God & Nature Magazine
  • Winter 2021 Issue
    • Winter 2021 Contents >
      • Garte and Albert Letter from the Editors
      • Burnett How iit All Started
      • Isaac Director's Corner
      • Ruppel Herrington, First Editor
      • Burnett Origin of Lire
      • Hearn Balance
      • Middleton Natural Theology
      • Story Antibodies and Randomness
      • Lamoureux I Sleep a Lot
      • Warren Overloaded Brains
      • Isaac Knowledge of Information
      • Bancewicz Wonder and Zebrafish
      • Oord Photoessay
      • Albert Hope in Winter
      • Clifford Storytelling & Drama in Teaching
      • Pohl The Column (Poetry)
  • Fall 2020 Issue
    • Letter from Editors
    • Pohl, Panpsychism and Microbiome
    • Reyes, Communion During Loss
    • Griffin, Hands On
    • Azarvan, Science and Limits
    • Cornwell, Search Engines for God
    • Thuraisingham, Duality of Humans and Particles
    • Touryan, Prayers of Petition
    • George, Perfect Vision
    • Declare the Glory, Green: Awe
    • Bostrom Purpose
    • Oord, Theological Photoessay
    • Clifford, Food, Water, Waste
  • Summer 2020 Issue
    • Summer 2020 Contents >
      • Editors Letter Summer2020
      • Jones, Science Faith Duopoly
      • Mix, God and the Virus
      • Warner, COVID-19 and Goodness of Creation
      • Gonzalez, Pandemic and Groaning of Creation
      • Johnson, Star Wars Food
      • Pyle, It Takes a (Medical ) Village
      • Arveson, Use for 3D Printers
      • Peterson, Pandemic and Research
      • Zeidan, Mentorship Online
      • Oleskeiwicz, Dragonfly on Water
      • Carr, COVID-19 and Climate Change
      • Nierrman, The Squirrel
      • Cornwell, COVIS-19 Bucket List
      • Bostrom, Grass Thoughts
      • Clifford, Summ20 Conflict
  • Past Issues
    • Spring 2020 Issue >
      • Letter from the Editors SP20
      • AD
      • Murphy, Nature and Calvary
      • Dickin, The Flood and Genesis 1
      • Gruenberg, Empiricism and Christian Spirituality
      • Ungureanu, Science, Religion, Protestant Tradition
      • Russo, How does it End?
      • Siegrist, Problems with Materialism
      • Ohlman, 20/20 in 2020
      • Warren, Rock Frogs
      • Edwards, Sanctuary
      • Bostrom, Clothed
      • Clifford, The Lent of Lockdown Spring 2020
      • Hall, 1:30 AM on a Tuesday (Poem)
    • Winter 2020 Issue >
      • Letter from the Editor Winter 2020
      • AD
      • Wimberly Inheritance, Meaning and Code
      • Defoe; A Pastor's Journey
      • Mix The Ends of the World
      • Pevarnik Limits of Physics
      • Greenberg "Godly" Science
      • Pinkham Teleological Thinking
      • Alexanian How to Witness
      • "Declare the Glory" Neal, Cross, Gait
      • Clifford "Across the Pond" Winter 2020
      • Oord "Theological Photoessays" Winter 2020
      • Salviander The Objective Man (Poem)
      • Ohlman Orphan of the Universe (Poem)
      • Lemcio Grey's Anatomy (Poem)
    • Fall 2019 Issue >
      • Letter from the Editor Fall 2019
      • Phillippy Mathematics and God
      • Pohl & Thoelen Databases
      • Garte Limits of Science
      • Mitroka Healthy Lifestyle
      • Sigmon Science and Revelation
      • Mariani Compatibility Creation and Evolution
      • Anders Theistic Evolution
      • Touryan Are we alone
      • Johnson Purpose and Source
      • Declare the Glory Curry, Smith, Best
      • Clifford "Across the Pond" Fall 19
      • Oord "Theological Photoessays Fall 19
      • Eyte Cross Cascade "Poem"
