Tag Archives: LCMS

The Clergy and Mental Illness via Cyberstones

Rev. David Petersen on his blog, Cyberstones, has a nice post about clergy and mental illness. Check it out here:

The Clergy and Mental Illness

He makes some good points that are well worth considering. However, I do disagree with him on a couple things. Please read the following:

2. The Office of the Holy Ministry is so stressful it causes clinical depression, etc.

The other fallacy [the one I’ve listed above] is usually picked up by those who are suffering, whether the actual sick person or by his family and parishoners. They are looking for someone or something to blame. It is mostly false. The Office of the Holy Ministry is no more stressful than any other vocation or job in this fallen world. It does not cause mental illness. But being mentally ill and trying to deal with suffering people is difficult and the feelings of being a hypocrite are immense. So it certainly feels at times to those who are ill as if the Office is the root of their problem.

Obviously Rev. Petersen has a good point. It is easy for those who are sick or for the family of those who are sick to blame the Holy Ministry for depression or some other mental illness. We like to have something or someone to blame. In this sense Rev. Petersen is right.

In this sense he is wrong. The Office of the Holy Ministry is more stressful than other vocations. Not always, and not universally, but there is no question that the pressures put on a man who serves as a pastor is far greater than what one will find in many, even most other vocations (other than father and mother). We deal with the eternal. Heaven and hell. Life and death. We are forced to try and answer some of the toughest questions human beings ever face: why did my mother die? Why did my wife abandon me? How do I know my son will go to heaven? The questions which we seek to answer are deep and abiding, and cannot simply be shed with your winter coat in the closet when you come home.

There is a great deal of evidence that generally speaking, individual serving in service fields (doctors, nurses, social workers, etc) have a much higher incident of clinical depression. The same is true for clergy. I don’t have the exact statistics in front of my right now, but I know that roughly 10% of the general population in America struggle with clinical depression, and that the number is closer to 30% for clergy. That’s a pretty big difference.

Now I don’t say this to provide a scape goat. I say it because one of the key elements in healing is understanding why you are sick. What are the causes. Heredity, situation, family life, lifestyle in general, and good old chemical makeup all play a factor.

I’m not saying this to hold up pastors as the great saints who sacrifice more than anyone else. That is nonsense and I don’t believe it. There has to be an honest understanding on the part of the pastor of how the Office affects him physically, mentally, emotionally and spiritually. That mindfulness of who we are and how things shape us is a part of what can make a great pastor. It’s also what can contribute to the utter downfall of a pastor who things he has everything under control.

Thanks for your thoughts, Rev. Petersen. I appreciate what you have to say.

-DMR

Christmas Affective Disorder (CAD)

Pastors get Christmas Affective Disorder. I’m surprised it’s not in some medical journal somewhere. Here are the symptoms as I have come to experience them:

1. A fear and even dread of the month of December. It looks. It is coming, sure as St. Nick. With this season comes about six more services, plus everything else that goes into the most stressful month of the year for most Americans.

2. A desire to avoid people. Now I think most pastors who suffer from depression go through periods where they simply want to stay away from people. Probably a result in part of compassion fatigue. But December is worse. For myself, I’d say 60% of the “counseling” I do as a pastor occurs in December and January. It’s crazy. I am afraid to talk to people, yet at the same time I know that they need me now more than any other time of the year. What to do?

3. Sermon meltdown. I’m sure that I recycle more sermons this month than any other month as well. How many more ways can you say Jesus is born for you? When you are stressed, under the gun for time, emotionally strung out, and running on fumes, it is very hard to prepare those memorable sermons. On top of that, there is a very real expectation that the sermons this time of year will be GREAT! The texts are rich and varied. There are more visitors than usual. The need is high. The bar is simply higher. It’s a perfect setup for a meltdown.

4. An elusive sense of Christmas cheer. I want to be cheerful and happy and seasonal. I really, really do. But it is hard. I feel guilty for not being happy and chipper. Which makes me even less happy and chipper. I look at all of the blogs of pastors who are rejoicing so much in Advent and the upcoming Christmastide, and I say to myself, “Why can I be more like them?” I LOVE ADVENT AND CHRISTMAS! Why can’t I get with the program and just be jolly?

So what to do? Here are a few things I try to remember:

A) Jesus comes whether I am Jolly or not. That is the real and true beauty of the season. Our Lord’s Advent is not based on my love, joy, peace, sermons, abilitytointeractwithotherpeople, or whatever else the ailment of the day might be.

B) In the same way, the Word of God is effective, regardless of my personal disposition at the time.

