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.

Being Paranoid

A person who is paranoid has fears, such as being watched, harmed or poisoned. He or she does not trust others and is suspicious that others are “out to get” him or her. These seem very real.

It’s normal to wonder if people are talking about you when you hear them whispering as you walk into a room. These thoughts are usually passed off and not dwelled upon for most people. We give them little credence. Not a problem.

A person who is paranoid, however, does dwells upon suspicious thoughts. He or she goes out of their way to prove their suspicions even though no evidence exists to confirm their thoughts. It’s very hard to reason or speak what is real.

Paranoia is usually found in small degrees in almost every mental illness.

Symptoms

  • Use and/or withdrawal of certain drugs, such as marijuana, crack cocaine and angel dust (PCP)
  • Alcohol withdrawal
  • Deafness or problems with hearing
  • Illnesses that affect the central nervous system, such as Alzheimer’s disease or other dementias, a stroke, a brain tumor
  • Mental illnesses, such as bipolar disorder or schizophrenia
  • Paranoid personality disorder, (PPD)

How to Recognize Paranoia

A person with paranoia may also:

  • Appear cold and aloof
  • Be withdrawn and anxious in social situations
  • Act stubborn and combative
  • Appear “on guard” at all times, out of fear of being controlled or harmed

A paranoid person also:

  • Complains about his or her health and often feels vulnerable and inferior to others
  • Holds grudges easily
  • Displays bitterness and resentment toward others
  • May be easily drawn into religious cults or other groups with strict beliefs
  • Is quite susceptible to conspiracy theories, religious or political
  • Can have delusions of being persecuted

Treatment

Treatment for paranoia depends on its cause. If it is a symptom of another condition, treatment for the condition will often take care of or lessen the paranoia. Paranoid personality disorder is treated with counseling, support therapy and often with medication. Treatment for this disorder is not easy, though, due to the nature of paranoia. Persons who are paranoid often do not trust others including doctors, therapists or family members trying to help them get treatment. It is likely that you will need to intervene, patiently and gently. 

Ministering to the paranoid treatment requires a huge commitment. Typically you’ll see lots of anger as they confront others of mistreating them.

What You Can Do for a Friend or Relative

The most important thing you can do is to encourage your friend or relative to get professional help. Be aware that you may need to make the initial appointment with a professional. You may also need to take them to the appointment and stay with them. Be supportive. Paranoia requires patience, understanding, love and encouragement of the person’s loved ones and friends.

Those close relationships are typically what frees a person who struggles.

Be aware of the types of medication your friend or relative takes and when they should take it. You should also alert their physician or psychiatrist to any side effects that you notice when they do or do not take their medication. 

If I may, I would suggest a movie for you, “A Beautiful Mind.”  This may give you a little insight.

Further Resources

Cleveland Clinic PPD Introduction Site http://my.clevelandclinic.org/disorders/personality_disorders/hic_paranoid_personality_disorder.aspx

Suite 101 PPD Site http://personalitydisorders.suite101.com/article.cfm/paranoid_personality_disorder

 cropped-cropped-christiangraffiti1.jpg

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.

The Sheer Hopelessness of Mental Illness

 

Bear with me please. This was written in March of 2012.
Right or wrong, it was where I was at with my illness. I hope it will bless, and bring hope into that situation that seems very hopeless:

“The Lord is near to the brokenhearted
    and saves the crushed in spirit.”

Psalm 34:18

Depression makes you understand hopelessness.

I’ve seemed to have settled down into a blackness that defies all explanation. I’m dodging being hospitalized, and they can’t put me where I don’t want to go. I don’t want to be locked up again. I’ve been hospitalized four times for depression. Six months of my life wasted.

It’s the hopeless/helpless thing, a “one-two” punch that is the most devastating to me. It crushes and pulverizes until I lie in this sad pathetic mess I’ve become. Dante had it dead-on when ascribed the gates of hell with the words, “Abandon hope, all ye who enter here.” In hell you’ll know what despair is really like. Perhaps heaven and hell really do start here?

And there was another writer, just as clever, said something along these lines,“Shut up! Unless you have been lost in this particular section of hell before,  just be quiet.”

And perhaps we should? Nothing can trump personal experience. The survivors, if you can find them, will understand what I’m saying. 

How is it,
People fear the dark?
Not me, I’m reconciled
as every day I see
the blackness grow,
I’ve come to terms with it,
it knows I know.

–Rod McKuen, Alone

Hopelessness swirls me around and I feel like a bug going down a drain. Thoughts of suicide are becoming more concrete and despair is becoming a frequent visitor.  Mental illness is frightening. Those who have experienced it, will learn not to say anything, but pray.

Durability may ultimately prove to be the most significant factor in this “mixed state” of Bipolar disorder that I am wandering through at the moment. Can I outlast these demons that plague me? My irrational mind plays tricks on me, I see mirages of wholeness and peace, but they don’t seem  real. It is a big, fat lie. It is nothing but a delusion, or a trick of the brain. 

And yet something inside of me steadfastly hopes for God’s grace and mercy. 

I can’t explain this.

I know that Jesus has conquered the dark. I must cling to Him. I must let this darkness go. He’ll need to work this out.

Up and down, side-to-side, where it stops, no one knows?  But God…and right now He isn’t saying. Jesus hold on to me. I hold on, by faith to the promise given to me–

“And I am sure of this, that he who began a good work in you will bring it to completion at the day of Jesus Christ.”

Philippians 1:6

I don’t mean to be this raw. Sometimes I just let it “all hang out.” I hope you’ll forgive me if I’m too open. I just wanted you to have a picture of a “broken believer” and more so of the grace that saves me.

I know He loves me. I somehow cling to this.