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Showing posts with label mental health. Show all posts
Showing posts with label mental health. Show all posts

5 Reasons Why Your Church Should Embrace Biblical Counseling

Here are five reasons why every local church ought to be embracing biblical counseling ministry:
  1. The underlying foundations of secular psychology, to which the church has turned for healing of mental health syndromes, are often bathed in humanism, materialism, Darwinian evolution, and other anti-Gospel world views. 
  2. Contrary to popular belief, the biblical counseling movement recognizes the differences between sin and suffering, as well as the venues out of which mental disorders may arise (volitional, environmental, or biological).
  3. Biblical counseling embraces that people have a body and a soul, and that some emotional problems do indeed have an organic component, and may therefore require medical intervention.
  4. As biblical counseling is deeply rooted in Christian discipleship, it is evangelistic in nature, and concerned with leading the counselee into a growing relationship with Jesus Christ, rather than with mere behavior modification or symptom alleviation.
  5. Biblical counseling holds that counseling ministry belongs in and to the church, therefore it seeks to equip and mobilize the church to fulfill the command to "bear one another's burdens," a role that has been lost on the church with the advent of secular psychotherapy.
Would you add any reasons of your own to this list? If so, what would they be?

In the following CCEF ARTICLE by Dr. David Powlison, he identifies five reasons why counseling belongs in the church. It's an excellent article, and I encourage you to check it out.

Scripture: Genesis 2:7; Romans 15:14; Galatians 6:2



A Resolution on Mental Health Concerns

Baylight Counseling is not affiliated with or supported by any particular Christian denomination. Further, Baylight is designed to serve the Christian community at large, and welcomes those of various denominational or theological backgrounds.

That said, I have received much of my training in biblical counseling at Southeastern Baptist Theological Seminary, and have pastored within the Southern Baptist Convention.

As a biblical counselor, I take great encouragement in the support given to the biblical counseling process and movement by way of the SBC seminaries embracing and providing degrees in this form of ministry.

Further, I'm encouraged by the resolution passed by the SBC in June 2013 concerning the right and duty of the church of Jesus Christ to be fully engaged in counseling. I affirm the words contained in this resolution, and offer it here for your review:

ON MENTAL HEALTH CONCERNS AND THE HEART OF GOD
June 2013



WHEREAS, God made all things perfectly good in design for His glory and the good of humanity (Genesis 1–2); and

WHEREAS, Adam and Eve rebelled against Him, choosing their own way and the way of the Evil One, and consequently ushered sin and disorder into our world and the whole human race (Genesis 3; Romans 5:12–21; 8:22); and

WHEREAS, As a consequence of this Fall, humanity is subjected to many kinds of mental health problems including autism spectrum disorders; intellectual disability; mental health conditions like schizophrenia, clinical depression, anxiety disorders, bipolar disorders, and eating disorders; and diseases of the aged such as dementia and Alzheimer’s disease; and 

WHEREAS, God did not abandon fallen humanity but loved the world (John 3:16–17) and launched a plan of redemption—a restoration that is incomplete in this age but will be perfected in heaven (1 Peter 1:3–9); and

WHEREAS, Those with mental health concerns, like all people, are crowned with honor and dignity, being made in the image and likeness of God (Psalm 8:4–6; James 3:9); and

WHEREAS, Those with mental health concerns are disproportionately represented among the homeless and in our correctional systems, indicating a tragic neglect of these persons who are made in God’s image; and

WHEREAS, Those who are struggling with mental health concerns often feel isolated, stigmatized, and rejected, sometimes resorting to self-destructive behaviors, including suicide; and 

WHEREAS, Suicide is a tragedy, leaving heartache, pain, and unanswered questions in its wake; and 

WHEREAS, Recent events in our nation and among God’s people have underscored the tragedy of mental health concerns and their devastating toll within our families, our churches, and our culture; and

WHEREAS, Jesus Christ spent time with and healed some of the most marginalized members of the culture of His day; and

WHEREAS, God has appointed His people to be the main representatives of His heart and values to the world; and 

WHEREAS, God has called us to share the Gospel of Christ with all people, including those suffering various mental health concerns; now, therefore, be it

RESOLVED, That the messengers to the Southern Baptist Convention meeting in Houston, Texas, on June 11–12, 2013, affirm that those with mental health concerns are of immeasurable value to God; and be it further

RESOLVED, That the mission Jesus described as His own in Luke 4:18-19 should also be the mission of His church, namely to proclaim liberty to those who are oppressed by means of godly biblical counsel; and be it further

RESOLVED, That we commit to affirm, support, and share God’s love and redemption with those with mental health concerns; and be it further 

