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.

 

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.

Welcoming His Judgement

To be judged by God is an awful thing.  It is always immutable and just.  He brings to us the inevitable awareness of the guilt and rebellion that we have secretly harbored for years.  We try to dodge His correction like a boxer does to the punches of his opponent.

We see judgement with a distinct clarity; as if it was to be avoided like the plague.  We fear Him, but like an eccentric guest at our special dinner party.  He is unpredictable, and sometimes will pull out the table cloth, in spite of the plates and dishes.  He does amazing tricks, but to us He seems a bit capricious and not at all in control of Himself.  We really don’t trust Him. Not really, anyway.

But the judgement of God is never punishment.  It is always corrective however, with a desire for us to find good and health in its presence.  We can contaminate our hearts with a wrong perspective.  But He is love, and our sin and iniquity won’t change that about Him.

He loves us so much, that He is obligated to correct us.  Some here have had great Dads.  The were active in our lives.  They were not perfect, but it didn’t matter; Dad loved us and that was all we needed.  Everything God does, comes out of this matrix of love.  When we truly grasp how much someone loves us, we can open up to anything they might say.

He does correct us, which can be harsh and difficult.  But God carefully weighs out the situation, just like a druggist weighs out to the milligram of the medicine we need.  He does discern, and gives no one more then they need.  He is definitely aware, and has no desire to destroy us.  Quite the opposite.

When we are judged for a particular sin or iniquity, we will know it.  But within that correction we will find no darkness or maliciousness.  Within our Father, there is nothing that would suggest evil or a desire to inflict pain.  He most definitely is not a sadist.  When we are corrected, we need to accept it, and receive it.  At the bottom of this, we will find that there is nothing but love.

Lonely, or Just Alone?

“Loneliness was the first thing that God saw that was not good”

John Milton

Are you lonely? It really doesn’t matter if you are married or single. Frankly, those who have a spouse can be powerfully affected by a sense of loneliness. (They obviously are pressured to suppress this.) But they truly feel very much alone.

When we find ourselves affected by this issue, we think a lot about being alone. We become an ‘island,’ isolated and separate, and the intense figure of this is the ‘castaway’ of those who, somehow end up completely alone on a deserted beach. 

There is nothing ‘romantic’ or ideal about this experience.

After a week, we start to feel the isolation. It creeps in on us, expands, and begins to ‘feed’ on our perceptions. And that can poison us.

To define it, to be lonely is the absence of human relationships. But to be alone is to be without connections.  They can overlap sometimes, but they are very separate issues. The unmarried 40-year-old could be free from loneliness, and the person who is married (with several kids) feels quite lonely.

We cannot attribute our ‘heart issues’ to our response to isolation.

Some will thrive, and others chafe. Many derive a sense of well-being by becoming married. Essentially they choose the fallacy that this may just solve their feeling of loneliness.  If I cut my hand, a band-aid will not heal the wound, it can only help (on a superficial level,) but the healing comes from within us.

There is a definite need to see the unique situation and understand how it does fluctuate. Things will move and our attitudes may change. We can cross back and forth, and that is quite understandable. But embedded sadness over being alone can be disastrous to a full and amazing life with Jesus.

“And I will ask the Father, and He will give you another Helper, that He may be with you forever.”

John 14:16, NASB.

We certainly need each other. That is ‘how we roll.’ But what is necessary and for certain is, “We are not alone, never.” The deep presence of Jesus can be profoundly close, and all we need is His nearness and our awareness, and it’s going to be ok.

There is so much we can do.

The first is to get real about the issues that are involved.  Go ahead and acknowledge the struggle you encountering.  Secondly, we need to admit the sin of harboring this, and even letting it to take control of our thinking. Thirdly, to actively turn away from sin, and then focus on Jesus as our dear companion and friend.

These three are just focal points. They will often take very different adjustments for each person. But they are definitely a starting point. Even as you work through this, allow the Holy Spirit to be your faithful guide.