The Weary Christian
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      Calling out the brain on catastrophizing

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      James Bryan Smith: Unmet expectations and fear

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      STUDY: Chronic pain associated with higher rates of…

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      Thanksgiving for his brokenness

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      Esther Smith: “All he wants is you”

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      James Bryan Smith: Unmet expectations and fear

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      Staton: On being a witness

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      Calling out the brain on catastrophizing

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      STUDY: Mental health conditions share deep genetic patterns

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      INTERVIEW: Dr. Terry Powell’s gripping account of depression

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      INTERVIEW: Therapist Michael Schiferl explains religious scrupulosity and…

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      INTERVIEW: Rocker Matt Sassano shares battles, urges transparency…

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      INTERVIEW: Dr. Brian Briscoe tells Christians that antidepressants…

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      INTERVIEW: Pastor Scott Sauls on anxiety, depression, and…

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      “Grace has got to be drunk straight”

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      Defeated by God

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      Am I a faithless Christian?

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      Think you’re a “failure?” Jesus sees you unlike…

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      “I killed Jesus of Nazareth”

  • About
  • Depression
    • Depression

      James Bryan Smith: Unmet expectations and fear

      Depression

      STUDY: Criticizing older adults make them more vulnerable…

      Depression

      STUDY: Awe can reduce depressive symptoms

      Depression

      STUDY: How music-mindfulness can help depression, anxiety

      Depression

      STUDY: Chronic pain associated with higher rates of…

  • Anxiety
    • Anxiety

      Calling out the brain on catastrophizing

      Anxiety

      James Bryan Smith: Unmet expectations and fear

      Anxiety

      STUDY: Awe can reduce depressive symptoms

      Anxiety

      STUDY: How music-mindfulness can help depression, anxiety

      Anxiety

      STUDY: Chronic pain associated with higher rates of…

  • Book quotes/Video
    • Book quotes/Video

      “In darkest night, you were there like no…

      Book quotes/Video

      Thanksgiving for his brokenness

      Book quotes/Video

      Esther Smith: “All he wants is you”

      Book quotes/Video

      James Bryan Smith: Unmet expectations and fear

      Book quotes/Video

      Staton: On being a witness

  • Health News
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      Calling out the brain on catastrophizing

      Health News

      STUDY: Mental health conditions share deep genetic patterns

      Health News

      STUDY: Four Supplements that MIGHT help depression

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      STUDY: Gut changes raise risk of eating disorders…

      Health News

      STUDY: Criticizing older adults make them more vulnerable…

  • Interviews
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      INTERVIEW: Dr. Terry Powell’s gripping account of depression

      Interviews

      INTERVIEW: Therapist Michael Schiferl explains religious scrupulosity and…

      Interviews

      INTERVIEW: Rocker Matt Sassano shares battles, urges transparency…

      Interviews

      INTERVIEW: Dr. Brian Briscoe tells Christians that antidepressants…

      Interviews

      INTERVIEW: Pastor Scott Sauls on anxiety, depression, and…

  • Devotionals
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      “Grace has got to be drunk straight”

      Devotionals

      Defeated by God

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      Am I a faithless Christian?

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      Think you’re a “failure?” Jesus sees you unlike…

      Devotionals

      “I killed Jesus of Nazareth”

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The Weary Christian

THE WEARY CHRISTIAN

LIVING WITH FAITH AND DEPRESSION

  • Depression
    • Depression

      James Bryan Smith: Unmet expectations and fear

      Depression

      STUDY: Criticizing older adults make them more vulnerable…

      Depression

      STUDY: Awe can reduce depressive symptoms

      Depression

      STUDY: How music-mindfulness can help depression, anxiety

      Depression

      STUDY: Chronic pain associated with higher rates of…

  • Anxiety
    • Anxiety

      Calling out the brain on catastrophizing

      Anxiety

      James Bryan Smith: Unmet expectations and fear

      Anxiety

      STUDY: Awe can reduce depressive symptoms

      Anxiety

      STUDY: How music-mindfulness can help depression, anxiety

      Anxiety

      STUDY: Chronic pain associated with higher rates of…

  • Book quotes/Video
    • Book quotes/Video

      “In darkest night, you were there like no…

      Book quotes/Video

      Thanksgiving for his brokenness

      Book quotes/Video

      Esther Smith: “All he wants is you”

