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Archive for the ‘Depression’ Category

Tan: DARK NIGHT OF THE SOUL

SOURCE:  Taken from Disciplines of the Holy Spirit by S.Y. Tan

Occasionally the Lord leads us into a time of isolation and solitude that can only be described, in the words of St. John of the Cross, as a “dark night of the soul.”  We may feel dry, in despair, or lost.  God may seem absent, His voice silent.  The prophet Isaiah declared, “Let him who walks in the dark, who has no light, trust in the name of the Lord and rely on his God” (Isa. 50:10).

Such dark times can be pregnant with God’s purpose; they can be times in which we are stripped of our overdependence on the emotional life, on things of this world, and on ourselves.  “The dark night” is one of the ways the Spirit slows our pace, even bringing us to a halt, so that He can work an inner transformation of the heart and soul.

Those who are hungry for God can expect to be drawn or driven into times of dryness or confusion, where faith and dependence on God are tested and deepened.

A. W. Tozer describes this process as the “ministry of the night.”  In these times, God seems to be at work to take away from our hearts everything we love most.  Everything we trust in seems lost to us.  Our most precious treasures turn to piles of ashes.

In times like these, says Tozer:

 

Slowly you will discover God’s love in your suffering.  Your heart will begin to approve the whole thing.  You will learn from yourself what all the schools in the world could not teach you – the healing action of faith without supporting pleasure. You will feel and understand the ministry of the night; its power to purify, to detach, to humble, to destroy the fear of death, and what is more important to you at the moment, the fear of life.  And you will learn that sometimes pain can do what even joy cannot, such as exposing the vanity of earth’s trifles and filling your heart with longing for the peace of heaven.

 

As we seek to draw near to God, we can expect to have times in our lives when we too experience the “ministry of the night.”  Our best response during these seasons is to wait upon God, trust Him, be still, and pray.

 

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Why do people cut themselves? And how to help them stop

[The Counseling Moment editor’s note:  Although this article is written to those who minister to others with this issue, the article contains insights useful to all.]

SOURCE:  

Self-harm behaviors can be a foreign concept to many of us adults, but they are on the rise among adolescents and young adults. The National Institutes of Health indicate rates anywhere from 7 to 24 percent in teenagers, but as high as 38 percent in college-age women.1 However, these self-harm behaviors are oftentimes misunderstood by those who seek to minister to them. Given such high incidence rates, though, pastors and ministers must not only understand the motivations behind self-harm but also know how to minister to those engaging in such activities.2

Understanding self-harm

Self-injurious behaviors most frequently present themselves in the form of cutting various parts of the body, like one’s arms or legs, but may also be seen in burning oneself, picking at scabs, punching or hitting oneself, pulling one’s hair, or a host of other behaviors that cause wounds or bruises. Most often, the effects of the self-harm are well concealed behind long-sleeved shirts or long pants, but other times the wounds cannot be covered and are visible to others.

Self-harm behaviors are almost always done to cope with difficult emotions such as sadness, worry, or fear.

But engaging in self-harm does not equal suicidal. One of the most common misconceptions about self-harm is that it is always linked to suicidal thoughts or intentions. However, this simply isn’t the case. While suicidal thoughts do often accompany self-injurious behaviors, the injury to oneself is not always intended to lead to suicide. In fact, some teenagers report engaging in self-harm to avoid getting to the point where they feel suicidal.

A word of warning here, though: sometimes self-harm behaviors either intentionally or unintentionally do become suicide attempts. While we cannot assume that self-harm is always connected with or intended to bring about one’s own death, we should understand the reality that either intentions change quickly or what is meant to bring only injury accidentally leads to even greater, perhaps unintended, harm or even death.

If you suspect that someone is suicidal, or that the person has means and has stated intent, take immediate action. That may mean calling law enforcement, engaging an experienced counselor, or taking the young person to the hospital.

So what are the motivations? Most often, self-harm behaviors are engaged in to cope with difficult, and many times overwhelming, emotional struggles. For instance, a teenager may be experiencing deep sadness, and for the first time in her life, this emotion seems overwhelming. Given her lack of life experience with such strong emotions, she engages in causing physical pain to cope with the emotional pain.

Alternatively, some young people express that they feel a lack of any emotion at all, so they engage in self-harm to be able to feel something, even if what they feel is negative. Paired with this, some report feelings of emptiness, guilt, or tension, and self-harm behaviors provide an outlet for those feelings.

Dealing with emotional struggles isn’t the only motivation for self-harm, though, so we cannot assume such. I have personally heard of teenagers being “bored” and having nothing else to do, who then engage in cutting themselves. I’ve also seen a trend of self-harm leading to attention from one’s peers, both positive and negative, but attention nonetheless. While we certainly cannot assume that self-harm is merely for attention, the social and cultural reality of young people also cannot be overlooked.

Ministering to those who engage in self-harm

So how can we best minister to those who engage in these behaviors? In particular, how can we love and care for these young people well when their struggle is one we have difficulty understanding?

Seek to understand. First and foremost, try to understand. The first time I sat with a counselee who engaged in cutting, I simply asked her to help me understand where she was coming from, as I had no personal frame of reference for her actions. I genuinely wanted to understand the emotions and thoughts driving her behaviors, and she was willing to share.

