Tag: medications

Social Anxiety Understood

“In any social situation, I felt fear. I would be anxious before I even left the house, and it would escalate as I got closer to a college class, a party, or whatever. I would feel sick in my stomach-it almost felt like I had the flu. My heart would pound, my palms would get sweaty, and I would get this feeling of being removed from myself and from everybody else.”

“When I would walk into a room full of people, I’d turn red and it would feel like everybody’s eyes were on me. I was embarrassed to standoff in a corner by myself, but I couldn’t think of anything to say to anybody. It was humiliating. I felt so clumsy, I couldn’t wait to get out.”

Social phobia, also called social anxiety disorder, is diagnosed when people become overwhelmingly anxious and excessively self-conscious in everyday social situations. People with social phobia have an intense, persistent, and chronic fear of being watched and judged by others and of doing things that will embarrass them. They can worry for days or weeks before a dreaded situation.

This fear may become so severe that it interferes with work, school, and other ordinary activities, and can make it hard to make and keep friends.

While many people with social phobia realize that their fears about being with people are excessive or unreasonable, they are unable to overcome them. Even if they manage to confront their fears and be around others, they are usually very anxious beforehand, are intensely uncomfortable throughout the encounter, and worry about how they were judged for hours afterward.

Social phobia can be limited to one situation (such as talking to people, eating or drinking, or writing on a blackboard in front of others) or maybe so broad (such as in generalized social phobia) that the person experiences anxiety around almost anyone other than the family.

Physical symptoms that often accompany social phobia include blushing, profuse sweating, trembling, nausea, and difficulty talking.

When these symptoms occur, people with social phobia feel as though all eyes are focused on them. 

Social phobia affects about 15 million American adults. 

Women and men are equally likely to develop the disorder, which usually begins in childhood or early adolescence. There is some evidence that genetic factors are involved. Social phobia is often accompanied by other anxiety disorders or depression, and substance abuse may develop if people try to self-medicate their anxiety.

The use of anti-anxiety drugs may be used and they can help you get through “bad patches” when anxiety becomes too much. It’s possible that these meds can help. Let your doctor guide you.

Understand that social anxiety can be successfully treated with certain kinds of psychotherapy or medications. You probably should find someone who understands what you’re dealing with. They need to be good listeners and have an encouraging voice.

Bringing in a pastor or elder must be considered.

Prayer and counsel are critical. Holding on to God’s promises is necessary and as you deal with this it can be God’s way of strengthening your walk. The Word is packed full of His promises. The Lord knows-He wants you to take up and understand what He wants to give you in this.

“Fear not, for I am with you; be not dismayed, for I am your God; I will strengthen you, I will help you, I will uphold you with my righteous right hand.”

Isaiah 41:10

Medical: Paranoia & Delusions

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Delusional disorder, (previously called paranoid disorder,) is a type of serious mental illness called a “psychosis“ in which a person cannot tell what is real from what is imagined. The main feature of this disorder is the presence of delusions, which are unshakable beliefs in something untrue.

People with delusional disorder experience non-bizarre delusions, which involve situations that could occur in real life, such as being followed, poisoned, deceived, conspired against, or loved from a distance. These delusions usually involve the misinterpretation of perceptions or experiences.

In reality, however, the situations are either not true at all or highly exaggerated.

People with delusional disorder often can continue to socialize and function normally, apart from the subject of their delusion, and generally do not behave in an obviously odd or in a bizarre manner. This is unlike people with other psychotic disorders, who also might have delusions as a symptom of their disorder. In some cases, however, people with delusional disorder might become so preoccupied with their delusions that their lives are disrupted.

Types of delusional disorder

There are different types of delusional disorder based on the main theme of the delusions experienced. The types of delusional disorder include:

  • Erotomanic — Someone with this type of delusional disorder believes that another person, often someone important or famous, is in love with him or her. The person might attempt to contact the object of the delusion, and stalking behavior is not uncommon.
  • Grandiose — A person with this type of delusional disorder has an over-inflated sense of worth, power, knowledge, or identity. The person might believe he or she has a great talent or has made an important discovery.
  • Jealous — A person with this type of delusional disorder believes that his or her spouse or sexual partner is unfaithful.
  • Persecutory — People with this type of delusional disorder believe that they (or someone close to them) are being mistreated, or that someone is spying on them or planning to harm them. It is not uncommon for people with this type of delusional disorder to make repeated complaints to legal authorities.
  • Somatic — A person with this type of delusional disorder believes that he or she has a physical defect or medical problem.
  • Mixed — People with this type of delusional disorder have two or more of the types of delusions listed above.

