Lifestyle issues can trigger depression. You may be overworked and
under-rested. There may be issues of illness and grief that you can do
nothing about.
I have noticed that many depressed friends have a tendency to feel an
exaggerated sense of responsibility. They blame themselves for everything
and take the concerns of the world on their shoulders. Some are prone to
self-doubt and insecurity. Another feature I have noticed in the
depressed is a tendency to be overly harsh or critical of themselves.
False beliefs can be a factor. If you think you are of no value, you will
be prone to feeling depressed. If you believe that God does not love you,
you will suffer from morbid fears. One of the tasks I feel I have as a
pastor is to always be teaching myself that God is good and then to show others
that goodness.
Satan is a factor in depression. Not in a
wacky sense, but in the fact that he will remind you of past guilt, tempt you
towards bitterness and seek to implant in you doubts about the goodness of
God.
In Psalm 32, King David links a time of depression to God’s discipline.
He had refused to face up to his sin, after his adultery with Bathsheba.
So, God’s hand was heavy upon him until he acknowledged his guilt.
However, never assume that someone’s depression is God’s discipline, but always
examine your heart to see if God might be drawing attention to issues that he
wants to deal with you.
Finally, there is a sense in which God stands behind all our depression.
After all God rules over everything that takes place in the universe. Enemies
may wound us, but God could shut their mouths. Circumstances may have
hurt us, but he is Lord of all creation. Similarly, our brain chemistry
is not beyond his control.
If depression and anxiety have many causes, often at work in the one sufferer,
then we need to be open to a variety of helps. People should go to their
doctor and see if their may be a medical cause and a medical solution. They might also go to a Christian pastor, counsellor or friend and talk about
how circumstances and memories have left scares with them. They should
also be praying, asking God to show them their heart and working his love into
their heart.
2. Is it unspiritual to be depressed?
My first response to this question is to point out that there are many godly
people who have passed through times of immense sorrow. The great Baptist
preacher, Charles Spurgeon, struggled with depression throughout his
life. What seems to have ignited this was a specific tragedy.
Spurgeon was preaching to a huge congregation—of over twelve thousand people,
at the Exeter Hall in London—when someone yelled, “Fire!” In the chaos
that ensured seven people were killed, and Spurgeon was inconsolable.
Other factors contributed to his depressions, including his struggles with gout
and his concern for those he pastored. Like many pastors he was good at
caring for his flocks needs but sometimes negligent of his own.
He said that there are dungeons beneath the Castle of Despair, and that he had
often been in them. ‘I could weep by the hour like a child, and yet I
knew not what I wept for,’ he recounted on one occasion.
In the book of Psalms, we often hear the psalmists crying out to God in
despair. ‘All night long I flood my bed with weeping and drench my couch
with tears’ (Psalm 6:6). Over fifty of the Psalms can be classified as
psalms of individual lament, which means that they are the divinely inspired
words of an individual who is pouring out their pain to God. These
laments are given to us by God, in part, to help us express our pain.
We must also remember that Jesus was a man of sorrows familiar with grief
(Isaiah 53:3). Spurgeon wrote, ‘No sin is necessarily connected with
sorrow of the heart, for Jesus Christ our Lord once said, “My soul is
exceedingly sorrowful, even to death.” There was no sin in Him, and
consequently none in his depression.’
However, I must give you one warning: in your depression do not sin!
Depression does present us with particular temptations. Most obviously,
depression tempts us towards self-pity. Also, some people try to find
comfort in wrong ways like over-eating, overworking and alcohol abuse.
But, what about the fact that one aspect of the fruit of the Spirit is
joy? Am I less spiritual when I am depressed and full of sorrow? I
put this question to a friend of mine, who is a lecturer in a leading
evangelical theological college. He replied, ‘I guess joy is not simply
an emotion. And so, someone with depression can still (though it would be
harder) rejoice—have confidence in the Lord.’ He then says that Psalm
31:7-9 might be worth looking at. That Psalms reads, ‘I will be glad and
rejoice in your love, for you saw my affliction and knew the anguish of my soul
… Be merciful to me Lord, for I am in distress; my eyes grow week with sorrow,
my soul and body with grief.’ Here we can see that anguish of soul and
trust in God can go hand in hand. This is surely an example of being
sorrowful, yet always rejoicing (2 Cor. 6:10). Ed Welch writes, ‘Joy is
not the opposite of depression. It is deeper than depression.
