Tag: mental illness

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.

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

Standing With Her in the Rain

standingaloneintherain1

“Share each other’s burdens, and in this way obey the law of Christ.”

Galatians 6:2, NLT

By Lisa Schubert, Guest Author

Samantha issued commands to the person on the other end of the line. When she hung up, the rant continued against our church, our staff, the weather, and this meal that would serve as her Thanksgiving dinner. I had to let her go mid-rant, but not before reminding her that I would keep her in my prayers.

Samantha approached me outside the church on Thanksgiving morning with her hair disheveled and her coat covered with dirt smudges and raindrops. She demanded to borrow my cell phone to find if the Thanksgiving dinner she had requested from a charitable organization would be ready for pick-up in an hour. I was in a hurry. I needed to be inside preparing to lead worship. I begrudgingly let her borrow my phone, but I insisted on dialing the number myself and standing with her in the gentle rain.

Cross-in-the-Rain-

My encounters with Samantha have continued over the past few months. She’s almost always confused, angry, and paranoid. She tells stories about growing up with another member of our staff, who never met her until recently. It’s hard to know how to respond to Samantha.

A friend called me recently to ask if our church had any resources for helping congregations to welcome those who struggle with mental illness. I pointed her in a few directions, including the National Alliance on Mental Illness (NAMI) at www.nami.org. Even as I offered her the information, I felt uneasy. Connecting with those who have mental illnesses is a complex, difficult journey.

It was raining again on Monday when I saw Samantha. She was sitting in the front lobby of the church. She shouted at me as I walked out the door, “Be careful out there! Two guys tried to kidnap me, and I wouldn’t want that to happen to you.” Unwilling to believe her, I replied, “Samantha, I’m sorry you had a rough morning. I’ll be thinking of you. Hope your day gets better.” I continued out the church doors and opened my umbrella.

I later discovered that Samantha was mugged that morning. Thankfully, the police believed her while I had blown her off. They arrested the alleged perpetrators that afternoon.

I’m embarrassed by my lack of gentleness and compassion toward Samantha, and I know I’m not alone. I wonder what it means for the Church to embrace, accept and listen to those who have mental illnesses. I wonder how church leaders like myself can grow and help others to deepen their care for people like Samantha.

There are no simple answers, but I think the answer starts in a simple place:

We stand with them in the rain.

Lisa Schubert is Associate Pastor of Discipleship and Formation of North United Methodist Church, Indianapolis.

Notice Her Eyes, [Handicaps]

Stuck in the wonders of scripture we read about Leah and her sister Rachel. We see the two daughters of Laban have become Jacob’s wives. We must step into Genesis 29 to see more.

Jacob longs for Rachel. She is his “soul mate” and because he’s in love, the customs and technicalities of the day somehow get by him. Because of this, he will have to take on Laban’s subtle trickery, where daughters get exchanged, and we must sort out who is who.

Laban’s deception creates a huge crisis for everyone. 

But it seems Jacob just rolls with it. I suppose deception has always been Jacob’s strong suit. (But when we see a deceiver like Jacob gets deceived, that can’t be all bad).

But it’s Leah that I tend to think about. Her own issues are unique. Genesis 29 explains it a bit cryptically,

“Leah’s eyes were weak, but Rachel was beautiful in form and appearance.” 

Genesis 29:17

You must know that there is confusion by commentators about the “weak eyes.” Some take it literally (as in, she is very “near-sighted,”) while others who look at the original Hebrew find the words to be a bit looser and vague. They tend to think that this is a polite way of saying she really wasn’t pretty.

The text also states that Leah was “hated.”

Genesis 29:30-31.

She is wounded, and life requires that she live as unwanted. She is a woman of tragedy and broken hopes and dreams. She will always live as a reject. At best, she will always be a distant second, and perhaps a bit scorned and neglected for this.

I conclude that Leah is the champion for the challenged.

I love Leah and I think I understand her. Her life is a long tragedy and very full of sadness. For the next 30-40 years she will always be a cast-off, someone who has been broken on life’s bitter vagaries. She’s a fellow struggler, and a survivor.

Her sad life is comparable to us who have to fight so hard over our own illness or handicaps.

She must’ve been challenged by her terrible weakness. I understand this. My own life has been “topsy-turvy” and a really hard struggle. Somehow it seems we must work through these things way too much.

It doesn’t seem fair. 

For those of you who are confined to a wheelchair, or must use a cane, or who deal with a physical or mental illness. Leah should be our hero. For those who have been betrayed by addiction, or who have felt rejected through a bitter divorce– Leah speaks to us.

She is for every loser and for failures of all stripes. But through all of our setbacks and messes, we must realize that God does love us– even as we weep.

We may have Leah’s eyes, but we also have His grace.

I have a new site at alaskabibleteacher.com.