but a wounded spirit who can bear?
Tuesday, February 12, 2008
Email 11 - 24 April 2007 : My further reflections of God’s love and faithfulness
but a wounded spirit who can bear?
Email 10 - 23 April 2007 : My reflections of God’s goodness despite the unpleasant prospect of my illness
Dear Friends,
Greetings to you in our Great High Priest Jesus Christ!
It was good to be in the house of the Lord again yesterday to worship and fellowship. Every such opportunity now to me is a privilege not to be taken for granted. Thank God for His mercies.
Thanks again for your prayers and encouragements. It means a lot to me. It is such a tremendous source of support to me as I learn to wait upon our Lord for strength and grace daily and I thank God for you always and your willingness to walk with me through this difficult journey. I recognize this as a blessing from God and a token of His love for unworthy me because of what Christ our Lord has done for us by laying down His life on the cross for us and redeemed us from the power and effect of sins.
Thank God for enabling me to rest well last night. I am up early this morning feeling much refreshed, and so here I am again, at my keyboard typing out some of my thoughts and feelings to share with you God’s goodness to me in many wonderful ways.
I thank God for His many mercies to me in providing very good doctors and counselors for me and also in providing many caring family members, brethren, friends and colleagues. I am especially thankful to God for providing a caring new Doctor, to follow-up on my medications. I realized it can be a long process to find the right treatments for my condition and I am grateful to God for providing a very experienced and caring doctor. The Doctor is a very humorous doctor and I really thank God for him. He has made my first visit with him such a pleasant and memorable one. Instead of sitting in his room and recounting my past history of relapses in tears or anguish, there I was sitting in his room and laughing every now and then at his jokes (which I have to, at times, use much wisdom to discern because he jokes without laughing or smiling!) Can you imagine such comical scene? Well, with God all things are possible!
But I must confess that these few mornings, when I up very early and reflected on what he told me about my condition, tears came to my eyes. He had told me very honestly that based on my family history and history of relapses in the past, there is a possibility that despite being on medication and having other helps, I can still fall into very severe major depression to the point that I am tempted to suicide again, or on the other extreme of the pendulum, I may become very high in an episode of manic to the point that I can become crazy! I felt as if I have been given a “sentence” that is worst than an death sentence or worst than being told I have 4 stage of terminal cancer. To be told that one can either be so depressed to the point of ending ones life in suicide or one can be so high to the point of losing ones mind and becomes crazy, is a very very difficult experience. I take great comfort in the knowledge that God loves us dearly and will not allow us to be tempted more than we can bear. No matter what difficulties or even dark valleys, He in His love and sovereignty, allows us to go through, He is with us and will never never leave us nor forsake us. He has promised:
“When thou passest through the waters, I will be with thee; and through the rivers, they shall not overflow thee: when thou walkest through the fire, thou shalt not be burned; neither shall the flame kindle upon thee. For I am the LORD thy God, the Holy One of Israel, thy Saviour: …… Since thou wast precious in my sight, thou hast been honourable, and I have loved thee: …. Fear not: for I am with thee: …..;” Isaiah 43:2-5
I am taking comfort from the following Scripture passages too:
“For God, who commanded the light to shine out of darkness, hath shined in our hearts, to give the light of the knowledge of the glory of God in the face of Jesus Christ. But we have this treasure in earthen vessels, that the excellency of the power may be of God, and not of us. We are troubled on every side, yet not distressed; we are perplexed, but not in despair; Persecuted, but not forsaken; cast down, but not destroyed; Always bearing about in the body the dying of the Lord Jesus, that the life also of Jesus might be made manifest in our body. For we which live are alway delivered unto death for Jesus’ sake, that the life also of Jesus might be made manifest in our mortal flesh.” 2 Corinthians 4:6-11
“Knowing that he which raised up the Lord Jesus shall raise up us also by Jesus, and shall present us with you. For all things are for your sakes, that the abundant grace might through the thanksgiving of many redound to the glory of God. For which cause we faint not; but though our outward man perish, yet the inward man is renewed day by day. For our light affliction, which is but for a moment, worketh for us a far more exceeding and eternal weight of glory; While we look not at the things which are seen, but at the things which are not seen: for the things which are seen are temporal; but the things which are not seen are eternal.” 2 Corinthians 4:14-18
“For we know that if our earthly house of this tabernacle were dissolved, we have a building of God, an house not made with hands, eternal in the heavens. For in this we groan, earnestly desiring to be clothed upon with our house which is from heaven:” 2 Corinthians 5:1-2