Therefore, you can experience both.’
Joan Singleton lectures in pastoral care in the Irish Bible Institute.
At one stage, when she was depressed, she wondered if her depression
inhibited her witness as a Christian. Then she realised the
powerful testimony in the fact that she was still hanging on to God and
believing his truth, even though her life was filled with pain.
3. What about anxiety, isn’t it wrong to worry?
I am not disputing that worry can be a real sin, but I think that anxiety can
have many roots, some of which are not sinful.
I see a parallel between anxiety and doubt. On certain occasions Jesus
rebuked the disciples for their doubt, because it revealed a stubborn refusal
to accept the truth (e.g. John 20:27). Yet in the letter of Jude we read
that we are to ‘be merciful to those who doubt’ (Jude 22). Those to whom
Jude was referring doubted, not because they stubbornly refused to believe, but
because false-teachers had infiltrated the church and upset their
faith. There is doubt that deserves a rebuke and doubt that needs
gentle pastoral support. Similarly, there is anxiety that deserves a
rebuke and anxiety that needs gentle pastoral support.
Sinful anxiety is rooted in a failure to trust God or in the fact that we have
made peripheral things too important in our lives. David Powlison
observes that, ‘if what you most value can be taken away or destroyed, then you
have set yourself up for anxiety.’ However, not all anxiety is condemned
in Scripture. For example, the apostle Paul experienced the anxiety
related to caring for the health of Christian churches (2 Cor. 11:28). In
many of the psalms, God gives us words to express our anxiety. I am
always struck by the depth of pain that is expressed in Psalm 88. The
psalmist ends that psalms with the claim that darkness is his closest friend
(Psalm 88:18). This is a psalm that Jesus would have prayed, and at times
he could relate to that despair.
When our anxiety has roots in a distorted view of God, we need to be gently
instructed in the truth of his gentleness and grace. We are told to cast
our anxieties on the Lord, because he cares for us (1 Peter 5:7), but some
people need help in coming to understand that he really does care for
them. The person with an anxiety disorder may not even by fully aware as
to why they are so anxious. Their worries may have more to do with do
with imbalances in brain chemistry than the actual issues they are focusing
on. It would simply be too harsh to tell them just to stop worrying.
4. Is it okay to take anti-depressants?
John Piper was asked the following question from a listener: ‘What do
you think of Christians taking anti-depressants—I have been on them, and have
been accused on not relying on God?’ In
his answer, Piper takes a drink from a bottle of water and then asks, ‘was that
sip a failure to rely on God?’ After all, God could simply keep his
throat miraculously moist! Piper’s point is that God has given certain means
to provide for our physical well-being, and these are to be taken with
thanksgiving. Piper then explains that
he has reached the conclusion that there are profoundly physical dimensions to some
of our mental conditions. Since that is the case physical means can be us
to help people out of their depression—just as medications are gratefully
received in the treatment of many other illnesses. In his book, ‘Healing and the Scriptures’, Martyn
Lloyd Jones, the doctor and preacher, claims that it ‘is no more sinful to take
drugs to put right the chemistry of the brain, than it is to substitute for the
abnormal chemistry of the pancreas in a diabetic case by the use of
insulin. If it is right to use insulin
in replacement therapy for the pancreas, why is it wrong to take tablets which
influence for good the chemistry of the brain?’
Medications have
their limitations. For some they may be
temporary measure to help them restore their equilibrium. Others may need to take medication for the
rest of their lives. However, tablets
won’t take away the scars caused by painful memories. If lifestyle issues are contributing to your
depression and anxiety, then don’t let the relief of medication stop you from
addressing the core issues. If your
conscience has good reason to be troubled, then a tablet won’t give you lasting
peace.
5. How can we deal with our depression?
During an episode of depression, I thought of the advice I had previously given
and felt that it was inadequate. I revised what I had been
teaching. I am aware that what will be helpful may change from person to
person and may change with regards to where they are in working through their
pain. The following are twelve tips that might help.
