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.

Losing Everything You Have

My own studies have immersed me in the awful book of Job. This man lost everything–there is much we can learn from him. But it may be a definite challenge to plow through these “dark” issues. But we need to do this, sooner or later.

First of all, Job is a mysterious book. There’s no reference to the Temple or the Temple services. No connection with other biblical writings or persons. Most students believe that the book of Job is the first one written in the Old Testament.

It’s not Jewish, but it’s not pagan either.

In a real sense, it speaks about suffering and pain. Job lost everything. And yet this book tries to explain what broken believers face every day. We all struggle. We all will experience some sort of suffering and loss.

Job connects us with those with illnesses–mental or physical.

We are people who must try to navigate through dark things. Most will never really understand this, but we are those who must face adversity and conflict. Like Job we start to ask why. We may even end up accusing God of attacking us.

We have to sort things out and believe me, it’s never easy. As we try we’ll often ask “why me?” We often accuse God. But I’m thoroughly convinced that the Almighty isn’t fazed by our questions and we should never think we’re wrong when we so challenge his goodness. He’s big enough to handle these.

In Job we’ll learn to hear God speak to us through “the whirlwind.”

I want to encourage you (the reader) to find place in your heart for this book. Job isn’t easy to read–but I’ve gained a lot by reading it in a modern translation, but anything works. Just pick it up and read. Chapters 1-3 are good.

We’ll realize all of our questions will probably not be answered, but that’s okay. The problem of our suffering will most likely remain. There are no pat answers. I’m sorry.

“Anyone who has suffered knows that there is no such thing as ‘getting a grip on oneself’ or ‘pulling oneself up by the bootstraps.’ The only bootstrap in the Christian life is the Cross, sometimes laying hold of the cross can be comforting, but other times it is like picking up a snake.””

Mike Mason

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.

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

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He Gives Us More Grace

Titus 3:6, context 3:4-7

The Father is constantly drawing us to the place of blessing. All He wants is a humble heart that receives His grace daily. Your need is God’s focus, and He wants desperately to fill you with Himself. He calls us constantly to receive something new.

“You have poured over me fresh oil.”

Psalm 92:10

It’s interesting, the Jews had no word that corresponds to fresh. Their word (used here) was “green” and it was a way of describing a flourishing vine or fig tree. The sap that runs through the vine brings life to the fruit.

Yesterday’s oil is old. At best, I suppose it encourages us that the grace-filled Father will again bless us again. And honestly, tomorrow’s oil is in the future, and it’s hoped for. It’s the present day oil that must be sought.

Having grace for today is really what matters.

Check these verses out–

Joel 2:28

Psalm 23:5

Clearly God is not stingy when it comes to His grace.

He pours it out lavishly. He fills our cups generously, and I strongly suspect He wants to give more than we possibly can contain. He’s your Friend–your Savior–the One who sustains your life, and He loves you!

“Good measure, pressed down, shaken together, running over, will be put into your lap.”

Luke 6:38

Your spiritual food will come each morning as you look to Him. It should become a daily meeting; your spirit needs Him and His words. Yesterday’s time may have been good, but living in obedience demands a constant awareness of Him.

Charles Spurgeon

Are you broken? Flawed and stumbling?

Do you think that you are a poor example of a believer? I tell you, His love is not contingent on your outward behavior. You need Him. You need Him to be a fruitful believer.

God’s love is a Greek word, it is an “agape” love. Narrowly defined as an “unconditional love,” not related to what you deserve, earn, or warrant. It is a love given without an expectation of a corresponding love in return. This is His love, and it travels with grace.

The grace of God means He is holding you close, in a way seems to become overprotective of you.  Anyone who touches you, touches “the apple of His eye.” Let none question, you are His own.

Put yourself under His grace. Tune your heart to His. He is waiting for you.

Psalm 30:5