Tuesday, December 23, 2008

Depression

Have you heard the one about: An old Vaudeville tale recounts a pair of obnoxious magicians who traveled the circuit. They encountered another performer in a hotel lobby who looked deeply disturbed. One asked “Hey, why do you look so down?” The reply was “I just got word that my mother died” to which the second magician responded “We know how you feel, we just lost our trunk”.

What you might expect me to say about depression: Yes, there are people who have a tougher time than you who still find the ability to be joyful. And yes, faith and a life in church will have a direct positive impact on most of us most of the time in the realm of our emotions. And yes, medication is not the answer for everything. And look at all the beauty and giftedness of our lives! We can look inside and say with the Psalmist “Why are you cast down, my soul? … Hope in God”.

But that’s not the whole story, is it? Your wounded heart matters to God. And to me.

In our emotionally stilted culture, we have few tools to use to deal with the more pained emotions, and few models of getting it right. We panic at the thought of someone being down. ”Cheer up!” becomes a defensive argument, even when it is unrealistic to ask of someone, or of ourselves.

Here are words of counsel I typically give: First, ask yourself, is it actually depression? It’s helpful to consider two distinctions. The first is that some of what we call depression is really sadness. What is the difference? A lot. Sadness has a cause, or a couple of causes that take us over the top (or under the bottom) from our everyday dealing with life’s pains into a hurting state. Sadness has a rhythm that we need to honor.

Sometimes it is grief.

Sometimes it is a call to action.

Always it is a call to commune with the wounds in the heart of our God.

Depression may best be defined as bigger than any one cause. When everything looks bad, that is, to some degree, a sickness of perception. Truthfully, many if not most of the goodnesses that make life what it is are still functioning wonderfully. When we can’t see or feel any good at all, and when all our life perspective is down, that is depression. And as that definition suggests, there is likely not a single answer, either.

A second useful question is about anger and injustice. Is there something or someone that is actively wounding us in a way which does not leave us free to respond openly? Rollo May once said that the most destructive human emotion is powerlessness. Depression can be a mask of anger when it is turned inward instead of outward toward our actual problem, or a close mimic of depression may hint that we are in a situation of powerlessness or oppression. Then the answer is probably not in any therapy, medication, or meditation, but in action or getting help, or at least recognizing the true cause being outside of the emotional tracts.

Now, if we actually discover ourselves to be depressed, what can we do? This could be a book, and it is not, so I will be as brief as I can. First, we do well to assess how deep it is. Can I do the things listed below? If not, I may well need help from family, pastor, counselors, and/or physicians or even a crisis hotline. The healthiest people over the long run are always those who can admit their need for others and their inability to do everything for themselves.

Then we can (by ourselves or with others’ help) double check that the basics structures of healthy living are in place. Are we eating veggies and fruits, and getting our proteins, minerals, and micro-nutrients? Are we walking or exercising consistently? Are we seeing the sun (or the vague reflection of it off the clouds in our rain forest setting)? Are we keeping our rhythms of spiritual community life every seven days? Are we calling relatives and checking in with friends? Are we regular??? Like in solving problems in high quality sports, often the best returns come from going back to the fundamentals.

Is medication a good idea? The Bible has many examples of medication used for God’s purposes, and wise use of all of God’s gifts is essential when we desire healing. But of course, there are limits on what medication can do. And for those without lifelong chemical imbalances, it is always good to treat medical interventions as catalysts and short term assists. And yes, there are diets, and possibly supplements that can provide some of what western medicines do, but this does not discount medication’s usefulness in the depths of times of need.

Now I Get Myself In Trouble: What is NOT useful when we are depressed is dumping on ourselves for our deficiencies or failures. When dealing with questions of mental health, the United Methodist Book of Resolutions uses the phrase “exaggerated self-negation …” While we all need God’s forgiveness, we must not fall into cycles of guilt and self abuse and pretend that is God’s will for our lives. Maybe when we are depressed we are least likely to be able to assess our faithfulness to the Spirit’s call in our lives.

When others around us feel depressed there are a whole lot of issues that are raised I won’t start with here, but I hope you seek help when others around you are struggling! I have a particular concern for parents seeing their children go through depression with all its risks and for those undergoing economic and medical crises.

My favorite Sufi poet Hafiz is quoted as saying “I know the voice of depression still calls to you.” But soon after, saying “But you are with the Friend now. And you look so much stronger”.

Don’t Lie to Yourself: Not all depression needs to be “cured”. Some depressions simply last for a lifetime. I have found that allowing myself some brief time not fighting depression gives me permission to pray differently, like the writer of Psalm 42 and 43. But at some point, I take depression as a call to look again. After all, it is a sickness of perception. So I look at the sacred people of life. I have never met someone who is not in most deep ways beautiful. Looking. Seeing beauty.

As Hafiz says,

“Keep squeezing drops of the Sun
From your prayers and work and music
And from your companions’ beautiful laughter.

Keep squeezing drops of the Sun
From the sacred hands and glance of your Beloved
And, my dear,
From the most insignificant movements
Of your own holy body.