Hope
That time of depression and anxiety was different than anything I had suffered
before. As a result, I feared that it might not lift. The
psychiatrist I saw at that time did not share this worry. She said that
it would lift, and it did. The fact is that the lowest part of depression
does lift. You need to remind yourself that this too will pass. I
was struck at how important a sense of hope is. I would urge you to do
everything not to give up your hope and remind yourself that you have not
always been in these depths and will not always be in these depths.
Rest
Rest is a part of God’s design for his people. I tend to be tempted to
feel guilty for talking time off. I remember when I was first married
Caroline told me that I was working too hard. I wanted to reply to this
observation by saying, ‘thanks!’ I did not realise that it is actually
disobedient to God not to refresh oneself through rest.
Meditate on the story of Martha and Mary, and hear Jesus inviting you to take
some time aside. Make as many changes in your lifestyle as you can to
ensure that you can cope. Learn to say ‘no’ without feeling guilty.
A friend pointed out that we are to work from a place of rest rather than rest
from a place of work. Make sure that you get enough sleep. If you
are struggling to sleep at night you will need a rest during the day (however,
it can be unhelpful to stay in bed when you are not resting and just worrying).
The apostle Paul told his young disciple Timothy that bodily training is of
some value (1 Tim. 4:8). We must not ignore the connection between the
body and the soul. This can be a good form of rest and refreshment.
John Piper copes with his proneness towards a low mood through regular
exercise.
Talk
When a neurologist, Elijah Chiala, was doing a question and answer session with
us at our evening service he reminded us of the need to talk. Talk to your loved ones and tell them how you
feel. Talk to your pastor and people in church. Seek help and
support. It is really important that you feel free to talk to your
doctor.
Being open about your depression will have a number of benefits. One of
them is it will help deal with the stigma. I tend to be an open person,
but I still don’t always feel comfortable saying that I have Obsessive-Compulsive
Disorder. I don’t want to appear odd, and mental illnesses can come with
unhelpful stereo-types (just think of some of the OCD portrayals in the
movies). But we all want to be accepted as we really are. Your
openness will also help other people who may be struggling with similar thing.
Some people’s cultural background makes this openness more difficult.
When I spoke in our evening service about mental health, I followed the talk by
questions and answers. Two young men from different countries of origin
claimed that in their culture people don’t get depressed. I have heard
depression being referred to as a white-man’s illness or a western
illness. I would suggest that in cultures where there is a greater stigma
around mental health, there are many more people suffering their own isolated
inner turmoil than is noticed by their society. The stigma around
mental health in such cultures only adds to the pain of those who suffer.
There will be people who stigmatise mental illness. Try not to let their ignorance hurt you. I had one person
tell me that he thought it was a mistake that I told the church that I had had
a breakdown. They thought that if I had simply explained that I was sick
then people might have concluded that I was suffering from the flu!
Clearly this person sees mental illness as something to be ashamed of.
Don’t let such attitudes stop you from experiencing the support that
comes through being open about the nature of your suffering.
However, there is another danger for those of us who have issues with our
mental health. We must be careful not simply to see ourselves as
victims. Our pain must not become our identity. You are much more
than your illness. Your role as a son or daughter, brother or sister,
parent and friend, and most importantly as a child of God is so much more
important to your identity than and struggle you may be going through.
Pray
I used to tell people to pray the Psalms. Yet when I was in the pits I
could not pray with much focus. I tended to go around and around in
circles asking God to make me better. I actually started typing out my
prayers to give them more focus. Journaling may also help you work
through your thoughts.
One of the important things to learn is not to feel guilty about how hard you
are finding it to pray. Your Heavenly Father understands. He is kind
and gracious to you. Jesus taught us that he did not want to add heavy
burdens to his beloved people. Set realistic and helpful prayer
goals. Target just a few minutes of prayer a day. Don’t beat
yourself up over the fact that you can’t focus. Don’t blame yourself for
the fact that God seems absent. He is not absent, even though your
feelings tell you he is. The fact that your feelings make him seem absent
is not your fault.
