How to Defeat Depression Dealing with Feelings Sermon Series Psalm 42 Sermon #6 [Open with Film Clip from beginning of Sleepless in Seattle scene with discussion about change and relocating.] Because of the extreme discomfort of depression some sufferers make drastic changes seeking relief. They change jobs, homes, marriages. Some even change worlds. (The National Institute of Health estimates that in the US approximately 75,000 people commit suicide each year because of depression.) The problem is that if you pack up your bags and make a move to get away from depression, you somehow always pack depression up and take it with you. In spite of all of the changes you make, when it comes to depression, you still have you. Even after Tom Hanks moved from Chicago to Seattle, he was still depressed. You cannot run from depression. Depression is on the scale of epidemic proportions on the United States. It’s estimated that 20-30% of Americans will suffer from some sort of depression during their lifetime. At any given point in time as much as 15% of the population experiences feelings of depression. Studies have shown that it is more physically and socially disabling than; arthritis, diabetes, lung disease, chronic back problems, hypertension and gastrointestinal illnesses. The only more disabling medical problem than depression was advanced heart disease. The World Health Organization predicts that by 2020 severe depression will be the second largest cause of death and disability. Depression isn’t new. The first clinical description of it was made by Hippocrates in the 400 B.C. Aretaeus, a physician living in the second century A.D., described the melancholic patient as “sad, dismayed, sleepless...They become thin by their agitation and loss of refreshing sleep... At a more advanced state, they complain of a thousand futilities and desire death.” No one seems to be immune to depression. Martin Luther suffered from bouts of depression and confessed, “For more than a week I was close to the gates of death and hell. I trembled in all of my members. Christ was wholly lost. I was shaken by desperation and blasphemy.” Charles Haddon Spurgeon, who lit the fires of the 19th century revival movement, struggled so severely with depression that he would vacate his pulpit for two to three months at a time. In 1866 he stunned his congregation of 5000, “I am the subject of depressions of spirit so fearful that I hope none of you ever get to such extremes of wretchedness as I go through.” The world’s greatest preacher knew personally the valley of depression. Great heroes of the faith; Moses, Job, Elijah, all struggled with depression. Spirit-filled, mature believers get depressed! Both godly men and women get depressed, Sunday School teachers and youth workers get depressed...even preachers get depressed! Depression is unbiased. It can afflict anyone; men, women, rich, poor, old, young, saint or sinner. Christianity does not always equal happiness. While Christians are commanded to rejoice, Christian joy can sometimes be mixed with cheerless despondency. The Apostle Peter knew that believers could experience joy and despair at the same time, 1 Peter 1:6 “In this you greatly rejoice, though now for a little while you may have had to suffer grief in all kinds of trials.” So, is depression a sin? No. It is an indication that something in your life is not right. Depression is like the engine light on your car. When the engine light comes on you pull over, stop and check out your system. When you are struggling with chronic depression, stop and check out your emotional, spiritual and physical system. Something is out of wack. Some area of your life is not right and you need to stop and give it some attention. And please note, if your behavior is contrary to God’s standards of righteousness, this will usually result in depression. It produces guilt and guilt is a component of depression. If you are living in sin depression is one of God’s warning lights. He is saying to you “Stop!” Repent and seek the Lord’s forgiveness. However, sin is not the cause of all depression. Obviously, a Sunday morning discussion is not an adequate arena to deal with a subject as complex as depression. Also, because I’m not a medical doctor, I will not be focusing on depression which is caused by a biochemical imbalance. In our time this morning I want to focus on my area of expertise, the healing medicine of Scripture. In our time this morning I believe that we can find some basic tools for Defeating Depression. 