    • Summer 2019 Issue >
      • Letter from the Editor Summer 2019
      • Arveson Is There a “Theory of Everything”
      • Anderson The History and Philosophy of Science and Faith
      • Tolsma Science in Church
      • Salviander Black Holes and Atheism
      • Johnson Practical Problems for Literal Adam
      • Hall God and the Assumptions of Scientific Research
      • Linsky Overcoming Misconceptions
      • Wilder Sanctity of Creation
      • Clifford "Across the Pond" Summer19
      • Oord "Theological Photoessays" Summer 2019
      • Flaig Time and Me (Poem)
    • Spring 2019: Creation Care and Environment >
      • Letter from the Editor Spring 2019
      • Bancewicz;Sustainability Pledge: Why the Environment is My Problem
      • Lin; Environmental Problems as a Place for Compromise and Dialogue
      • Garvey; Where the Fall Really Lies
      • Lewis; Solar-Powered Life: Providing Food, Oxygen and Protection
      • Garte; Time and Human Impact on the Environment
      • Mays; Reforming Science Textbooks
      • Carr; Cosmic Energy First, Then Matter: A Spiritual Ethic
      • Kincanon; The Young Earthers and Leibniz
      • Declare the Glory Gauger
      • Clifford "Across the Pond" Spring 2019
      • Oord; Photoessay. Theological Photo Essays
      • Rivera; Photoessay. Digital Artwork: Images of Jesus
      • Albert; Poem. A Goldfish Sings a Tentative Psalm
      • Armstrong; Poem Holy Sonnet XI
    • Winter 2019: Education and Outreach 2 >
      • Letter from the Editor, Winter 2009
      • Applegate; Project Under Construction: Faith Integration Resource for High School Biology
      • LaBelle; Sidewalk Astronomy Evangelism - Taking it to the Streets!
      • Reed; Speaking to the Heart and Mind of Students about Evolution and Creation
      • Marcus; The Conflict Model
      • Rivera; The Implicit Assumptions behind Hitchen's Razor
      • Russo; Redeeming Bias in Discussion of Science and Faith
      • Fischer; Origins, Genesis and Adam
      • Clifford Column, Winter 2019
      • Gait; Photoessay - Stripes
      • Lee; Poem. In Chaos and Nothingness
    • Fall 2018: Education and Outreach 1 >
      • Letter from the Editor Fall 2018
      • Glaze; A Walk within Two Worlds: Faith, Science, and Evolution Advocacy
      • Johnson; Teaching the Controversy in Texas
      • Cootsona; Mere Christianity, Mainstream Science and Emerging Adults
      • Kindstedt; Creating a Third Culture
      • Zeidan; An Effective Way to Integrate Supportive Communication and Christian Belief into Virtual Classrooms
      • Marshall; A New Model of Causation
      • McClure; Nothing in the Bible Makes Sense Except in the Light of Grace
      • Frank; Christianity, Science and Teamwork
      • Assad/Reyes; Interview. Discovering a Renewed Sense of Awe and Wonder about God
      • Clifford Column Fall 2018
      • Menninga; Photoessay. What do These Stones Mean?
    • Summer 2018: Judgment and Peer Review >
      • Letter from the Editors Summer 2018
      • Jones; Peer Review: Avoiding Judgmentalism
      • Arnold; Discovering Spiritual Information Through Peer-Reviewed Science
      • Peterson; Peering at Double-Blind Peer Review
      • Smith; A Philosophical Influence from the Scientific Revolution on Scientific Judgment
      • Mix; The Poetry of Probability
      • Mobley; Randomness vs. the Providence of God?
      • Gordon; Chances are Good: Design and Chance in Genesis 1
      • Siegrist; But the Multiverse...!
