Tag Archives: depression

How Quickly Things Change

I’m often amazed at how quickly things can change, for either better or worse. I remember a month ago or so I was seriously sick with the flu bug that has been EVERYWHERE this year. I had been sick for about two weeks. As I was complaining to a friend of my, I said, “This is the worst winter I’ve ever had!”

“Really?,” he said. “You’ve had a pretty bad couple of years here.”

It kind of set me back. I have had a few pretty wretched winters. We’re coming up upon Good Friday here soon. I can remember a couple years ago when things were about as dark as they could be, that I seriously contemplated suicide. Now that is a bad winter.

Things are going well for me. They really are. The problems that I have are blissfully normal. Sick. Kids. Pastoral stuff. Life. It’s good. I’m glad for it. But I never want to forget what it took to get here.

Pressed Down but Not Forgotten, A Review (book on depression)

Pressed Down But Not Forgotten, by H. Curtis Lyon and John Juern

Pressed Down but Not Forgotten

By H. Curtis Lyon and John Juern

Books on depression are a dime a dozen. Books on depression by Lutherans are rare, so rare in fact that this may be the only one I’ve read. So what does it have to offer us?

What’s Good

It has excellent, simple and understandable definitions of the various aspects of depression. It does a good job balancing the situational, biological and spiritual dimensions of the illness. In that respect I would say that the chapters on a clinical look at depression (Chapter 2) and how depression is treated (Chapter 3) are probably the best. These are two areas where most Christians will have little or no understanding.

The book is short. This is very good. Some of the books about depression on my shelf (e.g. The Noonday Demon) are hundreds and hundreds of pages. While the material may be worthwhile, it becomes completely unaccessible because of the morass of words.

One of the authors (Rev. Curt Lyon) is a WELS pastor, and the other (Dr. John Juern) is a WELS layman and clinical psychologist. What this means in this case is that there is a pretty good basic understanding of the Gospel at work, there’s no decision theology or any blatant heresies. There are other problems,, though, which we will get to in a moment.

I also like the use of case studies to understand a given situation or problem associated with depression. While it gets a little old by the end of the book, it is for the most part effective and helpful.

What’s Not So Good

A couple issues with the book stick out. First of all is the ugly and really cheesy graphics. Smiley faces and frowney faces. Blech. Patronizing and silly. Spare me.

The book originally came out in 1996, so almost everything in there about medication is dated. The general concepts are correct, but most people won’t even recognize the names of the medications cited. It needs to be updated.

The real problem with the book, though, is theological. It’s not any kind of heresy or false doctrine. The problem is that the author’s never make the connection between the cross and here-and-now. It is completely asacramental or even anti-sacramental. I have found this tragically common in Wisconsin Synod publications, and this is no exception. While the beauty and comfort of Jesus’ death is held up, how that comes to us now (the Word and holy Sacraments) is never even mentioned in the book. Holy Absolution has no mention, either.

Now this doesn’t surprise me. Most people don’t get that. But it is such a critical thing, especially for someone who is clinically depressed. The sacraments are extra nos, they come from outside of us. My baptismal identity frees me from the shackles of my own pathetic works. I am free, because I am in Christ. This is one of the most comforting things that the depressed can hear, and it is completely absent in the book.

So overall I’d give it about three stars out of five. It has a place on my shelf and is good, but the Lutheran work on this important topic has yet to be written.

-DMR

Prozac a fake?

The big news today is about Prozac. The granddaddy of modern anti-depressants, Prozac has been around in some form or another since 1972. But today a study was released claiming that Prozac is no more effective than a placebo.

I’m sure this will provide lots of ammunition for everyone that thinks drugs are basically evil. Personally, I recognize the two edged sword which is drugs. At the same time, though, amongst pastors it is WAY more likely to be under-medicated or not medicated at all than to be overmedicated.

So I don’t find this announcement as good news at all. I think it will contribute to a lot of people not getting the help they need, whether it be medical or alternative.

Bummer.

-DMR

Mental Retardation and Mental Illness: Who are we?

 

Yesterday I went to the local gym/family center type place with my wife and the kids. There isn’t anything really unusual about that, except the fact that I couldn’t have done it a year ago. But what struck me this time was that there was a group of mentally retarded young people (teens and twenties) there at the same time.Like most people, I am basically afraid of the mentally retarded. I see them, and while I may sympathize with them on a theoretical level, the absolute last thing I want is to interact with them. They are loud (or quiet), they say and behave in unpredictable ways (like children), and they look strange (like most of us in one way or another).

What was different this time was that one young man had his fingers stuck in his ears the whole time. he walked around the pool, looking, obviously uncomfortable or even afraid of the noise that went on around him. I am no expert, but I believe that one of the many common traits that often go with various forms of mental retardation is difficulty processing sights and sounds.

