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Monica A. Coleman

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Mental Health Awareness Week: Will Churches Look After The Sick?

Posted: 10/04/11 07:06 PM ET

When I was a teenager, I liked a boy who attempted suicide. I remember calling his home on an ordinary day. His mother answered the phone and told me a harrowing story of how she came home, and found his tall lanky body in the bathtub with blood spilling into the water and onto the floor. He had cut his wrists, she said. As she heard me gasp, she assured me that he was still alive, and at an in-patient treatment center. She would be sure to tell him that I called.

Months later, I sat next to my friend in his mother's house. I held his hands in mine and asked, "Can I see?"

He turned his palms upwards revealing the lifetime reminder of the depths of depression and the act of the desperate. Although he assured me that he was okay now, I said nothing. Torn between sadness for his pain and happiness for his survival, I said nothing.

I had basic information about depression -- the kind one gets from 9th grade health class and after-school specials -- but I had no way to understand it, up close, in someone I cared for. I had, I would eventually learn, no way to understand it in myself. I didn't know the slippage between teenage angst, frustration and grief to melancholy, depression and suicidal ideation. I didn't know what separated my own bare wrists from the scarred wrists of my friend.

Although my friend was not particularly religious, I was. I had been raised in the church. My youth group at church was one of my primary social worlds. I spent my weekends and some weeknights in drama ministry, youth choir, Sunday school, church tutoring, Vacation Bible School, etc.

My church, like many others, conveyed messages about mental health:

  • Parishioners thanked God for "waking up clothed and in their right minds"
  • I had heard the story of a man named Legion in Mark 5:1-20 and concluded that crazy people were demon-possessed
  • I had heard people say that depression was a result of insufficient faith or failing to count one's blessings
  • I had heard prayers for congregants with cancer, diabetes and heart disease... but never for people who were struggling with their mental health

I had little language for thinking about mental illness, and no faith for living with it.

I now wonder what might have happened if I had ever heard a minister preach about mental health. When the church quoted Matthew 25:35-40 about how we should feed the hungry, give drink to the thirsty, invite in the stranger, clothe the naked, visit the imprisoned and look after the sick, people living with mental health challenges didn't count. What would I have thought if we had prayed for people living with depressions, schizophrenias, or borderline personality disorders like we prayed for people who were diagnosed with diabetes or who had heart attacks?

Would I have been able to tell my friend that God loves him, no matter what? Would I have known an adult to whom I felt safe sharing my own feelings? Could I have understood that prayer and gratitude lists did not cure depression? Or, more importantly, might I have known that my debilitating sadness did not mean I lacked faith? Might I have known that I didn't have to pretend I was really happy?

Perhaps my minister didn't know much about mental health. Perhaps the pastor didn't have much information about what churches could do. I know that clergy need to be educated about mental health. They need to preach about it, teach about it, and have relationships with local mental health care professionals.

This is an ideal time for individuals and communities to learn about mental illness and offer solidarity and hope to those who live with mental health challenges. Oct. 2-8, 2011 is Mental Health Awareness Week. The National Alliance on Mental Illness (NAMI), offers special resources for faith communities with suggestions on what clergy and laity can do.

While it may seem like a lot to ask of religious leaders, it's actually easier for young people and adults to get to clergy than it is to get to a mental health professional. According to NAMI, churches, temples, mosques and faith communities reach 70 percent of the American population each month. Clergy outnumber psychiatrists by nearly 10 to one, and are more equitably distributed geographically than health professionals.

More importantly, religious communities are best-positioned to respond to the faith issues that arise for people who live with and love those who live with mental illnesses. They can tell us that our condition is not a result of angering or disappointing or failing God.

There are many faithful people who live with mental health challenges. Most of the time, we walk amongst the regular praying-public as if we are invisible. But we are in congregations, Bible studies and prayer meetings wondering if there is a place for us there. We wonder if there is room for us to be honest about our struggles. We are waiting to hear our stories from places that we recognize as holy.

 
 
 

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Norge
Rolf K. Artist, worker of metal, writer of poems
06:32 AM on 10/16/2011
Ministries for years have had very serious problems with priests, ministers, bishops etc sexual abuse of children which by any definition is a serious mental disorder, so illnesses in the church structure has existed for centuries.
Most all have heard through the news media in different countries the awful cases of sexual abuse from Ireland to America.

An old Confusian proverbs states, "First put order in your own house before one tells ones' neighbor to put order in their house".
10:13 AM on 10/06/2011
Hi Monica,

First off, a great article.

However, it is called Mental Illness Awareness Week. Please fix.

