1
Kings 19:1-4 (5-7) 8-15a
Galatians
3:23-29
Luke
8:26-39
Today I want to talk about a
subject that we tend to avoid in church, but that is a very important part of
our lives, and that therefore needs to be discussed in our faith
communities. All three of these passages
deal with it, but in different ways. What I want to discuss with you today is
mental health.
And I want to start by asking the
question: How do people in faith communities usually deal with mental
illness?
Obviously, there are many
different kinds of mental illness. And
yet I think people can end up lumping all mental health issues, as well as the
people who struggle with them, together, very inappropriately I might add. I have heard people make very fear-based comments
that imply, for example, that anyone with a mental illness is somehow dangerous
because they are more prone to be violent or unpredictable. That is a completely unfair prejudicial
stereotype that is not, in fact, born out.
Your likelihood of being unpredictable or violent is based on many
factors, but a person who struggles with depression or social anxiety, bipolar
disorder or even schizophrenia, say, is not going to be necessarily more likely
to be unpredictable or violent than someone who does not struggle with those
issues. Until you understand what the
person is dealing with in full, you cannot simply decide that they will be more
unpredictable or violent.
Today
I want to talk to you about mental illness from a faith perspective for two
reasons. First, anybody hurting in our
communities is of a faith concern since God cares about and grieves for those
who struggle with anything and calls us to care, as well as offer healing and
caring as well. Secondly, mental illness
is a growing reality in our country. Just
looking at depression: the rates of depression in our country are hugely on the
rise, and there are more suicides in our country every year than
homicides. If we think this has nothing
to do with us, we are naïve at best. In
2020 there were almost 46,000 deaths by suicide, making it the 12th
leading cause of death in the United States.
According to the Substance Abuse and Mental Health Services
Administration, that same year 12.2 million adults seriously thought about
suicide, 3.2 million made a plan and 1.2 million attempted suicide (https://www.americashealthrankings.org/explore/annual/measure/Suicide/state/ALL)
. Estimates are that up to 36% of Americans will
undergo a major depressive episode in their lifetimes. That’s over a third of
us. Look around you. Are you aware of who in your community has
suffered serious depression and who has not?
Even if it is a little less than 1/3 in this room who have suffered
depression, that is still quite a few people here, in this place, who have
experienced debilitating depression at one time or another. Do you know who those people are? Are you aware of who might be in this room
right now who might be experiencing a severe depression?
And
perhaps the bigger question: if not, why not?
How should we respond to this crisis?
And, as a people of faith, what does it have to do with our faith, with
our relationship with God, with our call to serve God’s people? In the first passage we read today we see
Elijah going through a major depressive episode. Even the prophets struggled with this. But how are we to respond?
And
to point out the obvious, depression is just one of many different mental
illnesses. The church should be a place
of welcome, or healing. And so we must
know how to respond to these mental health issues in our community.
Theologian Frederick Buechner
said, "It is absolutely crucial, therefore, to keep in constant touch with
what is going on in your own life's story and to pay close attention to what is
going on in the stories of others' lives. If God is present anywhere, it is in
those stories that God is present. If God is not present in those stories, then
they are scarcely worth telling."
So, in light of that, I choose to share something with you, with
permission, that was written by someone I know.
I will not use a name, not because you know the person, but because this
could be anyone and I want you to hear it in that light:
They wrote, “When I was a
teenager, I went through a depressive episode that came very close to ending in
suicide. It came close enough that I had
a plan, I had acquired the means, I had set a time and place. The reasons that sent me there don’t
matter. What prevented me from doing it
that day also doesn’t matter. What
matters is what I learned from that experience.
The first is that mental illness
is not about being weak. Depression,
which is the illness I struggled with, is not something that you can just
“snap” out of or that a happy day can make go away. It is insidious, it changes not only the way
you feel but the way you THINK about life, about yourself, about the world. I absolutely believed while in that state
that the world would be better off without me, that while my family might feel
some pain at my loss, ultimately they would be happier with me gone. I could not shake that thinking. People telling me to “just get over it”
deepened the depression because I was incapable of feeling better. I could not make myself feel better or have a
happier outlook or be more positive.