      Book quotes/Video

      James Bryan Smith: Unmet expectations and fear

      Book quotes/Video

      Staton: On being a witness

  • Health News
    • Health News

      Calling out the brain on catastrophizing

      Health News

      STUDY: Mental health conditions share deep genetic patterns

      Health News

      STUDY: Four Supplements that MIGHT help depression

      Health News

      STUDY: Gut changes raise risk of eating disorders…

      Health News

      STUDY: Criticizing older adults make them more vulnerable…

  • Interviews
    • Interviews

      INTERVIEW: Dr. Terry Powell’s gripping account of depression

      Interviews

      INTERVIEW: Therapist Michael Schiferl explains religious scrupulosity and…

      Interviews

      INTERVIEW: Rocker Matt Sassano shares battles, urges transparency…

      Interviews

      INTERVIEW: Dr. Brian Briscoe tells Christians that antidepressants…

      Interviews

      INTERVIEW: Pastor Scott Sauls on anxiety, depression, and…

  • Devotionals
    • Devotionals

      “Grace has got to be drunk straight”

      Devotionals

      Defeated by God

      Devotionals

      Am I a faithless Christian?

      Devotionals

      Think you’re a “failure?” Jesus sees you unlike…

      Devotionals

      “I killed Jesus of Nazareth”

  • About
Health News

STUDY: Mental health conditions share deep genetic patterns

James Bryan Smith: Unmet expectations and fear

STUDY: Four Supplements that MIGHT help depression

STUDY: Criticizing older adults make them more vulnerable to developing depression

Study offers great context on kids, screen time, and emotional problems

Daily Blog

The hardships, the tribulations

The hardships, the tribulations

written by Christian Heinze

Maybe you’re familiar with Acts 14:22, where Paul and Barnabas remind the new believers, there, then, and everywhere of a fact:

“They encouraged them to continue in the faith, reminding them that we must suffer many hardships to enter the Kingdom of God.”

That word “hardships” is often translated “tribulations,” and whenever it pops up in scripture, our minds probably go to something like persecution, or any of the woes of life that woe themselves onto us, right?

In other words, something in life happens to us, and we have to go through it, push on, and that’s the “tribulation,” right?

But here’s the fascinating thing.

If you look at the Greek for “tribulations” or “hardships,” you’ll find the transliteration, thlipsis.

And here’s how Strong’s Greek concordance explains that word:

It is “pressure….. used of a narrow place that ‘hems someone in’; tribulation, especially internal pressure that causes someone to feel confined.

Thlipsis (“compression, tribulation”) carries the challenge of coping with the internal pressure of a tribulation, especially when feeling there is ‘no way of escape’.”

[By contrast, stenoxoria focuses on the external pressure exerted by circumstances].”

Did you get that?

The hardship, the tribulation is the feeling of constriction — the feeling of no way out that we often feel during intense depression or anxiety.

It’s an internal pressure.

Now, we’d immediately assume it’s an “external pressure exerted by circumstances.”

You know, an external circumstance (losing a job, a relationship, a friend) drags us into the ground and we feel internal pressure.

But no, the Greek here indicates it’s something else.

And it suggests the early Christians were challenged by the same thing that often challenges us — hardships, tribulations of the mind that make us feel we have no good options, that squeeze the life out of us.

And they merely come from our mind!

It’s true that external hardships are undoubtedly hardships.

And we go down the rabbit hole of, “Oh, others have it so much worse. I shouldn’t feel this way.”

But no matter your external hardship, everyone is primarily dogged by internal pressures of the mind that have no bearing on external circumstances.

And, by the way, Jesus himself used the word, translated thlipsin, in John 16:33 when he told the disciples they’d have many tribulations.

We might assume he’d be talking of the upcoming beheadings, executions, stonings.

But he’d use stenoxoria for that, because that’s the word for those kinds of tribulations.

So the greatest tribulation, for anyone then and now, is what we endure in the mind, regardless of circumstance.

As Charles Spurgeon once described it: ““Quite involuntarily, unhappiness of mind, depression of spirit, and sorrow of heart will come upon you. You may be without any real reason for grief, and yet may become among the most unhappy of men.”

And that’s a powerful message that you’re not alone.

Find a psychiatrist here.

Find a therapist here.