RESOLVED, That we oppose all stigmatization and prejudice against those who are suffering from mental health concerns; and be it further

RESOLVED, That we support the wise use of medical intervention for mental health concerns when appropriate; and be it further

RESOLVED, That we support research and treatment of mental health concerns when undertaken in a manner consistent with a biblical worldview; and be it further

RESOLVED, That families who have lost a member to suicide deserve great care, concern, and compassion from Christians and their churches, including the assurance that those in Christ cannot be separated from the eternal love of God that is in Christ Jesus; and be it finally 

RESOLVED, That we call on all Southern Baptists and our churches to look for and create opportunities to love and minister to, and develop methods and resources to care for, those who struggle with mental health concerns and their families.

One of the great myths of biblical counseling is that those trained in its practice employ a "take two verses and call me in the morning" approach. This is a gross misunderstanding not only of clinically-informed biblical counseling, but of the very real and present help afforded believers who struggle with problematic emotions and relationships in the pages of Scripture.

Hopefully, this resolution will help instill a growing confidence in those considering biblical counseling for themselves or those they care about, that this model for soul care is both trustworthy, and effective. With an eye toward our physical brokenness and need of the medical communities assistance, we can indeed turn to the One who is both Designer and Redeemer of human souls (Prov. 14:26).

PTSD: Caring for First Responders

W/Sheriff Everett Rice. Combat Cross Award.
It was April 1997. There was just ten minutes left in my shift, which ended at 11:00 PM. That's when the call came out.

Through the hazy darkness, I could see that the man standing in the front yard matched the description of an active shooter given by dispatch. An older man, wearing a white t-shirt and blue shorts. The rifle in his hand sealed the deal. This had to be him.

Just three years into my law enforcement career, my moment of truth had come. Would I pull the trigger?

Shots had already been fired at my comrades, and I now had the man in my sights. He'd also fired shots at his wife prior to our arrival. He was what some might call a drunken lunatic. And, he had to be stopped. I called out for him to drop his weapon. Instead, he turned toward me, rifle in hand. Action is always faster than reaction. This fact was ingrained into my mind throughout my firearms training.

Convinced that the man posed an immediate threat to my life and the lives of others, I aimed my 12 gauge Remington 870 shotgun at him and pulled the trigger. Nine ballistic pellets descended upon the man at something like 1300+ feet per second. The distance between us wasn't in my favor given my type of ammunition. The spread pattern allowed for all but one of nine pellets to miss their intended target.

One pellet touched the man, and provided for him a clear signal that the law had arrived. This single pellet entered his shirt pocket, tore a hole through the wad of money he was carrying, and left a 4-inch scar across his chest.

Unfortunately, he was too drunk to care. He returned the favor by firing at me and then jumped into his full size van and led an entire squad of deputies on a chase, firing more shots along the way. Thankfully, this incident ended without anyone getting seriously injured. The bad guy went to jail. And, all the good guys got to go home.

This was my experience with a deadly force incident. I'll never forget the sound of that gun going off in my direction. I sometimes wonder about how close those rounds came to striking me. I don't suppose I'll ever know.

I'm thinking about my experience today, because I just finished listening to some of the Douglas County Sheriff's Office radio traffic as their deputies responded to the tragedy at Umpqua Community College. I wasn't there, but I can picture the drama in my mind and feel the tension in the air. 

These and other types of deadly encounters remind us of the violence police officers and other first responders face and of the potential for duty-related PTSD on those who are charged with defusing dangerous and life-threatening situations. For those not familiar, PTSD is the clinical diagnosis for those who experience ongoing emotional effects after exposure to a life-threatening scenario. The symptoms and their intensity can vary from person to person, as can the duration.

When I experienced my deadly force incident, the law enforcement community was just beginning to embrace the mental-emotional health concerns of first responders. Thankfully, we've come a long way since then.

The desire is for first responders and their families to be aware of the risks for and symptoms of conditions like PTSD that can arise through duty related incidents and to not delay in seeking counsel should there be any concern.

Here are ten common physical/emotional symptoms to watch for after exposure to an on-duty high-risk incident:
  1. Trouble sleeping.
  2. Fatigue.
  3. Change in appetite.
  4. Periods of crying/sobbing.
  5. Recurring thoughts or re-living the incident.
  6. Fear of legal trouble.
  7. Depression/Anxiety/Hyper-vigilence.
  8. Emotional "numbness."
  9. Irritability/Anger.
  10. Avoidance of pertinent issues.
It's important for police officers and their families to dialogue openly about the potential for mental-emotional effects of a high risk or life threatening incident before it happens. To acknowledge these risks is not to express inordinate weakness or a lack of fitness for duty, but to acknowledge an officer's humanity and their corresponding potential need for emotional support post-incident. 