Thank God for the book “Broken Minds” by Steve and Robyn Bloem which I am reading now. Steve described in such vivid manner the difficulties he went through in his own experiences with depression and the long tedious process of finding the right treatment for him. Through his writing I could identify with some of his sufferings and I know now that I am not alone in these difficult struggles. In fact Steve went through even more deep trials and sufferings than me as his illness was very severe. The struggles he went through in order to come to term with his illness was understandable as depression is generally a stigma in our society and especially among Christians. No blood test, x-ray, ECG or scan can reveal the presence of this invincible illness yet its effect is devastating. Steve’s apprehension about being put on antidepressant or to “pop the pills” is common to all sufferers of this perplexing illness. Steve share in Chapter 9 The Chemical Response to Mental Illness of his book “Broken Minds”, page 103:
“Christians are still among the most resistant to treatment. We tend to balk at the idea that believers can have mood problems. This resistance persists in part because we have not learned what an antidepressant is or does.
For my depression, I could not think it away, pray it away, or exorcise it. I claimed Bible verses. “Sorrowful yet always rejoicing” (2 Cor. 6:10) did not apply. Group therapy provided only a brief catharsis during a period of moderate depression.
In Christian literature I found little counsel about how Christians should approach the taking of such medications. Few fellow believers I knew were positive about taking such drugs. I could understand that. When a psychiatrist came in to explain psychotropic medicines to our pastoral internship class, I was the first intern to raise my hand, questioning their use.
If I were a pastoral intern today, I might raise the same objections, even though a lot of research has come along to clarify the role of chemistry in mental illness. There is still among Bible-believing Christians a strong tendency either to deny the efficacy of antidepressants, antipsychotics, and mood stablizers or to try to integrate the place of medication into a nonmedical model.”
On the great temptation sufferers often face and the effects of medications or even ECT treatment in saving lives, Steve shared in Chapter 4 The Alluring Song of Suicide, Broken Minds, pages 60 and 61:
“Above all, do not ‘freak out’ around someone who might be suicidal. A calming word of love may not be all that’s needed, but it’s a start. Overreaction can unravel the fragile web that still holds the person together.
A particular warning about overreacting relates to medication. More will be said below about medication, but a somber warning in relation to depressed people is in order. You may truly believe that all medicines, or at least all antidepressants, are of the Devil. You may be able to convince the person to stop taking medicine, just as you might convince a diabetic to trust God instead of insulin. If you do either, you are betting someone’s life on the truth of your own particular theology. Are you willing to accept the responsibility for sending another person to his or her death?
As both a professional counselor and someone who has been suicidal, I say strongly and plainly that it can be every bit as fatal for someone with clinical depression to stop taking medication as for the diabetic to suddenly quit all treatment. Christians sometimes have a particular aversion to electroconvulsive therapy (E.C.T.) or shock treatments. Family members and fellow church members may be horrified by the thought of them. But it is hard to argue with fact: Someone who has had a series E.C.T. treatments seldom commit suicide. E.C.T. is the psychiatrist’s emergency tool. It saves live.”
I am of the opinion that while self-help techniques and some natural remedies can help people with mild depression, those who suffer from severe depression do need some kind of medication besides these helps to preserve their lives. Medications and medical treatments then must be viewed in these cases as gifts from God and not a rejection of God’s grace. In my own experience with severe major depression and constant struggles with suicidal thoughts and temptations, I am convinced that I need to be on medication during a severe relapse, besides other help which I am already receiving such as prayers, reading God’s Words, fellowship, counseling, self-help techniques, supplement, exercise, etc. Without medications which can stabilize my mood, my condition can deteriorate to such a distressing stage that I lose all ability to think rationally and I can be repeatedly tempted to do away with my own life in moment of weaknesses. I can go through this without anyone’s knowledge and therefore no one can come on time to save me. This is what happened recently on 11 Dec 2006 and what prompted me to finally seek professional help. To protect myself from ever committing such “a sin of the broken minds” (as Steve Bloem puts it) again, I must bear with whatever inconveniences or side-effects these medications may have until God shows me another alternative. To exchange these treatments for the possibilities of other natural remedies which we have no way to know which will work for each different individual, is to take the risk of the possibility of my condition worsening and indirectly led to my eventual suicide. This is possible and I wouldn’t take the risk as suicide dishonour God. But then even on medication, I still have to know that there is still the possibility of such a sad ending. I take comfort that our Lord Who has preserved me through 17 years (or possibly more) of this illness without getting much help in the past, will now with the use of various means, continue to preserve me so that I can live for His glory and serve Him in my limited capacities, as He enables me.