If you’re having thoughts of harming yourself or others, please call the National Suicide Lifeline at 1-800-273-8255

[Photo: Pexels, free stock photography]

June 9, 2022
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Update

written by Christian Heinze

I haven’t posted much the past two weeks, because our whole family had a nasty cold, immediately followed by Covid. A real 1-2 punch, lemme tell you. Grateful for vaccines, and that we’re now through the worst of it. But when you have two little kids, family sicknesses can be pretty exhausting. You know how it goes, young parents — trying to take care of yourselves, while still helping them with everything.

Lordwilling, should be back to posting in a few days. Thanks!

June 6, 2022
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What’s Hebrews 11 faith really about?

What’s Hebrews 11 faith really about?

written by Christian Heinze

Hebrews 11: 20-22: “It was by faith that Isaac promised blessings for the future to his sons, Jacob and Esau. It was by faith that Jacob, when he was old and dying, blessed each of Joseph’s sons and bowed in worship as he leaned on his staff.”

It’s much easier to believe that God exists than that he’s good.

It’s much easier to have faith that he’s here than that he’s here for us.

Yes, we know that the heavens declare the glory of God, but what do the things that happen to us declare? Do they suggest the same brilliance about God the stars do?

I have a friend who, in one year, lost her mother to a sudden aneurysm and her 36 year old sister to cancer.

It was tough to imagine God appointing both her mother and sister to die in the same year.

Why did he have to pencil both in the same calendar year?

And while we were trying to cope with that, Kate found out that she, herself, had breast cancer. At 34. She is the most wonderful mother to two young children.

So again, the heavens declare the glory of God, but as we prayed for her, for them, what was all that saying about him?

Our theology might say, “It’s this broken world,” but underneath the hood, we see God behind everything because somehow he is. He appoints man once to die, right?

That’s why we feel so stale when we hear, “the heavens declare the glory of God.”

We question God because of what life, and not heaven or theology, seems to declare about him, and all the verses about streams, rivers, and stars showing God’s brilliance mean nothing to us when a young mother is diagnosed with cancer.

That’s the trouble. We have faith in the reality of God, but not faith in the best about God.

We all struggle like this, and if you don’t, good for you, because you probably belong in Hebrews 11.

We know Hebrews 11 is the faith chapter, but if faith is the secret sauce of the Hebrews 11 saints, then it’s not something that billions of other Christians haven’t had over time. Christians all have faith in God.

So there’s something different about the faith here.

And it’s this — the saints of Hebrews 11 had an unshakable belief in the best about God. The faith that God is here, and that he has the best for us because he is the most for us.

When God told Abraham to leave his country and start a new one somewhere awful, Abraham didn’t just obey for the sake of obedience.

Instead, he “was confidently looking forward to a city with eternal foundations” because he felt certain that, however dismal the new land, it somehow offered proof of a better one ahead.

When God told Abraham to sacrifice his only son, Abraham didn’t say, “I have faith in you, God.”

He had faith in the best about God and thus, “Abraham reasoned that if Isaac died, God was able to bring him back to life again.”

Go through, verse by verse, and you’ll see that when the saints of Hebrews 11 were tempted by life (and sometimes, it appears, God himself) to believe the worst about God, they chose instead to believe the best about him.

It’s not their faith in God that set them apart. It was their faith in the best about God.

Further, they weren’t driven by some dutiful obligation to obey a command that they didn’t understand.

That’s often the way we think of faith.

Instead, they obeyed a command they didn’t understand because they understood God.

God was good, so the plan was good.

Hebrews 11, after all, is the “Faith Chapter” and not “The Dutiful Obligation to Obey Chapter.”

And so faith in God’s goodness started the dominos, and isn’t it interesting that faith is defined at the outset as the “substance of things hoped for?”

Hope is a belief in goodness. It is not a pessimistic or even neutral word. So if hope undergirds faith, then faith has to be confidence in God’s goodness.

And if you believe the best about God – if that’s your faith – then everything else falls in line and you’ll obey.

Too often, we obey God because we truly believe he’s there, and we truly believe he’s commanded us to do something.

But that’s obedience from a faith in his existence and his Lordship.

Obedience from obligation. That’s us.

And there’s nothing more painful than painful obedience, and it won’t last long because we weren’t made for it.

Now, right in the middle of the chapter, we come to the strangest set of verses, and you can see how odd they are by thinking of a cliched IQ test.

“Which one of these doesn’t belong? A car, a train, an airplane, or a refrigerator thermometer.”