Thanks.
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aspiechristian
zenscopalian
07:11 PM on 10/05/2011
Having worked a few years for a Christian-based inpatient mental health program, the thing I faced as an intake counselor was getting skeptical patients to understand mental illness. Many of them were there against their pastor's wishes. Those who rebelled against their pastors showed extreme courage in the face of pastoral antagonism. They made them feel even worse about who they were.

I could only assure them there was nothing wrong with them spiritually, but that their problems were often organic and related to the brain, an organ just like the pancreas or liver, susceptible to illness. Sometimes, their symptoms could be addressed with medication - their biggest fear. But once they accepted the medical model of axis I disorders, they were soon on their way to a better life.

Counseling by a qualified psychologist could help them with phobias, personality disorders, and compromised childhoods.There is opportunity in the Church to minister to these people. However, it would be foolhardy for a pastor to attempt to help someone with say, borderline personality disorder. Pastors are simply not qualified to handle most of those with mental illnesses except to assure them that they are loved by God; that they belong in the community of witness.

If anything serious is to be done, pastors would do well to know how to refer these folks to legitimate sources for treatment for psychological/psychiatric healing; to follow up without being invasive. Above all, these folks deserve affirmation of their humanity, and their spirituality.
02:24 PM on 10/08/2011
Healing enables wholeness we experience as spiritually and emotional harmony! Pastors can certainly affirm the evil paradox through scripture. Unless you are trained in counseling there are limits to what you can do for a person, state laws even require DSM certifications. Referral to psychiatrists are sometime necessary for the simple fact that people need medicines.

reference: DSM, Diagnostic and Statistical Manual
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galanos1
Reality & Life Is Less Then A Second Away
09:28 AM on 10/05/2011
Mental health begins with God. God is very close to us; likewise He is very high on up. But for any one of us to intertwine and touch Him, we have to repent and humble our self’s. Then our most Merciful God; observing our humbleness will lift us into Celestial Existence and Love us with Great Honor. God gave us our mind so that we can repent our faults, repent, and ask for forgiveness. The unrepentant man is a harsh ordeal, he is very foolish for not wanting to repent or to exonerate himself from the small hell he lives under of which is driving him toward worse, the eternal hell. In this manner man also deprives himself the earthly and paradisiacal joy and happiness of witch are continued in paradise; close with God, with the most biggest happiness in eternity. So much so man distances himself from God and wages war against his own self. The Gospel Proclaims the when the prodigal son became aware of his dizziness, when he repented, then he proclaimed, “I Will Return To My Father”. As long as he lived within sin, he lived without himself; he was not a logical state of mind, because sin dwells outside logic. To achieve a Spiritual life takes only mere seconds, not years.
12:07 AM on 10/08/2011
Uh, what does this have to do with a person's mental health? Are you saying if these people 'believed enough' then they would be fine?

No, sorry, doesn't work like that.
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galanos1
Reality & Life Is Less Then A Second Away
10:22 AM on 10/08/2011
I claim mental health begins with God, It's guaranteed, flesh is just that, flesh, the human mind is forever connected with the human soul. One cannot exist without the other.
08:50 AM on 10/05/2011
Where does the clergy or minister go for support when they are the ones fighting and living with mental illness? As one who works in ministry and also has mental illness issues, I asked this question of NAMI at their headquarters in Virginia. They never had looked at the issue of the mentally ill clergy/minister, and admitted there are little to no resources or support out there for them. They are left to deal with their illness, and everything that comes with it alone, while at the same time expected to support members of their congregations in overcoming all illnesses and issues that effect their lives. Clergy/Ministers must also live with the fear of being "found out" A person working in ministry tagged with having any mental related issue is one who won't be able to find work, because of uninformed and ignorant members of their congregations and church leaders. The road to the hell of mental illnes for me has been paved with the "good intentions" of church leaders and members who know about my illness, but never have actually sat down and talked to me. Masking my illness is often the only way to survive in ministry. Mental illness does not disqualify a person from being an effective minister. Not having the support from within the ministry and mental health community does make it close to impossible for them to be effective because of the stigmas, lack of support and ignorance.
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12:54 AM on 10/05/2011
According to Pat Robertson, it's OK to divorce the mentally ill and (presumably) support them from a safe distance.
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p c r
Compassionate and Conservative are polar opposites
04:24 AM on 10/05/2011
Alzheinmer's is not a mental illness. It is a degenerative physical disorder in which the brain physically deteriorates. Basically, Robertson said it was fine to divorce an ill spouse if you didn't like the symptoms of the illness.
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Miriam Breslauer
09:59 PM on 10/04/2011
Clergy have to deal with the mentally ill all the time. They should recieve training the best ways to help these constituents and their families. Many people use Clergy as "free" psychiatric care. I know a priest who was overwhelmed dealing with an adult Schizophrenic that was basically stalking him and helping her family whom she was abusing members of.
09:47 PM on 10/04/2011
"We wonder if there is room for us to be honest about our struggles. We are waiting to hear our stories from places that we recognize as holy."