As ministers, we first must listen well to understand. Oftentimes, those who are struggling in this area are dealing with strong emotions that they have difficulty understanding, or they have experienced difficulties in life that we cannot imagine. We must be willing to enter their world and hear their struggles before we can speak truth into their lives.

Look for the root of the problem. Self-harm behaviors almost always point to something deeper. Most often, it is an emotional struggle. Ask questions, and ask good questions: What is the self-harm in response to, or what is it satisfying? Self-injury is a way of dealing with life problems, so we cannot simply try to change that behavior without dealing with the underlying issue. To do so would be like trying to scoop trash out of a stream when it is continually being dumped in upstream. The trash will just keep coming until we deal with the source of the problem.

What does this look like, though? Perhaps in listening to a young person sharing his story, you realize that his self-harm is in response to a world that he feels is in chaos, and hitting himself is the only way he has of controlling his own life. But without listening, you’d only be trying to get him to stop hurting himself rather than realizing that he is in harm’s way on a daily basis and that hurting himself gives him some sense of consistency and control.

Consider good questions versus better questions. So how do we know what to ask? I mentioned above that we need to get to what the source of the issue is, rather than simply the issue itself. While good questions may elicit facts like what their behaviors are or how frequently they engage in them, better questions get at motivations and desires. Here are some examples:

Good questions: Better questions:
Why are you hurting yourself? What situations do you find yourself in just prior to hurting yourself?
What’s going on in your life? What are you most struggling with? What are you most afraid of or anxious about?
How do you feel when you cut yourself? Does your cutting satisfy a need? What is that need?
Do you want to stop? What obstacles are present that make this difficult to stop?

Provide practical safeguards. Even though we should be listening well for the root of the problem, an immediate strategy we can take is to implement practical safeguards, for instance, removing razor blades or knives from the home or ensuring there is always someone else nearby. While we can’t feasibly remove every means of self-injury, we can remove many.

We can also instruct those around the self-injurious person to be aware of times when temptations may be at their highest. While parents can’t keep a constant eye on their teenagers, they can ensure that the teenagers are actively engaged, and they can be watching for changes in the teens’ emotions. Parents can find time as well to intentionally listen to their teenagers, asking good questions and providing encouragement for daily difficulties.

Share biblically based hope and promises. Hebrews 4:15 tells us that we have a great high priest who can sympathize in our every weakness, and that includes the temptation to self-harm. People struggling in this area have a Savior who has walked where they walk, who has been tempted as they are, and who was without sin. And as the writer of Hebrews reminds us, they can confidently approach God to receive grace and mercy. Help those who self-harm grasp that Christ understands their struggle and that He is approachable in their moments of weakness, ready to dispense grace and mercy. This truth can be used to encourage them to pray when they’re tempted to cut themselves and to help them understand that Christ accepts them when they sin.

We are told as well in Scripture that we will never be forsaken by God, and because of that truth, we do not have to be afraid. While this promise shows up over and over in the Bible, in particular we are reminded in Deuteronomy 31:8, “It is the LORD who goes before you. He will be with you; he will not leave you or forsake you. Do not fear or be dismayed” (ESV). Those fears that lead people to self-harm are not unknown to our God who goes before them, and He is constantly walking with them now.

Finally, because of the death and resurrection of Christ, we are also no longer enslaved to our sinful flesh, but are slaves to righteousness (Rom. 6:17–18). That means that followers of Christ can overcome the temptation to self-harm, by the power of God’s Spirit, who lives and works in them. That brings great hope to those who find themselves in the cycle of these behaviors.

The gospel message, then, has much to say to those who are struggling with difficult emotions, overwhelming guilt, or feelings of emptiness and to those who deal with those struggles through self-injury.

Pastors and ministers, we cannot forget the hope of the gospel when ministering to these young people. Like all of us, they need it desperately. They need people to listen to them well, get at the heart of the issue, help establish safeguards, and give hope through Christ. In doing so, we are able to walk with them, bear their burdens with them, and watch the Lord bring them out of these cycles of self-harm.

What Do I Do With My Regrets?

SOURCE:  Jon Gauger/Family Life Today

Rather than letting go of our regrets, we often escalate the trauma by further indulging them.

I should be dead by now. Really.

Thankfully, as a boy of 15, I underwent surgery for scoliosis, a curvature of the spine. Had my parents not opted for such a treatment, statistics say I wouldn’t be alive today because of the crushing my internal organs would have received from the twisting of my own spine. If not dead, my torso would resemble something like the fictional Hunchback of Notre Dame.

The surgery was no minor deal. First, an incision was made from my waist to the top of my shoulders (about two feet long). After straightening the spine and fastening two metal rods (each rod about a foot long) into the vertebrae, the surgeon chipped tiny fragments off my hip and then carefully placed them along the vertebrae to create a bone fusion.