Learn to recognize the counterfeit coins
That may buy you just a moment of pleasure,
But then drag you for days
Like a broken man
Behind a farting camel.
You are with the Friend now.
Learn what actions of yours delight Him,
What actions of yours bring freedom
And Love.

Whenever you say God’s name, dear pilgrim,
My ears wish my head was missing
So they could finally kiss each other
And applaud all your nourishing wisdom!”

For those of you with longer term depression, it is an honor to share life with you even when you struggle. Thank you for opening up to all of those you can open up to. You are beautiful in God’s eyes. And mine. And so many others. Keep squeezing drops of the Sun.

Let a friend know that this blog is here.

Grace and joyful healings to you.

If you have interest in Hafiz, I got those lines from I Heard God Laughing Renderings of Hafiz by Daniel Ladinsky.

6 comments:

April said...

Hm... Didn't i give Mary Meyer a book on Hafiz?

I have to say that I really like how you said that depression is a sickness of perception. Not that it makes me feel any better, but that definition does shed some light on things for me.

The thing is, what if you know you have a problem, you know you need help, you even know where to look for help, it's probably more help that you need then a pastor can give, and yet the finances aren't there to support the help you need, so therefor, you don't get the help, and this sickness lingers, and has for some many years? I know this happens to many more people then just myself...

I'm sure it was no accident that your post on depression comes shortly after the man in a santa suit killings. I read things like that, I know that there is a certain perspective placed on it by the media and our society, but I can't help but wonder if that person didn't deny what was going on inside himself and get help if things would have been different. and yet, it is so easy to deny onself the help that is so desperately needed. people say things like: "oh, this episode will pass", or "i'm feeling good now, I don't need the help" (that's my favorite one) And for woman who often think of others in their family first, there's the "oh, lets see, my son's $400 dental bill, or me going to a shrink?" (it's a no-brainer, right?)

Thank you for writing down some very important questions for all of us who experience this to ask ourselves, and also for those of us who need to, to be reminded of the help we should be seeking to make ourselves healthy (inside and out). I will have to refer to this often to remind myself, and hopefully take my own advice as well.

Pastor Rod said...

Some people have this issue for years. Some have it for a lifetime!

It seems that in previous eras this was sometimes viewed as the artist's and writer's tool. As if it was a strange kind of gift. Of course, we would never find it that way because our culture has a small repertoire of allowable emotions.

When I do pastoral counseling with folk on this issue I try to help them focus on pacing, realistic expectations, praying in whatever state you live, keeping others in the loop to check perceptions, meditating on beauty, positive relationships, healing rhythms, physical habits,and having a backup plan for the worst times. And yes, when someone can, I encourage the short term medicines when necessary ... even for long peroids! But that last item isn't workable for many people.

I remember, though, so well, going to a counselor when my wife was at risk of dying with the pregnancy of our second child. The counselor asked me what I was doing to care for myself, what I was doing to care for her and for my son, and lots of good questions. When he was done he said almost these exact words: "Rod I have good news and bad. The good is you are doing all the things I hope people will do when they come to me in your kind of situation. The bad news is it's not going to help". I was incredulous. "What do you mean???" I asked.

He said, roughly, "As healthy as you can be, it won't have any assured impact on Jb's health". That actually helped me realize that my mental state wasn't the end all. Something bigger is happening. We must allow ourselves to participate in the mysteries of living without assuming we will always feel engaged in the way we want. But it is still God's life.

Do well, and keep working at it. Maybe a pastoral visit can help. Never know, huh?

Tanya said...

All of these words and platitudes are somewhat attractive, but I don't see any realness coming from all these words. Forgive me but Depression, Drinking,Sadness, Addiction... These are all serious personal problems that many of us have that can not be made right by Philosophy and "acceptance".Some of us can look for rainbows in the winter but cannot really feel human emotion when it is called for because of the deep disconnection of the soul we have learned to live with. I myself see beauty in almost everything from a dead bird to a sunset, but I still drink and smoke too much to remove myself from a reality that I cannot bear.What Platitudes can you plaster onto people who just don't have anything left to give? -T

Pastor Rod said...

Tanya, you honestly tell of your hurt. And any discussion of something you feel unable to access can't help but feel like platitudes. But depression heals so slowly for so many that impatience is the easiest place to go. Healing from depression isn't even possible for some. For others, if the goal is modest, or better, incremental healing, it is possible. But honest, sometimes we gotta scream pain.

On the other hand, drinking and smoking are serious diminishers of life for so many! They become bigger than what they are supposed to numb us from. Do your work your way. Know you are loved no matter what. And I truly believe you will find the strength to overcome your disconnection. Thanks for sharing your struggle.

rod

Dancer1 said...

Bravo, Tanya, April, Rod, and all those who have read Rod's blog.
Though I am continually led to give, to serve, I need each glimpse of Love to keep my heart above water. For decades, I have struggled with oppressive, destructive family-born mental, emotional and physical habits that tear at whatever substantive me I build. I land more God-side up than down as I age, but the downs can be dooseys.
In your heart-felt comments, I see love so alive.

Pastor Rod said...

Hey, Dancer, you said that so well, about landing God-side up. I often ask people who have any risk of big doosies to have one friend dialed in in case you need someone to make decisions for you at some point. But you sound like you have come very far in managing your lows.