      • Reyes; The Community Table: Interview with Marianne Johnson
      • Clifford Column Summer 2018
      • Hill; Poem. Synthesis
      • Lemcio; Poem. I Could See Where This was Going
      • Oord: Photoessay
    • Spring 2018: Chance & Design >
      • Letter from the Editors
      • Bishop; God, Love and Chance
      • Bonham; Quantum Reflections
      • Spaulding; God as Designer
      • Garte; Teleology in Evolution
      • Hall; God, Chance and Buridan's Ox
      • Pohl; Why We Need a Third Culture in Church
      • Dorman; Liturgical Brain
      • Warren; Galapagos
      • Blanchard; On Christian Science
      • Touryan; The Cross as a Cosmic Filter
    • Winter 2018: Race & Inheritance >
      • A Note from the Editors
      • Essay: “Some Pastoral Considerations of CRISPR CAS 9 Gene Editing” by Mario A Russo
      • Essay: “The Genetics and Theology of Race” by Sy Garte
      • Essay: "Grieve the Segregation of Science" by S. Joshua Swamidass
      • Poem: "Cardboard Man" by Ciara Reyes
      • Featured Interview: “Love Is Risk” with Carolyn Finney
      • Essay & Poem: “Abortion Languages: Love, fear, confusion and loss”
      • Essay: "Why the Church Needs Intersectional Feminism" by Emily Herrington
      • Essay: “Elected to Salvation (and other things?)” by Bill Leonard
      • Essay: “Local Colour: A reflection on family, history, and heritage” by Mike Clifford
      • Interview: Corina Newsome, environmentalist and animal keeper
      • Essay: “Spiritual Kin Selection” by Steve Roels
      • Photo Essay: "Trouble in Paradise: Plastic pollution in the Bahamas" by Grace Swing & Robert D Sluka
      • Essay: “Race & Inheritance: Personal reflections and annotations” by Walt Hearn
      • Interview: Carla Ramos, molecular biologist
      • Clifford Column; Discipine Hopping
      • Lemcio; Waves
      • Harris Artwork
      • Hearn; Eulogy - Beyond Science,
    • Summer 17: Cosmology & Theology >
      • Letter from the Editors: Summer 2017
      • Essay: "The News from My Home Galaxy" by Walt Hearn
      • Interview: "Deep Incarnation & the Cosmos: A Conversation with Niels Henrik Gregersen" by Ciara Reyes & Niels Henrik Gregersen
      • Photo Essay: "Breath & Dust" by Kathleen Eady
      • Essay: "Why the Eagle Nebula Just Doesn’t Do It For Me" by Mike Clifford
      • Essay: "The Cosmos in My Hand" by Lucas Mix
      • Interview: “What is Life? On Earth and Beyond” with Andreas Losch
      • Artwork by Missy Pellone
      • Essay: "When God & Science Hide Reality" by Davis Woodworth
      • Essay: "​In Search of Wonder: A Reflection on Reconciling Medieval and Modern Cosmology" by Monica Bennett
      • Essay: "If Christianity and Cosmology Are in Conflict, Whose Side Is Philosophy on?" by Vaughan Rees
    • Winter/Spring 17: "Flesh & Blood" >
      • Letter from the Editor: Winter/Spring 2017
      • Essay: "Probiotics, Prebiotics, Synbiotics: On microbiomes and the meaning of life" by John F. Pohl
      • Essay: "With All Your Mind" by Paul S. Kindsedt
      • Essay: "The Stuff of Life" by Mike Clifford
      • Essay: "Experiencing God’s Love in a Secular Society: A Christian experience with socialized medicine" by Alison Noble
      • Poem: "The Problem with Pain" by Eugne E. Lemcio
      • Essay: "Thoughts of Death in a Cruel World: Job’s suicidal ideation and the “right” Christian response to depression" by Jennifer Michael Hecht and Emily Herrington
      • Essay: "Tissues at Issue" by Walt Hearn
      • Essay: "The Dilemma of Modern Christianity" by Tony Mitchell
      • Poem: "Light" by Billie Holladay Skelley
      • Essay: "Some Theological Implications of Science: Revisiting the Ant" by Mario A. Russo
    • Summer/Fall 16: "Stewardship of Words" >
      • Letter from the Editor: Summer 2016