Research has shown that an officer's recovery from PTSD-like symptoms is connected to the support they received from their agency and family.

So, how can biblical counseling help?

Aside from providing a safe, confidential, and clinically-informed setting for talking through the problematic emotions experienced in PTSD-like symptoms, the Scriptures have much to offer police officers who face these circumstances. 

Here are seven passages, among many others, to keep in mind and pray through:
  • Romans 13:1-7: This is an encouraging passage that provides the LEO with biblical support for their position, and their duty to use deadly force in appropriate circumstances.
  • Ps. 46: This passage brings awareness of the presence of God in times of trouble.
  • Romans 8:38-39: This passage reaffirms God's love for his children.
  • Matthew 11:29-30: This passage encourages the LEO struggling with worry to seek rest in the promises of Christ.
  • John 14:27: This passage reminds the LEO of the superior peace and rest found in Christ, as opposed to worldly solutions.
  • Philippians 4:4-8: This passage encourages the LEO struggling with worry and anxiety.
  • Psalm 119:28: This passage encourages the LEO struggling with grief.
I hope this post will encourage officers to think biblically about the realities they face in their chosen profession. Contrary to that unspoken code, there is no shame in admitting that one has been adversely affected by an incident, or in seeking help. Many agencies now offer confidential counseling resources to their troops, and there are other counseling resources available in the community.

Through increased awareness, and vigilance in honestly assessing how LEO's are responding emotionally-mentally to a high risk incident, help can more effectively and efficiently be provided, and more severe symptoms may be avoided or alleviated. These interventions will pave the way to a speedy and healthy return to duty for the officer, which benefits their agency, the community, and their family.

In a World of Pain and Suffering, Our Churches Must Be Counseling Churches

All ministry is counseling ministry.

In a recent, informal poll that I conducted all by myself, 2 out of three pastors that I spoke with disagreed with the preceding statement. I offered no explanation as to what the statement meant, nor did I receive feedback as to why the pastors disagreed with me. All I know is that they apparently saw some percentage of Christian ministry as not related to counseling.

Respectfully, I disagree with their assessment, and I want to persuade them, and all believers, pastors and non-pastors alike, that all of Christian ministry is in fact some form of counsel, and that all of our churches, particularly here in America, must become congregations that counsel.

To be a church that has a counseling ministry is one thing. To be a church that counsels is something quite different.

The field of mental health is receiving much needed attention in the land of Evangelical Christianity these days, and rightfully so. Although the attention isn't always marked by educated, and informed dialogue, the days of mental and emotional health issues being relegated to quiet meetings in the pastor's office are slowly giving way to openness and transparency.

As I build Baylight Counseling here in the Tampa Bay area, a para-church resource for clinically-informed, biblical counseling, I am slowly piecing together a number of loose observations that speak to a number of issues. Some of my thoughts are critical of what I'm seeing in churches generally, but I'm reminded that we stand at what may be a tipping point in changing a church culture that has been sold variously on two lies: 
  1. There are no organic diseases of the brain that affect cognition and behavior, therefore good Christians do not take medication, but read their Bibles and pray, or
  2. The Bible has little to say about obvious mental health issues, therefore only secular trained "experts" can help those in need.
I wrote about these two issues in my last post, which you can access HERE.

These two chronically advanced, malignant thoughts are kept alive through misinformation, false assumptions, and a general lack of education. These conditions permeate the church at large. But, it's OK. We don't need to rage against the machine, as much as we need to begin the process of reclaiming this most important piece of disciple-making that in truth, has always belonged to and in the church: counseling.

Long ago, at least by the early 20th century, as liberal theology and modern science gained an ear in the culture, the church was bullied (and it acquiesced) into believing that human thought processes and behavior were biologically rooted. The Bible, which was said to be a mere collection of man-made stories that weren't meant to be taken "literally," was therefore a poor source of information for providing counseling and therapy to those plagued by problematic behavior and emotions.

Slowly, but surely, the church cow-toed to these allegations, hung her head in shame, and bowed out of one of the most important pieces of work she was originally called to perform: to dispense the full counsel of God to a world of pain and suffering.

The tragedy in this fact is that suffering is a universal, human language. All humans suffer in a myriad of ways. We suffer from our own sin, and we suffer from bodies that break down and die. Furthermore, we all suffer to varying degrees from the effects of sin committed by the people around us. Sometimes we're the intended victim, and other times we're just in the wrong place at the wrong time.

No matter what truths the details bear witness to, suffering is a universal human language on this side of glory. 