Sometimes I could name reasons for feeling like that, but other times I
couldn’t and therefore nothing in my experience could or would fix it. I felt helpless, hopeless, and was incapable
of eating, sleeping or functioning “normally” in any kind of way. But I was not weak. The fact that I got up every morning in spite
of those feelings, the fact that I carried on every day in the face of those
strong demons telling me my life was worthless was a sign of my deep strength.
Second, the stigma around it made
it nearly impossible to get help.
Granted, this was a few decades back when we did not know as much about
depression, but I believe much of the stigma around it continues today. People are ashamed to admit when they are struggling
with any kind of mental illness and that makes it very difficult to get
help. As I said before, mental illness
is not about weakness. It is a medical
problem, a medical condition. And until
we start treating it like any other disease, not something to be ashamed of,
but something that needs our help and care, it will be hard to treat.
Third,
and along those same lines, mental illnesses are isolating. I have always heard the biblical phrase, “to
those who have much, more will be given.
And to those who have little, even what they have will be taken away” in
the context of mental illness, not as something God does to us, but as a
reflection on the reality that it is those most in need who often have the
hardest time getting the help they need.
People who struggle with mental illness need support and care. And yet, not only do people with those
illnesses struggle to ask for the help they need, when they finally do, they
find that often people respond by distancing themselves. Those most in need of
the care and attention of others are often the least likely to be able to get
it. I hope this is changing, but as a
kid struggling with clinical depression, I learned that if I wanted to be
around other people, I had to hide my depression, hide it completely. I had to learn to put on a “face” that others
could not see behind. Once that face has
been learned, it is almost impossible to unlearn. If I were dealing with depression today, few
would know it because that early lesson in hiding that depression remains with
me still.
And
finally, I learned that the most well-meaning people are often the ones who do
the most damage. Those who say, “cheer
up” or “buck up” or “smile” added to the pain.”
I want to pause here and share with you all a wonderful commercial that’s
been on the TV recently for an on-line therapy program. A man says into the camera that he is really
struggling with depression, but that “fortunately, those around me are there to
help.” It then cuts to various people
saying things like “You have so much to be happy for!” “Just snap out of it!” “Fake it til it feels normal!” “Cheer up!”
“It’s all in your head” “Think of
all those who have it worse than you.” “It’s
because you’re a leo!” And after all of
their comments we return to the person struggling with depression just staring
bleakly at the camera in complete disbelief as the words “not helpful!” flash across the screen.
People
are trying to help, but you can’t just not feel depression when you have
it. The same is also true of social
anxiety or any of the other mental illnesses.
Telling someone, for example, with anxiety to “just don’t worry about
it!” will never stop them or help them to have less worry!
My
friend’s letter continued, “But the ones who were hardest to deal with were the
people of faith who told me that if I just turned it over to God, everything
would be fine. That if I really had
faith, I would not be suffering. That God
had blessed me with so much and that my depression was a sign of a lack of
gratitude for all God had given me.”
In
several of the gospels there is a narrative that describes a “demon” that Jesus
says can only be gotten rid of by prayer.
While the demon described sounds a great deal like epilepsy to me, I
have also wondered if mental illness isn’t also one of these “demons” that can only
truly be cured, at least at this point in time, with God’s help. It can be TREATED with medication,
counseling, friendship, meditation. But
I think it is something that can be CURED only by God. We don’t know how to fix it yet. We just don’t. Even so, sometimes those prayers for cure are
answered with “No”. As my friend
continued, “I prayed constantly for God to take away the depression, but it
remained. I asked different people how
to pray, thinking maybe I just wasn’t praying right (this idea came because one
of these well-meaning people told me if I had been praying “right” that I
wouldn’t be depressed anymore). I tried
gratitude prayers, thanking God for removing the depression before it was
gone. I tried surrender prayers. I tried “not your will but mine”
prayers. I tried everything anyone
suggested in terms of praying and nothing “worked”. But those well-meaning people of faith with
their ideas about my lack of faith being the cause or at least preventing the
cure of my depression did again a whole lot more damage than anyone else. Their lack of understanding and compassion,
their righteous judgment and impatience with my pain – all of that led me much
more quickly to the place of contemplating and planning my own suicide than
anything else.”