      • Levity: "Walt Being Walt: Excerpts from the ASA newsletter" by Walt Hearn (compiled by Jack Haas & Emily Ruppel)
      • Poem: "A Prayer Tribute to Walt and Ginny Hearn" by Paul Fayter
      • Essay: "Authentic Science & Authentic Christian Faith" by Paul Arveson
      • Essay: "On Modern-Day Saints & Epistles" by Emily Ruppel
      • Essay: "​Mathematics and the Religious Impulse" by Karl Giberson
      • Poem: "The Wasteful Gene" by Eugne E. Lemcio
      • Three Poems by Dan Eumurian
      • Excerpts from: "The Dictionary of Daily Life in Biblical and Post-Biblical Antiquity" by Edwin Yamauchi
      • Essay: "A Comprehensible Universe: The blessing from God that makes science possible" by Bob Kaita
      • Poem: "The Epistolarian" by Emily Ruppel
    • Spring 16: "Brain Science" >
      • Letter from the Editor: Spring 2016
      • Essay: "Ancient Q, Modern A (?)" by Walt Hearn
      • Essay: "Souls, Brains and People: Who or what are we?" by Gareth D. Jones
      • Essay: "A Functional Theology of Psychopathology" by Edgar Paul Herrington IV
      • Three Poems by Richard Gillum
      • Essay: "Thoughts of Death in an Unkind World: Job’s suicidal ideation and the “right” Christian response to depression" by Jennifer Michael Hecht
      • Short Story: "Malefic" by Jeffrey Allen Mays
      • Essay: "An Engineer Visits a Mindfulness Workshop" by Mike Clifford
      • Essay: "Traces of Trauma in the Body of Christ: The case of The Place of Refuge" by Elizabeth Hernandez
      • Essay: "Did God ‘Create’ Science? Christianity and the uniqueness of the human brain" by William H. Church
    • Winter 16: "Quantum Physics/Epigenetics" >
      • Letter from the Editor: Winter 2016
      • Essay: "God and the New Evolutionary Biology" by Sy Garte
      • Essay: "Quantum Mechanics and the Question of Divine Knowledge" by Stephen J. Robinson
      • Essay: "Creation Out of... Physics?" by Joshua Scott
      • Essay: "Of Books and Bosons" by Mike Clifford
      • Essay: "Words, Words, Words" by Walt Hearn
      • Poem: "Encountering Ernst Haeckel’s 'Ontogeny Recapitulates Phylogeny'" by Eugene Lemcio
      • Essay: "The Extended Evolutionary Synthesis: New conversations and theological questions at the horizons of modern science" by Michael Burdett
      • Poem: "The Difference" by Emily Ruppel
      • Essay: "Maupertuis's Ghost: Finding God in 'action'" by Colin C. Campbell
    • Fall 15: "Technology" >
      • Letter from the Editor: Fall 2015
      • Essay: "‘Braving the New World (Wide Web): Mapping Theological Response to Media" by Justin A. Bailey
      • Poem: "Entropy and Enthalpy" by Glenn R. McGlaughlin
      • Essay: "‘How Proactive Should Christians Be in Learning about Emerging Biomedical Technologies?" by D. Gareth Jones
      • Essay: "‘Can We Fix It? Erm..." by Mike Clifford
      • Poem: "To My Dear Parents" by Sarah Ruden
      • Essay: "‘Which Side, Lord?" by Walt Hearn
      • Poem: "The Column" by John F. Pohl
      • Essay: "‘Technology and the Church" by Derek Schuurman
      • Poem: "On the Shores of Oroumieh" by Emily Ruppel
      • Essay: "‘Technology as Discipline" by Johnny Wei-Bing Lin
    • Summer 15: "Doubt" >
      • Letter from the Editor: Summer 2015
      • Essay: "‘The Road Not Taken’: A personal reflection on careers, counterfactuals and callings" by Tim Middleton
      • Essay: "The Gift of Doubt in My Life" by Rev. Paul Herrington
      • Poem: "The Marsh Birds" by Sarah Ruden
      • Essay: "On St Brendan and the Pendulum of Postgraduate Study" by Mike Clifford
      • Essay: "Doubt: The Invisible Conversation" by Karl W. Giberson
      • Essay: "Doubt, Faith, and Crevasses on My Mind" by Peter M. J. Hess
      • Poem: "Magdalene" by Leonore Wilson
      • Essay: "Breaking Barriers, Ministering in Relationships, and Exemplifying the Gospel" by Stephen Contakes, et al.
