Hope for Sufferers

IN THE past, people tended to avoid those who suffered from mood disorders. As a result, many who were afflicted became social outcasts. Some encountered job discrimination. Others were shunned by members of their own family. Often, this only aggravated the problem and prevented those who were ailing from getting help.

In recent decades, however, great strides have been made in understanding clinical depression and bipolar disorder. Now it is well-known that these conditions are treatable. But getting help is not always easy. Why?

Reading the Signs

A mood disorder is not diagnosed with a simple blood test or X ray. Instead, a person’s behavior, thinking, and judgment are monitored over a period of time. A number of symptoms must be present for a diagnosis to be reached. The problem is that sometimes family members and friends do not realize that what they are observing constitutes evidence of a mood disorder. “Even when people agree on how a person’s behavior deviates from normal,” writes Dr. David J. Miklowitz, “they can have very different beliefs about what causes the person to be this way.”

Furthermore, even when family members feel that the situation is serious, it may be difficult to convince the sufferer that he or she needs medical attention. Or if you are the one who is ailing, you may not be inclined to get help. Dr. Mark S. Gold writes: “Maybe you believe what you think when you’re depressed​—that you’re no good, so what’s the use of going for help when there’s no hope for somebody like you anyway. Maybe you’d like to see someone about it but you think that being depressed is something to be ashamed of, that it’s all your fault. . . . Maybe you don’t know that what you’re feeling is depression.” Nevertheless, for those who suffer from major depression, medical attention is crucial.

Of course, everyone feels despondent on occasion, and this does not necessarily indicate a mood disorder. But what if these feelings seem more intense than a mere bout with the blues? And what if they persist for an unusual length of time​—perhaps two weeks or more? Furthermore, suppose the depressive moods are preventing you from functioning normally, either at work, at school, or in social situations. In such a case, it might be wise to consult a professional who is qualified to diagnose and treat depressive disorders.

When a biochemical imbalance is involved, medication may be prescribed. In other cases, a program of counseling might be recommended to help the sufferer learn how to cope with his or her condition. At times, both approaches combined have produced beneficial results.a The important thing is to reach out and get help. “Many times sufferers are frightened and ashamed of their condition,” says Lenore, a bipolar patient mentioned in the preceding article. “The real shame, though, is suspecting you have a problem and not seeking the help that you so desperately need.”

It is similar with Brandon, who suffers from depression. “As a teenager,” he says, “I often entertained the idea of committing suicide because of my overwhelming feelings of worthlessness. It wasn’t until I was in my 30’s that I went to a doctor.” Like Lenore, Brandon takes medication to cope with his disorder, but more is involved. “To help my overall well-being,” he says, “I take care of my mind and my body. I get rest and watch what I eat. I also fill my mind and heart with positive thoughts from the Bible.”

Brandon points out, however, that clinical depression is a medical problem​—not a spiritual one. Realizing this is crucial to recovery. Brandon relates: “Once I was told by a well-meaning fellow Christian that since Galatians 5:22, 23 says that joy is a fruit of God’s holy spirit, I must be depressed because I’ve been doing something to block that spirit. That made me feel even more guilty and depressed. But once I started getting help, the black cloud over me began to lift. I felt so much better! I wished I had got help sooner.”

Winning the Battle

Even after a diagnosis has been made and treatment has begun, it is likely that a mood disorder will present continual challenges to the sufferer. Kelly, who battles major depression, is grateful for the professional help that has addressed the medical aspects of her condition. In addition, though, she has found that the support of others is crucial. At first, Kelly was reluctant to reach out to others because she did not want to be perceived as a burden. “I had to learn not only to seek help but also to accept it,” she says. “It wasn’t until I opened up that I was able to stop the downward spiral.”

As one of Jehovah’s Witnesses, Kelly attends meetings with fellow believers at the Kingdom Hall. At times, though, even these happy occasions present challenges. “Often the lights, the milling around of people, and the noise can be overwhelming. Then the guilt sets in, and the depression increases because I feel that my disorder must be a reflection of a lack of spirituality.” How does Kelly deal with this situation? She says: “I have learned that depression is an illness that needs to be dealt with. It is not a reflection of my love for God or for my fellow Christians. It is not a true reflection of my spirituality.”

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When Medication Is Prescribed

Some feel that taking medication is a sign of weakness. But think of it this way: A diabetic must submit to a program of treatment that may include taking insulin injections. Is this a sign of failure? Hardly! It is simply a means of balancing the body’s nutrients so that the sufferer can remain healthy.