Basic Principles

There are no systematic studies on treatment approaches and results in Delusional Disorder. The patient’s distrust and suspiciousness usually prevents any contact with a therapist.

Hospitalization

Hospitalization is indicated if a potential for danger is present; otherwise outpatient management is advisable. Unfortunately, involuntary hospitalization may increase distrust and resentment and increase the patient’s persecutory delusions.

Antipsychotic Drugs

Antipsychotic medication may be useful, particularly for accompanying anxiety, agitation, and psychosis. Because patients may be suspicious of medication, depot forms may be helpful. Although antipsychotics may have a good response, they are often only marginally effective for specific forms of Delusional Disorder.Other Therapies

Other treatments have been tried (electroconvulsive therapy, insulin shock therapy, and psychosurgery), but these approaches are not recommended.

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Thinking About Mental Illness

“Brothers and sisters, do not be children in your thinking; yet in evil be infants, but in your thinking be mature.”

1 Corinthians 14:20

Those of us who are broken have to think through lots of stuff. But Jesus is our Teacher, and He fully intends to educate His disciples. Following Him is to be vibrantly alive, and yet I still must deal with the issues of living, and of having a growing faith that is becoming real at long last.

I’ve found that this really isn’t a “one and you’re done” experience.

The Bible describes a slow growth into the image of Jesus– -painstakingly learning about our frosty hearts, and how God keeps pouring His “super-heated” grace on the broken. We’re finally becoming ‘poor in Spirit’ and we’re learning to ‘mourn’ over our sins, perhaps we realize that we’ve fallen quite short of His will for us. (Matt. 5:3-4).

This list isn’t orderly or exhaustive, and it’s written primarily for the mentally ill Christian believer:

  • Stigma-This is one of the basic hazards that come with being a believer with a mental illness. People will whisper and treat you like you’re a moron, even in God’s church. You’ll try to become thick-skinned and ask Jesus for His help. He understands you completely. Even the Lord’s own family considered Him mentally disturbed. You’re in good company.

“And when those who belonged to Him (His kinsmen) heard it, they went out to take Him by force, for they kept saying, He is out of His mind (beside Himself, deranged)!” Mark 3:21, Amplified.

  • Medications– This will be a stretching time as you must determine what’s best for you, your family, and basic functionality. There will be many opinions and definite issues that ‘disciples.’ must navigate. Some say that therapy and ‘meds’ are wrong. Perhaps for some. No matter what though, your patience will be required and you’ll need to seek His wisdom. He will tell you what to do.
  • “Not neglecting to meet together, as is the habit of some” must anchor us. We were built for real fellowship.  It’s quite easy to attempt to go it alone, but that isn’t what God wants, it’s wrong. Not being with others is a disease of the spiritual heart. I’ve chafed at this from time to time. 
  • Therapy— To go or not to go? I happen to believe a good counselor is worth their weight in gold, but a bad therapist can be a real challenge to your faith. Figure out your tolerance level on this. Quite often I simply need a good listener, and listening is a skill that is developed over time. Find a listener.
  • Marriage—  A good spouse is your key to managing your mental illness. God has gifted them to deal with your disability; they’re your partner in this. Bring them into some of your appointments. Talk, and listen. Learn to pray and worship together. Read the Word out loud. Remember they are learning too. Your disability is also shaping their own discipleship to Jesus. 
  • Family— They’ll often feel the brunt of your issues. It is good to be aware of this and adjust to their needs. Above all, don’t flog yourself for your failings. Allow God to redeem your situation. Trust in the Lord, and try not get in His way. He wants to renew things. Always look for creative ways to love your family. (Surprise ice cream does wonders!)
  • Work— Not surprisingly, some employers have very little tolerance for your issues, but the law says is that they can’t discriminate against a mental illness. I hope it won’t come down to that.

Title I of the Americans with Disabilities Act (ADA) and Section 501 of the Rehabilitation Act of 1973 (Section 501) are the federal laws that protect people with disabilities, including mental health disabilities, from discrimination at work. 