Well, on the face of it, verses 20-22 are the refrigerator thermometer of Hebrews 11. They just don’t seem to belong there.

The chapter starts off with the giant dramas every writer tries to tell – they’re believable enough to think we could face them, but too unbearable to imagine facing.

You know — Noah, Abraham, Abraham, and Abraham. There’s a lot of crazy stuff there.

Building giant boats, getting pregnant at 80 years old, potentially sacrificing your son (gulp).

But suddenly, the author switches gears from floods, miraculous conceptions and potential murder to…deathbed blessings.

“It was by faith that Isaac promised blessings for the future to his sons, Jacob and Esau.”

“It was by faith that Jacob, when he was old and dying, blessed each of Joseph’s sons and bowed in worship as he leaned on his staff.”

Stop the presses.

Some elderly folks passed from natural causes and blessed their children.

Why does this belong next to Moses, the Passover, and Rahab?

These were just a couple of patriarchs, ready to die like billions of other have.

But being the faith chapter, this has something to do with faith. And with what we’ve just learned, faith in God’s goodness.

If you asked me, “At death, what is your faith in God’s goodness going to lead you to do?” I would say, “I’m going to have faith that God will take me to heaven.”

That seems the faith-at-death thing to do.

But Isaac and Jacob’s examples of unusual faith are very different – the patriarchs simply bless their children.

Why was that so unusual?

It could be that the situation was so rough and uncertain that it took extraordinary faith to believe things could turn out for their children. Or that they could become what God said they would.

Whatever the case – clearly, these deathbed blessings showed the saints’ great faith in God’s plan for their children, in his favor.

And I think any parent can learn something from this.

I’m a terrible pessimist.

I don’t worry about my kids because I don’t have faith in them, I worry because I don’t have faith in God’s goodness.

And why not?

Because under the brilliant stars at night, the police hunt for children who are never found.

On God’s sea, a tent city reflects where some child lives for drugs, and will soon die because of them.

And somewhere, every night, there’s a parent on a walk, looking up, praying to the heavens for their dying child on earth – and the heavens, those heavens that declare the glory of God – never seem to answer, they seem so lost in their own world of oblivious space and so removed from cancer and crying.

When you look at what could and does happen to children, it’s easy to see why deathbed blessings require great faith in God’s goodness.

You and I tend to beg the Lord for our children more than bless them.

But here’s what we need to do.

We need to believe the best about God.

We need to, like each of these patriarchs, bless our children, with all of our hearts, and believe that God will bless them with all of his.

I don’t know if these patriarchs indulged doubt and fear about their children at death. If they did, it certainly didn’t enter their blessing.

I think, instead, they put their hands on their children’s heads and felt the hair they’d kissed since they were so small they could sit on their lap – and remembered the innocence and love and protection and it all came back to them, and they looked up to heaven and said, “Oh God, bless these children. You know how much I love them. Bless them.”

In some way – in this life or the next —  I know that God will honor our prayers for our children.

We may never see the blessing, we may never recognize the blessing, but it’s faith in God’s goodness that says, “even if I won’t see your blessing, I will believe it is there, or that it will find its way to my child, and somehow Lord, whenever it is, however it is, the morning light that broke when Jesus came will finally and fully shine on them.”

Perhaps, if not in this life, then the next.

Perhaps if not salvation now, then after death.

You don’t have to be a universalist to think that could happen. You just have to believe in God.

After all, Abraham had to know that everyone who dies…dies.

That’s how God had set things up. Hadn’t God even declared it?

But what did Abraham say when God asked him to offer up his precious son, Isaac?

“God will raise him from the dead.”

When had that ever happened?

What made Abraham believe it was possible?

Not what he knew of life or doctrine, but what he knew of God.

That God could do impossible things, and that he was impossibly good.

And that’s what Hebrews 11 is all about.

That is the thing about life that reigns supreme, that is the doctrine that reigns supreme, and that is the thing that will hopefully lead us to say, with faith, “Lord, I believe you will bless my children, either in this life or the next, because you are a good God.”

[Painting: Rest on the Flight Into Egypt, Luc Olivier Merson, 1879]

May 29, 2022
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The Overthinking Christian

The Overthinking Christian

written by Christian Heinze

The Cleveland Clinic has a good guide on “overthinking,” which is often associated with generalized anxiety disorder, obsessive compulsive disorder, and other mood disorders.

