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Depression: Take Steps In The Right Direction

SOURCE: AMERICAN ASSOCIATION OF CHRISTIAN COUNSELORS (AACC)

PORTRAITS

● Angela is frightened. Each morning she struggles to find the energy to get out of bed.  She feels so listless and down. Her kids need her, but she can’t summon the energy to even interact with them—much less prepare meals or clean the house.
● George is having a hard time thinking clearly.  He lost his job and just can’t seem to crawl out of the hole he feels like he’s fallen into. He can’t interview because he’s so down, so he sits around at home and plays on the computer.  And he just keeps spiraling downward.

DEFINITIONS AND KEY THOUGHTS

● Depression differs from sadness.   When people are sad, they keep their self-respect, they feel better after crying, and they confide in others and it helps.
With depression, self-respect fades, crying does not help, and depressed persons often feel alienated because other people cannot seem to understand how they feel.
● Depression is a mood disorder and can be caused by difficult situations, unhealthy thought patterns, or can have a physiological cause.
● The most important symptoms are sadness and loss of interest in enjoyable activities.
● Depression is often undiagnosed and untreated in older adults and can be viewed as a natural result of aging.
● Women are twice as likely to be depressed as men.
● One in eight individuals may require treatment for depression in their lifetime.
Despite the progress in detecting and treating depression, the majority of depressed people never get treatment.

Causes of Depression

–Inherited predisposition to depression
–Hormonal or chemical imbalance
–Feelings of failure or rejection
–Grief or loss
–Family problems—separation, divorce, abuse
–Thinking one has no control over any part of life; feelings of futility
–Negative thinking
–Isolation or loneliness
–Substance abuse
–Side effects of prescribed medications

Depression is not something you can just “snap out of.”  It’s caused by an imbalance of brain chemicals, along with other factors.  Like any serious medical condition, depression needs to be treated.

“Anxiety in the heart of man causes depression, but a good word makes it glad.”

—PROVERBS 12:25 (NKJV)

WISE COUNSEL

The most dangerous symptom of depression is suicidal ideation.  If you think you might hurt yourself, do not hesitate to get immediate help from family members or a mental health professional.

It is OK for you to take medications if needed to get depression under control.  It doesn’t mean you are weak or don’t have enough faith.  It is possible that the depression is biochemical and that medication can straighten out the chemicals in your body and help you get over the depression.

According to the 2003 National Comorbidity Study, sponsored by the National Institutes of Health:
● 35 million Americans (more than 16 percent of the population) suffer from depression severe enough to warrant treatment at some time in their lives.
● In any given period, 13 to 14 million people experience the illness.

ACTION STEPS

1. Take care of yourself physically.
● Research shows that thirty minutes of moderate daily exercise is very helpful in elevating mood.  If there would be no health risks, assign yourself to moderate exercise such as a brisk walk.  Do this every day and get a partner to walk with—it makes it harder to skip a day if someone is waiting for you.
● Depression is best treated by a combination of medication and psychotherapy.
Get a medical checkup, and work with a doctor on a diet and exercise program.  Medication may be needed to treat a chemical imbalance.   Better eating habits (for example, less sugar and more vitamins) can also be a big help.

2. Deal with whatever situation might be behind the depression.
● For example, if you have recently suffered a significant loss, acknowledge that loss and begin to let yourself grieve.  Give yourself permission to feel, but then bring yourself back to the light.  It’s OK to feel bad, but it’s not OK to feel bad forever.
● Encourage honest thinking about what might be deep down, behind the depression.
You may need to talk to someone who is adept at drawing out buried hurts that might be fueling the depression.
● Keep a journal in which you write down thoughts that occur over the next couple of weeks regarding what is behind the depression.

3. Reconsider your thoughts.
● For example, you may be thinking, “I’m totally worthless. I have nothing to give to anyone.”  These are common lies people tell themselves.  The fact is that every person has value.
● Prepare a list of ten things you like about yourself—and three of them have to be physical characteristics.

4. Assess your social support systems and consider joining a support group.
● Who are your friends?  Are they people who help you feel better about yourself?
● What groups are you currently involved in?
● What is your church involvement?  Who at church could be of help and support?