Recovery was slow. Every four hours I was rotated from my back to my stomach on a circular bed frame resembling equipment from a circus acrobatic act. After nearly two weeks of rotating bed confinement, I was informed that the next day would be “casting day,” when I would get a plaster cast covering most of my upper body, allowing for near normal mobility. I distinctly recall the nurse warning me the night before. “Your incision is healing, and you’ll likely feel an itching sensation tonight. Whatever you do, don’t scratch your scar.”

But what I felt that night was more than an itching sensation. It was an itching assault. An itching warfare. I scratched (bad decision). And the scars itched more. I scratched more. And the scars itched still more. At the height of this agony (I do not overstate the moment), it was all I could do to force myself to clench the tubular steel of the circular frame bed and quote every Bible verse I’d ever learned over and over. It remains the most awful night of my life.

Who knew a scar could cause so much pain?

Regrets are scars of the soul.

We carry them around with us, and every now and then they itch. So we scratch them. We replay that thoughtless deed, that hurtful conversation. But instead of relief, we sense only a greater discomfort. Rather than let these memories go, we often escalate the trauma by further indulging our regrets.

What should we do with our scars when they assault us at night or in moments of tired reflection?

Scars, medical experts tell us, require regular and proper care (mine still itch or get occasional scabs). But what kind of care is there for scars of the soul? It’s a question we put to our contributors. Just what should we do with our regrets?

Walter Wangerin

This is simple: Pray for forgiveness. Ask the Christ who fought the devil to come and speak to our regret. Invariably, the word the Lord brings us is, “Go and sin no more. I have forgiven you. Now go on. Get up. Go back to your life and be better than you were.”

George Verwer

I read a long time ago that regret is the most subtle form of self-love. The temptation to regret comes the same way as any other temptation. What we need to do is readily embrace the gift of God’s grace. A lot of people have had their lives filled with failure, yet they do really well at the end. We need to encourage one another with that. Regarding our specific regrets, God has forgiven us. He knows how to work things out for good, so we can’t dwell on regret. We have to somehow move forward because it’s a form of anxiety to dwell on our regrets, paying too much attention to ourselves. We need to claim God’s forgiveness and grace and press on.

Kay Arthur

What do we do with our regrets? Now that’s a question I can answer readily for two reasons. One, I messed up so much before I came to know genuine salvation at the age of 29, and it had great ramifications. Second, I am a perfectionist. I battle with, “I could have done it better, I should have, I wish I had, why didn’t I?” This is where I must run to the open arms of my Sovereign God and all His promises and bring them to bear on my regrets. Also, I would add that we need to remember Satan is the accuser of the children of God (Revelation 12:10-11), so I have to stay dressed in His armor, rejoicing that He will make me “stand in the presence of His glory, blameless with great joy” (Jude 24).

Nancy DeMoss Wolgemuth

The first thing we have to do is thank God for grace. Go back to the cross. Preach the gospel to ourselves and realize, “I am not the Christ. I am a sinner who needs a Savior—and thank God I have a Savior.” I thank God He has not dealt with me according to my sins or as I deserve. The sum total of my life will not be about how well I performed, how well I lived up to my goals, or how successfully I overcame my bad habits or sinful patterns. When it’s said and done, the sum total will be Christ my righteousness. He took my sin—He who had no sin—on Himself. He clothed me in His righteousness, and that is the only basis on which I will ever be able to stand before God and not be ashamed. Every day I have to preach that gospel back to myself and live in the constant conscious awareness that Christ is my life. He is my righteousness. He is my only hope in life and in death.

James MacDonald

Romans 8:1 says, “There is now no condemnation for those who are in Christ Jesus.” I believe all of our sins—past, present, and future—are under the blood of Christ, that we’re forgiven. I think we need to live as forgiven people. Second Corinthians 7:10 says, “The sorrow that is according to the will of God produces a repentance without regret, leading to salvation, but the sorrow of the world produces death.” Genuine repentance is not thinking about what I should have done or what I could have done. It’s thinking about what Christ has done, and living in that. When your kids were little and they would act up, what you wanted was for them to forsake the bad behavior and go forward. That’s what I believe the Lord wants for us. Not to wallow in our failures, but to revel in His grace and to give it to others.

Joni Eareckson Tada

I love to read passages in Scripture that remind me that God has a poor memory when it comes to my sin. He remembers my sin no more (Isaiah 43:25). He separates me from my sin as far as the east is from the west, as high as the heavens are above the earth (Psalm 103:11-12). That is what makes the Good News so great! God will not remember our sins. You know what? We shouldn’t either.

Michael W. Smith

You use regrets for good. That’s one reason I started Rocketown, a club for kids in Nashville. I love speaking to youth. I’m able to say, “Hey, guys, let me tell you my story.” Based on my own experiences, I have a little bit of credibility talking to some kid who is smoking dope every day and getting high, struggling with drugs. I say, “I’ve been there.” He might respond, “Yeah, whatever.” Then I tell him my story, and all of a sudden he’s listening because I have been there. I get to say, “Guys, it’s a dead-end street. It’ll take you down. This is not what your destiny is.” Regret gives me an opportunity to speak into kids’ lives because of the fact that I’ve been there.

How a Heavy Heart Gives Thanks

SOURCE:  Jon Bloom/Desiring God

We are, for the most part, troubled people.