I thank God for the peace and joy in my heart despite this gloomy and uncertain prospect. I am sure this is no least to your prayers to God for me. Thanks for your prayers and support. I am learning now daily to rejoice in the Lord and to be contented in my lot for His grace is sufficient for me. Even when I do not understand the paths that I am to thread, I do trust in His love and sovereignty. Like Habakkuk, I am learning this precious truth:
“Although the fig tree shall not blossom, neither shall fruit be in the vines; the labour of the olive shall fail, and the fields shall yield no meat; the flock shall be cut off from the fold, and there shall be no herd in the stalls: Yet I will rejoice in the LORD, I will joy in the God of my salvation. The LORD God is my strength, and he will make my feet like hinds’ feet, and he will make me to walk upon mine high places….” Habakkuk 3:17-19
I feel that I am living like a dying man daily. I do not know when I might have a severe relapse to the point that my life may end in some ways or I might one day lose all my senses and mind to the point that I become insane. Truly, our lives is in God’s hands. May God “..teach us to number our days, that we may apply our hearts unto wisdom.” Psalm 90:12.
I hope to seek and serve our Lord as best He enables me now that I am still sane and have the strength to do so, limited though it is. My limitations will enable me to cast myself more upon Him Who loves us, and depend more on His grace and faithfulness. Though I use whatever means available, ultimately my trust is in God, Who alone can raise the dead and heal all diseases. If He doesn’t, then He will take us home to be with Him where there shall be no more tears or suffering. That is a blessed prospect! So may you too find much encouragements and joy as you seek and serve Him in your various callings and no matter what difficulties or discouragements we face, let us continue to encourage ourselves in the Lord. The reminder from RC Sproul’s message yesterday on the life of David as very apt. He was distinguished as “a man after God’s own heart” because he encouraged himself in the Lord in the midst of severe trials and he enquired of the Lord before he goes his ways. May we learn to do that daily that we may live for the glory of God until the day He calls us home to our eternal rest to enjoy Him and one another for all eternity. To God be the glory.
Yours appreciatively,
Email 9 - 19 April 2007 : About temptations to suicide and a book entitled “Broken Mind”
- It is a sin and would bring shame to Christ and His church.
- It would please the Devil and would weaken greatly those who are trying to fight him.
- It would devastate family members and friends, and you may be responsible for them following your example if they come up against intense suffering.
- It may not work, and you could end up severely disabled but still trying to fight depression.
- It is true - our God is a refuge, “and those who know Your name will put their trust in You, for You, O LORD, have not forsaken those who seek You” (Ps. 9:10). God, your Father, will deliver you through what you are facing. Paul said in 2 Corinthians 1:10 that God “delivered us from so great a peril of death, and will deliver us, He on whom we have set our hope. And He will yet deliver us.”
- Help is available. If you push hard enough, someone can assist you to find the help you need.
- If you are unsaved, you will go to hell. This is not because of the act of suicide but because all who die apart from knowing Christ personally will face an eternity in a far worse situation than depression.
- If you are a Christian, then Jesus Christ is interceding for you before the Father, that your faith will not fail. He shares your afflictions. Psalm 56:8 says, “Put my tears in Your bottle. Are they not in Your book?”
- God will keep you until you reach a day when your pain will truly be over. Wait for God’s time for that, not your own. According to Revelation 7:17c, “God will wipe every tear from their eyes.” After going through some awful things, Paul was still able to say, “For I consider that the sufferings of this present time are not worthy to be compared with the glory that is to be revealed to us” (Rom. 8:18). Extracted from pages 58 to 60.”