Depressed Christians certainly should continue praying, reading the Bible, confessing sin and pursuing holiness, but unless God or a professional Christian counselor says otherwise, don’t assume the depression is caused by a spiritual problem.  That type of thinking can keep a depressed Christian from seeking professional help.

BIBLICAL INSIGHTS

But [Elijah] went a day’s journey into the wilderness, and came and sat down under a broom tree.  And he prayed that he might die, and said, “It is enough!  Now, Lord, take my life, for I am no better than my fathers!” —1 Kings 19:4
● Life has highs and lows, and as in a mountain range, the lows often come right after the highs.  Like Elijah, we may scale the heights of spiritual victory only to soon find ourselves in the dark valley of depression.
● While certain forms of clinical depression should be professionally treated, many depressed feelings are part of life’s ups and downs.
● Like Elijah, we should listen for God’s “still small voice” (1 Kings 19:12) to
comfort us.

Then as [Elijah] lay and slept under a broom tree, suddenly an angel touched him, and said to him, “Arise and eat.”  Then he looked, and there by his head was a cake baked on coals, and a jar of water.  So he ate and drank, and lay down again. —1Kings 19:5, 6
● Depression drains energy, twists values, and assaults faith.
● Depression can affect anyone.
● God responded mercifully. He did not castigate or condemn Elijah for his condition—something that many depressed Christians expect from God.  Even in the depths of depression God shows loving concern and a way out.

Why are you cast down, O my soul? And why are you disquieted within me? Hope in God, for I shall yet praise Him for the help of His countenance.— Psalm 42:5

● Depressed feelings sometimes cause some people to turn away from God.
● Others like David, however, allow those disquieted, depressed feelings to make them “hope in God,” remembering His goodness.
● During such times, living by faith takes on new meaning.  Depressed people must learn to trust what they cannot feel or see.

To console those who mourn in Zion, to give them beauty for ashes, the oil of joy for mourning, the garment of praise for the spirit of heaviness; that they may be called trees of righteousness, the planting of the Lord, that He may be glorified.
— Isaiah 61:3
● The Bible recognizes the heaviness of depression.  God’s love and understanding reach out to those who are depressed and discouraged.
● He promises to give consolation, beauty in place of ashes, oil of joy in place of mourning, and a garment of praise instead of a spirit of heaviness.

PRAYER STARTER

“Lord, I feel like I am in darkness with no way out. I pray that You will help me discern what is really going on deep in my heart. If there is a chemical problem, help the doctors to discover it and treat it. If there is deep pain or shame, help me to bring it into the light and deal with it by Your grace.”

RESOURCES:

WWW.DEPRESSION.COM

WWW.CELEBRATERECOVERY.COM

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HOW L-O-N-G, LORD?

SOURCE–Adapted from:  Stepping Stones/Lighthouse Network

Transformational Thought

Have you ever said those words, “How long?” As in, “How long, Lord, until my prayer is answered? How long until life gets better? How long do You want me to do this without seeing results? How long do You want me to suffer? How long do I have to ‘just hang in there?’ How long ’til my kids get along? How long ’til my loved one stops drinking?”

When Joseph was sold into slavery and later spent years in prison, he must have asked, “How long, Lord?” When Moses led the Israelites around and around in the wilderness, he surely thought, “How long, Lord?” When Noah was ridiculed for 100 years while he built an ark on dry land, he must have wondered, “How long, Lord?” The Israelites have been wondering for centuries, “How long until the Messiah comes?” But each one of these trusted God. They respected Him enough to continue obeying Him even when it seemed that all hope was gone.

Perhaps you are involved in a ministry that seems to go nowhere. Yet, you know the Lord wants you there. Maybe you have been praying for an unsaved loved one for many years. Or perhaps you have a business that just doesn’t come together, but the Lord has led you to continue. Be encouraged to revere God by continuing to obey him, even though you may wonder, “How long, Lord?”