1. What is depression? In one of his many writings, noted Christian author, Philip Yancey, tells the story of a friend who went swimming in a large lake at dusk. As he was paddling out on the water at a leisurely pace about a hundred yards offshore, a bizarre evening fog rolled in across the water. Suddenly this friend could see nothing! No horizon, no landmarks, no objects or lights on shore. Because the fog was so thick he couldn’t even discern which direction the sun was setting in. For thirty minutes Yancey’s friend splashed around in panic. He would start off in one direction, lose confidence and then strike out blindly in another. He lost all sense of direction and was terribly disoriented. Periodically, he would stop and float, trying to conserve energy and concentrate on breathing slower. He was completely lost until, he finally heard voices calling from the shore. Had these voices not guided him back to safety, he would have certainly drowned. Depression is similar to that. It’s like living in a fog. Feelings of overwhelming fear, panic and isolation are some of the many feelings that may accompany it. Typical symptoms of depression are: easily fatigued; feelings of hopelessness; inability to enjoy normally pleasant activities; decreased sex drive; apathy; change in sleep or eating habits (some starve, others binge); more pronounced physical aches and pains; disregard for order in one’s life-manifested by drug or alcohol or even sexual promiscuity; irritability; lack of motivation; poor mental concentration; tendency to be overly critical; pessimistic; negative self-talk; poor work habits; frequent bouts with feelings of guilt and low personal value; poor hygiene and disorganization; difficulty handling emotions (tears, fear, even anger overwhelm them without warning over the smallest incidents); loss of perspective; irrational thinking; withdrawal (they avoid people, cancel activities or don't return phone calls); suicidal thoughts. Ultimately, depression ends up in hopelessness. Depression is a miserable detractor from the life of fulfillment God desires us to have. Christian psychologist, Les Carter, defines depression this way: “Depression is a feeling of sadness and dejection accompanied by a gloomy mind-set. Depression usually involves a sense of mental dullness that manifests itself in a variety of symptoms including poor concentration and pessimistic thinking patterns. It can last anywhere from a few hours to several months or; in rare cases, even years. Depression is distinguished from simple unhappiness by being more prolonged than circumstances reasonably warrant.” While the New Testament never specifically uses the word depression, it does use three Greek words to communicate the idea of being dispirited or depressed. They are translated as to grow faint or to grow weary, 2 Cor. 4:1. Jesus brings up the subject in the context of prayer, Luke 18:1 “Then Jesus told His disciples a parable to show them that they should always pray and not give up.” There’s a wonderful truth in this simple verse. As we abide in prayer, it helps keep us from succumbing to despair or depression. It takes diligent faith to live above the clouds of depression. 2. Some important facts about depression. The demanding stresses of life, the complex chemical construction of the human body, the genetic predispositions with which we are born, unresolved childhood issues, even the unpredictable reactions of our minds and bodies to the foods we eat can cause anyone at any time to become depressed. Everyone is vulnerable to depression. Because it is so common, let me share some important facts about this affliction. A. Depression is not terminal. While depression can cause one to want to die, depression cannot kill you. B. Depression is usually temporary. A minor depression may last no longer than a headache. A major depression may last for two or more years. The wisest counsel that someone suffering from depression can hear is, “It may take time, but you will get better.” C. Depression often requires help. A severely depressed person is often unable to help themselves. Ministering to someone who is struggling with deep depression is an opportunity for believers to fulfill Gal. 6:2 “Carry each other's burdens, and in this way you will fulfill the law of Christ.” Please, though, do not just tell someone who is dealing with deep depression to just “snap out of it.” That only complicates matters. Chronic depression may require the help of a professional counselor and in extreme cases, hospitalization. And we must take threats or attempts at suicide very seriously. D. Depression often responds to medication. While I am not a great believer in continual medication, in most cases, antidepressants can give someone a needed edge, that extra help, particularly if they have suffered for any length of time from severe depression. My hesitation is that some become dependent on the drugs and never resolve the core issues. Many depression sufferers take medications and never get counseling. Some of them have even had antidepressants prescribed for them by a General Practitioner. In most cases antidepressants are a temporary solution. They should not be used to avoid solving the root problems. Some are not going to like what I’m about to say. To use antidepressants to anesthetize the pain to avoid dealing with root problems is not much different from someone who uses alcohol or marijuana to escape reality. Some medical conditions though do require constant medication. Personally, I believe God would rather have someone on medication and functioning, rather than someone who has convictions about not using any drugs but is unable to function. Even Scripture encourages drug usage to cope with depression though it was the medication of that day, Prov. 31:6-7. E. Depression can be dangerous. A severely depressed person can lose touch with reality. It can cost them their job, destroy their relationships and even result in suicide. 