Email 8 - 14 April 2007: My purpose in starting this website
- It is a sin and would bring shame to Christ and His church.
- It would please the Devil and would weaken greatly those who are trying to fight him.
- It would devastate family members and friends, and you may be responsible for them following your example if they come up against intense suffering.
- It may not work, and you could end up severely disabled but still trying to fight depression.
- It is true - our God is a refuge, “and those who know Your name will put their trust in You, for You, O LORD, have not forsaken those who seek You” (Ps. 9:10). God, your Father, will deliver you through what you are facing. Paul said in 2 Corinthians 1:10 that God “delivered us from so great a peril of death, and will deliver us, He on whom we have set our hope. And He will yet deliver us.”
- Help is available. If you push hard enough, someone can assist you to find the help you need.
- If you are unsaved, you will go to hell. This is not because of the act of suicide but because all who die apart from knowing Christ personally will face an eternity in a far worse situation than depression.
- If you are a Christian, then Jesus Christ is interceding for you before the Father, that your faith will not fail. He shares your afflictions. Psalm 56:8 says, “Put my tears in Your bottle. Are they not in Your book?”
- God will keep you until you reach a day when your pain will truly be over. Wait for God’s time for that, not your own. According to Revelation 7:17c, “God will wipe every tear from their eyes.” After going through some awful things, Paul was still able to say, “For I consider that the sufferings of this present time are not worthy to be compared with the glory that is to be revealed to us” (Rom. 8:18).”
Dear Friends,
How are you? Thanks again for your prayers and support. Here I am again at my keyboard to type our some thoughts and feelings to share with you Thanks for offering me a “listening ear”.
Recently, a sister-in-Christ wrote to encourage me in my afflictions. She suggested to me that since I enjoy doing art and crafts, that I should do them when I am down with depression. Actually, when I am well, I can enjoy crafts, reading God’s Words, writing, fellowship, singing Psalms & Hymns, etc. But when I am afflicted with severe clinical depression during a relapse, I am not able to do all these. I cannot experience any pleasure in anything I do. Bipolar disorder and other clinical depressions are medical illnesses that need to be treated. It is different from the normal ups and downs which can be overcome by prayers, reading God’s Words and doing things we enjoy or just having fellowship.
During a severe relapse of clinical depression, I experience the following symptoms everyday for a few months which are beyond my control and I can’t “get out” of it despite many prayers or attempt on my own to do so:
Everyday for at least 3 to 6 months, I experience
- Feeling sad or blue, or “down in the dumps”
- Loss of interest or pleasure in things I used to enjoy
- Feeling worthless, hopeless, or guilty (these feelings are faulty but I was unaware of their faultiness during a relapse)
- Sleeping too little or too much
- Changes in weight or appetite
- Feeling tired or having little or no energy
- Feeling restless and confused over life, God, people, myself, etc
- Lost the ability to experience God’s presence with me (often wrongly concluded God has abandoned me). Often not able to enjoy prayers, reading God’s Words and fellowship with brethren although I continue to do so at a lesser degree with much effort.
- Problems concentrating or making decisions. Often having difficulty coping with challenges at work and thus become less productive and backlogs will built up resulting in increasing stress and feeling of hopelessness.
- Thoughts of death (ie. wish the Lord will call me home soon or wish I will not wake up in the morning anymore) or suicide (think of ways I can end my life which will look like an accident - these thoughts are faulty and irrational but uncontrollable during those times as I could not think rationally)
During an episode like this, I often thought wrongly that God has abandoned me. I thought I will never recover or get well and that it is better for the Lord to take me home and be with Him rather than to go on like that. I tend to isolate myself as I have difficulty understanding what I was going through, God’s dealings with me and also don’t know how to share with others or describe to them what I was going through. These unknowingly only aggravated my conditions as I tend to spiral down further and it is also a vicious cycle. It’s like me going round and round in a maze or sinking deeper and deeper into the quicksand the more I struggle in it. Those are very painful and confusing times for me. As a believer who sometimes enjoy very heart warming and sweet communion with our Lord especially when my moods are normal or elevated (an episode of mania/manic), to lost the sense of God’s presence with me during an episode of severe depression, was most unbearable. I can bear with any physical pain or tiredness, but found it most difficult to bear with the thought of the absence of God’s presence with me. These thoughts and feelings are faulty but at that point of time I could not see it that way. The depression affected my brain and caused me to think and feel wrongly. It is a symptom of the illness. Now I can see more clearly. But when I was in it, I couldn’t see it this way. As a result, I experience something like a taste of hell daily, without the awareness of God’s love and presence with me. Just like our Lord has experienced being forsaken by God when He was on the cross! I could understand a little of that anguish!