I do think that the Psalms are a great resource for the depressed
Christian. Read them and you will be surprised at how honest the writers
are with their complaints. You may not have the energy to spend much time
in them when you are in the pits but see them as an invitation to get real with
God. I recommend Tim Keller’s meditations of the Psalms entitled, ‘My
Rock and Refuge.’
Deal with feelings of guilt
I did say that there can be a relationship between guilt and sin.
However, I have found that many people who struggle with sin are too
quick to assume that they are being punished by God. God is our gracious
heavenly Father. He is slow to anger and abounding in love. He does
not treat us as our sins deserve, but according to his loving-kindness.
If there are things that you need to confess to God and repent of then do
so. Then thank God for the fact that there is no condemnation for those
who are in Christ and that he delights to forgive. God wants you to
rejoice in his forgiveness. It does not honour him to hold on to feelings
of guilt over past sin. I asked a depressed friend if he realised God
sings over him (Zephaniah 3:17). He replied by saying that seemed too
good to be true. But it is true!
Avoid sinful responses to depression and anxiety. Your relationship with
food will change. I struggle to eat when I am anxious, but others are
tempted to comfort eat (I am prone to do this when I am not ill). You
might be tempted to escape into a world of sexual fantasy. When I am
mildly depressed, I am prone to enjoy self-pity (I try not to listen to soppy
eights music at such times). Such attempts to find comfort will only
leaving you feeling worse.
Have faith
Do you remember the ad that the British Humanist Association placed on the side
of buses in England? It read, ‘There’s probably no God. Now stop
worrying and enjoy your life.’ Actually, people tend to enjoy life
more with God rather than without him. Professor Andrew Simms, former President of the Royal College of Psychiatrists,
comments that: ‘The advantageous effect of religious belief and
spirituality on mental and physical health is one of the best-kept secrets in
psychiatry and medicine generally.’
Compare the Christian gospel with society’s teaching on self-esteem and ask
yourself, ‘which has more potential to help the depressed person?’
Society tells us to seek our value by searching for the hero inside
ourselves. The problem is when I examine my life, I see many things that
could make me feel ashamed. I don’t often see a hero inside myself.
In fact, I often see a villain. If my happiness is built on the existence
of my inner hero, then I am going to struggle within. Self-esteem is a
poor foundation to build our sense of worth upon.
The gospel tells me a much better story. It says that I am a flawed and
rebellious person who is loved by a kind and forgiving creator. This
creator has given each of us intrinsic worth, making us in his image.
This God cares for us so much that he sent his Son to die for our guilt.
This God treats me, not as I deserve, but according to his
loving-kindness! Now I can examine my life, see things I wish were not
there and be secure in the fact that my relationship with him is not about
earning his favour but living in the light of his undeserved, unmerited and
unearned grace. In fact, because of his grace in my life, I can delight
in the fact that he is in the process of changing me and transforming into the
likeness of Jesus.
However, I need to be balanced here. When people grow up with a
distortion of Christianity that can result in emotional and mental
suffering. A friend told me that he grew up with a mother who seemed to
want to frighten him into wanting to follow Jesus. What was also damaging
was the fact that this parent actually lived in a way that did not reflect the
inner change that life in Jesus should bring. This obviously had many
negative effects on him.
Grow in your confidence in the character of God.
One of the cruel things about depression and anxiety are that when we are
depressed is that we are vulnerable to believing lies. We must combat
these lies with the truth. What many sensitive people need is to realise
that God is a loving-Father who always seeks the good of his children. Martin Luther struggled with depression even after
he had come to understand the gracious nature of the gospel. He said that
his depression always centred on two questions: 'Is God good?' and 'Is
God good to me?' Ed Welch
writes, ‘Just think what it would be like to be certain that the God of this
universe loved you. That alone would probably change the contours of
depression.’
One of the ways that God shows his love is through his people. Look to
Christians who reflect the gracious character of God. If you focus on
Christians who are harsh and unloving, especially Christian leaders who are not
merciful, then your image of God may become distorted. Look to people who
know God and reflect God well to you. Remember that it is God who makes
them the way they are.
I had a family friend who had a book dedicated to him. The author talked
of the pastor of my teenage years who ‘influenced me in the beauty of
godliness.’ George was both gentle and godly, and he helped you believe
God was too. Such people are good for your mental health.