3. Depression has three common causes. A. Physical causes of depression. Physical problems can trigger depression. Diabetes, thyroid problems, hypoglycemia, menopause and other issues can cause us to be preoccupied with a “blue” mood. A chemical imbalance or bipolar disorder can cause depression. Even medication can cause depression. When my friend, Terry Pauley was diagnosed with Hepatitis C, he had to take Interferon. One of the side effects of Interferon is depression. One of the primary physical causes of depression that is easily solvable for most of us is fatigue. The prophet Elijah became depressed and suicidal simply because he was exhausted. Some of you struggle with depression or are more vulnerable to it simply because you think that you’re superman or superwoman. Some have been doing this for years and one day the bill may come due. It’s been wisely observed that “fatigue makes cowards of us all.” B. Circumstantial causes of depression. Certain traumatic circumstances can trigger depression; the sudden death of a loved one, loss of a job, news that you or a loved one has a serious illness, relationship problems, even the letdown experience after the birth of a baby–all of these events, along with a host of others, can lead into depression. The Bible contains many examples of this kind of depression. When David learned that his son, Absalom, had been killed, he was crushed so deeply that he lost his perspective on what had happened. As a father he was grieved because of Absalom’s violent death. But remember that Absalom was a rebel who had led an insurrection, seeking to kill his own father. The people who had rescued David risked their lives to fight against Absalom’s forces. David’s grief was normal, but because he ignored the feelings of his friends and loyal followers, he allowed grief to cloud his perspective. He became emotionally paralyzed and could not function as king. His general, Joab, had to go to him and point out that his grief was excessive. David had to pull himself together and start running the kingdom (2 Sam. 19:1-7). Job is another example. After losing it all and suffering from horrible boils, Job was in such despair that he longed for death. He even questioned why he’d ever been born. It was a normal reaction to tragedy. Job had lost his children, his health and his possessions. Tragic external circumstances can cause internal despair. But Job had not done anything wrong. This should rid us of this notion that depression is the result of sin. Sometimes, depression is simply a response to the tragic circumstances of life. C. Spiritual causes of depression. In Deuteronomy 28 the Lord spoke of the consequences that would come on the nation of Israel if they disobeyed Him. In verse 65 He warns them, “Among those nations you will find no repose, no resting place for the sole of your foot. There the LORD will give you an anxious mind, eyes weary with longing, and a despairing heart.” Among the tragedies listed is a “despairing heart.” Much depression is the result of disobedience and sin. This is also the point where we must part company with secular psychiatry. As a Biblicist, I do not believe that all emotional suffering is bad. Yet some counselors are trying to make people comfortable when God is trying to make them miserable. One popular movie, Analyze This, has a psychiatrist helping a mobster deal with panic attacks. I read an article on HBO’s popular series, The Sopranos. One of the main characters is a psychiatrist who attempts to help one of the mobsters deal with his anxiety issues. I don’t want to make people comfortable about “wacking” people. Guilt is a major cause of depression. Secular psychiatry wants to make homosexuals and people living together or having affairs to be comfortable in their sin. God did not design us to live with guilt. Guilt is miserable and a cause of depression. The only cure is the Cross and God’s forgiveness. King Saul suffered from depression. He had rebelled against God and was consumed with jealousy. Jealousy will cause depression. Some spouses are violently suspicious of their mates. It’s been my experience that it is often a result of premarital sex or other promiscuous relationships. If their spouse is late getting home or does anything out of the ordinary, their jealousy meter shoots up. Extreme jealousy will result in depression. Psalm 32 is a record of David’s depression after his adulterous affair with Bathsheba. In verses 3 and 4 he says, “When I kept silent, my bones wasted away through my groaning all day long. For day and night your hand was heavy upon me; my strength was sapped as in the heat of summer.” That’s depression caused by unconfessed sin. Unresolved anger or bitterness can cause depression. Someone has dubbed depression as “frozen rage.” Another has said that “depression is anger without enthusiasm.” The prophet Jonah despised the people of Nineveh and was ticked off when God did not destroy them. At the end of his book we find him in a fog of depression. Unresolved anger causes guilt which will result in depression. If you have bitterness toward someone, your parents or your spouse or someone else, you are going to struggle with depression. And guilt, if not dealt with, can ultimately lead to suicide. That’s what happened with Judas. Depression is often a result of guilt. We are all guilty at some level because we are all sinners. Guilt can be a good thing in that it can lead us to the real cure – the Cross, forgiveness and a personal relationship with Jesus Christ. 