      • Poem: "On the Extinction of Matter Near a Black Hole" by Ruth Hoppin
      • Essay: "Sometimes I Doubt..." by Walt Hearn
      • Essay: "The Risks of Love and Life's Big Questions" by Thomas Jay Oord
    • Spring 15: "Animals/Imago Dei" >
      • Letter from the Editor: Spring 2015
      • Essay: "50 Years of Wilderness: a Christian perspective" by Peter van der Burgt
      • Essay: "All Creatures Great and Small " by Walt Hearn
      • Essay: "Let There Be Less: A Christian musing on nature, faith, and farmers’ markets" by Emily Ruppel
      • Poem: "The New Plant and Animal Kingdoms" by Steve Roels
      • Essay: "Of Wonder and Zebrafish" by Ruth Bancewicz
      • Essay: "The Lion, the Spider and the Image of God" by Mike Clifford
      • Cat Poem 1: "Lullaby for Stomp the Cat" by Sarah Ruden
      • Cat Poem 2: "Letting the Dog In" by Emily Ruppel
      • Cat Poem 3: "Reading on the Couch" by Carol Ruppel
      • Essay: "Angry Discussions: A Wrong Way to Stand for Creation Care or Science Advocacy " by Oscar Gonzalez
      • Essay: "Ethical Eating on a Catholic Campus: Some thoughts from a student of environmental studies" by Grace Mican
    • Winter 15: "Information" >
      • Letter from the Editor: Winter 2015
      • Essay: "What Does it Mean to Know?" by Mark Shelhamer
      • Essay: "Knowledge of Information" by Randy Isaac
      • Photo Essay: "Being Here" by Carol Ruppel
      • Essay: "Truth Anyone?" by Walt Hearn
      • Poem: "Transformation" by Ruth Hoppin
      • Interview: "Unpacking Chance, Providence, and the Abraham's Dice Conference" by Olivia Peterson
      • Essay: "On Knowledge and Information–Tales from an English childhood" by Mike Clifford
      • Poem: "Space Travel" by Ruth Hoppin
      • Essay: "Resuming the Science/Faith Conversation" by Jamin Hubner
    • Archives >
      • Past Contributors
      • Unpublished Materal >
        • Richard Graven A Vision of God
      • Fall 14: "History of Science & Christianity" >
        • Letter from the Editor: Fall 2014
        • Essay: "Orchids: Why the founders of modern science cultivated virtue" by Ruth Bancewicz
        • Essay: "Science Falsely So Called: Fundamentalism and Science" by Edward B. Davis
        • Essay: "The Other 'Atom' in Christianity and Science" by Karissa D Carlson
        • Poem: "The Hermit" by Ciara C. Reyes
        • Essay: "Players" by Walt Hearn
        • Essay: "Using Storytelling and Drama in Engineering Lectures" by Mike Clifford
        • Essay: "Is There Anything Historical About Adam and Eve?" by Mike Beidler
        • Essay: "Finding Harmony in Controversy: The early years of the ASA" by Terry Gray and Emily Ruppel
        • Levity: "Fish n' Chips" by Mike Arnold
        • Essay: "Stories" by Walt Hearn
      • Summer 14: "Christian Women in Science" >
        • Letter from the Editor: Summer 2014
        • Essay: "I Really Did That Work: A brief survey of notable Christian Women in Science" by Lynn Billman
        • Essay: "He + She = We" by Walt Hearn
        • Photo Essay: "The Faces of Nature" by Susan Limone
        • Essay: "On Grass that Withers: Overloaded brains and spiritual discernment" by Janet Warren
        • Interview: "Ancient Humans and Modern Choices" with Briana Pobiner
        • Essay: "Crystallographer, Quaker, Pacifist, & Trailblazing Woman of Science: Kathleen Lonsdale’s Christian Life 'Lived Experimentally'” by Kylie Miller and Stephen M. Contakes
        • Artwork: "Eden, Zion" by Harold Sikkema
        • Essay: "Asking the Right Question" by Dorothy Boorse