Our nature is to want our agenda now. No waiting. Nobody else calls the shots. We avoid discomfort and demand what we want when we want it. My kingdom come; my will be done. But waiting and patience are powerful teachers of many truths. This is how character and many psychological skills are developed. God knows the right timing. Bend to His timeline and your peace and growth will be unbelievable.

Today, be confident that God loves you. Examine your life to see what situation or area makes you impatient … frustrated … irritable. Make sure you are doing a good job with your part of the issue. Then accept that God has a different timeline than you do. Learn the lesson He is teaching. The situation is in your life to grow you … that is God’s purpose for all that comes into your life. He has a perfect plan for us. We (and others) just keep messing it up. His timing is always perfect because it is His timing. As Noah did, keep on “doing all that God commands.”

Prayer

Oh Father, Lord, help me honor You by trusting You and being willing to wait on You. Even though I get discouraged at times, help me remember that You are in control and that Your way is the best way. Your timing is the best timing. Help me be patient so I can show the world I am willing to wait on You, Lord. Thy kingdom come, not my kingdom come. I really don’t want to take over responsibility for the whole world, even though sometimes I act like it. I pray this and all prayers for the one who demonstrated perfect timing, Jesus Christ.  AMEN!

The Truth

I patiently waited, LORD, for you to hear my prayer. You listened and pulled me from a lonely pit full of mud and mire. You let me stand on a rock with my feet firm, and you gave me a new song, a song of praise to you. Many will see this, and they will honor and trust you, the LORD God.

Psalm 40:1-3

Therefore, since we have been justified by faith, we have peace with God through our Lord Jesus Christ. Through Him we have also obtained access by faith into this grace in which we stand, and we rejoice in hope of the glory of God. More than that, we rejoice in our sufferings, knowing that suffering produces endurance, and endurance produces character, and character produces hope, and hope does not put us to shame, because God’s love has been poured into our hearts through the Holy Spirit who has been given to us.

Romans 5:1-5

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When You Are Waiting For God To Show Up

SOURCE:  relevantmagazine.com/Jade Mazarin

A few things to remember when it feels like your prayers aren’t being answered.

Have you been praying for years for certain people or situations?

I have.

I know that God has called these people, and I know who they can be and the healing God has in store. I also pray for situations I yearn to improve, even after years of stagnant. But so far, those miraculous changes I’ve longed for remain seemingly at bay.

It’s easy to wonder if anything will change, when nothing seems to be happening. It’s easy to become discouraged when the physical reality looks nothing like what I think it should.

However, I continue to ask for the healing, the restoring and the saving, that I (and I know He) wants.

The other night while praying, that phrase at the end of TV shows popped in my head: “To be continued.”

“To be continued” arrives at a pivotal point in a show. We’ve gotten invested in the characters; we’ve followed them through a series of events and emotional drama. We may glance at the clock a few minutes prior and wonder how the nicely tied-up conclusion will arrive in time. It’s not looking good at this point.  How is this going to get fixed? we wonder.

Then suddenly, the screen fades to black, with the message “To be continued.”

Typically, when this happens, my reaction is, “No! I want to know the rest of the story, now!” Then again, another part of me is relieved. The story won’t end badly. This mess will somehow be fixed. Of course, now I have to wait.

The Middle of the Story

What if that same “to be continued” is showing up around your prayers or the situations you’ve stopped praying for, because nothing seemed to change?

You might be upset because someone you love is in trouble. You might ache with sorrow for the distance between you and a family member. Or, you could be dragging around discouragement because of a problem you can’t shake. And with all this, you might wonder where God is or if He really cares. But, maybe the reason things seem so dreary is because you’re only in the middle of the story, and God isn’t just going to show up and make things right in the end—instead, you’ll realize He’s been there through it all.

This idea makes me think of Mary and Lazarus. Many of us are familiar with the story—Mary and her sister Martha have a brother named Lazarus whom Jesus raises from the dead. But have you thought about what Mary and her sister go through from the time Lazarus gets sick to the time Jesus resurrects him?

Mary and Martha know Jesus loves them and their brother Lazarus. They know He’d be there in time of need. So when Lazarus gets deathly ill, Mary tells one of His disciples to relay the message. She and her family then wait in expectancy for his arrival.