It is much the same with taking medication for depressive and bipolar disorders. Although many people have been helped by a program of counseling that has enabled them to understand their illness, a caution is in order. When a chemical imbalance is involved, the illness cannot be simply reasoned away with logic. Steven, a bipolar patient, relates: “The medical professional who treated me illustrated it this way: You can give a person all the driving lessons in the world, but if you give that person a car with no steering wheel or brakes, then those lessons won’t do much good. In the same way, giving only cognitive counseling to a depressed person may not attain the desired results. Balancing the brain’s chemistry is a valuable first step.”

How Others Can Help

PERHAPS you know someone who suffers from depression or bipolar disorder. If so, how can you be supportive? D. J. Jaffe of the National Alliance for the Mentally Ill offers this sound advice: “Don’t confuse the illness with the individual; instead, hate the disease but love the person.”

A woman named Susanna had the patience and love to do just that. She had a friend who was a bipolar patient. “There were times when she just couldn’t bear to be around me,” Susanna says. Instead of giving up on her friend, Susanna did research to learn about bipolar disorder. “Now,” she says, “I realize how much my friend’s demeanor was affected by her illness.” Susanna feels that making efforts to understand the sufferer can bring a wonderful reward. “It can help you grow to love and treasure the beautiful person behind the illness,” she says.

When the ailing one is a family member, wholehearted support is crucial. Mario, mentioned previously in this series, learned this lesson early on. His wife, Lucia, also mentioned earlier, is a bipolar patient. “Initially,” Mario says, “I was helped by going with my wife to her doctor and by studying up on this strange malady so that I would be thoroughly familiar with what we were up against. Lucia and I also talked a lot with each other and kept working with whatever situation developed as time went on.”

Support From the Christian Congregation

The Bible admonishes all Christians to “speak consolingly to the depressed souls” and to “be long-suffering toward all.” (1 Thessalonians 5:14) How can you do this? First, it is important to understand the distinction between mental and spiritual illness. For example, the Bible writer James indicated that prayer can make the spiritually indisposed one well. (James 5:14, 15) Nevertheless, Jesus acknowledged that those who are physically ailing need a physician. (Matthew 9:12) Of course, it is always right and helpful to pray to Jehovah about any concern, including our health. (Psalm 55:22; Philippians 4:6, 7) But the Bible does not state that increased spiritual activity in itself will cure present medical problems.

Discerning Christians, therefore, avoid implying that depressed people are responsible for their own suffering. Such remarks would be no more helpful than those offered by Job’s false comforters. (Job 8:1-6) The fact is that in many cases depression will not improve unless it is treated medically. This is especially so when a person is severely depressed, perhaps even suicidal. In such cases, professional attention is essential.

Still, there is much that fellow Christians can do to be supportive. Of course, patience is required. For example, certain aspects of Christian activity may be especially daunting to those with a mood disorder. A bipolar sufferer named Diane says: “I am finding it a struggle to take part in the ministry. It is challenging to bring the good and happy news from the Bible to others when I don’t feel good and happy inside.”

To be of assistance to sufferers, strive to be empathetic. (1 Corinthians 10:24; Philippians 2:4) Try to view matters through the eyes of the sufferer rather than through your own. Do not burden the individual with unreasonable expectations. “When I am accepted for the person I am now,” says Carl, who struggles with depression, “I feel that my sense of belonging is gradually being restored. With the patient help of a few older friends, I have been able to build a closer relationship with God and have found a great measure of joy in helping others to do the same.”

With support, those who are ailing can find great relief from their distress. Consider a Christian woman named Brenda, who is also a bipolar patient. “My friends from the congregation have been wonderfully supportive and understanding during my low periods, never judging me as spiritually weak,” she says. “There have been times when they have let me accompany them in the ministry and let me just listen or when they have saved a seat for me at the Kingdom Hall so that I could come in after everyone is seated.”

The assistance of loving and empathetic congregation elders has been a great aid to Cherie, mentioned in the preceding article, who suffers from depression. She says: “When the elders reassure me of Jehovah’s love, read me passages from God’s Word, the Bible, and speak of Jehovah’s purpose for a paradise of peace and well-being and when they pray with me​—even on the telephone—​I feel the burden lifting. I know I am not abandoned by Jehovah or by my brothers, and that is a source of strength for me.”

There is no doubt that by providing meaningful support, family members and friends can play a significant role in a sufferer’s well-being. “I think I have a pretty good handle on my life now,” says Lucia. “My husband and I have worked hard to get through this together, and things are better than ever for us.”

Many who now struggle with various types of mental illness realize that the battle with these dreadful afflictions is a long-term one. Yet, the Bible promises that in God’s new world, “no resident will say: ‘I am sick.’” (Isaiah 33:24) Gone will be the distressing ailments and maladies that plague so many today. It is indeed heartwarming to contemplate God’s promise of a new world in which all illnesses​—including mood disorders—​will be gone forever. At that time, says the Bible, no longer will there be mourning or outcry or pain.​—Revelation 21:4.