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.
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.
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.
If that physical dimension could be helped by medicine—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.
John Piper is the Pastor for Preaching at Bethlehem Baptist Church in Minneapolis, Minnesota. He grew up in Greenville, South Carolina, and studied at Wheaton College, where he first sensed God’s call to enter the ministry. He went on to earn degrees from Fuller Theological Seminary (B.D.) and the University of Munich (D.theol.). For six years he taught Biblical Studies at Bethel College in St. Paul, Minnesota, and in 1980 accepted the call to serve as pastor at Bethlehem. John is the author of more than 30 books and more than 25 years of his preaching and teaching is available free at desiringGod.org. John and his wife, Noel, have four sons, one daughter, and an increasing number of grandchildren.
Clyde Kilby’s 10 Resolutions for Mental Health and for Staying Alive to God in This World
Once a day I will look at the sky and remember that I am on a planet traveling in space with wonderfully mysterious things above and about me.
I will suppose the universe is guided by an intelligence.
I will not fall into the lie that this day, or any day, is merely another ambiguous and plodding 24 hours, but rather a unique event, filled with wonderful potential.
I will prefer reality to abstractions.
I will not demean my own uniqueness by envying others. I will mostly forget about myself and do my work.
I will open my eyes and ears by at least once a day simply staring at a tree, a flower, a cloud or a person. I will simply be glad that they are what they are.
I will often remember back to when I was a child and think about my dreaming eyes of wonder.
I will frequently turn to things like a good book and good music.
I will enjoy each moment, not always worrying about what the decade before me will demand from me.
I will bet my life on the assumption that this world is not idiotic but rather acknowledge that each day strokes are made on the cosmic canvas that in due course I will understand with joy as a stroke made by the architect who calls himself Alpha and Omega.
“Their purpose is to teach people wisdom and discipline, to help them understand the insights of the wise.”
Clyde Kilby, who is now with the Lord in heaven, was my teacher in English Literature at Wheaton. He did as much as any other teacher I have had to open my eyes to the ministry of God in the skies.
Before I entered college I hardly gave a thought to cancer and terminal illness. But ever since those college days death by disease has walked beside me all the way. Two of my college acquaintances died of leukemia and cancer of the lymph glands before they were 22. At seminary I watched Jim Morgan, my teacher of systematic theology, shrivel up and die in less than a year of intestinal cancer. He was 36. In my graduate program in Germany my own “doctor-father,” Professor Goppelt, died suddenly just before I was finished. He was 62—a massive coronary. Then I came to Bethel, the house of God! And I taught for six years and watched students, teachers, and administrators die of cancer: Sue Port, Paul Greely, Bob Bergerud, Ruth Ludeman, Graydon Held, Chet Lindsay, Mary Ellen Carlson—all Christians, all dead before their three score and ten were up. And now I’ve come to Bethlehem and Harvey Ring is gone. And you could multiply the list ten-fold.
What shall we say to these things? Something must be said because sickness and death are threats to faith in the love and power of God. And I regard it as my primary responsibility as a pastor to nourish and strengthen faith in the love and power of God. There is no weapon like the Word of God for warding off threats to faith. And so I want us to listen carefully today to the teaching of Scripture regarding Christ and cancer, the power and love of God over against the sickness of our bodies.
I regard this message today as a crucial pastoral message, because you need to know where your pastor stands on the issues of sickness, healing, and death. If you thought it was my conception that every sickness is a divine judgment on some particular sin, or that the failure to be healed after a few days of prayer was a clear sign of inauthentic faith, or that Satan is really the ruler in this world and God can only stand helplessly by while his enemy wreaks havoc with his children—if you thought any of those were my notions, you would relate to me very differently in sickness than you would if you knew what I really think. Therefore, I want to tell you what I really think and try to show you from Scripture that these thoughts are not just mine but also, I trust, God’s thoughts.
Six Affirmations Toward a Theology of Suffering
So I would like everyone who has a Bible to turn with me to Romans 8:18–28. There are six affirmations which sum up my theology of sickness, and at least the seed for each of these affirmations is here. Let’s read the text:
I consider that the sufferings of this present time are not worth comparing with the glory that is to be revealed to us. For the creation waits with eager longing for the revealing of the sons of God; for the creation was subjected to futility, not of its own will but by the will of him who subjected it in hope; because the creation itself will be set free from its bondage to decay and obtain the glorious liberty of the children of God. We know that the whole creation has been groaning in travail together until now; and not only the creation, but we ourselves, who have the first fruits of the Spirit, groan inwardly as we wait for adoption as sons, the redemption of our bodies. For in this hope we were saved. Now hope that is seen is not hope. For who hopes for what he sees? But if we hope for what we do not see, we wait for it with patience.
Likewise the Spirit helps us in our weakness; for we do not know how to pray as we ought, but the Spirit himself intercedes for us with sighs too deep for words. And he who searches the hearts of men knows what is the mind of the Spirit, because the Spirit intercedes for the saints according to the will of God.