But this time I knew how he felt. Continue reading Mental Retardation and Mental Illness: Who are we?

Depression and Grapefruit

Just say no to grapefruit

I remember when I first starting taking anti-depressants and anti-anxiety medication that I was told I couldn’t eat grapefruit anymore. While this didn’t leave me suicidal, it certainly puzzled me then as it does now.

So in the interest of the depressed grapefruit lovers everywhere, here are a few articles that examine the issue:

Grapefruit and Drug Interactions

Grapefruit May Sabotage Meds

Grapefruit Juice and Medications: A Potential for Adverse Events

Basically grapefruit has a bad interaction with a drug metabolizing enzyme called the CYP 3A4 enzyme. It makes it so that effectiveness of certain medications is drastically reduced.

Why grapefruits and not other citrus? I don’t know. But apparently, depression and grapefruit don’t mix.

Bummer.

-DMR

Lent and Depression

Lent

 

Lutherans often joke about how Lent is really their season. Self-denial, self-deprecation, and the like seems to go along well with some strands of Lutheranism, especially those of a more pietist strain. Self-denial, of course, is not pietism. But the way self-denial is practiced today more often resembles the pharisees and their inheritors, the pietists, than it does anything else. Continue reading Lent and Depression

Coming Down (going off depression medication)

Do Not Feed the Fear

So I have now been on anti-depressants and anti-anxiety medication for over two years. My current cocktail (zoloft/sertraline, welbutrin, and clonazapam) has been fairly steady for over a year. Things are going well for the most part, so I am starting to wean myself off of the medications.

The concept is both exciting and terrifying.

When I started taking all of this stuff, I was in a very desperate position. There were few options. It was medication or check myself into a hospital. I’m glad that I made the decision to go on this medication, as it has allowed me to live and regain some semblance of normalcy.

Having said that, there is no doubt that you also lose something by taking anti-depressants and anxiety medication. The lows aren’t nearly as low, but the highs aren’t as high, either. The anxiety medication makes it so that I don’t feel claustrophobic, but it also just makes you a little dulled to the world around you. I feel like I have been tired for two years, and that I don’t even remember what it is like to be fully awake.

I am excited to start the process of going off of them, but I’m also scared. They have served as a safety net for a long time. They are one of the earthly causes to my ongoing healing. I don’t want to go off of them, because I don’t want to go back to where I was. But I don’t want to stay where I am, either.

So there is the dilemma. I can’t stay where I am, but I can’t go forward either.

Well, actually I can. By the mercy of God, I can start this process of going off medication. The absolute worst thing that happens is that I go back it/them for a time. I am baptized. My inheritance is sure, and my future is as certain as Jesus’ death and His words, “for you”.

My flesh and my heart may fail, but God is the strength of my heart and my portion forever. Psalm 73:26

-DMR

Coming Down (going off depression medication)

Do Not Feed the Fear

So I have now been on anti-depressants and anti-anxiety medication for over two years. My current cocktail (zoloft/sertraline, welbutrin, and clonazapam) has been fairly steady for over a year. Things are going well for the most part, so I am starting to wean myself off of the medications.

The concept is both exciting and terrifying.

When I started taking all of this stuff, I was in a very desperate position. There were few options. It was medication or check myself into a hospital. I’m glad that I made the decision to go on this medication, as it has allowed me to live and regain some semblance of normalcy.

Having said that, there is no doubt that you also lose something by taking anti-depressants and anxiety medication. The lows aren’t nearly as low, but the highs aren’t as high, either. The anxiety medication makes it so that I don’t feel claustrophobic, but it also just makes you a little dulled to the world around you. I feel like I have been tired for two years, and that I don’t even remember what it is like to be fully awake.

I am excited to start the process of going off of them, but I’m also scared. They have served as a safety net for a long time. They are one of the earthly causes to my ongoing healing. I don’t want to go off of them, because I don’t want to go back to where I was. But I don’t want to stay where I am, either.

So there is the dilemma. I can’t stay where I am, but I can’t go forward either.

Well, actually I can. By the mercy of God, I can start this process of going off medication. The absolute worst thing that happens is that I go back it/them for a time. I am baptized. My inheritance is sure, and my future is as certain as Jesus’ death and His words, “for you”.

My flesh and my heart may fail, but God is the strength of my heart and my portion forever. Psalm 73:26

-DMR

Meditation, Depression and Christianity

Meditation

A reader recently asked me to comment on the relationship between meditation and depression. I’ve already posted on this once, but it seems a worthy topic.  Before we can begin in earnest we need to define a few things:

What is meditation?

The ever-reliable Wikipedia describes meditation like this: Continue reading Meditation, Depression and Christianity