        • Interview: "Not So Dry Bones" with Mary Schweitzer
        • Essay: "Is Being a Mother and a Scientist Worth It?" by Abby Hodges
        • Essay: "Playing God: A theological reflection on medicine, divine action, and personhood" by Ann Pederson
        • Column: Great Gravity! "BNL 1976 – 2000 (Part 1)"
      • Spring 14: "G&N: The 2-year tour" >
        • Letter from the Editor: Spring 2014
        • Essay: "Political Science?" by Walt Hearn
        • Comic: "Education"
        • Essay: "Finding Hominids with Kamoya Kimeu" by Fred Heeren
        • Poem: "Ziggurat (and Helix)" by Amy Chai
        • Creative Nonfiction: "One Summer" by Dave Harrity
        • Essay: "Do the Heavens Declare the Glory of God?" by Owen Gingerich
        • Comic: "Miracle Mechanics" by Emily Ruppel
        • Essay: "I Sleep A Lot" by Denis O. Lamoureux
        • Poem: "Angels and RNA" by Walt Hearn
        • Comic: "Seminary"
        • Essay: "The Elegance of Antibodies" by Craig M. Story
        • Photo Essay: "Conversing with Nature" by Thomas Jay Oord
        • Essay: "Under the Tutelage of Trees: Arboreal Lessons on Virtue, Kinship, and Integrity" by Peter M. J. Hess
        • Comic: "Humor"
        • Essay: "Science and Scientism in Biology" by Sy Garte
        • Interview: "Biopsychology and Faith" with Heather Looy
      • Winter 14: "Health & Medicine" >
        • Letter from the Editor: Winter 2014
        • Poem: I Have a Piece of Cow in My Heart
        • Essay: Acts of God: Are all mutations random?
        • Column: Beyond Science
        • Poem: Psalm 1859
        • Essay: The Tao of Departing
        • Essay: The Tao of Departing p 2
        • Photo Essay: Walking in Winter
        • Essay: A Christian Doctor on Evolution, Faith, and Suffering
        • Opinion: Making Friends with Frankencorn
        • Poem: Chiaroscuro
        • Interview: "Biopsychology and Faith" with Heather Looy
        • Essay: "The Elegance of Antibodies"
        • Artwork: "Helix" by Harold Sikkema
        • Column: Great Gravity! "Dissertations and Revelations"
      • Fall 13: "Environmentalism" >
        • Letter from the Editor: Fall 2013
        • Poem: Time
        • Essay: Is there Hope for the Ocean?
        • Artwork: "Earthly Tent" by Harold Sikkema
        • Essay: What is Responsible Eating?
        • Essay: Are We Too Obsessed with Food?
        • Poem: Conversation on Creation
        • Essay: Creation Care from the Perspective of a Conservation Geneticist
        • Essay: Mobilizing Scientists for Environmental Missions
        • Poem: Paleocene Spring
        • Interview: Dorothy Boorse
        • Column: Beyond Science
        • Essay: New Testament Motivation for Environmental Stewardship
        • Poem: Stone of House
        • Column: Great Gravity! "Running the Data"
      • Summer 13: "Science & Creativity" >
        • Column: Beyond Science
        • Letter from the Editor: Summer 2013
        • Column: Faith on the Field
        • Poem: Trying Not to Be Too Sunny
        • Comic: "Work in Progress"
        • Essay: Do the Heavens Declare the Glory of God?
        • Essay: Science, Faith, and Creativity
        • Essay: One Summer
        • Comic: "Miracle Mechanics"
        • Featured Essay: Poetry for Scientists
        • Artwork: "Confluence" by Harold Sikkema
        • Column: Great Gravity! "The Great Ungainly Journey West"
      • Spring 13 >
        • Letter from the Editor: Spring 2013
        • Column: Faith on the Field
        • Faith on the Field, cont.
