Tag: mental disorder

1 in 4 Church Homes Are Dealing With This!

By Carlene Hill Byron

How many families in your church have a loved one who struggles with mental health problems? That’s kind of a trick question. People don’t talk about mental health problems. You’re more likely to hear them describe their child’s condition as “something like autism,” as the elder of one church we know says.

Or they might cover up entirely, as does an elder’s wife in another congregation. When her bipolar disorder swung into mania after childbirth, her family, already managing the added responsibilities of a newborn, had to manage her condition as well. But because her condition is a secret, they did so without any support beyond the usual “new baby” dinners.

The answer to the question is, if your congregation is representative of the U.S. population, one in four households will struggle with someone’s mental health problems over their lifetime. That’s schizophrenia, bipolar disorder, obsessive compulsive disorder, disabling chronic depression, and various anxiety disorders.  Look at the faces seated around you this Sunday.  Someone is probably hurting. And they’re probably afraid to tell you.

The least acceptable disability

Schizophrenia2
Out of Control

A study where people ranked disabilities by their “acceptability” returned these results, in order–most acceptable: obvious physical disabilities, blindness, deafness, a jail record, learning disabilities, and alcoholism.

Least acceptable: mental health problems. People with mental health problems frighten us because when people become mental ill, they become someone we don’t know. A bright boy who was his family’s bright hope may find he just can’t cut it anymore as schizophrenia turns him paranoid, disoriented, unmotivated in the extreme, and overwhelmed by delusional voices that tell him, over and over, how worthless he is.

Or, in the case of bipolar disorder, a girl who was a well-liked and active member of her Teen Challenge group may suddenly turn promiscuous, run away from home, and make a new home in the streets of a strange city. Laziness. Promiscuity. Violence. Sin. That’s what many people see when they look at those with mental health problems. It’s hard to believe that people may behave in such unacceptable ways and not be in control of their behavior.

Having a mental health problem is a lot like being on alcohol or drugs, without being able to stop. Medications “work” for about two-thirds of us. That means that a third of us can’t ever get off the chemical ride that our brains produce.

For those of us who can use medications, the side effects can be daunting. I have lost about 20 percent of my small motor functionality as a result of one of the five medications I take for bipolar disorder. I prefer that to losing large motor control and having another auto accident, being so disoriented I can’t find my way home from the store, losing bowel control in a busy bookstore, gaining 45 pounds, or any of dozens of side effects I’ve experienced on other medications.

Many people become so frustrated with side effects that they stop taking medications. Only about half of us accept treatment. Even when we are treated, not everyone regains their status as a fully functioning adult. In our extended family, six people have diagnoses. Those with bipolar disorder and chronic depression are successfully medicated and work full-time. Those with panic disorder and schizophrenia are on permanent disability. Nothing has pulled them through.

 

What the Bible says

The Bible talks about mental illness, as well as physical illness.

  • It describes a king who was made mentally ill until he would recognize the sovereignty of God (Dan. 4:29-34).
  • It describes demonized men who lived among the tombs and terrorized everyone until Jesus set them free (Matt. 8:28-33).
  • It also describes as demonized a young boy that most scholars today say had epilepsy (Matt. 17:15-18). Jesus delivered him, too.
suicide_germs
What was once believed

What does this tell us about illness?

First, that God is able to heal. Second, that some physical and mental illnesses are caused by demons. Third, that some mental illnesses are caused by sin. But are all mental illnesses caused by demons or sin, and is seeking God our sole resource for physical and mental healing?

Since the 1950s, we have usually sent church members with epilepsy to doctors for effective treatment with anti-convulsant drugs. In a similar way, we’ve learned that medicines can effectively treat many cases of mental illness. So if all mental illnesses were caused by demons and sin, medicine would be exorcising demons and turning hearts to repentance. That is certainly untrue, for those are the works of the Holy Spirit.

Instead, we now know that most if not all mental illnesses are biological in origin, with environmental factors possibly triggering an existing genetic predisposition to the illness. Mental illnesses, just like epilepsy, are biological disorders of the brain.

What can the church do?

Compassionate service is one of our core charges as Christians. We observe it almost daily in the experience of one man we know with schizophrenia. His life is confined almost entirely to his home due to the fear, indecision, and lethargy that have become the shape of the illness in his body. But neighbors bring him occasional meals. The secretary of his small church talks to him by telephone every weekday. Several other members take weekly calls at designated times to help break his isolation. If he doesn’t feel up to driving to his Bible study meeting or Sunday services, some member will give him a ride. Nearby relatives help him plan and manage his finances, and come by to clean occasionally and for DVD “movie nights.” Phone cards given as gifts allow him to call his mother nightly. There’s much more that could be done—more frequent house cleaning and more meals and more visits—but he enjoys far more contact with many more loving people than many shut-ins.

The challenging good news is that when people with mental illness turn to someone outside “the system” for help, the church is first to get the call 40 percent of the time. Is your church ready?

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Carlene Hill Byron is the former Director of Communications for Vision New England. Through NAMI—the Nation’s Voice on Mental Illness, she and her husband, James, train churches to effectively serve people within the congregation with mental health problems and also teach NAMI’s class for families of people with mental health problems. They are members of Asbury United Methodist Church in Raleigh, North Carolina, where James serves on staff. First published by Vision New England’s Ministries with the Disabled, Acton, Massachusetts.

http://www.mentalhealthministries.net/index.html

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Comparing Our Differences

“Do not insult the deaf or cause the blind to stumble. You must fear your God; I am the Lord.”

Leviticus 19:14, NLT

“I served as eyes for the blind and feet for the lame.”