We are troubled within, and troubled without. We are troubled in our bodies, and in our families. We are troubled in our workplaces, and in our churches. We are troubled in our neighborhoods, and across our nation.

We welcome trouble with our sin, but we are plagued by trouble even in our best efforts. Job’s friend, Eliphaz, while not the best counselor, got it right when he said, “Man is born to trouble as the sparks fly upward” (Job 5:7). Jesus himself said, “In this world you will have trouble” (John 16:33 NIV).

“Jesus’s thankfulness to the Father as he went to the cross expressed like nothing else his trust in the Father.”

Therefore, we, for the most part, are burdened people, because troubled hearts carry heavy burdens with them.

And in the midst of all our nearly constant and complex trouble, Jesus says to us, “Let not your hearts be troubled” (John 14:1). And Paul, who knew more constant and complex trouble than most of us will know, says to us, “Give thanks in all circumstances; for this is the will of God in Christ Jesus for you” (1 Thessalonians 5:18).

How are these commands possible? Most of what troubles us springs from moral, spiritual, or natural evil and corruption — and yet we’re to give thanks?

Heaviest Heart in History

No one in the history of the world was burdened in his soul like Jesus on Thursday, April 2, AD 33.

No one — no grieving spouse in a solitary house, no weeping parent beside a child’s grave, no heart shattered by a love betrayed, no wordless ache for a wandering prodigal, no desolate soul staring at a terminal test result, no felon in an isolated cell of relentless shame knows the burden that pressed upon Jesus as he walked up the stairs to share the final meal of his mortal life on this earth.

It was the Passover, and Jesus was the Lamb. Like the ancient Father Abraham leading his trusting son up the slope of Mount Moriah, the Ancient of Days was leading his trusting Son of Man to a sacrificial altar (Genesis 22; Daniel 7:13). But unlike Isaac, the Son of Man fully knew what lay in store and he went willingly. He knew no angel would stay his Father’s hand; no substitute lamb would be provided. He was the substitute Lamb. And his Father was leading him to slaughter where he would be crushed and put to grief (Isaiah 53:7, 10).

“If we trust God in the worst, darkest, most horrible troubles we face, he will make us more than conquerors.”

And oh, what grief and sorrow he bore (Isaiah 53:3)! Jesus fully knew the price he must pay to take away the sins of the world (John 1:29; 1 John 2:2). He knew the nature, scope, and weight of his Father’s righteous wrath. “Crushed” was not a metaphor; it was a spiritual reality. The Son of Man (John 3:14), God the Son (Hebrews 1:1–3), the Word made flesh (John 1:14), the great I Am (John 8:58), the Lord himself (Philippians 2:11), who came into the world for this very moment, would plead in bloody terror for the Father’s deliverance before the end (John 12:27; Matthew 26:39).

Broken and Thankful

His burdens in body and soul would exceed every humanly conceivable measure. He would be despised and rejected by those in heaven and earth and under the earth. Yet he took bread — bread representing the breakable body holding it — and gave thanks and he broke it (Luke 22:19). With an incomparably heavy heart, the anticipated horror relentlessly pressing in on all sides of his consciousness, Jesus gave thanks to his Father — the very Father leading him into the deepest valley ever experienced by a human — and then he broke the bread.

We should not quickly or lightly overlook Jesus’s gratitude because he’s Jesus, as if knowing it was going to be all right in the end made it any easier. He was thankful because he did believe it would be all right (Hebrews 12:2). But we know little of the agony he felt or the spiritual assault he endured. What we do know is that he “in every respect [was] tempted as we are, yet without sin” (Hebrews 4:15). So, in our difficulty to see past our troubles to the joy God promises us, we get an inkling of the infinitely greater difficulty he faced.

Learn from His Heavy Heart

When Jesus tells us not to let our hearts be troubled, and to give thanks in all circumstances, we can know that we have a high priest who is able to sympathize with us (Hebrews 4:15), and that he has left us an example, so that we might follow in his steps (1 Peter 2:21).

“Every troubled tear we shed in this life is kept and counted by God, and one day he will wipe away every single one.”

What is this example? In the face of unquantifiable, inexpressible evil — the worst trouble that has ever tortured a human soul — Jesus believed in God the Father’s promise that his work on the cross would overcome the worst, hellish evil in the world (John 3:16–17). He believed that “out of the anguish of his soul” he would “see his offspring” and “prolong his days” (Isaiah 53:10–11). He believed that if he humbled himself under God’s mighty hand, his Father would exalt him at the proper time (1 Peter 5:6), and that every knee would bow and tongue confess that he was Lord to the glory of his Father (Philippians 2:11).

It was that future grace of joy set before Jesus that enabled him to endure the cross, and to give thanks as he was being brought there to be crucified. He is the founder and perfecter of our faith because he believed the Father’s promise was surer than the doom that lay before him (Hebrews 12:2). His giving thanks was a supreme form of worship, for it expressed like nothing else his trust in the Father.