Check out Unitarian-Universalism, or, if you must hang on to Jesus as deity, the United Church of Christ.
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nherent
Subversivist.
09:42 AM on 10/05/2011
UU churches are too kind and sensible.
I prefer catholic churches, and their monolithic command structure. They make you feel shame and guilt.
09:39 PM on 10/04/2011
Silly me. I thought you were going to say something constructive about mental illness, such as how the often cruel messages of religion can make a borderline patient much worse. Instead, you wound up suggesting that religionists modify their approach somewhat to reassure the mentally ill that their Imaginary Friend is still looking out for them. Just think about how sad that is -- and how tragic it is that the temples of superstition are on almost every street corner while decent health care is increasingly out of reach of ordinary Americans. And no amount of praying will affect that trend one bit.
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nix28
Ignorance stirs my inner demon...Sorry.
08:58 PM on 10/04/2011
I think utilizing the clergy for mental health services and referrals is an excellent idea as long as they are properly trained and credentialed. I've met a number of pastors and reverends that are quick to dismiss mental health with a need for prayer rather than understanding that mental health issues are a serious medical issue. The last thing a person dealing with mental health issues needs is a person in authority telling him/her that there's nothing wrong and he/she just needs prayer.
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shankapotomus
08:29 PM on 10/04/2011
I know libs don't know much about things but you would be shocked at how much Churches do for people.
09:31 PM on 10/04/2011
Churches do do a great deal - and were really the only sources of support outside of family for many hundreds of years in Europe. But times have changed and charity as generally conceived by churches does as much to reinforce increasing differences between the haves and have nots as it does to remedy the afflictions of those getting help. Running shelters when the real issue is a wealthy society's willingness to accept homelessness as preferable to ensuring everyone has housing (which is possible even in a capitalistic society) simply perpetuates the problem.

See http://www.cognitivemedia.co.uk/index.php/blog/2010/07/first-as-tragedy-then-as-farce for a quick tour of the issues.....

I see more of the mentally ill on the street every day - and I pray that there are churches willing to help them - and I pray that we as a society have the guts to not tolerate the lack of services they get so that the churches don't have to help except as compassionate friends and neighbors....
08:12 AM on 10/05/2011
Very good. I really liked your following addition.
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moonflowerjewelry
Buy American made, no excuses.
09:42 PM on 10/04/2011
You are a fool to assume that religion and liberalis are mutually exclusive. I'll forgive you for that one, perhaps by chalking it up to youth and naivete.

However, IF a person is going to be of service to a person with a mental illness (depression, bipolar disorder, schizoaffective disorder, schizophrenia) good intentions and prayer are not enough. It's not mild case of ennui that we are talking about here.
08:27 PM on 10/04/2011
I'm a "PK" (pastor's kid for those not initiated to evangelical jargon) - and ended up in the mental health profession. I no longer hew to the evangelical line though spent many summer nights praying for salvation and redemption in hot, steamy camp revival meetings. One of the consistent messages was that mental frailties were weaknesses of the human will - needing only acceptance of divine grace to heal. This unfortunately led to the notion that when such weaknesses did not submit to prayer the problem was the inherent obstinacy of the person afflicted.

I know better now. I also know that people still need grace, forgiveness and healing. It just comes from a larger universe - one not bounded by dogma - and is as likely found in an atheist who is a good and caring friend as a pew mate.

I think the larger message for the "Church" as it is understood in Protestant America is starting from a base of compassion and a sense of the mystery that lives in a human being and the essential unknowingness of the wherefore's and why's of those lives. This leaves us all more open to lovingly encountering the "other" - whether that be someone afflicted by a mental illness or drug or sexual addiction.

I wish you well - the tides seem to be flowing the other direction .....
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moonflowerjewelry
Buy American made, no excuses.
09:44 PM on 10/04/2011
Thank you for your insightful comment, I am happy to be your first fan :-)
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p c r
Compassionate and Conservative are polar opposites
04:30 AM on 10/05/2011
Allow me to be fan #2 for a well thought out comment.
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Retrofuturistic
see things as they really are
08:16 PM on 10/04/2011
Since some of the mental health problems are probably caused, or at least exacerbated, by religion in the first place, I don't think you should hold your breath waiting for some understanding from the church....
ThinkCreeps
Seriously, it's time.
08:06 PM on 10/04/2011
Great credulity surely counts as a mental illness? Churches are surely doing a valuable job of concentrating these people in one place for mutual support, at least for an hour or so once a week.
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ScreenName05
07:31 PM on 10/04/2011
Well all the delusional paranoid and depressed nuts are already in the church's, so it shouldn't be too much to ask for them to take care of their own.