Job 29:15, NLT

Our disabilities can give us a rough time of it. Being mentally ill– whether with depression, schizophrenia, bipolar, autism spectrum, etc can create many challenges. In some sense, those of us with physical or mental issues are all in the same boat. Many of us are physically, mentally, or developmentally disabled.

Or are we? I suspect that there are a million permutations (or more) of disability. One is in a wheelchair and suffers from migraines and depression. Another has severe anxiety. Others have little or no self-control and is becoming a drunkard, and yet another is just a child but diagnosed as autistic.

The fact of  labeling people often diminishes them into categories. A young child with Downs Syndrome is often labeled, and they seldom have the opportunities that ‘normal’ children receive. This is usually an unconscious reaction to their handicap.

In Nazi Germany, those with a mental or physical illness were rounded up and sterilized or euthanized (murdered) to achieve an ‘Aryan superiority.’ Systematically, untold thousands of disabled people were executed. We call this “eugenics” and it still is alive and well in the 21st century. It is rampant in a world that embraces “social darwinism” as its ideology.

We must remember these things. We also need to understand that we shouldn’t compare people with people. And we dare not pass judgement on anyone who is different. Disabled people should not wear labels, especially when ‘normal’ people slap it on us. A person’s perceived value should never, ever be part of a Christian believer’s agenda.

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ybic, Bryan

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Evil Gets a Makeover

by Catherine DeMonte LFMT

God delights in changing evil things into good. He has this crazy habit of taking dark things and making them new. Many of us have a checkered past, many hurtful and ugly things have been committed on us, as well as by us. We have been wounded, and we have hurt others.

There are some of us with a mental illness. And some with a chemical dependency. These have been a factor in our sin, but they are not excuses. The Book of Proverbs describes this “playing with fire.”

“Can a man carry fire next to his chest and his clothes not be burned?”

Proverbs 6:27, ESV

The first step we take is to “own up.” But alas, we have hid it for so long, denying and pretending that we have not been harmed, or have harmed others. We are masters of disguise, masquerading as whole people. When I was a boy, I often earned the task of cleaning the barn. You would scrape the manure into the gutter, and then dusted lime over anything left behind. But it was only cosmetic, it was simply covered up.

The deep promise of Jesus is not cosmetic. It is not superficial; it is not just “skin deep.” The profound actuality is that our transformation is inside out. It is a work that starts in our heart, and then works itself out where people can see. We have all tried to clean things up, but what we don’t need is more lime.

The love and forgiveness of our Lord is what we really must have. Our sins are making us very unpleasant people. As we get older we find that our evil has been compounded and extrapolated. The infection only spreads, and it gets worked throughout our lives and relationships. This is ruinous, and David understood.

“Then I confessed my sins to you
and didn’t hide my guilt.
I said, “I will confess my sins to the Lord,”
and you forgave my guilt. “

Psalm 32:5, NCV

We are sinners, and some of us are very talented at it. It is an art form to us. Our entire society, and every social aspect is sick with it. Jesus who knows us completely, and He loves us the most.

“In Christ we are set free by the blood of his death, and so we have forgiveness of sins. How rich is God’s grace,8 which he has given to us so fully and freely.”

Ephesians 1:7,8

“I sinned against the Lord,
so he was angry with me,
but he will defend my case in court.
He will bring about what is right for me.
Then he will bring me out into the light,
and I will see him set things right.”

Micah 7:9, NCV

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Getting Both Barrels

Dual Diagnosis of Mental Illness and Substance Abuse

Drugs & booze are deadly

Dual diagnosis services are treatments for people who suffer from co-occurring disorders — mental illness and substance abuse. Research has strongly indicated that to recover fully, a consumer with co-occurring disorder needs treatment for both problems — focusing on one does not ensure the other will go away. Dual diagnosis services integrate assistance for each condition, helping people recover from both in one setting, at the same time.

Dual diagnosis services include different types of assistance that go beyond standard therapy or medication: assertive outreach, job and housing assistance, family counseling, even money and relationship management. The personalized treatment is viewed as long-term and can be begun at whatever stage of recovery the consumer is in. Positivity, hope and optimism are at the foundation of integrated treatment.

How often do people with severe mental illnesses also experience a co-occurring substance abuse problem?

There is a lack of information on the numbers of people with co-occurring disorders, but research has shown the disorders are very common. According to reports published in the Journal of the American Medical Association (JAMA):

  • Roughly 50 percent of individuals with severe mental disorders are affected by substance abuse.
  • Thirty-seven percent of alcohol abusers and 53 percent of drug abusers also have at least one serious mental illness.
  • Of all people diagnosed as mentally ill, 29 percent abuse either alcohol or drugs.

The best data available on the prevalence of co-occurring disorders are derived from two major surveys: the Epidemiologic Catchment Area (ECA) Survey (administered 1980-1984), and the National Comorbidity Survey (NCS), administered between 1990 and 1992.

Results of the NCS and the ECA Survey indicate high prevalence rates for co-occurring substance abuse disorders and mental disorders, as well as the increased risk for people with either a substance abuse disorder or mental disorder for developing a co-occurring disorder. For example, the NCS found that:

  • 42.7 percent of individuals with a 12-month addictive disorder had at least one 12-month mental disorder.
  • 14.7 percent of individuals with a 12-month mental disorder had at least one 12-month addictive disorder.

The ECA Survey found that individuals with severe mental disorders were at significant risk for developing a substance use disorder during their lifetime. Specifically:

  • 47 percent of individuals with schizophrenia also had a substance abuse disorder (more than four times as likely as the general population).
  • 61 percent of individuals with bipolar disorder also had a substance abuse disorder (more than five times as likely as the general population).

For the rest of this article, go to NAMI:  http://www.nami.org/Template.cfm?Section=By_Illness&Template=/TaggedPage/TaggedPageDisplay.cfm&TPLID=54&ContentID=23049

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