We Can Give Thanks

Therefore, Jesus is able to say to us in our trouble, “Believe in God; believe also in me” and, “Take heart; I have overcome the world” (John 14:1; 16:33). We who believe in him have every reason to “be thankful” (Colossians 3:15). For an empty cross and empty tomb speak this to us:

  • In all our trouble, God makes known the end from the beginning (Isaiah 46:10).
  • He is working all things together for our good (Romans 8:28).
  • He will complete the good work he began in us despite how things look now (Philippians 1:6).
  • If we trust the Father in the worst, darkest, most horrible troubles we face, he will make us more than conquerors (Romans 8:37–39).
  • Every troubled tear we shed over the effects of the fall are kept in God’s bottle (Psalm 56:8) and will be wiped away forever (Revelation 21:4).

It is possible to give thanks with heavy hearts in the midst of trouble. Trusting the Father by looking to Jesus (Hebrews 12:2), and remembering every promise is now “Yes” to us in him (2 Corinthians 1:20), will lighten our burden (Matthew 11:30). It will pour hope and joy into our hurting hearts, giving rise to faith-fueled, worshipful thanksgiving.

6 Little-Known Signs of Depression in Older Adults

SOURCE:  Kristen Sturt

Depression affects over two million people 65-plus; learn how to identify the signs, and how to get help.

Your husband might be depressed, and you might not know it. Or, maybe it’s your sister or your mother.

Maybe it’s even you.

Even though upwards of two million Americans age 65-plus experience depression, the majority of seniors—68 percent, according to a National Mental Health Association survey—know little about it. One big reason is that signs are easy to overlook, since they’re frequently confused with other ailments and changes that come naturally with aging.

“Often in older adults, when they’re depressed, you don’t see high levels of crying and sadness you might see in a younger adult,” says Dr. Sarah Yarry, Ph.D., a Licensed Clinical Psychologist specializing in gerontology. “You see it more often as withdrawal. It’s apathy, hopelessness, loss of appetite and interest.” Older adults regularly demonstrate physical symptoms, as well—particularly aches and pains—and when they’re not addressed along with the underlying neurological issues, depression is more likely to linger, and more likely to come back.

Depression comes with serious personal costs, too: It’s correlated with a higher risk of dying early from certain illnesses and is a major factor in suicides. That’s why it’s imperative to recognize the signs—even the lesser-known ones—before it’s too late. Here, then, are some common, but little-known indications of depression in older adults.

1. Joint and back pain

As we age, some pain is to be expected, and it doesn’t have to come with depression. That said, the connection between pain and depression can’t be ignored—especially if the pain is chronic, meaning it lasts more than a few months. Back aches and joint pain are commonly reported signs. One 2015 study in the journal Arthritis even found that about 12 percent of those with hip or knee osteoarthritis were depressed, versus about 6.6 percent of the general population. What’s more, “each additional symptomatic joint was associated with a 19 percent increase in the odds of self-reported depression.” Research shows that pain and depression is a chicken-egg scenario, too; the discomfort contributes to the depression, which can then intensify the agony. Physically painful illnesses, from stroke to multiple sclerosis, can exacerbate depression, too.

2. Cognitive impairment

While our mental abilities are expected to decline somewhat with age, depression can do a number on memory, focus, attentiveness, and even speech and movement. In fact, one small 2004 study found that more than half of participants suffering from late-life depression had significant problems with processing information and executive function (decision making, reason, etc.).

This mental cloudiness is frequently confused with dementia. As opposed to a degenerative condition like Alzheimer’s, however, “The confusion comes from lack of energy and apathy,” says Dr. Yarry. “It takes so much effort with them because they’re depressed.” This makes diagnosis crucial, since treating depression can improve sharpness.

3. Chest pain

Heart disease and depression often go hand in hand; depressed people show more signs of coronary illness, and people suffering from coronary illness are more likely to be depressed. Two recent studies support this:

  • A 2010 study in Heart Views found that chest pain patients demonstrated “more than triple” the rate of depression of the general population.
  • A 2015 study found that newly depressed angina patients “reported more angina and physical limitations” than those who were not depressed.

Depression apparently makes surviving coronary disease more difficult, too; depressed heart failure patients, for example, are four times as likely to die early. Part of this may be chemical, part if it is because depressed people may be less motivated to take good care of themselves. Either way, chest pain like angina can be an indicator of depression.

4. Irritability

In addition to melancholy, older adults suffering from depression may express grouchiness, increased anger, or even open hostility, all of which can be magnified by the use of alcohol (also tied to depression). Part of the reason for this is cultural. “It’s more appropriate to express depression as irritability rather than sadness, because that’s what’s acceptable in that generation,” says Dr. Yarry. “It’s the accepted way of expressing emotion.” Other feelings that might indicate depression: Increased fear, anxiety, guilt, and loss of hope.

5. Headaches

Though it’s not widely known, there’s a strong, long-established tie between senior depression and headaches. For example, in 1999, the journal Pain published a survey of 1,421 Chinese seniors that found those with frequent, severe, or migraine headaches were likelier to be depressed. Migraines are especially correlative; a 2008 study of migraine patients aged 50-plus discovered that nearly half showed “mild-to-moderate depressive symptoms.”  Like joint and chest pain, depression may exacerbate headaches, while headaches can contribute to depression.