        • Poem: Scientist's Psalm
        • Essay: A Downcast Spirit Dries Up the Bones: More perspectives on depression
        • Artwork: "Lipo Osteo" by Harold Sikkema
        • Feature: The Bible, Evolution, and Grace
        • Column: Beyond Science
        • Book Review: Prisoners of Hope
        • Column: Great Gravity! "The Grad School Years"
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        • Letter from the Editor: Winter 2013
        • Column: Faith on the Field
        • Comic: "Apples to Apples"
        • Creative Nonfiction: "One Winter"
        • Column: Clearing the Middle Path
        • Essay: Science and Scientism in Biology
        • Poem: "Angels and RNA"
        • Feature Article: I Sleep A Lot
        • Poem: "Fragile"
        • Column: Beyond Science
        • CiS 2012 Student Essay Contest: Runner Up
        • Essay: Why Awe?
        • CiS 2012 Student Essay Contest: First Place
        • Column: Great Gravity! "A Bit of Perspective"
        • Column: Modern Frontiers, Ancient Faith
        • Column: Time Capsule
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A Downcast Spirit Dries Up the Bones: 
More perspectives on depression                  

Picture
1781 oil painting by Anglo-Swiss artist Henry Fuseli: The Nightmare
by Janet Warren

I’d like to commend Denis Lamoureux for his candor in telling his story and his desire to de-stigmatize depression. As a family physician with a special interest in mental health, I have a few thoughts to add.

Depression, like most mental illness, is a complex and variable condition. It can present, as Denis’s did, with fatigue and excessive sleep, but also with inability to sleep—insomnia and/or frequent waking through the night. Some people feel sad and discouraged, some feel nothing at all or empty, and others feel irritable and anxious. Some cry a lot, others feel they want to but cannot. Other common symptoms include apathy, lack of motivation, not caring, low self-esteem, feeling like a failure, loss of pleasure, and feelings of guilt, worthlessness, hopelessness and helplessness. There are also physical symptoms such as fatigue, loss of appetite, and difficulty with focus and concentration, unable to make decisions. Some people have almost all the symptoms, others only some.

Some people feel so bad they reach the point of suicide, and it is important, as Denis noted, to always ask about this dark potentiality; (surprisingly, people are seldom offended by this question). Sometimes depression can be worse for Christians because of added guilt, perhaps feeling like God is punishing them, and the expectation that they should be full of joy. Because of this, it is essential that all Christians, leaders especially, be educated about depression and suggest to suffering family and friends that they seek professional help (both physicians and psychologists can diagnose and treat depression, but only physicians can prescribe medication).

The exact cause of depression is unknown. The origin is best described as multifactorial—there are genetic, personality, psychological (like stress, unresolved grief, past trauma that has not been dealt with), spiritual, and biological factors (like hormones, medication side effects, chronic illness, lack of daylight, neurochemical deficiencies). Although many psychiatrists focus only on the neurochemical aspect of depression, the truth is we do not know which comes first: the psychological factors may cause the neurochemical imbalance. Usually, the cause is a combination of many factors, although in some people, biological factors appear stronger, and in some, psychological factors are more prominent. Sometimes depression “just happens.”

Some Christians think that sin (especially if unrepentant) causes depression, but, although it may be a factor in depression, there is no biblical evidence that this is the case, and we all know “sinners” who do not suffer depression. Some Christians blame evil spirits for depression—again, I would argue that they may be an influence, but are not likely to be the sole factor. The important thing is to recognize that there are many aspects to depression and, if we focus only on one, then we may miss other important factors in our treatment.

The Bible does not mention depression, although the writers of Lamentations, Ecclesiastes and many of the Psalms appear quite depressed! Understanding the relationship between God and nature can help us understand depression. The Bible is not a medical or psychological textbook, but does encourage us to be responsible in understanding God’s creation. Because we live in a fallen world, there is much wrong with creation, depression being perhaps one example. Understanding suffering is a complex topic and there is a mysterious element to it, evident in God’s questions to Job (e.g., “Where were you when I laid the foundations of the earth?”). Furthermore, if we truly cared for creation and each other in the manner God intended, perhaps there would be less suffering in this world. I do not believe God wants us to suffer, although God will certainly use things like depression to guide us into spiritual maturity. Christian mystics, such as John of the Cross, refer to the “dark night of the soul” (I suspect that many of these writers had undiagnosed depression) as something God uses to teach us. Their writing has helped many people, but again I would caution against viewing divine intervention as the only factor in depression. We need to question if there is a lesson to be learned; however, this does not mean there always is. Sometimes it just happens.