4. How to defeat depression... A. Commit your life to Christ. Since guilt is a source of depression for most people, we need the cure. A basic step in overcoming depression is to commit your life to Christ and to accept Him as your personal Lord and Savior. Although Christians are not free from problems, they have an infinite source of strength in their relationship with Jesus Christ. If you have committed your life to Christ and unconfessed sin is causing you to be depressed, then repent of it and confess it (1 John 1:9). Accept His forgiveness and bask in His love. Committing one’s life to Christ also protects us from false guilt. Satan wants to sabotage us any way that he can and sometimes he uses false guilt. Scripture says that he the Accuser of the family of God (Rev. 12:10). He wants to make us feel guilty about confessed sin that is already taken care of. Some folk are tragically paralyzed by false guilt and depression from criminal acts against them as children, usually sexual in nature. Dear friend, you were a victim and have nothing to feel guilty about. Please accept your victory in Christ. B. Share your depression with your Heavenly Father. Sharing burdens with a friend helps lighten our load. When we are suffering from depression we need to cry out to God as a first, not last resort. Claim 1 Peter 5:7 “Cast all your anxiety on Him because He cares for you.” But please hear this. Give it to God and move on. Sometimes depressed people further entrench the depression because they give it to God and keep praying about it. They’re like a person with a loose tooth, they won’t leave it alone. If you gave it to God, leave it with Him. For most that’s the toughest thing of all, to leave it with Him. Richard Berg tells the story of a small child who is caught on the second floor of a burning house. He goes to the window of the bedroom, alone and frightened, and cries out for help. His father looks up and calls to him, “Jump, son–I’ll catch you!” But the child responds, “But I can’t see you, Daddy, I can’t see you! I’ll fall!” The child is so frightened that he will not move. The smoke has clouded his vision, and he cannot see his father below him. “But, son, I can see you! Jump and I will catch you.” Sometimes we’re like the frightened child. We cannot feel God and therefore will not take that leap of faith. But even when we feel that His presence has been extinguished, He is there and waiting. We must let Him walk with us in our depression and lead us out of it. C. Develop new mental habits. This is illustrated by a short story entitled, Autobiography in Five Short Chapters by Portia Nelson: Chapter 1: I walk down the street. There is a deep hole in the sidewalk. I fall in. I am lost…I am helpless, It isn’t my fault. It takes forever to find a way out. Chapter 2: I walk down the same street. There is a deep hole in the sidewalk. I pretend I don’t see it. I fall in again. I can’t believe I am in the same place but, it isn’t my fault. It takes a long time to get out. Chapter 3: I walk down the same street. There is a deep hole in the sidewalk. I see it is there. I still fall in…it’s a habit. My eyes are open. I know where I am. It is my fault. I get out immediately. Chapter 4: I walk down the same street. There is a deep hole in the sidewalk. I walk around it. Chapter 5: I walk down another street. Depression is a harmful, habitual way of thinking and we must develop replacements for those mental ruts. Often depressed people will say, “I can’t do that...I’ve tried.” Can I be candid? Most people breaking the habit of smoking or smokeless tobacco or alcohol or anger say the same thing. I’ve had folk involved in adulterous relationships tell me that they just could not break off the affair. All of these are habitual behaviors, yet all of them can be broken and replaced. Or, God is a liar and His grace is not sufficient. I am not saying that it is going to be easy. But by God’s grace it can be done and for your freedom, it must be done. When it comes to depression and negative thinking, some have gotten comfortable with misery. Many fall too into the trap of trying to figure out why they’re depressed. Sometimes that can be helpful. Most of the time it’s just a rat maze that pulls you deeper into the depression. You probably don’t need to figure it out, you just need to get out of that mental rut and focus on something else. Even prayer can be a