6. Gastrointestinal issues

As we age, we internalize our psychological issues in more ways than one, and depression may have some pretty serious effects on our guts. Nausea, constipation, and digestive problems are common, as are appetite and weight changes. Depressed older adults may drop pounds and slow their eating overall, though some may go the other direction and gain weight, too.

If you suspect someone you know is suffering from depression—or you, yourself are experiencing symptoms—see a medical professional as soon as possible. “Bring them to a family doctor and get an evaluation,” says Dr. Yarry, who also suggests seeing a mental health expert whose focus is in treating older people. “Talk to a geriatric psychologist that specializes in depression issues.”

For more information about depression and older adults, consult one of these resources—and remember that there’s always help.

 

7 Truths to Remember in Troubled Times

SOURCE:  Family Life/Dennis – Barbara Rainey

Concerned about economic, political, racial, and moral instability in our culture?  Disheartened by struggles in your personal life?  Here’s what to focus on when the ground shakes beneath your feet.

Years ago our family of eight and some dear friends of ours with their two kids vacationed in a small condo on a bluff overlooking the Pacific Ocean in Southern California. It was a beautiful setting and a wonderful time for our families, but one night we were introduced to an experience that Southern Californians face regularly.

At 2 a.m. we awoke to a boom that made us think a truck had hit the building. Then we noticed that everything was shaking. We jumped out of bed and hurried to the living room where all our children were sleeping on the floor in sleeping bags. The chandelier over the dining room table was swinging.

It was an earthquake—not very large, but very unsettling. We felt disoriented and confused. We wondered how long it would last and what we should do. The earth is supposed to be steady and solid, and now it wasn’t. When it finally stopped we couldn’t go back to sleep for hours because our fears had been awakened and our security threatened.

Unsettling times

Does our experience describe how you have felt recently? Many Americans have felt shaken by economic instability, racial conflict, mass shootings, and terrorist threats in recent years. Even the current political races have left us feeling anxious, troubled, disoriented. We wonder what to do. We feel afraid as the ground shakes beneath our feet.

Many followers of Christ feel just as unsettled over the unprecedented transformation in the moral climate of our culture. The world’s views on human sexuality, especially, have changed so quickly that Christians are now labeled as bigots for holding to biblical standards. We don’t know how to act, what to say or not say.

And inside our individual homes, many may be feeling disoriented and disheartened because of illness, hardships, failed relationships, or recent deaths of friends or family. Like a friend of ours who just received a cancer diagnosis—her world has just been shaken. Perhaps your world has been shaken, too.

Our stability

A couple of years ago I (Barbara) was reading through the book of Isaiah, and I came across a passage I had never noticed before. Isaiah 33:5-6 says, “The Lord is exalted, for he dwells on high; he will fill Zion with justice and righteousness, and he will be the stability of your times, abundance of salvation, wisdom, and knowledge; the fear of the Lord is Zion’s treasure.”

I was struck by that phrase in the middle: “and he will be the stability of your times…” At the time our country was experiencing an economic downturn. Everyone in America was feeling the impact.

When life feels insecure and unstable—not just in the world outside but also inside your family—remember that God is ultimately in control. No matter what is happening around you or how unsteady the world feels, He is our sure and stable foundation.

In many ways, America has been a pretty stable country for the last few decades. But it may not continue to be. When you feel the ground shift beneath your feet, it’s good to remember that Jesus is your Rock and your Fortress. He will be the stability of your times.

Dealing with the hardships of life

Life will never be easy. We will always face problems and hardship. That would be true even if our culture felt more stable than it does today, for the Scriptures promise us, “In the world you shall have tribulation.”

So how will we deal with loss, with grief, with fear, with suffering? How do we respond when things don’t go our way? And how do we teach our children to face the hardships of life?

Christians today need to know more about God, more about ourselves, and more about the mission God has given us. Here are seven things to remember:

1. God is alive. He has not disappeared. He is eternal, all-powerful, and all-knowing, just as He has been from the beginning of time. As Isaiah 40:28 tells us, “… The LORD is the everlasting God, the Creator of the ends of the earth. He does not faint or grow weary; his understanding is unsearchable.”

2. God never changes. Psalm 90 (KJV) begins, “Lord, Thou has been our dwelling place in all generations … even from everlasting to everlasting, Thou art God.” Inspired by these words, Isaac Watts wrote the following verses in the enduring hymn, “O God, Our Help in Ages Past.” They remind us that our fears, though circumstantially different than his in ages past, are still the same:

Our God, our help in ages past,
Our hope for years to come,
Our shelter from the stormy blast,
And our eternal home.

Under the shadow of Thy throne
Thy saints have dwelt secure;
Sufficient is Thine arm alone,
And our defense is sure.

We all fear the loss of life, health, freedom, and peace. We fear the unknown future. But do you know who will be with us? Jesus, the One who is “the same yesterday, today, and forever” (Hebrews 13:8).

3. God offers eternal life. If you have received Christ as your Lord and Savior, your sins have been forgiven because of Christ’s sacrifice on the cross. You are a child of God, and as Romans 8:38-39 tells us, “neither death nor life, nor angels nor rulers, nor things present nor things to come, nor powers, nor height nor depth, nor anything else in all creation, will be able to separate us from the love of God in Christ Jesus our Lord.” That is encouraging.