They wait. And they wait. Three long, drawn out, painfully quiet days, as Lazarus just gets sicker.

And then, no longer able to hold on, Lazarus breathes his last breath.

What were Mary and Martha thinking at this time?

If they were like most of us, I would imagine it was something like, “I thought Jesus loved us. I thought we were special to Him. Why didn’t He come?” Perhaps they felt angry, and a sense of abandonment or betrayal.

When Jesus does show up, Mary tells him, “If you had been here earlier, Lazarus would have lived.” Everyone is grieving what they see to be a tragic end to the story. Even Jesus weeps when He sees their pain and loss.

But what if Mary, Martha and their friends knew that this was not the end of the story? What if they knew there was good to still come?

Out of seemingly nowhere, in a sudden turn of events, Jesus acts. He stands up, walks over to Lazarus and calls him back from the dead.

We’re only in the middle of the story—and God isn’t just going to show up and make things right in the end, we’ll realize He’s been there through it all.

Yes, Jesus loved this family dearly all along—just as they believed He did. In fact, it was His love for them that caused Him to wait to show up. He could have arrived and healed Lazarus when they expected, but instead, He waited for a special moment; for a tremendous finale kind of moment. He chose a way that would display the greatness of His love and the magnitude of His power. He took the opportunity to say to them, “Yes, I love you. And I will show you how much.”

The Real Ending

But what about the times when things don’t turn out beautifully? Maybe you’ve prayed for a loved one to be healed, and they weren’t. We all know there are tragic endings to countless stories—ones that can’t be made better by belief in a changed situation.

Yet, there is still more to the story—at least, to the whole story. In the grand scheme of things, we are still in the middle of God’s ultimate story of redemption. We won’t always get happy endings now, but God has a greater intention for the earth—one to instill perfection into every facet of it. He’s at work in us, through us and with us, even when it doesn’t feel like He’s there.

When I pray for the same things I’ve poured my heart into for years, I remind myself that God is at work, even though I can’t yet see it. When I wrestle with doubting it, I actually say to Him: “Don’t be done with this yet. Make things right.” I ask Him to reveal His glory.

God has a special investment in the end of the story. He will often provide glimpses of His final redemption in our daily lives, that we can look for and hope in. It may not be how we expected, but it will display His creativity. God’s plan does not always match up with our expectations, but it leaves us with more. And He will always reassure of the incomparable finale, when everything is set straight.

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The Anatomy of Anxiety Part 7

By Dr. Robert Kellemen

The Anatomy of Anxiety, Part 7:

A Dozen Biblical Portraits of Anxiety

The Bible Is Relevant

Some people talk about “making the Bible relevant.”

We don’t make the Bible relevant. The Bible is the most relevant book ever written.

In fact, we have to work hard to make the Bible irrelevant. We have to work hard to make the Bible boring.

Other people talk about the sufficiency of the Scriptures. I believe 100% that the Bible is sufficient. However, far too many people fail to link the sufficiency of Scripture with the relevancy of Scripture.

We should never talk about the sufficiency of Scripture without also emphasizing the relevancy of Scripture.

The Relevancy of the Bible and Anxiety

What does all of this have to do with an anatomy of anxiety?

Some people think that the only biblical reference to anxiety is Philippians 4:6. They also tend to act like the only biblical counseling that we need to do for a person struggling with anxiety is to quote, “Be anxious for nothing, but in everything, by prayer and petition with thanksgiving, present your requests to God.”

That’s an amazing verse, but the Bible is not simply a “concordance” on anxiety where we tell people, “take two verses and call me in the morning.”

The Reality of the Bible: The Agony of Anxiety

The Bible presents an amazing array of an anatomy of anxiety. I want to share just a small sampler of those to whet your appetite. These verses and passages realistically depict the agony of anxiety.

The Bible is real and raw. It tells about real people with real problems. It presents real answers from a real God.

One of the myriad beauties of the Bible is it teaches us that we are not alone. Others have suffered like we do now. And others have found victory. This sense of “universality”—that others are in the same boat, encourages us when life beats us down.