Put your faith into practice
It is always important for us to put our faith into practice. You may not
be able to do this when you are very depressed however there is healing power
in doing things for others for the glory of God. Listen to the healing
words of Isaiah (58:10): ‘… and if you spend yourselves in behalf of the hungry
and satisfy the needs of the oppressed, then your light will rise in the
darkness, and your night will become like the noonday.’
Guard your thoughts
The reformer, Martin Luther, said that you cannot stop a bird landing on your
head, but you can stop it making a nest. He was saying this regarding our
thoughts. I find that when I am struggling with anxiety my thoughts
gravitate towards the worst possible scenario. It can be very difficult
to control your thoughts, and to stop catastrophic thinking making a nest in
your mind, but it is important to try and guard your thoughts.
A friend of mine gave me the wise advice of writing down things that I am thankful
to God for. Thanksgiving is a good way to help your mood.
I have noticed that many depressed people struggle with an extreme and
exaggerated sense of responsibility. Allow God to be God and trust him to
look after your life and the life of others.
Work on your self-worth
David Murray points out that deep rooted self-doubt and self-criticism will
often emerge will often emerge and strengthen during a depression.
Depressed people often feel worthless and useless. But some Christians
are reluctant to give people any praise or encouragement because of the risk of
making a person proud. However, Murray points out that pride is one of
the least risky vices for the person who is depressed. Pride
results from having an over-inflated view of one-self. Depression usually
involves the opposite. Without minimising the wickedness of the human
heart and our inability to please God apart from Christ, ‘we should feel free
to encourage depressed people to have a more view of themselves by highlighting
their God-given gifts, their contribution to the lives of other, their
usefulness to society, and, if they are Christians, their value to the church.’
Deal with issues in your past
There are wounds that we carry from the past. We may have developed wrong
‘core beliefs’ about ourselves from our upbringing. There may be hurtful
things said to us, or traumatic incidents that need to be worked through.
Start by opening up to a trusted and wise friend. But don’t be too proud
to seek the help of someone who has more expert care.
Try to remember that God is in control
One quote that was particularly helpful to me at that struggle with anxiety.
It was from the slave-trader turned hymn-writer, John Newton. He said,
'everything is needful that He sends; nothing can be needful that he
withholds.' The fact that God is in control leaves us with difficult
questions. Why would God allow us pass through such pain? I had no
idea. But I would rather be in the hands of a mysterious God who is love,
than be at the mercy of blind chaos.
It may be that God will use your struggles to help others. When I was in
a dark place, a friend at a small group blurted out, 'Paul, I am so glad that
you struggle with depression.' She did not mean to be insensitive.
In fact, I knew what she meant. She felt that she could relate her own
brokenness to me because I too struggled.
Conclusion: The fellowship of suffering
Maybe we are too one-dimensional with regards to
what a truly spiritual person looks like. Maybe we have failed to
understand what the joy of the Lord looks like. If we think that Christians
are only Christlike when they are walking around with a serene smile on their
faces, then we have not read the gospels with a lot of depth. The lives
of many godly Christians, the experiences of the psalmists, the suffering of
our Saviour and the teaching of Scripture all show that one of the ways that we
honour God is actually in holding on to him for dear life in the midst of inner
turmoil and pain.
Remember that depression and anxiety has a variety of causes, often at work in
any one person, and therefore needs a variety of cures. I have been
helped in my struggles with depression and anxiety by medication, Cognitive
Behavioural Therapy, time off work, Christians who reflected the grace of God
and a supportive family. I would have to say, that through all my
anxieties God is at work humbling me, helping me to lean on him more, causing
me to seek to understand him more and giving me a little bit more empathy for
others.
So let's close with some wise words from Bible
commentator, J. B. Phillips. He wrote in a letter: ‘These periods of
spiritual dryness which every saint has known are the very times when your need
of God is greatest. To worship him may or may not bring back the lost
‘feeling’, but your contact with God in prayer and praise will strengthen you
spiritually whether you feel it or not … Times of spiritual apathy are the very
times when we can do most to prove our love for God, and I have no doubt we
bring most joy to his heart when we defy our feelings and act in spite of
them.’