rehearsing of the mental rut. Some people try to “pray through” depression. Friend, give it to your Heavenly Father and walk away. Rather than going through that destructive rut, meditate on God’s promises. Then, think about and talk to yourself about the things you enjoy. Everyone has internal mental conversations. Wouldn’t you rather have nice ones and pleasant ones, rather than negative ones? In Psalm 42:11, the psalmist gives us an example of positive, edifying self-talk, “Why are you downcast, O my soul? Why so disturbed within me? Put your hope in God, for I will yet praise Him, my Savior and my God.” Do you enjoy negative conversations? Then, why would you have one with yourself? D. Have a plan of action and do it. When we are depressed, we’re tempted to stay in bed or to withdraw. That’s about the worst thing that one can do. Depression is an internal mental habit. Getting out, particularly with other believers who love and care about us, forces us to be external. Even just taking a shower or going for a walk helps us get out of the mental fog. Do what is right and the feelings will usually come along. Christian Bovee said, “Activity and sadness are incompatible.” This was part of Martin Luther’s cure. Luther advised people with depression to ignore the heaviness. "A good way to exorcize the Devil," he maintained, "was to harness the horses and spread manure on the fields." In other words, get to work, do something productive and you’ll feel productive. Doing affects feeling. Sometimes depressed people have no idea what they enjoy. Rather than going into the sludge of depression, use this as an opportunity to learn the things in life that you truly enjoy – do them and then think about them. E. Develop a life of praise and giving. A depressed believer can start by praising God that they know depression is temporary. No one is depressed in heaven. You can also thank Him for allowing it because it will make heaven all the more richer for you. Develop the habit of praise. Count your blessings! All of us have those things that we can be thankful for...if we’ll just look for them. A woman once approached a man who had a sour expression on his face. She encouraged this grumpy looking man to be thankful. He replied, “Thankful for what? I don’t even have enough money to pay my bills!” The woman thought from a moment then said, “Well, then be thankful you are not one of your creditors.” Become a giver...give of your time, your talent, your money. Depressed people suffer because they are so self-oriented. Giving helps us be “others-oriented.” Eminent American psychiatrist, Dr. Carl Menninger, once gave a lecture on mental health and was answering questions from the audience. Someone asked, "What would you advise a person to do if that person felt a nervous breakdown coming on?" Most people thought he would say, "Go see a psychiatrist immediately," but he didn't. To their astonishment, Dr. Menninger replied, "Lock up your house, go across the railroad tracks, find somebody in need, and help that person." To overcome depression, don't focus on yourself, get involved in the lives of other people. Conclusion: Some of our greatest hymns were written by William Cowper (pronounced Cooper). He wrote There is a Fountain Filled with Blood and God Moves in Mysterious Ways. He was a personal friend of John Newton, the famous pastor and writer of Amazing Grace. But what you probably don’t know is that William Cowper suffered terribly from depression. Three times he attempted to commit suicide. It was his depression that ultimately brought him to Christ and salvation. Even after he was bornagain though he still struggled with depression but now he had hope. In spite of his mental depression, emotional melancholy and spiritual doubts, God used William Cowper to pen the words of great hymns of the faith that have been an inspiration to the Church for two hundred years. As we close, I want to suggest two lessons from his life. 1) God can even use our struggles, our depression for His glory. That’s what He did with William Cowper. His hymns have a richness that comes from a more a melancholic spirit. 2) We must never despair of the despairing. John Newton was William Cowper’s pastor and friend for the rest of his life. He wrote him and visited him again and again. He was used by God to keep Cowper on track and in the light. Perhaps God has brought someone suffering from depression into your life. Don’t weary of them. Let God use you to be a ray of light in their life. Be patient with them as God is with you. Are you struggling with depression today? Is it because you do not know Christ? Perhaps there is unconfessed sin and guilt in your life. Your Heavenly Father wants to clear the fog out of your heart. Why don’t you let Him today? Get it right with Him. If your depression though is not caused by guilt, learn to rest in His love and grace. His grace is sufficient for you. Replace depression with focusing on His many blessings. “Trust Him when dark days assail Thee, Trust Him when thy faith is small...Trust Him when to simply trust Him is the hardest thing of all.”