4. God has won the battle. He has defeated death. History will culminate in Christ’s return. No matter what we experience in the world, we can find peace in Him. In John 16:33 Jesus tells us, “I have said these things to you, that in me you may have peace. In the world you will have tribulation. But take heart; I have overcome the world.”

5. God is still in control. He is not surprised by anything going on in the world, or in your life. He is the sovereign, omnipotent King of kings. Even in times of uncertainty and chaos, Romans 8:28 (NASB) is still in force: “And we know that God causes all things to work together for good to those who love God, to those who are called according to His purpose.” So is 1 Thessalonians 5:16-18 (NASB), which tells us, “Rejoice always; pray without ceasing; in everything give thanks; for this is God’s will for you in Christ Jesus.”

6. God will provide for your needs. Especially in times of economic uncertainty it’s easy to grow anxious about the most basic things, like whether we will keep our jobs, or whether our families will have enough to eat. But in Matthew 6:26-33, Jesus tells us we should not be worried about what we eat, or what we will wear:

Look at the birds of the air: they neither sow nor reap nor gather into barns, and yet your heavenly Father feeds them. Are you not of more value than they? And which of you by being anxious can add a single hour to his span of life? And why are you anxious about clothing? Consider the lilies of the field, how they grow: they neither toil nor spin,yet I tell you, even Solomon in all his glory was not arrayed like one of these. But if God so clothes the grass of the field, which today is alive and tomorrow is thrown into the oven, will he not much more clothe you, O you of little faith?But seek first the kingdom of God and his righteousness, and all these things will be added to you.

7. God has given us good works to do. Jesus’ words also remind us that there is more to life than meeting our daily material needs. When we seek God’s kingdom and His righteousness, we operate according to His priorities—we’re concerned about building our family relationships, and connecting the hearts of our children to God’s heart, and impacting future generations by proclaiming Christ. We’re concerned about God using us to reach and influence others with the gospel. That’s what life is really about.

Second Corinthians 5:20 tells us that we are ambassadors for Christ. Have you considered that your best opportunities to fulfill this role—to represent Christ and His Kingdom—may come in times like these when so many need help and encouragement?

Consider this: If you are feeling troubled by the instability in our world, then many of the people you encounter each day are concerned and fearful as well. What makes you different is that you have a firm foundation in Christ. This is an opportunity for you to shine. If you have built your home on the Rock (Matthew 7:24-27), you will remain unshaken. That in itself is a witness to the watching world that there is something different about Christians. And if you then reach out to help others who struggle without that foundation, that makes you rare indeed.

When life feels insecure and unstable, focus on these timeless truths. Read the never-changing Word of God with your spouse and to your children. No matter what troubles we are experiencing in our world and in our families, He is in control. He will not abandon us. He will provide for us. This may look different than you expect, but His promises have not expired in the 21st century.

The Progressive Downward Spiral of ABUSE in Marriage

SOURCE:   Jennifer Williams-Fields

You Can Get PTSD From Staying In An Emotionally Abusive Relationship

Stop.

Just stop asking why a woman is so stupid and so weak when she stays in an abusive relationship. There’s no answer you can possibly understand.

Your judgment only further shames abused women. It shames women like me.

There was no punch on the very first date with my ex-husband. That’s not normally how abusive marriages start. In fact, my first date was probably pretty similar to yours: he was charming, he paid attention to me, and he flattered me.

Of course, the red flags were there in the beginning of my relationship. But I was young and naïve, probably much like you were in the beginning of your relationship.

Except my marriage took a different turn than yours.

An abusive marriage takes time to build. It’s slow and methodical and incessant, much like a dripping kitchen faucet.

It begins like a little drip you don’t even notice — an off-hand remark that is “just a joke.” I’m told I’m too sensitive and the remark was no big deal. It seems so small and insignificant at the time. I probably am a little too sensitive.

I occasionally notice the drip but it’s no big deal. A public joke made at my expense is just my partner being the usual life of the party. When he asks if I’m wearing this dress out or whom I’m going with, it only means he loves me and cares about me.

When he tells me he doesn’t like my new friend, I agree. Yes, I can see where she can be bossy. My husband is more important than a friend, so I pull away and don’t continue the friendship.

The drip is getting annoying, but you don’t sell your house over a leaky faucet.

When a playful push was a little more than playful, I tell myself he didn’t really mean it.

He forgets he’s stronger than me. When I confront him in yet another lie he’s told, he tells me I’m crazy for not believing him. Maybe I’m crazy … I’m beginning to feel a little crazy.

I begin to compensate for the drips in my marriage. I’ll be better. I’ll be a better wife. I’ll make sure the house is clean and dinner is always prepared. And when he doesn’t even come home for dinner, I’ll keep it wrapped and warmed in the oven for him.

On a night I’m feeling feisty, I feed his dinner to the dog before he comes home. I’m not feeling quite as smug well after midnight when he does show up. I quickly get out of bed and go to the kitchen as he yells at me to make him dinner.

