I Trust When Dark My Road

I Trust When Dark My Road – Episode 4 – Letting Others Help You

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-DMR

I recently had a conversation with someone that centered around the question of what to confess if you suffer from depression or other mental illnesses. So many of the symptoms which we face that are bio-chemical in origin also find their origin in our fallen nature. In other words, I can look at certain manifestations of my illness(es) as being the disease “talking” but at the same time it can be my sinful nature “talking”. Here are a few examples:

• Laziness, sloth, incapacity to work
• Boredom, lack of interest in anything, indifference
• Isolation from others, unfriendliness, dislike of crowds
• Inability to handle children

Now these are just a few examples. I think that any of those three categories could be easily attributed to sin or clinical depression/anxiety.

So what do you confess?

The real mess of depression and mental illness is that they are so intertwined. My general approach is that if you are in doubt, confess it. But it is also a matter of real pastoral care, so that when I am confessing something that isn’t sin, my pastor tells me that.

Probably the dilemma comes from the fact that when you are in the throes of the darkness, you aren’t in a position to be making subtle theological distinctions. I just want relief. And at some level, I don’t really care where it comes from. IT it comes from my pastor forgiving my sins, great. If it comes from my doctor or counselor reminding me that this is biochemical and not a character flaw, great.

So how do you approach this question?

Please, go read this blog now. IT is worth your time.

http://fritznuffer.blogspot.com/

THIS IS THE LINK to my interview on WGTD 91.1 in Kenosha. It’s a nice 50 minute interview about depression, spring-boarding from the book. Enjoy!

-DMR

So what should the next book be about?

My wife and I had the pleasure of attending the last session in the DOXOLOGY training seminar this past weekend. The main speaker was Dr. John Kleinig from Australia, an incredible scholar and pastor whose insight into human nature and Christ’s ministry to us sinner is, well, just amazing.

We had dinner with him one night. He gets depression, understands it as well as anyone I know I’d say. The one thing that he suggested to me was to write a book about what it is like living with depression on a day to day basis. How does one recognize the signs? How does it impact your prayer life, your ministry to others, etc?

I’m letting the idea percolate right now, but I would like some insight from you. What would be the most helpful to you and why?

-DMR

I’ve had a lot of conversations this week with the release of the book. They have been online, telephone, email, wherever. The contacts have been from pastors, teachers, spouses, friends from college, and pretty much across the board. I’ll comment on some of those at another time.

One theme that resonates through so many of the conversations is that pastors don’t want to reveal that they are depressed. This is also true generally, and especially in other service fields. But it seems particularly true with pastors. They mask their illness.

I know I did. I worked my tail off to put on a happy face, a “game face” with my congregation and family. It took incredible amounts of energy, and really made things worse.

But if possible what is even sadder than our self-inflicted super-pastor mindset, is that we are afraid of reprisals. I am afraid that I might lose my job, be kicked out of my congregation, that my district president won’t support me. So the very people who can and should and generally would try to help, are the ones who are kept in the dark.

Why? Why do we hide? And what will happen if we reveal to our families (Who probably already know), our congregation, and our brother pastors what is going on?

-DMR
aka Todd Peperkorn

In the last few years I have had the opportunity to speak or correspond with many people who struggle with depression or other mental illnesses. Pastors, teachers, DCEs, laity, each story is different, yet there are common themes.

One of those themes is how often the church, either at the congregational level or at the district/synod level, has failed these people. In all too many cases, their faith has been shaken to the point of disappearing. Now I don’t believe that there is any malice on the part of congregations or our church body. Far from it. But the sad reality is that we are driving people away from Christ by how we approach the mentally ill.

Why?

I have several theories about this. Here they are, in no particular order:

1. Because we so often equate clinical depression (or any mental illness) with some sort of character flaw, it is viewed basically as a sin. I think people instinctively know that this isn’t quite right, but they don’t have any other categories in which to place mental illness.

2. Everyone has weaknesses, and we work very hard to hide them. For many, depression unmasked is too close to home. It forces us to view our own struggles and failings, and that may just be too painful.

