Hope

As we begin Advent, I consider the themes of Hope, Peace, Joy and Love. Each week of Advent I will post a brief devotional thought connecting the struggles of emotional/mental health with one of these themes.

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Psalm 119:147 (NLT) – “I rise before dawn and cry for help; I have put my hope in your word.”

Have you ever experienced a season in which your life sounds like this verse? You wake while it is still dark, you are in desperate need of help before the day even begins, and the only thing you have left is some flickering hope that maybe God will come through on what He has said He will do. For some, these struggles last for more than just a season, and it is in this wrestling that we truly understand hope.

Hope is not a feeling. When we mistakenly treat it like a feeling, we rely on the wrong things to make us feel better. Hope is an attachment to something outside yourself that is bigger than you. Hope is a belief that something might get better someday. Hope is the idea that today’s struggle is not the end of your story.

This week as we begin Advent, take a moment to reflect on what brings you hope. Is there anything you cling to in the midst of pain and struggle that keeps you in the fight? We know that one symptom of depression is hopelessness — when the depth of darkness is so severe that you have no strength left to cling to anything. If that is your experience, please reach out to a professional counselor for help. These symptoms are treatable and can get better with guidance, self-care and sometimes medication. New Life Ministries (1-800-NEW-LIFE) keeps a national list of Christian counselors and may be a helpful starting point. At times I tell my clients that when they are unable to carry hope for themselves, I will carry it awhile for them. May we all as Christian brothers and sisters extend this grace to each other daily.

Counsel Vs. Therapy

I have frequently heard pastors and lay leaders in the Church assert that it is the role of everyone in the Church to provide counsel. Christians cite verses that describe “godly counsel,” such as Psalm 37:30 (“The godly offer good counsel; they teach right from wrong”) and Proverbs 27:9 (“The heartfelt counsel of a friend is as sweet as perfume and incense”) in supporting their notion.

When I recently saw a tweet that again made the statement that all in the Church should provide counsel, it reminded me of what many in the biblical counseling movement have said about pastors and their competence to counsel. These verses suggest that godliness is the fundamental requirement for becoming someone who can provide wise and helpful counsel.

Note that I have not yet used the term “counseling” and I have certainly not used the term “therapy.” Why? Because these terms refer to specific treatments provided in mental health situations. And it is simply not the same thing as godly counsel.

Allow me to define some terms. “Counsel” is often referred to in the Bible as “advice.” Certainly there is a sense that wisdom and godliness provide a Christian with some discernment in a variety of situations. If a friend confides in you about a struggle she is going through, you might provide some wise counsel to her that would support God’s words in the Bible. You may have experienced a similar situation in life and you could offer advice from your own experience.

“Counseling” or “therapy” as I am using the terms here is specifically NOT centered around advice-giving. While discernment is necessary, it is a different level of emotional discernment used by trained and licensed clinicians in mental health service delivery. Therapy offers a place for a person to work through an emotional problem for herself, with a trained guide who possesses skills such as Motivational Interviewing and Cognitive Behavioral Therapy. An understanding of family systems and biological/psychological factors that influence our emotions is also a necessary skill. These factors along with spiritual wisdom and understanding are essential for providing mental health care and seeing the person in a holistic manner.

For comparison’s sake, let’s consider a scenario in which a person has a sore back. A close friend could perhaps give a basic back massage to ease the pain for the moment. But a physical therapist would have training and skills necessary to repair an injury. When anxiety, depression, trauma, Bipolar Disorder or other brain dysfunctions are present, godly advice simply will not provide the right kind of response. And in fact, it may do more harm than good as it often reinforces wrong ideas that make a person feel that their symptoms are a result of a lack of faith. I would argue that this type of response is actually not even godly advice at all as it creates wrong assumptions about God and illness. It is not based in spiritual or biological truth.

Can all pastors and godly followers of Jesus provide counsel? Assuming they possess wisdom demonstrated in the way they live their lives, yes. Can all pastors and godly followers of Jesus provide therapy for mental health problems? No. It is time for pastors and Christians to stop using these terms interchangeably so that people who need medical and psychological care can receive it freely with no stigma attached. And it is time for trained, licensed Christian counselors and therapists to actively provide these services where people seek them: in the Church.

Resources for Mental Health in the Church

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While the Church has a long way to go in providing the resources needed to respond adequately to mental health issues, there are a lot of people out there doing great work to raise awareness and equip pastors. The following is a list of resources with descriptions on what each is all about. (I will include ChurchTherapy.com in case this list is passed around outside of this blog post.) The Twitter handle is available with each resource listed so that you can follow all of their latest info directly. Please comment below to let me know about more of what is out there! Feel free to share this list with others.

  1. ChurchTherapy.com – a blog seeking to raise awareness about mental health issues in the Church and offering training for pastors on mental health issues. (@ChurchTherapist)
  2. Hope for Mental Health – a ministry of Saddleback Church that puts together an annual conference on mental health and the Church. (@Hope4MH)
  3. The Mental Health Grace Alliance – a non-profit organization that seeks to equip and train pastors and lay leaders to launch mental health ministries in their churches. They have developed a peer-support group curriculum called Thrive. (@mhgracealliance)
  4. Church and Mental Health Chat – a live Twitter chat that meets weekly on Tuesdays at 9pm EST to facilitate dialogue around mental health issues in the Church. Log on to Twitter and follow the conversation using the hashtag #ChurchMH (@ChurchMHChat)
  5. The No Silence Alliance – a non-profit organization and blog seeking to raise awareness on mental health issues. (@NoSilenceOrg)
  6. Here/Hear – an advocacy group seeking to raise awareness of mental illness within the Church and to provide curriculum for peer-support groups. (@herehearorg)
  7. Hope & Healing Center and Institute – a center located in Houston, TX that offers training, seminars, and programming for mental health issues. Founded by Dr. Matthew Stanford, a Christian neuroscientist and mental health advocate. They also offer video resources for pastors/clergy. (@HopeHealingCI)
  8. Amy Simpson – a life coach and mental health advocate for the Church. She has written books including Troubled Minds and Anxious: Choosing Faith in a World of Worry. (@aresimpson)

Of course there are many other individual bloggers and Christian counselors out there raising awareness and advocating for the Church to do more to care for mental illness. I will update this list as I become connected with more resources!

Pastor Training Video: Responding to Mental Illness

I am excited to bring you another Pastor Training Video — under 10 minutes and packed with ideas on how you can respond to mental illness in your congregation. Not a pastor? This video is a great tool for you as a Christian to think about ways you can advocate for your church to respond to the needs around you.

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Also, here is the information from NAMI I reference in this video. Thanks for watching!

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