If this is true, and I believe it is, then what are the implications for our churches? What are the opportunities given to the church by God in the midst of suffering that provide incredible opportunities to introduce (or reintroduce) people to their Creator, who alone holds the keys to a transformed life?

This discussion is much bigger than any one blog post can bear, but I do want to submit one idea that I'm certain must be of interest to pastors and believers who desire to see the lost come to know Christ, and that's this: In our post-Christian culture, learning how to listen to, understand, and subsequently minister to the emotional, mental, and spiritual suffering of the people around us, regardless of the cause, is vital, if we're going to fulfill the Great Commission.

Rob Green and Steve Viars, in their chapter from the newly released book, Christ-Centered Biblical Counseling, wrote the following:

Churches may talk about evangelism, but counseling offers a tremendous opportunity for folks to do evangelism rather than talk about doing evangelism. When an unbeliever seeks biblical counseling, it's an opportunity to present Christ as the answer to their needs. Instead of us going to them and giving them a message they don't want, our non-Christian counselees come wanting an explanation for the challenges they are facing in their lives. They are coming on our turf and wanting our answers because no one else has been able to provide satisfactory answers to their deepest questions. (p.231)

As social justice issues have gained traction in recent years, even or especially within the Evangelical church, I'm proposing that the work of building credible, trust-worhty, clinically-informed, biblical counseling ministries into the fabric of our churches become a front-burner topic.

According to the US Government, the field of counseling is expected to grow by a whopping 20-30% over the next decade, and with millions upon millions of Americans now taking psychotropic medications for a host of issues, why would the church not seize this God-given opportunity to minister to the hurting and broken people among us?

If I were pastoring a church today, I wouldn't wait one more second to begin a dialogue about this issue with my leadership team. The need within the culture is glaring, and its presence and effect within our churches is undeniable. To our glorious benefit, we live in a time when, by God's grace, the resources to efficiently and effectively train teams of lay counselors is in place.

The only questions that remain to be answered are whether or not we'll continue to be satisfied by the status quo, exchanging potentially nuclear-powered disciple-making resources for more concerts and short-term, feel-good programming, or will the church get serious about infiltrating the culture with the hope of Jesus Christ, at the point of the culture's pain?

If we don't actually believe that the Bible is sufficient for all of life, which by the way is not to deny the proper place of good medical science, then we'll do nothing. We'll keep sending Christ's sheep to the disciples of Freud and Darwin, who are perfectly willing to shield their eyes from a view of the cross, while we do whatever it is we've been doing.

Counseling is the business of the church, and in a world of mental and emotional pain and suffering, our churches must become places of refuge and hope for the hurting.

Note: If you or your church would like to investigate this opportunity further, please contact me at Baylight Counseling for an appointment (727-433-0682). It would be my pleasure to serve you, and to help craft a way forward for you or your church to build its own counseling ministry, and in so doing, make disciples of Christ by fulfilling the Great Commission.

Rising Awareness of Mental Health Issues Among Evangelicals

On April 5, 2013, the evangelical church in America, known for its generally strong belief in and commitment to Biblical inerrancy and sufficiency, was rocked from its slumber on mental health issues when the son of beloved pastor Rick Warren tragically committed suicide.

Matthew Warren, 27, had struggled for years with issues such as a borderline personality disorder and depression. According to his parents, Rick and Kaye, they had engaged these battles for years with Matthew, loving on him, and ensuring that he had access to quality mental health care and counseling.

Still, the day they had long feared would come, finally arrived. Their son had taken his own life. 

In the aftermath, they were left not only with the task of prayerfully mending their broken family, but, they were compelled to see to it that Matthew's death would become a point of constructive dialogue for Christians in America. 

The evangelical church in America, with exceptions of course, has proven its commitment to "rightly dividing the word of God," but it has had difficulty rightly dividing the issues that surround mental health and mental illness.

LifeWay, a research and publishing arm of the Southern Baptist Convention, recently issued a report in which it said that 48% of evangelicals in America believe that "Bible study and prayer alone can heal people with serious mental illnesses, such as depression, bipolar disorder, and schizophrenia." In the same report, respondents also indicated a majority belief that the church in America should, "do more to prevent suicide."

