Tag: mental illness

Doctor’s Orders

 “And hearing this, Jesus said to them, “It is not those who are healthy who need a physician, but those who are sick; I did not come to call the righteous, but sinners.”

Mark 2:17

I am convinced that as “master strugglers,” who just happen to be believers, that there is a deep truth we must understand. In a nutshell, the terribly weak get sprinkled purposefully into our churches–they have a much needed ministry, a honest calling to become the ‘audio-visual’ (AV) department of our churches.

Remember “show-and-tell’ in grade school?

We display for all who can see, especially us, the grace of our Lord Jesus Christ. We can be really mixed up, and really confused. But in contrast, He has become our everything, Jesus is now our all in all. As AV people, we show and declare the deep kindnesses of God. We stumble more than others, and we definitely display His grace.

We are meant to be seen and heard, because that is what the AV department does best.

But that is really not our natural tendency. We hate our many failures. But Jesus spoke of becoming a “candle on a lamp stand,” that gives light into the house. I suppose because of all our inconsistencies, this is often frightening–but this is our certain place in a dark, and very foolish world.

We’re now on display, whether we like it or not.

Because we belong to the AV department, we’re compelled to announce the solid mercy and kindness of God. Maybe in this short life, that is all we can really do. Fair enough. But still we hear that frightening call to become visible for Him, and to point to His fantastic glory. Jesus deserves this, and it seems He uses the worst He can find.

It seems we know far more about sin than we do about holiness.

We may become quite intimidated by this ‘special ministry.’ It seems we know far more about sin than we do about holiness. Quite a few of us are expert sinners. Some of us have our  Ph.D in sin and failure. We have taken training in failure, and are quite proficient in it.

“This is a trustworthy saying, and everyone should accept it: “Christ Jesus came into the world to save sinners”—and I am the worst of them all.”

1 Timothy 1:15, NLT

Our sins and weaknesses, depressions and sicknesses, have become even more evident over time. We are the ones who walk with a definite limp. We will falter, and we stumble. But we continue to turn to Jesus–over and over. And in this persistent action, others will see the immense mercy that is poured out on rascals such as us. We will be those AV people.

As messed up as we are we keep coming repeatedly, over and over and over. We keep hanging on, and keep finding forgiveness and grace.

We dare not let go.

“Simon Peter answered him, “Lord, to whom shall we go? You have the words of eternal life.”

John 6:68

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OCD: Plain & Simple

The OCD Cloud

A woman visits her dermatologist, complaining of extremely  dry skin and seldom feeling clean. She showers for two hours every day.

A lawyer insists on making coffee several times each day. His colleagues do not realize that he lives in fear that the coffee will be poisoned, and he feels compelled to pour most of it down the drain. The lawyer is so obsessed with these thoughts that he spends 12 hours a day at work — four of them worrying about contaminated coffee.

A man cannot bear to throw anything away. Junk mail, old newspapers, empty milk cartons all “could contain something valuable that might be useful someday.” If he throws things away, “something terrible will happen.” He hoards so much clutter that he can no longer walk through his house. Insisting that nothing be thrown away, he moves to another house where he continues to hoard.

A 10 year old girl keeps apologizing for “disturbing” her class. She feels that she is too restless and is clearing her throat too loudly. Her teachers are puzzled and over time become annoyed at her repeated apologies since they did not notice any sounds or movements. She is also preoccupied with “being good all the time”.

These people suffer Obsessive-Compulsive Disorder (OCD). The National Institute of Mental Health estimates that more than 2 percent of the U.S. population, or nearly one out of every 40 people, will suffer from OCD at some point in their lives. The disorder is two to three times more common than schizophrenia and bipolar disorder.

What is Obsessive-Compulsive Disorder? 

Obsessions are intrusive, irrational thoughts — unwanted ideas or impulses that repeatedly well up in a person’s mind. Again and again, the person experiences disturbing thoughts, such as “My hands must be contaminated; I must wash them”; “I may have left the gas stove on”; “I am going to injure my child.”

On one level, the sufferer knows these obsessive thoughts are irrational. But on another level, he or she fears these thoughts might be true. Trying to avoid such thoughts creates great anxiety.

Compulsions are repetitive rituals such as handwashing, counting, checking, hoarding, or arranging. An individual repeats these actions, perhaps feeling momentary relief, but without feeling satisfaction or a sense of completion. People with OCD feel they must perform these compulsions. Heredity appears to be a strong factor. If you have OCD, there’s a 25-percent chance that one of your immediate family members will have it. It definitely seems to run in families.

Can OCD be effectively treated? Meds might help.

Many of the antidepressant medications known as selective serotonin reuptake inhibitors (SSRIs) have also proven effective in treating the symptoms associated with OCD. The SSRIs most commonly prescribed for OCD are Luvox (fluvoxamine), Paxil (paroxetine), Prozac (fluoxetine), and Zoloft (sertraline). Luvox (fluvoxamine): 

How long should an individual take medication before judging its effectiveness?

Some physicians make the mistake of prescribing a medication for only three or four weeks. That really isn’t long enough. Medication should be tried consistently for 10 to 12 weeks before its effectiveness can be judged.

