Tag: mental illness

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

What Not to Say to a Depressed Person

 

by Therese J Brochard

I’m always on the lookout for articles that touch on ways to communicate to a friend or family member who is depressed. It’s a delicate issue and one that deserves some serious attention.  What follows is what you should, and should not say to a loved one struggling with depression. — Bryan

Nearly 21 million adults in the United States experience clinical depression (aka major depressive disorder) every year.

Odds are someone close to you is among them.

 1. Snap out of it!

Your loved one hasn’t left the house in what seems like days. Should you tell him to pull himself up by his bootstraps and just snap out of it?

Don’t say it.

You may be tempted to tell someone who’s depressed to stop moping around and just shake it off. But depression is not something patients can turn on and off, and they’re not able to respond to such pleas. Instead, tell your loved one that you’re available to help them in any way you can.

 

2. What do you have to be depressed about?

In a world full of wars, hunger, poverty, abuse, and other ills, you may feel impatient when someone you love feels depressed. So do you remind him how lucky he is?

Don’t say it.

You can’t argue someone out of feeling depressed, but you can help by acknowledging that you’re aware of his pain. Try saying something like “I’m sorry that you’re feeling so bad.”

 

3. Why don’t you go for a nice walk?

Exercise is a known way to lift your mood. Is it a good idea to suggest that your loved one with depression go out and enjoy some fresh air and activity?

Say it — but with a caveat.

By definition, depression keeps you from wanting to engage in everyday activities. But you can show your support by offering to take a walk, go to a movie, or do some other activity with your loved one. How about: “I know you don’t feel like going out, but let’s go together.”

 

4. It’s all in your head.

Some people believe that depression is an imaginary disease and that it’s possible to think yourself into feeling depressed and down. Should you tell your loved one that depression is just a state of mind — and if she really wanted to, she could lift her mood with positive thoughts?

Don’t say it.

Suggesting that depression is imagined is neither constructive nor accurate. Although depression can’t be “seen” from the outside, it is a real medical condition and can’t be thought or wished away. Try saying instead: “I know that you have a real illness that’s causing you to feel this way.”

 

5. Seeing a therapist is probably a good idea.

You think your loved one could benefit from talking to a mental health professional. Should you say so?

Say it. And say it again.

Reinforcing the benefits of treatment is important. Encourage the idea of getting professional help if that step hasn’t yet been taken. This is especially important if your loved one has withdrawn so much that she is not saying anything. Try telling her, “You will get better with the right help.” Suggest alternatives if you don’t see any improvement from the initial treatment in about six to eight weeks.

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For other suggestions on what to say and what not to say, check out Everyday Health’s post.

Also, see Psych Central’s our list of the worst things to say to someone who’s depressed.

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Therese J. Borchard writes the daily blog, “Beyond Blue,” on Beliefnet.com.
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Elijah Had Issues as Well

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Elijah and the Angel

“Then Elijah walked for a whole day into the desert. He sat down under a bush and asked to die. “I have had enough, Lord,” he prayed. “Let me die. I am no better than my ancestors.”

1 Kings 19:4

Poor Elijah.  He was bold and heroic, taking on the enemy at Mt. Carmel.  A mighty victory was amazing, but here he is, completely defeated and overpowered by his own fear and doubt.  How defeated was he?  We hear him begging to be allowed to die. 

He was overwhelmed.

You could say that Elijah was saturated with fear.  He could not resist taking on the conflict.  It seemed to him that everything was now directed at him.  He couldn’t take one step forward.  So, he folded.  Everything was affecting him on a personal level, and he was not built to take the load.

Many of God’s children come to this point.

He was shorting out.  His internal circuits were not designed for this.  He crumbles under the weight.  As we read the text, it all seems to be a bit off.  We shake our heads and wonder about strange Elijah.  We see him incapacitated by his doubt and fear.  But it doesn’t seem to us to be an issue.  The prophets of Baal wouldn’t deceive the Israelites anymore. After all, he had just achieved a fantastic victory that should propel him to the next encounter.

“Elijah was a human being just like us.”

James 5:17

The servants of the Lord are vulnerable.  As we step into the flow of God’s presence we will come “face-to-face “with things that are beyond us.  Often we will find ourselves pushed beyond our limits, backed in a corner and stripped of our weaponry.  Our enemies now turn to face us without fear of reprisal.

Our Father deals gently with a wounded servant.

Elijah had been crippled.  He had nothing more to give.  We can shake our head, and pass him by as a casualty of a spiritual war. But the funny thing is that God tells his story, he has been added to the narrative of scripture.  His falterings, and failings has become our focal point.  Elijah, with all his issues must be faced, and we must look at him.

We see the tenderness and gentleness of God as He deals with His bruised servant. God loves His broken believers. (1 Kings 19:12-13).

His Spirit is oh so gentle.

He comes whispering.  He lifts Elijah at Elijah’s pace.  A painful rebuke, and there isn’t a harsh word of correction, it is not even considered.  Our Father deals carefully with a wounded servant.  Elijah would go on to serve Jehovah.  Elijah would be a changed man.

God had mended him.

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(Background: 1 Kings 18-19)

Fallow Ground

Today I realized that I was sick and very tired of myself. It’s really not disgust or even loathing. It’s more like weariness, exhaustion. I’ve never felt this way. In a strange way, it intrigues me. Could this definite disenchantment mean something spiritual? Does it have value, or am I just feeling self-absorbed or conceited?

There seems to exist a real rigidity to evil, something intense.

I have seen it up close– sin that hardens all who touch it, plain and simple. My growing immobility disturbs me, as I know I’m developing a “hardness of heart.” Atherosclerosis is a condition of a sick heart where arteries become blocked. It’s also known as the “hardening of the heart, or arteries.” It is a patient killer, slowly and surely making hard deposits that block the flow of blood.

The Bible speaks much about having a hard heart.

It also uses the metaphor of fallow ground that must be plowed up. Jesus used the same image in His “Parable of the Sower” in Matthew 13.

“A sower went out to sow. 4 And as he sowed, some seeds fell along the path, and the birds came and devoured them. 5 Other seeds fell on rocky ground, where they did not have much soil, and immediately they sprang up, since they had no depth of soil, 6 but when the sun rose they were scorched. And since they had no root, they withered away. 7 Other seeds fell among thorns, and the thorns grew up and choked them. 8 Other seeds fell on good soil and produced grain.”

There are really only four options.

  • The first is the seed that gets walked on.
  • The second lands on hard stones.
  • The third seed tries to grow in the thorns and thistles.
  • Only the fourth flourishes.

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The Battle of the Heart

I have found that my own heart drifts. I myself struggle with a mental illness where my emotions fluctuate constantly. They gallivant around, floating here and then there. I may be depressed and suicidal in the morning, and then I can be euphoric in the evening. It’s having the identity of a “wandering star.”

But I so want my heart to soften. I want to grow. I really do.

I so want to sit with Jesus and hear His words. I need Him to share what He’s thinking about. Yet I know that any sin I entertain has a hardening effect on my spiritual heart. This scares me. But truly he still holds me close, and he keeps his steady loving hand on me. *

Never underestimate a hardened heart. Never overestimate His love to free you.

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