A Dozen Biblical Samplers of the Experience of Anxiety

If you are struggling with fear, panic, worry, or anxiety, consider the following samplers as just a few passages you can turn to that depict struggles with fear and anxiety in other godly men and women of the Bible.

*Psalm 27: When fear assaults, David seeks God’s face.

*Psalm 34: Read of David’s fear and broken-heartedness and God’s care and cure.
*Psalm 46: Learn of God’s strength and ever-present help in our trouble and anxieties.

*Psalm 55: David’s thoughts trouble him—ever been there? He is distraught—been there, done that! His heart is in anguish within him; terrors of death assail him. Fear and trembling beset him; horrors overwhelm him. He casts all his cares on Jehovah; He cries out to Jehovah in distress. He pleads for God’s sustaining care.

*Psalm 91: This psalm has been called the 911 Psalm. When you experience terror and foreboding and feel like life is an unavoidable snare and trap, call God’s 911 hotline and find God to be your refuge and shield.

*Psalm 109: David candidly speaks of his wounded heart (109:22). He is poor and needy, shaken and fading away (109:23). Attacked by others, he clings to God.

*Psalm 116: The psalmist is overcome by trouble, afflicted, and dismayed, overly concerned, imprisoned by anguish. Where will rest be found?

*Matthew 6:25-33: Jesus’ teaching on worry and trusting Father’s good heart.

*Matthew 10:26-31: Jesus’ teaching on fear and trusting Father’s affectionate sovereignty.

*John 14:1-31: Jesus’ loving message to His disciples and to us—when our hearts are troubled, when we feel orphaned and all alone, where do we find peace? Do not let your hearts be troubled.

*Philippians 4:1-20: A classic passage on anxiety—but note that it is a passage in the context of a book. It is not simply a verse to quote like waving a magic wand.

*1 Peter 5:5-11: Another classic New Testament passage in a wider context that includes not only casting our care on God who cares, but also discusses vigilance (5:8)—sound familiar?

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The Anatomy of Anxiety Part 6

By Dr. Robert Kellemen

The Anatomy of Anxiety, Part 6: Ten Snap Shots of Anxiety

  1. Emotions are e-motions. God designed them to set us in motion. They are part of the God-designed motivational structure of the soul. E-motions motivate action.
  2. God gave us the e-motion of vigilance to urge us to act quickly and courageously in response to a life need. When vigilance works, we have “mood order.”
  3. Vigilance is a faith response to threat. In our faith response, we love God by trusting Him, and we love others by protecting them.
  4. However, living in a fallen world, inhabiting unredeemed bodies, and tempted by an unloving enemy—Satan (the world, the flesh, and the devil), our vigilance can turn to hyper-vigilance, or stuck vigilance when we experience threat without faith.
  5. In stuck vigilance, instead of a faith response to threat, we have a fear response to threat that leads either to flight (anxiety, panic) or fight (anger, aggression). When e-motions misfire like this, we have “mood disorder.”
  6. So when fear strikes, we should be asking, “Where does fear drive me? Does it drive me to self-protection by flight or fight? Or does fear drive me to God, my Protector?”
  7. Faith that works does not shun vigilance. Rather, it controls vigilance. It refuses to allow the emotions to control the mind.
  8. God calls us to manage our moods and to master our emotions. We are not to ignore them, stuff them, or harm others with them. David is a biblical portrait of mature mood management. In Psalm 42, he is emotionally aware. “Why are you disquieted within me, O, my soul?” David then demonstrates soothing his soul in God. “Hope thou in God.” As Martin Lloyd-Jones says, David talked to himself rather than simply listening to himself!
  9. When anxiety stalks, faith wrestles. Faith talks to the self. “I know God will never leave me nor forsake me. I can do all things through Christ. I am more than a conqueror. Nothing will ever separate me from the love of God in Christ.”
  10. When faith wrestles anxiety, we refuse the fight or flight response. Instead, we choose the tend and befriend response. Trusting God’s protection, we refuse to protect our self. Instead, we courageously protect others for God’s glory.