I’d recommend reading it because it has lots of good definitions, examples, and how-to’s.

As you know, one of this site’s purposes is to understand how our experience of Christianity can be influenced by our mood disorders.

And remember: the mood disorder comes before its effect on our Christianity.

Don’t let the “spiritual depression” crowd deceive you into thinking otherwise.

The scientific evidence is overwhelming that our mental health is a medical condition.

Now, going back to the Cleveland Clinic’s guide.

Let’s take some examples of “overthinking” and “destructive thought patterns” and how they might apply to our Christianity.

First, “Catastrophizing”.

Cleveland Clinic: “This is when you imagine a worst-case scenario as the inevitable outcome of the situation you’re worried about.”

We can catastrophize about anything in life. Job, health, family, relationships.

And that includes our spiritual life.

For example, we imagine the worst-case scenario anytime something spiritual comes up.

Here are some examples of spiritual catastrophizing.

“I can’t possibly be a Christian because I don’t even…”

“I can’t possibly be a Christian because I did this…”

“God can forgive others for that, but he can never forgive me.”

“I’ve exhausted God’s patience, his love. There’s no hope for me and God.”

In each of these cases, the destructive thought patterns of catastrophizing that often come with generalized anxiety disorder (GAD) deeply hurts our relationship with God.

Jesus says “no way!” to every single one of those examples of spiritual catastrophizing.

“When we are faithless, he remains faithful.”

Then there’s Paul, in that wonderful Romans 5: “Just as sin ruled over all people and brought them to death, now God’s wonderful grace rules instead, giving us right standing with God and resulting in eternal life through Jesus Christ our Lord.”

There’s a new ruler on the throne, and it ain’t the law.

It’s forgiveness and love, and when you enter its court, that love will always touch you on the shoulder to bless you.

Of course, the maddening thing is that you and I know this, and we still catastrophize about it.

But my hunch is that, if you catastrophize about spirituality, you do so about a lot of things.

And that catastrophizing has no bearing in reality. It exists in a mind that lies to us about the reality of things.

Second, the Cleveland Clinic points to “All-or-Nothing Thinking.”

For example, the clinic notes the way we can all-or-nothing overthink our work.

We’re either about to be fired, or we’re top dog.

There’s no in-between.

Unfortunately, we often “all-or-nothing” think our Christianity.

For example, we have a few good months of being loving, kind, avoiding temptation, all that, and we imagine (though we’d never publicly say so ) God saying, “Now there’s a man after my own heart.”

And unfortunately, church can be a particularly toxic environment for worsening this type of thinking.

Because so many churches want to turn you into an all-or-nothing Christian.

You’re either in good standing with the church, or bad standing. And it all depends on performance.

That, perhaps, is the most tragic kind of church of all. It’s the one that trumpets the perfect church family, the perfect elders, the perfect all that.

And so, if we’re prone to the deceit of all-or-nothing thinking, these churches make it even worse by actually affirming an all-or-nothing message.

So lets say we have a few good months (or as Christians call it “seasons”), but then inevitably have a few bad months and remember, “Oh…. yeah. Maybe I’m not David. Maybe I’m Saul. Occasionally, I seem like a Christian, but in the end, I’m just a hateful, unregenerate, no-good fraud.”

This see-saw is unbelievably common among those with anxiety disorders — this “all-or-nothing” thinking pattern regarding our Christianity.

I’m sometimes so discouraged by myself I feel like giving up.

Or I’m so encouraged by myself I’m ready to write an epistle.

But here’s the clutch thing, the thing that shows it’s not a spiritual issue.

My life is sort of fueled by that all-or-nothing thinking.

Maybe yours, as well.

You either feel like you’re the best husband or worst husband, the best dad or worst dad, the best employee or about to be fired.

And that’s because “all-or-nothing thinking” is a common manifestation of “overthinking.”

It has nothing to do with your spirituality, but nevertheless, infects it.

The third destructive thinking pattern the Cleveland Clinic notes is “Overgeneralizing,” which is when we “experience a setback or failure and generalize that event across all situations…..we may wrongly assume that things have – and will always – go wrong for us.”

So let’s say you sin, which we do pretty much 24/7.

But let’s say you commit one of the “big sins.”

If you overgeneralize, you’re prone to think, “That’s it. I’m always going to be an adulterer. That’s just who I am. I will always be like this, and there’s no hope.”

Perhaps Peter thought that way.