What is behavior therapy, and can it effectively relieve symptoms of OCD?

Behavior therapy is not traditional psychotherapy. It is “exposure and response prevention,” and it is effective for many people with OCD. Consumers are deliberately exposed to a feared object or idea, either directly or by imagination, and are then discouraged or prevented from carrying out the usual compulsive response. For example, a compulsive hand-washer may be urged to touch an object he or she believes is contaminated and denied the opportunity to wash for several hours. When the treatment works well, the consumer gradually experiences less anxiety from the obsessive thoughts and becomes able to refrain from the compulsive actions for extended periods of time. 

Will OCD symptoms go away completely with medication and behavior therapy?

Response to treatment varies from person to person. Most people treated with effective medications find their symptoms reduced by about 40 percent to 50 percent. That can often be enough to change their lives, to transform them into functioning individuals. A few consumers find that neither treatment produces significant change, and a small number of people are fortunate to go into total remission when treated with effective medication and/or behavior therapy.

Reviewed by Judith Rapoport, MD May 2003

Information Helpline: (800) 950-NAMI

 

Dog Poop in the Living Room! (Stigma)

One out of five Americans will experience a mental disorder during their lifetime.  But, people can get better.  With proper treatment, most people with a mental illness recover quickly, and the majority do not need hospital care, or have only brief admissions.

Mental illness has traditionally been surrounded by community misunderstanding, fear, and stigma.  Stigma towards people with a mental illness has a detrimental effect on their ability to obtain services, their recovery, the type of treatment and support they receive, and their acceptance in the community.

Often when we discover a pile of dog poop in the living room there can be issues. Frustration, a bit of anger, and some disgust are typical reactions.

Exactly what is stigma?  Stigma means a mark or sign of shame, disgrace or disapproval, of being shunned or rejected by others.  It emerges when people feel uneasy or embarrassed to talk about behavior they perceive as different.  The stigma surrounding mental illness is so strong that it places a wall of silence around this issue.

Poop happens, but it’s like hiding the “pile” instead of dealing with it properly.

The effects are damaging to the community as well as to the person will the illness and his/her family and friends. But at Mental Health agencies and many churches are working hard to erase the stigma associated with having a mental illness.

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The emphasis needs to be on supporting and treating people in their own communities, close to their families, friends and familiar surroundings.

Yet discrimination and community misconceptions remain among the most significant barriers to people with a mental illness being able to actively participate in the community and gaining access to the services they need.

But it is not only people with a mental illness who experience discrimination and stigma.  Rejection of people with mental illness inevitably spills over to the caregiver and family members.

Improving community attitudes by increasing knowledge and understanding about mental illness is essential if people with a mental illness are to live in, and contribute to, the community, free from stigma and discrimination.

“People with mental problems are our neighbors. They are members of our congregations, members of our families; they are everywhere in this country. If we ignore their cries for help, we will be continuing to participate in the anguish from which those cries for help come. A problem of this magnitude will not go away. Because it will not go away, and because of our spiritual commitments, we are compelled to take action.”

~Rosalynn Carter

Finding Your Way Out

“Must I then, indeed,  Pain, live with you                  All through my life? –sharing my fire, my bed, And, when I feed myself, feeding you, too?”

 Edna St. Vincent Millay

The critical issue many face is trying to survive the next episode of depression or mania.  Somehow I think that cohabiting with something that is trying to kill you is especially disturbing.  Depression is my mortal enemy and here I am, giving in and actually allowing it to destroy me. How crazy is that?

Some of us get absorbed into a dark melancholy. We instinctively carry despair and despondency wherever we go. It’s hard, but I really believe it’s crucial for afflicted believers to begin to worship again (and again, and again).

I’m totally convinced that the Holy Spirit absorbs much of the venom Himself.

When my depression slumbers, life proceeds fairly well.  I can play with my kids, and be a good husband, friend, and neighbor.  Everything seems quiet and normal.  But when the dragon awakes, watch out, there’s going to be ‘hell to pay.’ 

There were many terrible, dark days that I simply couldn’t get out of bed. I was plagued with awful, dark thoughts. Meds didn’t seem to help me. I felt completely lost.

Depression might strike at any time, and exactly when, you can never be too sure.

“How will I handle it next time? Will I be in shape for Christmas, or will I lose it again this year? I just don’t know.” That’s the depressive way. But you know, the Holy Spirit ministers yet, and He will touch my heart again. He gently cares for the depressed.

“But God, who comforts and encourages the depressed and the disquieted, comforted us by the arrival of Titus.”

2 Corinthians 7:6, AMP

My wife and I were missionaries in Mexico for almost three years.  We lived in a “burnt out” and very small trailer, with very sporadic electricity, and no running water. We had a 55-gallon drum for our drinking water, and we tried our best to avoid the mosquito larvae. And part of that time we had to park on the slanted slopes of a dormant volcano.

Sometimes it feels like that, I’m just waiting for the next eruption.

I am glad that God decided to intervene in my life.  Without question, I need Him to watch over me. I have to believe that He will keep rescuing me over and over. As a believer in Jesus, I know he has put his hands on me.  He shields me from the dragon. 

And I have to believe that He protects me from the worst of it.