Most medical professionals agree that we are less than a generation away from turning the corner on cancer. But when it comes to mental health, the car is still parked in the garage.
It’s a well-accepted embarrassment that twenty years have passed since psychiatry’s last major breakthrough treatment for depression. Thomas Insel, the former director of the National Institute of Mental Health, summed it up perfectly when he said, “Whatever we’ve been doing for five decades, it ain’t working. . . .When I look at the numbers — the number of suicides, the number of disabilities, the mortality data — it’s abysmal, and it’s not getting any better. Maybe we just need to rethink this whole approach.”
I wish I could say the Church has picked up the slack for medicine, but it hasn’t. While it’s not the Church’s job to cure mental illness, the Church should be a major player in any conversation about caring for those who suffer in their minds. But we haven’t been. In fact, in many cases, Christians have been some of the worst offenders when it comes to attaching stigma to mental illness, often attributing it to a spiritual failing, unconfessed sin, flimsy faith or plain old lack of religious devotion. All of which must absolutely break the heart of Jesus who made it explicitly clear he came not for those who were doing great in life but for those who were sick (Mark 2:17). Jesus embodied the reality that God is always “close to the brokenhearted and saves those who are crushed in spirit” (Ps. 34:18).
And yet when mental illness strikes, it’s often the companionship of other Christians we lose first. Given Jesus’ propensity to eat and drink with lepers, menstruating women, the paralyzed, the blind — folks the religious people avoided — one might assume the church would champion the needs of the mentally ill. Instead, only those whose illnesses manifest in traditionally “bodily” forms have been given priority of care.
Break your leg in a snow skiing accident? A Church staffer will call you. You might even get a card in the mail. Get diagnosed with breast cancer? The prayer warriors will rally around you. Need open heart surgery? Your small group is coming to the hospital.
But what happens when your wife can’t get out of bed to dress your children for school and is eventually diagnosed with major depressive disorder? What about when your 22-year-old son goes missing after a night of smoking weed and is discovered by the police the next day rambling incoherently in a grocery store parking lot and a few weeks later gets diagnosed with schizophrenia?
What does the Church do when you’re forced to resign your duties as a deacon because you need twenty-eight days to dry out in rehab?
I can tell you what usually happens in these situations. The Church gets quiet. Like college-library-on-a-Saturday- night quiet. And this silence is not only deafening; it is also spiritually crushing. Because when the Church falls down on the job, it feels like God has fallen down on the job — at the worst possible time. Which is something God is really not supposed to do.
Matthew Stanford is a neuroscientist who has studied the relationship between the church and mental illness for decades. Stanford’s research has found that local churches in the United States dismiss mental illness at alarmingly high levels. In one study, Stanford polled eighty-five Christians who had been diagnosed with having a mental disorder. More than 40 percent of them reported that someone in their church had suggested they didn’t actually have a mental illness.
Can you think of any other form of illness where Christians tell other Christians their doctors don’t know what they’re talking about? Imagine how foolish a pastor would sound calling you at the hospital to explain your child doesn’t actually have cancer. It’s ridiculous and would never happen. But when it comes to mental illness, it does happen.
I manage a Facebook page called Christians and Mental Health. On it I posed the same question Stanford did in his study. I wanted to know if anyone following the page had been diagnosed with a mental disorder only to be subsequently told the diagnosis wasn’t real. Below is a sampling of what came back:
- I got told that being on medication would let demons in. I was also told by my pastor that I brought all this upon myself. I eventually wound up in the psychiatric ward of a hospital. It’s been nearly four years and I still haven’t recovered. Not sure if I ever will.
- I have been told over and over again that mental illness is simply the result of a person not spending enough time with God.
- I have been diagnosed with multiple mental health conditions. The most common response from my church family is that I hide behind these diagnoses instead of taking responsibility for my actions.
- I had postpartum depression after the birth of each of my children. I saw another woman in my church community with the same issues described as “weak” …so I kept my diagnosis to myself. The church does not help with mental health. You’ll get lots of sympathy, prayer and meal trains if you have cancer, but if you’re depressed, forget it.
A simple question posed to roughly six thousand people. Imagine what we might hear if we keep on asking these kinds of questions? How many other untold stories are out there?
Before I get too preachy about the Church dropping the ball and whatnot, I want to acknowledge how tough it is for the Church to actually wrap its arms around the mental health of Christians.
A trip to the hospital for a broken leg on a ski trip will probably get broadcast on Facebook because nobody feels shamed by this kind of injury. A photo of you laid up in a hospital bed with a cast wrapped around your swollen leg is likely to garner loads of likes and sympathetic comments. Putting it out there in real time will actually improve your situation as your brain gets dumped with dopamine at all the notifications piling up on your phone. Instead of feeling the pain of your misfortune, you’ll be distracted by your instant popularity and its intoxicating effects. Plus, your church will know what happened to you and be able to respond accordingly.
Nobody, however, is photographing themselves lying in their bed at home while experiencing an overwhelming sense of dread at the mere prospect of getting up to take a shower. It’s just not happening. And parents, for good reason, are not voluntarily broadcasting the ongoing treatment their newly diagnosed children are receiving for schizophrenia.
I understand that the Church cannot be expected to respond to situations involving mental illness with the same level of intimate care it often displays with other types of illnesses and injuries. These aren’t perfectly analogous situations. With mental illness there is a lot of secrecy, which can make the task of communal care very, very hard.
But we can do better. We must do better because folks are dying. And not just a few.
They’re dying en masse.
And that’s not something Christians can stand by and let happen. It’s not something Jesus would stand by and let happen.
Taken from [Depression Anxiety, and Other Things We Don’t Want To Talk About] by [Ryan Casey Waller] Copyright ©  by [Copyright Ryan Casey Waller]. Used by permission of Thomas Nelson. www.thomasnelson.com.
Ryan Casey Waller is a licensed psychotherapist, lawyer, and pastor who studied philosophy and religion at the University of Southern California before pursuing a law degree, a Masters in theology, and a Masters in counseling from Southern Methodist University. He practiced law before turning to a career in ministry, serving in both academic and ecclesial settings. He is now in private practice in Dallas. Ryan’s latest book, “Depression, Anxiety, and Other Things We Don't Want to Talk About” is available now.