Waking me from sleep becomes a regular occurrence. I no longer allow myself deep, restful sleep. I’m always listening and waiting.

In the morning, I’ll shush the kids to keep them quiet so they don’t wake up daddy. We all begin to walk on eggshells around him.

The drip is flowing pretty strong now. I’m afraid to put a bucket under it and see how much water I’m really losing. Denial is setting in.

If I hadn’t said what I did, he wouldn’t have gotten so mad. It’s my fault; I need to just keep quiet. I should know better than to confront him when he’s been drinking.

He’s right — I really am an ungrateful b_ _ _ _. He goes to work every day so I can stay home with the kids. Of course he needs time to himself on the way home from work each day.

On the rare occasion I do meet with my friends, I rush to be home before him. I never ask him to babysit so I can do something in the evening. I mustn’t inconvenience him.

We attempt marriage counseling. Although neither of us is totally honest about why we are there, the counselors are open with us about their concerns.

We never spend more than one session with a counselor.

I’m working so hard to be the perfect wife and have the perfect family that I don’t take the time to notice there’s water spilling on to the floor.

I know what will make this better. I’ll get really active outside the home but of course, I’ll still take care of everything in the home and never burden him. And I’ll never dare ask for help.

I’m now the perfect fourth grade room mother. My church mentors tell me to read books and listen to lectures on praying for my husband and understanding his needs.

I work very hard to present the front of a perfectly happy family. My kids are involved in multiple activities that I, of course, solely organize and am responsible for.

I’ve begun to drop subtle hints to the other moms but when they confront me I adamantly deny it. No, everything is great, I insist. I point to all the happy family photos I post to Facebook as evidence.

I’m not sure which scares me more: the fear that others will find out my secret, or that my husband will find out I told the truth about our marriage. I realize I’m now afraid of him.

 And then one day, I wake up and realize the house is flooding. My head bobs under the water. I’m scared.

I also see the fear in my children’s eyes. Oh dear God, what have I done? How did we get here? Who have I become?

The night he throws his cell phone at me and narrowly misses my head, I want to pack the kids in the car and leave. The evening at the dinner table when he stands up and throws a fork at me in front of the kids, I want to leave.

Where would I possibly go? And if I do go somewhere, what will I do? How will I afford living on my own?

He’s right — I have no skills to survive on my own. I need his money.

“What, you want to leave and go wh_ _ _ around?” he yells to me. “I always knew you were a slut.”

He’s a master at deflection. His actions are no longer the focus; I’m the one on trial now.

I’m no longer the woman I was on our first date. I’ve become timid and weak in front of him. I feel defeated. I chose this man and I gave birth to these children. It’s my fault.

With every breath I take, it’s my duty to keep these kids safe and keep my life together. It’s the only life I’ve known for twenty years. At this point, I don’t know how to do anything else.

I stay.

The flood continues. My head bobs under a second time.

On a typical anger-filled evening, I say enough is enough and I decide to fight back. But even in his stumbling drunken stupor, he’s stronger than I am.

I see the look in his eye as he hovers over me. He has biologically been given the ability to kill. That look in his eye terrifies me.

“Go ahead and leave,” he sneers to me. “But the kids stay here.”

My retreat that night is all it takes to turn the faucet on all the way and force me to tread water, if not for my life, then at the very least for my sanity.

Despite my best attempts, my secret has been exposed. I can’t just up and leave like well-meaning friends tell me to. It’s not that easy.

I have no money. In fact, he found my secret stash I’d been working on for almost a year. I thought I was so careful that no bank records would come to the house. He must have broken in to my email.

I should’ve known better. He always kept close tabs on me. He hated when I accused him of spying on me, so I just let him snoop.

He made me feel so guilty and ashamed when I handed over my secret savings to him. I wonder what he did with the money? I know it didn’t get used for the kids needs. I assume he drank it or gambled it or used it to impress another woman.

I’m stuck. I stay.

Dear God, please don’t let me go under a third time. My family is beyond rescue, but please save me and save my kids.

I’m one of the lucky ones. I’m no longer in the marriage, yet my scars run deep.

Abuse doesn’t always manifest as a black eye or a bloody wound. The effects of psychological abuse are just as damaging.

I entered counseling and was diagnosed with depression, anxiety, and PTSD. The psychological abuse kept me fearful, the depression and anxiety left me incapable of taking the steps necessary to get out.

Although I initially thought PTSD was a bit extreme, it’s been almost three years and certain noises or situations still trigger difficult memories for me.

When my male boss was angry and yelling at the staff one day, I became physically sick. I felt like I was right back where I was years ago, sitting and cowering on the garage floor, trying to placate the anger of a man towering over me.

I worry that not only have my daughters witnessed a man mistreat a woman, but that my sons have had a poor example to follow of what it means to be a real man.

I stayed for the sake of my children. Now, I blame myself for the effects staying may possibly have on them.

Why did I stay? I stayed because I was isolated; I was financially dependent on him; I was sleep deprived; I was told and I believed I was worthless; I was worn down from constantly being on guard for the next attack.

I stayed because I was more afraid to leave.

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