C) Moods change. Just because one day is bad doesn’t mean the next one will be. It may be better. It may be wonderful. That’s the beauty of each new day.

What are your thoughts?

-DMR

Christmas Affective Disorder (CAD)

Pastors get Christmas Affective Disorder. I’m surprised it’s not in some medical journal somewhere. Here are the symptoms as I have come to experience them:

1. A fear and even dread of the month of December. It looks. It is coming, sure as St. Nick. With this season comes about six more services, plus everything else that goes into the most stressful month of the year for most Americans.

2. A desire to avoid people. Now I think most pastors who suffer from depression go through periods where they simply want to stay away from people. Probably a result in part of compassion fatigue. But December is worse. For myself, I’d say 60% of the “counseling” I do as a pastor occurs in December and January. It’s crazy. I am afraid to talk to people, yet at the same time I know that they need me now more than any other time of the year. What to do?

3. Sermon meltdown. I’m sure that I recycle more sermons this month than any other month as well. How many more ways can you say Jesus is born for you? When you are stressed, under the gun for time, emotionally strung out, and running on fumes, it is very hard to prepare those memorable sermons. On top of that, there is a very real expectation that the sermons this time of year will be GREAT! The texts are rich and varied. There are more visitors than usual. The need is high. The bar is simply higher. It’s a perfect setup for a meltdown.

4. An elusive sense of Christmas cheer. I want to be cheerful and happy and seasonal. I really, really do. But it is hard. I feel guilty for not being happy and chipper. Which makes me even less happy and chipper. I look at all of the blogs of pastors who are rejoicing so much in Advent and the upcoming Christmastide, and I say to myself, “Why can I be more like them?” I LOVE ADVENT AND CHRISTMAS! Why can’t I get with the program and just be jolly?

So what to do? Here are a few things I try to remember:

A) Jesus comes whether I am Jolly or not. That is the real and true beauty of the season. Our Lord’s Advent is not based on my love, joy, peace, sermons, abilitytointeractwithotherpeople, or whatever else the ailment of the day might be.

B) In the same way, the Word of God is effective, regardless of my personal disposition at the time.

C) Moods change. Just because one day is bad doesn’t mean the next one will be. It may be better. It may be wonderful. That’s the beauty of each new day.

What are your thoughts?

-DMR

Penacide or Suicide: Make the Pain Go Away

I’ve been thinking a lot about suicide lately. No, not in connection with myself (be not afraid). I’ve been thinking a lot about this pastor who took his life recently, and what this means theologically, emotionally, and for our common life together.

A doctor recently brought to my attention a word and definition that I believe is extremely helpful for the Christian in understanding suicide. The word is penacide. Penacide is the killing of pain. Here’s one definition of it:

Suicide and Suicide Grief: “‘Pena’ is from the Latin ‘poena’ (punishment or torment), the root of the word ‘pain.’ ‘Cide’ is from ‘cedere’ (to strike down). Penacide is ‘the killing of pain.’ It incorporates the reason, wanting to terminate one’s pain. It eliminates the notion that ‘wanting to die’ has anything to do with killing oneself. Penacide is not a kind of suicide. It’s what causes the deaths recorded as suicides. It is the true name of the beast.”

I would contend, and there is an increasing amount of evidence that bears this out, that most of the cases of suicide are really penacide. This is especially true when it comes to cases of clinical depression. Penacide means that you become so desperate to get rid of the pain inside you that you come to the point where you feel you must take your own life. You can’t take the pain any longer.

In most cases involving suicide, this is what is going on if it is connected to clinical depression.

How does this help us? First of all, it helps us to understand that dealing with clinical depression is not the same as sadness or assuaging guilt. Certainly guilt may and probably does come into play, but that is only one piece of the puzzle. But as Christians, we can easily fall into the trap of thinking of absolutely everything in terms of forensic justification. I’m going to go out on a limb here and say I don’t think that mindset is helpful when it comes to depression or suicide.

Let me explain.

Because the neurotransmitters are not working properly in the brain of someone suffering from clinical depression, they become curved in upon themselves. It is increasingly difficult to deal with other people. The noise, the din, the problems, everything is magnified and exaggerated. It becomes physically oppressive. I’ve commented here before on the physical effects of clinical depression. It is hard to explain to someone who hasn’t been there. The closest I can come to explaining it is a combination of claustrophobia and suffocation. It is physical. It hurts. It is terribly painful, because you don’t know what is really going on or why.