  • Fellow strugglers-– Finding other mentally ill believers is priceless. When I meet someone who also struggles with severe depression I want to give them a big bear hug. We instantly have a rapport that isn’t easily defined. Finally, there is someone who understands my battle!
  • Prayer and worship—Desperate prayers have a tendency to get answered. Start praying for five minutes a day. Pray, do not complain. Be real, not religious. Talk with Jesus like he was your best friend. Prayer is the key to making the above work. Prayer is the “heartbeat” of heaven. And of course–worship! (The real stuff, not religious.)
  • The Word of God–the scriptures (especially the Psalms) are pretty real stuff. Check out Psalm 88, it’s especially written for the one who struggles.

We have the joy of combining our discipleship with our illness.

This is a formidable task. But the Helper, the Holy Spirit stands ready to give us His wisdom. He graces us with intense spiritual power. The battle rages and times get tough. Perhaps “grittiness” should we should add to the fruits of the Holy Spirit? I’ve now walked with Him for over 40 years now, and I know Jesus has never left me alone. He never lets me ‘twist in the wind.’ He promised, I’m never alone. No matter what.

The Lord truly will accommodate your illness with His power and grace. He promised.

He always does this for His children. No believer is ever overlooked or forgotten. He is constantly aware of you. What comfort and peace that brings.

“There is no circumstance, no trouble, no testing, that can ever touch me until, first of all, it has gone past God and past Christ, right through to me. If it has come that far, it has come with a great purpose.” 

— Alan Redpath

These are some of the areas that are affected by your mental illness. A wise spouse, pastor, elder, friend, or therapist can do wonders when things get difficult. Sometimes we need a new perspective as we sort things out. God will often use others to bandage and heal us. That’s the way He works.

“There has never been the slightest doubt in my mind that the God who started this great work in you would keep at it and bring it to a flourishing finish on the very day Christ Jesus appears.”

Philippians 1:6, Message

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FYI. I have another site up and running, alaskabibleteacher.com.

 

The Sterile Curse of Social Isolation

“Whoever isolates himself seeks his own desire; he breaks out against all sound judgment.”

Proverbs 18:1

Research reveals the reality of social isolation.  It seems more and more people are veering away from social contact. A Duke University study found that Americans are choosing to become more solitary than ever. Many are eschewing all relations all together.  This is a problem, socially and spiritually.

I’ve seen some of the statistics– fully 25% of people have no relationships at all, and something like 50% have no relationships outside of their spouse and children.  This disturbing trend is building momentum.  In 1985 the figure was just 15%.

I think that a lot of pressure may be coming from the internet, although Facebook and Twitter have reconfigured social connections. Longer work hours, the phone and streaming video, all contribute to the move away from human contact.

The commute time is also a factor.  For every 10 minutes stuck in traffic there is roughly a 10% drop in social relationships.  So if you have a bad commute on I-80 you are more likely not to want to have a friend over.

Hundred years ago our society was far more geared for personal contact.  People would regularly visit each other.  Neighbors knew each other.  There were parlor games and dinners.  Music recitations and skits.  Card parties. Television and radio had not yet grabbed the countries psyche.  Sociologists and anthropologists confirm that our history was deep in contact with each other.  We were not built for solitary living.

With community life disappearing people are turning to online relationships. Our churches are trying to adapt, as even Christians are not connecting like they should.  I have been out in the Alaskan bush villages, and the older generation is frustrated because the younger generation seems to be in trouble.  “They don’t pick berries, or hunt; all they do is sit in front of the TV playing Nintendo, or their laptops.”

We need fellowship with others, and God as well. There are very few solitary believers.

I guess the biggest issue of all is mental illness.  Social isolation is a direct part of depression and other disorders.  In order to get better, people must reach out and connect.  There is no substitute, no other option.

I see the shift in my own life. I am seeking to back off from being online 6-8 hours a day.  I am trying to be around flesh & blood as often as possible.  I am personally trying to consciously maximize that time.

It keeps me healthier.

To be healthier, we think its physical.  We have our gym memberships and we run on the treadmill.  That is good.  But I’m thinking we are losing out if we don’t workout socially (and spiritually) as well. Christians are  a special species; we need fellowship with others, and God as well. There are no solitary believers.

“A man who isolates himself seeks his own desire: To cut one’s self off from family, friends, and community is often to express a selfish desire. It shows an unwillingness to make the small (and sometimes large) sacrifices to get along with others.”

David Guzik, enduringword.com

“This is the message you have heard from the beginning: We should love one another.”

1 John 3:11, NLT