3. If we view the church as a place for the spiritually strong to work out, and not a hospital for the sick, then the mentally ill have no place.

4. The fundamental notion of “depression is in your head, get over it!” is so strong that we can’t help but judge others whose weaknesses are in public view.

5. Lutherans just aren’t very good at areas which aren’t “spiritual” in nature. If it isn’t about justification, then we just don’t get it. Hence, we try to place depression and mental illness simply into the “spiritual” box, and it doesn’t fit there.

Those are off the top of my head. What’s on your list?

Darkness Is My Only Companion: A Christian Response to Mental Illness, by Kathryn Greene-McCreight

This is a book I am currently reading. It is written by an Episcopalian priest. Consider this your theological disclaimer. I’m certain that there are elements to the book that don’t fit a nice little Lutheran orthodox niche.

Having said that, I have found it about the best book on mental illness from a Christian perspective I have read thus far. She seems to have a pretty firm grasp of the theology of the cross and suffering, doesn’t gloss over the ugly parts, and finds hope in the resurrection.

Her lens through which she views mental illness is bipolar disorder. This is a very different beast than my own sickness, major clinical depression. This illness at different times has been called manic depressive, and many other titles which I won’t try to list. While clinical depression has lows and more lows, bipolar disorder is basically a roller coaster of ecstasy and despondency, bouncing from the two in a way which is nigh impossible to fathom for the outsider.

Here are a couple paragraphs from Greene-McCreight which I found poignant and insightful:

So, during mania, I felt completely different from the way I did at the depressive pole. Mania doesn’t hurt the way depression does. Depression meant that every breath, every thought, every moment of consciousness hurt. Every particle of my consciousness ached, throbbed, stung. Mania was the opposite: every breath, every movement, every image before my eyes, every thought sparkled, glittered magically, filled me with ecstasy. Centrifugal motion, bliss.

At this point, thanks to the medicine, I am not filled with ecstasy. Neither am I in agony. I just want to end my existence. I am tired-not physically,, no, because the medicine is working. HEaven forbid I should be physically tired. Leave it to American medicine to make a drug that provides productivity even during depressive episodes. But I am tired of existed inside of myself, I don’t want to be inside my own skin, am tired of feeling and talking and figuring out why I feel this way and that way, tired of putting off the inevitable, that I should return to the earth from which the muddy Adam was shaped. (p. 55)

Obviously this is not the portrait of a shiny, happy, victorious Christian. This is the picture of the sufferer, who struggles with the medication which continues existence and yet hates the existence it gives. I personally find it refreshing. I just get so sick of fake, infused happiness and joy. This false happiness isn’t as prevalent in Christianity now as it was ten years ago, but it is still very much there.

As I wrap up the book, I’ll try and offer a few more citations that will be of benefit, particularly looking at where we put our trust, and the interaction between medication, faith and therapy.

-DMR

I am currently laid up with a physical illness. Nothing serious, so don’t fret, but it reminds me again of how differently we treat physical and mental illness. Here’s a little compare and contrast:

1. In physical pain, we seek to find the cause and solve it. In mental pain, we try to suppress it.

2. In physical pain, the one in pain receives sympathy and care. In mental pain, the sufferer is avoided because they are somehow tainted or weird.

3. In physical pain, the congregation prays for the afflicted. In mental pain, the afflicted suffers alone because mental pain is never shared.

4. In physical pain, the assumption is that this is not the sufferer’s fault. In mental pain and illness, the assumption is that there is something wrong with the person.

Those are my initial comparisons. What’s on your mind?

-DMR

I read Untreatable Online pretty regularly. It’s not particularly Christian from my perspective, but the author has great wisdom in understanding mental illness. Here is today’s post:

BPD Awareness Month – Best Parts About Having A Mental Illness

To his list I would add the following:

6. Recognizing God’s mercy. I would never have as deep an understanding of God’s mercy and care without my illnesses.

7. Seeing God’s people in action. In the same vein, God works mightily through the smallest and strangest of places (and people!). It really is a joy to watch God at work, even in the midst of great sorrow and pain.

Those are mine. What are yours?

-DMR

(Via Untreatable Online)