He denied Christ, and it seemed that Jesus had to talk him out of overgeneralizing. To convince him that he wasn’t destined to a life of fear. To convince him that he’d be the pillar of the church.

So those are the three overthinking traps the Cleveland Clinic discusses: catastrophizing, all-or-nothing thinking, and overgeneralizing.

Now while the Cleveland Clinic obviously doesn’t offer ways for you to counteract overthinking your spirituality, we have to remember: the problem lies in overthinking. It doesn’t lie in our spirituality.

The root of the problem doesn’t lie in your overthinking Christianity, it lies in overthinking, everything, period.

So you address the root.

And that’s why I suggest going to psychologists of any philosophical persuasion (athiest, agnostic, Christian, Muslim, anything) because they will help address the root of the problem of overthinking.

That’s because they understand the human mind.

They’re not pastors, they’re medical practitioners, and this is a medical beast we’re dealing with.

Do we doubt a surgeon or dentist who’s not a Christian?

Why would we doubt a mental health professional who doesn’t identify as one?

I haven’t had a single, long-term therapist who identifies as Christian, and yet, they’ve each had amazing insights on what’s going on in my mind and helped me profoundly.

I’ve never returned from therapy, thinking, “Wow, they really pumped a lot of godless stuff in me.”

Please don’t believe that lie coming from the Christian traditionalists.

It’s a lie that’s kept so many from treatment — a lie that’s sent so many into the arms of practitioners of “Biblical counseling” who know very little about or disregard science, reject the notion that we have a medical condition, and anecdotally, often do more harm than good.

So if you struggle with overthinking your Christianity, talk to your doctor about medical treatment.

And so…

Find a psychiatrist here.

Find a therapist here.

May 24, 2022
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Manning: Be gentle towards yourself

Manning: Be gentle towards yourself

written by Christian Heinze

Brennan Manning, writing in Abba’s Child.

“The art of gentleness toward ourselves leads to being gentle with others.”


Amen.

There are lots of Christians who would call that “snowflake” Christianity.

It’s actually Jesus Christianity.

He showed grace to you, so what’s wrong with showing yourself the same kind of grace?

Furthermore, as Manning writes, if we accept God’s gentleness as a reality, if we adopt that posture towards ourselves, then we will naturally be gentle with others.

A self-critical Christian is often enormously critical of others, as well.

Criticism becomes a part of our being.

And unfortunately, too many churches — particularly theologically conservative ones — urge Christians towards self-reflective “examination” (actually, harsh self-criticism) under the guise of “sanctification.”

God wants us to receive his gift of grace as a child — and have you ever seen how a child receive gifts?

Not with doubt, but happiness.

Not with a “do I deserve this?” but with, “Oh, thanks Dad! I can’t wait to play with that,” and then they start figuring out the remote controls.

The saddest thing is to see a child, obsessed over whether they’re good enough. God forbid!

And I suspect it breaks God’s heart, as well, when you wonder the same. When you try to please a smile out of him.

He is already and always smiling at you. You are his beloved son or daughter.

Be gentle and kind to yourself. Just as Christ was. And you will be gentle and kind to others, as well.

Remember this song from Andrew Peterson.

May 18, 2022
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Don’t obsess over your sin

Don’t obsess over your sin

written by Christian Heinze

It’s a dishonor to Christ’s work, it’s a gateway to legalism, and a life in chains.

Michael Reeves, writing in Rejoicing in Christ, reminds us, “His death, not our sin, is our past.”

May 10, 2022
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STUDY: Mediterranean diet more effective in fighting depression than befriending in young men

STUDY: Mediterranean diet more effective in fighting depression than befriending in young men

written by Christian Heinze

Interesting study from scientists at the University of Technology Sydney, published in the peer-reviewed, American Journal of Clinical Nutrition.

Here’s the gist:

A group of young men (18-25 years old) took part in a 12 week trial, to look at the effectiveness of the Mediterranean Diet in treating symptoms of moderate to severe depression.

This kind of study is tricky, because it’s difficult to know what the placebo effect is.

After all, you can’t blind participants.

They know they’re eating a Mediterranean Diet, and the control group knows it’s not.

So the placebo effect is particularly acute in studies re: mood and diet.

However, the researchers did create a control group — one receiving “befriending therapy,” which is a type of social support.