Sometimes, during such relapses, I wonder whether I am truly converted or that I have sinned a great sin against God. But no amount of self-examination, repentance and prayers could cause me to sense anew God’s presence with me or to know that He loves me still. This is because clinical depression with some chemical imbalances causes me to have very low moods and flat moods, which resulted in wrong thoughts and feelings, and consequently wrong perspective and feelings of guilt, worthless and hopelessness. I am not sure if you could understand the pain and anguish I often experience in such an episode. How can I tell another sister or brother of these thoughts and feelings? Who can understand? Often the kindness of many brethren in being very careful and therefore maintaining a certain distance from me for fear of saying the wrong things to me, have been sadly wrongly perceived by me to be avoiding me or despising me. I also during such relapse, tend to wrongly felt pressurized by the kind suggestions of various brethren on supplements, alternative treatments, etc in getting well. I often felt very confused on what I was going through and what ought to be done to get better. I didn’t have the energy to think or research into these avenues. As a result, I suffered even greater anguish, distress and discouragement. Now in retrospect, I repent before God and seek His forgiveness and that of some brethren for having wrongly misunderstood our brethren. Those were part of my illness actually. Now that I am better and able to think more rationally, I do sincerely appreciate all kindness and God’s goodness to me in providing fellowship and support of various brethren.
In order to help you to better understand what I go through and how I really feel (even if these thoughts are faulty), I hope these sharings and the enclosed article will further enlighten you. Hope it will help you to pray more specifically for me as I continue to wait upon the Lord for recovery and also help you to understand something of what other brethren who suffer similar conditions to me may be going through. I thank God that by God’s grace, through prayers and reading God’s Words, medication, counselling, yours and other brethren’s prayers and encouragements, some supplements, changing of diet, exercise, learning new coping strategies, etc my condition is improving day by day. Thank God for His mercies and thank you for your prayers and encouragements. May we be able to pray and support God’s suffering children whom the Lord has sovereignly allowed to be tried in these ways. God promised that He is working all things for His glory and our good.
During an episode of mania or elevated moods, I will experience the following symptoms:
- Increased energy level
- Elevated mood or high and happy mood
- Less need for sleep or less ability to sleep (sometimes insomnia - not able to sleep totally at night or sleeping for just 3 hours or so every night )
- Racing thoughts or mind jumps around (that’s why I started typing and sharing with you and our brethren my racing thoughts recently)
- Easily distracted
- More talkative than usual or feeling pressure to keep talking
- Focused on getting things done, but often completing little
- Risky or unusual activities to the extreme, even if it’s likely bad things will happen
These severe clinical depression and high elevated mood alternates for several months each until my moods returns to normal. In the recent years, my relapses have been more regular which indicates that my condition was worsening. As I have no awareness of this illness in the past, I have not taken any step to prevent it or shorten it. I am thankful to God that through this recent severe relapse, and after some 17 years of roller coaster rides of mood swings, the Lord has providentially led me now to seek medical and counselling help, besides praying and reading His Words, taking some supplements, exercise and learning new coping strategies, and sharing with my brethren and getting their prayer supports and encouragements. I trust that the Lord will continue to restore me and enable me to learn to manage my illness better so that I can live for the glory of God and be more effective in serving Him.
If you know of anyone else who is suffering from similar conditions to mine, please do let them know that this is a medical illness that can be treated. It is not wrong for Christians to seek medical help or other helps for mental disorders. Just like Christians can seek medical help and other helps when we suffer from asthma, diabetes, heart attacks, stroke, etc, so Christians can also seek medical, professional and counselling help, and other helps with mental illnesses. Please do not hesitate to share my experiences with them and I will be happy to be in contact with them, if necessary, or if I can pray or encourage them in any ways.