While I applaud LifeWay for taking up this issue, and for investigating the general mood of evangelicals in America, I have some thoughts concerning the report that I'd like to add:
  1. The report, in my estimation, reflects a continued lack of understanding of the issues surrounding mental health and mental illness. For example, according to the report, well over half of evangelicals believe that bible study and prayer alone can bring healing to those who suffer from mental health issues, while a majority also believe that the church should do more to prevent suicides that are presumably linked to mental illness. Is this to say that a majority of evangelicals in America believe that those afflicted with mental illness must simply pray harder, and study longer?
  2. The most loaded question in the report, in my opinion, is the one that addresses Bible study and prayer as the hope for those struggling with mental health issues. I didn't like the wording or the presentation of the question, because it takes an incredibly complex issue and reduces it to a dangerously simple question. Evangelicals, rightly committed to the word of God, but not always well versed in mental health issues, are almost certainly going to affirm that Bible study and prayer alone can heal mental illness. This is not a surprising outcome, and furthermore, not an incorrect belief, in and of itself. What the question seems to convey, but does not clarify, is whether the respondents believed that only prayer and bible study should be applied where mental illness is present. In other words, one can believe that prayer and Bible study alone can heal mental illness, while not believing that these are the only two options which ought to be applied.
  3. The LifeWay report repeatedly uses the term "mental illness," and, for the purposes of the survey, groups depression, bipolar disorder, and schizophrenia into one category that it describes as "serious conditions." This, in my opinion, is an over-simplification of the named conditions, particularly where depression is the issue. For example, a person may suffer from what appears to be depression with underlying biological causes, or they may suffer from a depression which was brought about by circumstantial factors, where there is no reason to suspect a biological cause. Furthermore, the depression may or may not be "serious" in terms of the level of suffering. Therefore, to group depression into the same category as bipolar disorder and schizophrenia, two conditions which are indeed serious, and which are believed to be organically driven issues, is too loose of an approach, and feeds into the ongoing unfamiliarity with the issues.
  4. Evangelicals in America have been sold, in my opinion, on two grievous errors which originate in two distinct camps: a) the anti-organic Christian camp, which denies the organic component of mental health issues, because it fails to grasp the relationship between body and soul, and b) the secular approach to mental health which finds its roots in a Darwinian theory of evolution, and a "disease-only" model of psychology which seeks, therefore, to excise the reality of sin, its effects, and the corresponding need for a Savior.
The points above are not exhaustive, but serve as brief examples of the issues that the church faces in America. The LifeWay report and its respondents are right to identify the need for a broader, more comprehensive response to mental health and mental illness issues. Regardless of the identifiable causes of problematic emotions and behaviors in people, it is undeniable that the church ought to be a place of refuge and unsurpassed hope for both the sinner and the sufferer, as it learns to better embrace the realities of the brokenness of our bodies, and the hope that the Gospel of Jesus Christ offers to those in despair.

I am convinced that counseling rightly belongs to and in the church, but my conviction goes well beyond the woefully insufficient "take two verses and call me in the morning" approach. 

For biblical encouragement in all of this, I look to passages such as 1 Timothy 5:23, where Paul instructs Timothy, concerning some physical ailments, to not drink only water, but to also drink "a little wine" in seeking relief. In raising this point, I'm not inviting a debate on alcohol. I am, however, acknowledging that Paul did not tell Timothy to simply attend another Bible study, and pray harder in seeking a cure for what ailed him. Instead, Paul acknowledged a physical ailment, and identified a potential source of physical relief. Why would the church today refuse to extend a similar form of relief to sufferers of true mental illness, where appropriate?

The good news for us today is that there is a movement within the evangelical church, otherwise known as the "biblical counseling movement," which is, with increasing precision, seeking to better understand the connection between body and soul, true mental illness versus problematic emotions and behaviors brought about by sin, and the appropriate forms of relief and treatment. At its best, it's neither given to naivety, nor given to a Freudian worldview.

Within this counseling model, is a growing source of hope for those locked into seemingly inescapable patterns of sin, or seasons of intense suffering brought about by a host of causes for which they had little to no control. Regardless of the position, the Gospel is held out as the ultimate source of compassionate hope and healing, whether there is a need for medical intervention, or not.

For these and other reasons, I'm grateful for the courage of the Warren family in confronting the church with the realities we face. I'm grateful for organizations such as LifeWay, which are refusing to ignore this once frowned upon topic. And, I'm grateful for the grace of God in the biblical counseling movement, which is increasingly lifting from the pages of Scripture a truly biblical approach to counseling, psychotherapy, and mental health issues.

For too long, the church has submitted herself to the secular sciences in near humiliation, behaving as a bride who is ashamed of her husband, when all along, He held the keys to hope for not only the age to come, but also the age in which we presently live.

While we have not yet arrived, there are indications of a movement in the right direction. And, that movement may begin with a rising awareness not only of the need, but of the hope found in the Good News, properly joined together with a more accurate understanding of the body and soul.

For the sake of our testimony, the glory of God, and the souls of the people for which we are called to provide care, let's pray that we can finally start to get this right.