Researchers found that, at the end of the 12 weeks, the MD group scored significantly better on quality of life measures and showed reduced symptoms of depression, compared to the placebo group.

In other words, the study suggests that the Mediterranean Diet is superior than befriending social support at reducing symptoms of depression and improving quality of life.

That’s the finding.

News Atlas has a really nice review of why the Mediterranean Diet might theoretically improve mood, and of course, it’s part of the growing trend of nutritional psychiatry.

However, keep in mind, that this study cannot say: “The Mediterranean Diet is likely to reduce symptoms of depression in young men.”

It is, in comparison to befriending social support therapy.

The Mediterranean Diet, though, does seem to have enormous health benefits and potential benefits for mood.

However, it’s so difficult to control for the placebo effect re: mood.

I strain to mention that because a) it’s important to be rigorous and a lot of headlines are running with “It reduces depression in young men!” which is disingenuous and b) if you’ve tried the MD, and it hasn’t helped, I want to say you’re not alone.

For some, it seems to really help. For others (including myself), I’ve found little difference.

But I do use tons and tons of olive oil, personally. Just for my health in general and because it’s delicious. And I fish it up, whole grain it up, and eschew processed foods when possible. Just because it’s healthy (But of course, always talk to your doctor about any diet).

[Painting: Olive Trees, Dali. Note the town of Cadaques, Spain yonder, where Dali lived in summer and a source of inspiration throughout life. And, accordingly, a popular pilgrimage of artists of every kind].

May 10, 2022
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Vora: Listen to your anxiety

Vora: Listen to your anxiety

written by Christian Heinze

I’m currently enjoying Dr. Ellen Vora’s new book, The Anatomy of Anxiety, so much that I’m going to be quoting a lot from it in the coming months.

Near the beginning of her book, she talks about our desire to crush, soothe, to immediately rid ourselves of anxiety when it props up.

But sometimes, instead of shutting it up, we need to listen to it — particularly if it’s telling us something about ourselves.

Vora writes:


“When our lives don’t align with our values or capabilities, we can feel anxious — but this feeling can also serve as a critical indicator that we need a course correction.

…. maybe you are working in a job that fit your life when you were younger but now feels as if you took a wrong turn along the way; or you might feel unable to sit idly by as the planet continues to heat up and sea levels precipitously rise.

Whatever the issue, this is your body’s way of telling you, Please look at this.

When you listen closely, this anxiety can point you in the direction of actions you need to take as well as the unique contribution you are here to make.

…. I tell my patients that they should embrace these feelings rather than trying to suppress or avoid them.

Instead of asking, How can I stop feeling so anxious?, we should be asking, What is my anxiety telling me?

It is natural to reflexively resist this uncomfortable feeling…..but when we do this, we can miss out on critical guidance.

What if you could learn to tolerate your anxiety long enough to hear what change is necessary?

What if instead of fearing and fighting true anxiety, you invite it in and hear what it has to say?”


In her book, she distinguishes between “false anxiety” and “true anxiety,” even while admitting there are many forms that don’t fall neatly into those two categories.

False anxiety can be punishing and dreadful, and don’t let the term “false” fool you.

There’s nothing fake about the symptoms.

She simply means that, in her framework, “false anxiety” rises from a physiological level.

It can be enormously complicated, but as simple as drinking too much coffee and suddenly feeling anxious about everything.

In that case, you certainly feel terribly anxious, but it’s arising from a physiological imbalance.

However, “true anxiety” (as she calls it) has a message about your life that’s beyond the physiology of your body, and it’s important to pay attention to what it’s telling you.

I think about Frederick Buechner’s description of “unexpected tears.”

We all cry at the loss of a loved one, but there have been times when I’m talking about something fairly pedestrian, and begin to shockingly choke up.

I had no idea I’d start crying before I said it, and yet there they are — the “unexpected tears.”

I’m certain you’ve had the same experience.

Buechner writes: “Whenever you find tears in your eyes, especially unexpected tears, it is well to pay the closest attention. They are not only telling you something about the secret of who you are, but more often than not, God is speaking to you through them of the mystery of where you have come from and is summoning you to where, if your soul is to be saved, you should go next.”

So the “true anxiety” of which Vora writes, and the “unexpected tears” that Buechner points to, can be enormously useful.

Horribly difficult, yes, particularly the anxiety portion.

