personal ministry is degraded and turned upside down.
  6. It blinds others, and deceives them to who we really are inside.
  7. It always engenders guilt and unworthiness, especially toward God.

I once lived in a house that had a severe mold problem. The previous owner, in an attempt to make things liveable, painted over the offending walls. He meant well, of that I am sure, but the problem of the mold was never dealt with properly. No matter how much you slathered on the paint, the mold was still alive and well. It simply worked its way to the surface. Sin is like this.

Paul’s letter to the Romans, chapter 7, gets to the root of our “mold.” If we read it carefully (as we should) we’ll start to grasp what it means to walk biblically.

Paul floats different concepts our way. Law, sin, nature. Each word must be processed.

“Law” is something that is always true. (Think of the Law of gravity.) “Sin” or falling short. The Greek word is pretty descriptive–it means “an arrow that misses the target.” “Nature,” or the intrinsic character of something.

We use these words so seldom that they seem archaic and outdated; but not so. Understanding these three opens up the entire realm of spiritual holiness. When we realize that the Word explains our situation so clearly we become convinced that holiness is possible. We begin to hope again.

Tolerating repeated sin is a terrible form of “spiritual suicide.” It always breaks fellowship with the living God. But as a believer, God doesn’t break fellowship with us, rather He comes closer and patches up our self-inflicted wounds. But even then we will not understand Him.

The Father’s heart is for us to be heart-holy. This is His perfect plan for us. 

1 Peter 1:14-16

You must become convinced. You dare not continue to sin and live in terrible guilt and risk “spiritual suicide.” You must decide that the Spirit of holiness is in residence in your heart, and live willingly as true saints. 

But there is an all powerful remedy to our sickness-plague of repeated sin. Almost always we stare at this ugliness, it seems we’re fixated on it. Often there are two approaches we take regarding repeated sin. 1) We ignore and flail out a life of “holiness.” We minimize this. 2) We become hyper-aware of our sin and guilt. We maximize sin to the point where we lose all joy and peace.

“Looking at the wound of sin will never save anyone. What you must do is look at the remedy.”

D.L. Moody

I need to stop teaching now. Rereading this has made me slightly frustrated about what I’ve written. If any of this has helped, I’m glad. I’d like to close this with a Billy Sunday quote. He explains the seriousness of repeated sin. 

“I’m against sin. I’ll kick it as long as I’ve got a foot, and I’ll fight it as long as I’ve got a fist. I’ll butt it as long as I’ve got a head. I’ll bite it as long as I’ve got a tooth. And when I’m old and fistless and footless and toothless, I’ll gum it till I go home to Glory and it goes home to perdition!” 

 Billy Sunday