So what do we do with this? As people of faith, how are we called to
respond? People who are struggling with
mental illness have a hard time asking for help. Putting it onto them, demanding that they
seek the help they need is like asking a person who is carrying a 100 pound
backpack to lift another 100 pounds. It
can be the hardest thing in the world to reach out when you are in that
place. So, as people of faith, we have a
responsibility. We have a responsibility
to ask, to look, to see. We are called
to be courageous, and to say the hard words, “are you struggling?” and then the follow through, “are you
considering hurting yourself?” We have
to be brave and start seeing mental illnesses as the diseases they are and
offering the help we have to give, not in terms of platitudes about “letting
go” or “turning it over” or “bucking up” but in terms of offering to sit with
someone, be with someone, listen to them, even when we can’t “fix” it. This is true of social anxiety as well: just
telling someone not to worry fails to recognize that anxiety is not something
people CHOOSE. It is therefore extremely
unhelpful to just tell someone with anxiety to simply “don’t worry about
it.” We have to be willing to offer the
prayers to God on behalf of that other person, asking what we can do to
help. We also have to be willing to
intervene, step in and take the person to the doctor for treatment, even when
there aren’t cures. Mostly, we have to
have the courage to not turn away or look away from that which makes us
uncomfortable or uneasy. We have to be
willing to put aside our judgments, knowing we don’t and CAN’T understand what
someone else is experiencing.
Mental illnesses – these are
struggles that appear to have no meaning.
The loss of life, lives like Robin Williams that were full of laughter
and compassion and philanthropy – there is no purpose to these deaths. But we can help God bring good out of every
evil by choosing to learn from those horrible things that have happened, to
change the way we interact and care and respond to others, to take a step
towards healing our world by being present enough with one another.
In
today’s gospel story from Luke we see Jesus dealing with the demons, which
appear to me in this case to be more about mental illness. In some ways being able to refer to them as
demons made it easier: these mental illnesses were recognized as something the
person had, and not the person themselves.
Can we do the same and remember that each person is more than just their
illnesses? Their challenges? Their struggles?
I
also want to challenge all of us to think about this differently. The truth is, not one of us is 100%
healthy. We understand this at a
physical level. Each of us has something
wrong: we are overweight, or we have osteo-arthritis. We have need of glasses or hearing aids. We have high blood pressure or diabetes. Even as kids, some have broken arms, some
have anxiety attacks: whatever it is, not one of us is 100% physically
healthy. And I would say the same is
true mentally. Not one of us is 100%
mentally well. Not one. Whether you are struggling with anxiety, or
fear; whether you deal with your pain by swallowing it down or flying into
rages; or if you have a diagnosed issue such as depression or bipolar disorder:
None of us is 100% mentally healthy which means that all of us are on a
spectrum of mental health. This isn’t
an issue of “us” vs. “Them”. For some of
us the illness might be diagnosed or treated.
For others it might be as simple as being afraid or dealing with
anxiety. But not one of us here is
mentally “whole”. We are on a continuum,
and the sooner we can stop dividing the world into those with mental illness
and those without, the sooner we can learn to have compassion for those around
us who are struggling with serious mental illness. In today’s passage from Galatians Paul tells
us that in Christ there is no Jew or Greek, male or female, slave or free. He is telling us that in Christ there is NO
Us and Them. This applies to mental
health as well. There aren’t “those with
mental illnesses” and “those without”.
In Christ we are one. We are all
connected, we belong to one another. And
the sooner we can remember that, the more compassion, the more grace and the
more wholeness there will be, for me, for you, and for the world.
About
a year and a half ago we offered a training here through zoom in how to deal
with those who are struggling with mental illness. I have to give you all credit that the
training was well attended. In many
congregations when these things are offered, they are not well attended because
people do not want to talk about mental illness. People are afraid of those with mental
illness, seeing them as somehow different, or other. But I think so many of us
here were willing to attend the training because we are used to interacting
with it, dealing with those who live next door to us, for example, who struggle
with mental illness. None the less, I
say again that this is an area in which we have to continue to learn, continue
to grow in our ability to address and care for those in our midst who struggle
with mental illness. And that has to
start by remembering they are not “other”.
They are us.
So
once again, it comes back to what I said before: Mental illnesses can be demons
which seem almost impossible to tame at times.
But we can be present. We can
pray. And we can learn to stand with and
fight with our brothers and sisters in their pain. I will stand with you if you are there. And as a community we can make a commitment
to stand, as God’s people, with one another.
Amen.