Tragically for some, the pain becomes too much. They take their own life because they can’t take that pain anymore. I understand that, and I thank God that my pain never got to that point. But I’ve looked over that edge and seen the other side. It isn’t a good place.

So where is hope? Hope lies in the One who endured all for us. Hope lies in the One who came into our fleshed, suffered for us, and went the way of death so that we need not go there ourselves.

Sometimes the pain becomes too much. When we look at brothers and sisters who are suffering, don’t lay them with guilt. Give them Jesus. Get them a doctor. Be a friend. Love them. Suffer with them. Pray for them and with them. Don’t leave them, especially if the pain looks like it is becoming unbearable. God will see them through, and you through.

So what happens when someone does take their own life because the pain becomes too much? Rev. McCain said it very well in his post on the subject, and it bears repeating here:

I remembered Martin Luther’s wise words when asked about the state of those who commit suicide. It is a shame these wise words were not kept in mind during the history of our church. At my first parish, there was a corner of the parish cemetery where suicides were buried, in unmarked graves, the view being quite a legalistic view of the situation, that a person who kills himself has no chance to confess sin and receive absolution and therefore is lost. Luther rather wisely points to the power and influence of Satan and how we must be on our guard and realize that there are those times when Satan will take one of us captive and overcome us on the road of life.

Here is what Luther said:
“I don’t share the opinion that suicides are certainly to be damned. My reason is that they do not wish to kill themselves but are overcome by the power of the devil. They are like a man who is murdered in the woods by a robber. . . . They are examples by which our Lord God wishes to show that the devil is powerful and also that we should be diligent in prayer. But for these examples, we would not fear God. Hence he must teach us in this way.” [Vol. 54:29].

Finally, if you know a pastor who is struggling, be sure to reach out to encourage him and support him. Don’t sit around thinking, “Oh, somebody else is going to say something.” No, you say something. Do something. Reach out in Christian love. If a congregation is aware that the pastor is suffering, don’t wait, help.

I don’t this is a little stream of consciousness. I’ll try to put my thoughts in a little more cohesive fashion later.

Rest well, friends. Be at peace.

-DMR

More on Pastor Suicide

You will find below another link to the apparent suicide that has taken our Lutheran family the last couple days. I knew John as well, and would certainly echo Rev. Fish’s description.

As someone who has gone down the road of seriously considering suicide, I think I have some sense of that darkness. No man knows another’s pain except our Lord, but we can have glimpses of it.

It is truly astonishing to me how many pastors there are out there who discount clinical depression as basically a modern invention. It is real, it is utterly debilitating, and Satan will use it to whatever end can to further his evil plans.

Fortunately, God is merciful. This means, quite simply, that God’s love conquers even death. Even an evil death such as this. When John may have felt abandoned, he was and is not. His baptism remains true. God will not leave him in the clutches of Satan simply because of an illness.

I am still deeply sad, especially for John’s family and his congregation. They will certainly be in my prayers in the days and weeks to come.

God be with us.

-DMR

Almost Beyond Belief

More on Pastor Suicide

You will find below another link to the apparent suicide that has taken our Lutheran family the last couple days. I knew John as well, and would certainly echo Rev. Fish’s description.

As someone who has gone down the road of seriously considering suicide, I think I have some sense of that darkness. No man knows another’s pain except our Lord, but we can have glimpses of it.

It is truly astonishing to me how many pastors there are out there who discount clinical depression as basically a modern invention. It is real, it is utterly debilitating, and Satan will use it to whatever end can to further his evil plans.

Fortunately, God is merciful. This means, quite simply, that God’s love conquers even death. Even an evil death such as this. When John may have felt abandoned, he was and is not. His baptism remains true. God will not leave him in the clutches of Satan simply because of an illness.

I am still deeply sad, especially for John’s family and his congregation. They will certainly be in my prayers in the days and weeks to come.

God be with us.

-DMR

Almost Beyond Belief

Cyberbrethren: A Lutheran Blog: Thoughts on the Suicide of a Friend

Rev. Paul McCain over at Cyberbrethren has an outstanding post on suicide right now. Here is the final paragraph:

Finally, if you know a pastor who is struggling, be sure to reach out to encourage him and support him. Don’t sit around thinking, “Oh, somebody else is going to say something.” No, you say something. Do something. Reach out in Christian love. If a congregation is aware that the pastor is suffering, don’t wait, help.

Amen to that, and thank you, Rev. McCain, for your excellent and well written post.

-DMR

Cyberbrethren: A Lutheran Blog: Thoughts on the Suicide of a Friend: “”