We know that in everything God works for good with those who love him, who are called according to his purpose. (RSV)
1. All Creation Has Been Subjected to Futility
My first affirmation is this: the age in which we live, which extends from the fall of man into sin until the second coming of Christ, is an age in which the creation, including our bodies, has been “subjected to futility” and “enslaved to corruption.” Verse 20: “The creation was subjected to futility.” Verse 21: “The creation will be freed from slavery to corruption.” And the reason we know this includes our bodies is given in verse 23: not only the wider creation but “we ourselves (i.e., Christians) groan in ourselves awaiting sonship, the redemption of our bodies.” Our bodies are part of creation and participate in all the futility and corruption to which creation has been subjected.
Who is this in verse 20 that subjected creation to futility and enslaved it to corruption? It is God. The only other possible candidates to consider would be Satan or man himself. Perhaps Paul meant that Satan, in bringing man into sin, or man, in choosing to disobey God—perhaps one of them is referred to as the one who subjected creation to futility. But neither Satan nor man can be meant because of the words “in hope” at the end of verse 20. This little phrase, subjected “in hope,” gives the design or purpose of the one who subjected creation to futility. But it was neither man’s nor Satan’s intention to bring corruption upon the world in order that the hope of redemption might be kindled in men’s hearts and that someday the “freedom of the glory of the children of God” might shine more brightly. Only one person could subject the creation to futility with that design and purpose, namely, the just and loving creator.
Therefore, I conclude that this world stands under the judicial sentence of God upon a rebellious and sinful mankind—a sentence of universal futility and corruption. And no one is excluded, not even the precious children of God.
Probably the futility and corruption Paul speaks of refers to both spiritual and physical ruination. On the one hand man in his fallen state is enslaved to flawed perception, misconceived goals, foolish blunders, and spiritual numbness. On the other hand, there are floods, famines, volcanoes, earthquakes, tidal waves, plagues, snake bites, car accidents, plane crashes, asthma, allergies, and the common cold, and cancer, all rending and wracking the human body with pain and bringing men—all men—to the dust.
As long as we are in the body we are slaves to corruption. Paul said this same thing in another place. In 2 Corinthians 4:16 he said, “We do not lose heart, but though our outer man (i.e., the body) is decaying (i.e., being corrupted) yet our inner man is being renewed day by day.” The word Paul uses for decay or corrupt here is the same one used in Luke 12:33 where Jesus said, Make sure your treasure is in heaven “where thief does not come near and moth does not corrupt.” Just like a coat in a warm, dark closet will get moth eaten and ruined, so our bodies in this fallen world are going to be ruined one way or the other. For all creation has been subjected to futility and enslaved to corruption while this age lasts. That is my first affirmation.
2. An Age of Deliverance and Redemption Is Coming
My second affirmation is this: there is an age coming when all the children of God, who have endured to the end in faith, will be delivered from all futility and corruption, spiritually and physically. According to verse 21, the hope in which God subjected creation was that some day “The creation itself also will be set free from its slavery to corruption into the freedom of the glory of the children of God.” And verse 23 says that “We ourselves groan within ourselves waiting eagerly for our adoption as sons, the redemption of our bodies.” It has not happened yet. We wait. But it will happen. “Our citizenship is in heaven from which we await a Savior, the Lord, Jesus Christ, who will transform the body of our lowliness to be like the body of his glory” (Philippians 3:20, 21). “In a moment, in the twinkling of an eye, at the last trumpet, for the trumpet will sound and the dead will be raised incorruptible and we shall be changed” (1 Corinthians 15:52). “He will wipe away every tear from our eyes, and there shall be no longer any death; and there shall be no longer any mourning or crying or pain; the first things have passed away” (Revelation 21:4).
There is coming a day when every crutch will be carved up, and every wheelchair melted down into medallions of redemption. And Merlin and Reuben and Jim and Hazel and Ruth and all the others among us will do cartwheels through the Kingdom of Heaven. But not yet. Not yet. We groan, waiting for the redemption of our bodies. But the day is coming and that is my second affirmation.
3. Christ Purchased, Demonstrated, and Gave a Foretaste of It
Third, Jesus Christ came and died to purchase our redemption, to demonstrate the character of that redemption as both spiritual and physical, and to give us a foretaste of it. He purchased our redemption, demonstrated its character, and gave us a foretaste of it. Please listen carefully, for this is a truth badly distorted by many healers of our day.
The prophet Isaiah foretold the work of Christ like this in 53:5–6 (a text which Peter applied to Christians in 1 Peter 2:24):
But he was wounded for our transgressions, he was bruised for our iniquities; upon him was the chastisement that made us whole, and with his stripes we are healed. All we like sheep have gone astray; we have turned every one to his own way; and the Lord has laid on him the iniquity of us all. (RSV)
The blessing of forgiveness and the blessing of physical healing were purchased by Christ when he died for us on the cross. And all those who give their lives to him shall have both of these benefits. But when? That is the question of today. When will we be healed? When will our bodies no longer be enslaved to corruption?