Considering the multiple factors in depression can guard against simplistic views, such as attributing depression solely to God, sin, the devil, or chemical imbalances. If we tell people that their sin is the reason for their suffering, this will make people who already feel bad feel worse, and may result in them being deprived of valuable medical treatment. Christians do not need to choose between the Bible and medication: Dealing with depression can be a “both/and” rather than an “either/or.” Conversely, if we tell people that they have a “simple” chemical imbalance, they will be deprived of the opportunity for psychological and spiritual healing. I’ve had more than one patient who came to me with a diagnosis of depression, but I subsequently discovered a history of childhood abuse which had not been addressed. Some patients were able to stop their medication once they received appropriate counseling. 

Because there are many aspects to depression, treatment needs to address all of them. I have heard Christians claim that all they need is the Bible, but therapy never consists of “just the Bible” or “just medication.” Denis admitted that he needed medication, but also that his “brain needed a break.” (I would add that for most people, their body, mind and spirit also need a break.) There were biological and psychological aspects to his depression. I tend to approach the treatment of depression using the “three Ps” (four for Christians): practical, psychological, pharmaceutical, and prayer (not in any particular order and usually combined).

If severe, the first step is education and medication. For example, when someone can barely get out of bed, they will be unable to exercise. If someone cannot concentrate, they will be unable to participate in prayer or counseling. Practical treatments include things like rest (as Denis wrote, and as the Sabbath command advises), reducing stress, regular exercise (even a brisk walk around the block helps), good nutrition (food and mood are related), vitamin D (especially in the winter in northern climates), and keeping a regular schedule (e.g., going to bed at the same time each night). At the psychological level, counseling can help people determine if they have unresolved past issues (e.g., childhood abuse, repressed grief), as well as educating them about the relationship between thinking and mood, and adjusting thoughts as needed (this is known as cognitive behavioral therapy and helps patients to get proper perspective on life events). Finally, in terms of pharmaceuticals, there are many medications that increase serotonin and/or norepinephrine and/dopamine levels in the brain, thereby alleviating the symptoms of depression. Response can vary and some people need more than one medication. The typical treatment period is six to twelve months but some people need to be on medication long term. If the other factors (practical and psychological) are dealt with, patients can often come off their medication.

For the Christian, there is the added benefit of prayer. The Christian counselor can help determine if there is a need for repentance, as well as encourage patients to realize their value in God’s eyes. Although the Bible does not directly address depression, it contains much wisdom. We can be assured that God comforts us in our suffering (Ps 23; Isa 49:13, 51:3, 12; John 14:1; 2 Cor 1:3-5), and offers us peace (John 16:33) and rest (Matt 11:29, 30); we can take every thought captive (2 Cor 10:5), we can be angry but should not sin (Eph 4:26); we can know that others have suffered, including Christ (consider his agony in the Garden of Gethsemane, not to mention on the cross) and that suffering produces perseverance (Rom 5:3); we can give our anxiety to God (Phil 4:6; 1 Pet 5:7); and we can look to the day where there will be no more tears (Rev 21:4). Prayer counseling can help people know the comfort of the Father, the suffering and sacrifice of the Son, and the inspiration of the Holy Spirit. It is also important to recognize that although evil spirits are seldom the direct cause of depression, there is a good chance that they will seek to worsen it, by parasitically jumping on the bandwagon of negative thoughts, guilt and poor self-esteem. An experienced Christian counselor can discern the presence of evil spirits, deal with them through their authority in Christ, and teach the sufferer to listen to the truth of God, rather than the lies of the enemy.

I have tried to offer a simplified understanding and treatment approach for a complex condition! Obviously each aspect I have mentioned can be elaborated on at length; the important thing to remember is that there are many aspects to depression, and the more we are aware of these, the better we can minister to those who suffer. 



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God & Nature magazine is a publication of the American Scientific Affiliation, an international network of Christians in science: www.asa3.org