In time of severe clinical depression, in particular, it is important to have the prayer supports and encouragements of fellow Christians. But sadly the sufferer is often reluctant to share with people, partly because of the low and depressed mood crippling the ability to share or seek help, and also the various misunderstanding people have regarding this condition (even Christians). In one of his messages of a series of 6 video messages on “The Black Hole of Depression” by Mr David P Murray, a minister from Stornoway Free Church of Scotland Continuing (http://www.sermonaudio.com/), he quoted the following: “In his book, the Practical Workbook for Depressed Christian, John Lockley comments, ‘Being depressed is bad enough in itself but being a depressed Christian is worst. And being a depressed Christian in a church full of people who do not understand depression is like a little taste of hell.’” I know by experience, the pain of this truth. Although unintentional, sometimes the misunderstanding or lack of awareness among fellow Christians in the church resulting in a lack of support or unintentional insensitive remarks to the sufferer of this perplexing illness, can deepens the anguish that he/she is going through albeit unintentionally. Yet God is also working this for the good of His suffering child as he is enabled to look away from men to God alone for Help and strength. But having said that, it is so wonderful and encouraging to have the understanding, compassion, cares, prayers and encouragements of fellow Christians in such a dark and difficult day. It can deepen ones fellowship with God’s beloved people. I am thankful to God that this is now my experience, by His grace! Thanks for making it possible for me by your understanding, compassion, prayers, encouragement and supports. May our Lord bless your kindness to me and His other suffering children. May we all be sanctified through such furnaces of afflictions and be brought to a closer walk with God and one another as we learn to look to the Lord and support one another through all the changing scenes of life in our pilgrim journey until the Lord calls us home to our eternal rest where we can then enjoy Him and one another for all eternity. Then He share wipe away all our tears and we shall forever enjoy His presence and communion.
Thanks again for all your prayers and encouragements. May you continue to know the love of God, His joys, His mercies and faithfulness in your various callings. Take care!
With appreciation and prayers,
Some replies from my friends and brethren-in-Christ whom I shall keep anonymous unless they give me permission to put their names on this webpage:
Dear sister,
Thanks for your sharing sister. Thank God for lifting you up again from your moments of darkness. Indeed no one but you have experience once again the times of God’s gracious help in your deepest moments. We can surely see how you are drawn closer to Him in those times.
Thanks again sister for opening your thoughts to us so that we can have a glimpse of your experience to understand you better. Surely it takes a lot of courage to do that.
Above all we are glad to see that you are once again out of this difficult times by the grace of God. Your experience has also confirm my understanding of what I read recently on clinical depression. I picked up the book from our church library as I recently begin to have interest to understand these areas ….
Dear sister,
Thanks for your email and the articles. The one by Timothy Rogers is very helpful to us and hopefully we can apply some of his advice whenever Providence places us beside someone who is in depression.
I must admit it is quite difficult for me (who is quite optimistic in character) to understand the situation and what’s going on in the mind of someone who is depressed. I called a sister about a month ago, and she was so unwell that she couldn’t even talk to me for more than a minute. And she really sounded terrible. And she has been through periods of severe depression so many times. But your sharings have rebuked me and reminded me that I ought to be much in prayer for this sister, even though I do not understand the ‘why’ or ‘how’ of her condition.
Please feel free to post any of my replies onto your website. I believe it is always encouraging for christians to read of the Lord’s work in his saints, and I’m sure that there will be people who will benefit greatly from the postings on your condition and struggles.
Email 6 - 3 April 2007 : Thank God able to join public worship again
Email 4 - 30 March 2007 Evening : My review with the doctor and diagnosis of proneness to Bipolar
Email 5 - 31 March 2007: Thank God able to sleep better with new medications
21 This I recall to my mind, therefore have I hope.
22 It is of the Lord’s mercies that we are not consumed, because his compassions fail not.
23 They are new every morning: great is thy faithfulness.
24 The Lord is my portion, saith my soul; therefore will I hope in him.