But as I’ve been reading Vora’s book, I’ve been making a conscious effort to try to figure out what my anxiety is telling me beyond “IT’S TERRIBLE TO FEEL THIS WAY,” and ask, “But why am I?”

Sometimes, I can find a reason, other times, not. But it’s been useful.

Finally, on the topic of anxiety, I’d suggest this helpful new read from Dr. John Cottone, where he explains four types of anxiety: “situational,” “biological,” “psychological,” and “existential.”

He suggests that each requires a different form of care, and which type of therapy is particularly helpful.

April 25, 2022
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Nouwen on our fear of death

Nouwen on our fear of death

written by Christian Heinze

Henri Nouwen, writing in The Inner Voice of Love (emphasis added).


“You are still afraid to die. That fear is connected with the fear that you are not loved.

Your question, “Do you Love Me?” and your questions, “Do I have to Die?” are deeply connected. You asked these questions as a little child, and you are still asking them.

As you come to know that you are loved fully and unconditionally, you will also come to know that you do not have to fear death.

Love is stronger than death; God’s love was there for you before you were born and will be there for you after you have died.”


Amen.

Think about that, over and over: “God’s love was there for you before you were born and will be there for you after you have died.”

Maybe you’re not afraid to die.

I am.

“But why? Don’t you believe in Christ, salvation, our resurrection, his love.”

Yes.

But I also have a depressive, pessimistic temperament, and an OCD and anxiety that leads me into relentless and self-destructive spiritual reflection.

The Good News? Really?

Our mental health battles can absolutely lay waste to any confidence or joy in our faith. They just can.

“Lord, help thou my unbelief” is a daily prayer.

And as Nouwen notes, we even asked this as a child: Am I really loved?

That’s all a child wants to know, and that’s all an adult wants to know.

And no matter how long we’ve been a Christian, we still ask ourselves: “Can God really love me?”

You and I know the answer, and we know the verses, and how the game of “encouragement” is played at church and how we feel forced to nod that “Yes, I’ve finally got it!’, and yet our minds are plagued by depressive feelings of worthlessness that imagines any kind of love for us, unimaginable.

But that’s our depression, not the Holy Spirit or Jesus, talking to us, lying to us, trying to talk us to the ground.

As Nouwen writes: “God’s love was there for you before you were born and will be there for you after you have died.”

Hold onto that. Hold onto Christ.

Oh, and even if you stop holding, he’ll hold you. Always and forever. Just as you would your own beloved child.

April 22, 2022
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STUDY: Even just a small bit of exercise reduces depression risk

STUDY: Even just a small bit of exercise reduces depression risk

written by Christian Heinze

A new meta-analysis, published in JAMA, found — once again — that regular physical exercise reduces the risk of depression.

Haven’t I posted a million such studies?

Yes.

But here’s the key take-home.

People who experienced the greatest benefit were those who went from NO exercise to small doses.

For example, going from 0 walks to 1.25 hours, total, of brisk walks/week substantially lowered the risk of depression.

There was even more improvement for those who upped that number to 2.5 hours, but the greatest gain was that transition from couch potato to “Person who at least walks.”

Interestingly, if you exercised over the CDC’s recommended levels, you got no additional benefit.

To frame this in the context of another discipline (finance), the Return on Investment of Doing a Little Exercise is far greater than the ROI of being Gym Bro.

If you want more information on why exercise helps fight depression, Harvard Health has a nice read on it.

(P.S. Regarding the painting, you wouldn’t naturally think of these two nobodies as exercising, but according to studies, just moving from the couch to walking like these nobodies would help

And that’s the point. It’s a really easy thing to do, but oh I know — do I ever — that when you’re depressed, you don’t even care about feeling better. So it’s not that easy to do when depressed. But it is. But it’s not. You get it).

April 22, 2022
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The Weary Christian mission:

First off:

 

In the United States, find a psychiatrist here.

In the United States, find a therapist here.

If you’re in the United States and having thoughts of harming yourself or others, please call the National Suicide Lifeline at 1-800-273-8255.

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The Weary Christian goal…

 

a) reduce the stigma surrounding depression, anxiety, OCD, and other conditions in the Christian community.

 

b) have uncomfortable but honest conversations.

 

c) Reduce the stigma surrounding antidepressants, antipsychotics, and other meds God has given us as gifts.

 

And…

 

d) Sometimes (tons of times), we all feel really, really depressed in our journey. Hopefully, this site makes you feel less alone.

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