In these days of increasing pressure and uncertainty from without and insecurity from within, the days when Satan goes about with more and more force, seeking whom he may devour, it is not surprising to find an increasing incidence of nervous breakdowns.
There are all degrees of nervous and mental illness from the mild emotional states to insanity itself. Many of these mild emotional illnesses come to the physician or psychiatrist and are only seen by a minister casually when visiting his flock or when he is called in by an afflicted person or his family. The symptoms complained of are nervousness, jittery feelings, headaches, difficulty in concentration, lack of initiative, bodily pains, and insomnia. Such individuals are often anxious, depressed, and discouraged. They are usually working, but not very efficiently.
Many of these people are greatly benefited by talking with a minister and by engaging in prayer. This is a great and important work. One needs patience in dealing with such problem cases, because they often waver and need support for some time before they can stand on their own feet, as it were, and carry along without help. We are admonished to help one another to bear the burdens and to lift up each other's hands during trials. Surely these folk need this help from their brethren.
There are usually many problems confronting them, concerning financial, family, or spiritual matters, which are the basis for their symptoms, and the confidence placed in the minister relative to their worries is to be highly respected. Of course what is confided in the ministed or doctor must never be revealed to his friends or to anyone else, unless the permission of the afflicted one is first secured.
There are those who have symptoms as the result of feelings of guilt over wrongdoing, and these are greatly benefited by a talking with their minister and by prayer. But there are also those who have guilty feelings over what they think are gross wrongs, and which are associated with depressed feelings and a desire to end their life. This is a serious mental disorder, and may even be made worse when the minister prays with them or reads the Bible to them. This reaction occurs, not because the Bible condemns those who have sinned, but because these depressed people cannot grasp the forgiving nature of God. They feel that they are sinners, that nothing can be done for them, that they have committed the worst sins and are not worthy to associate with others. They continually depreciate themselves. They should be treated as mentally ill individuals and referred to a psychiatrist. They have so separated themselves from God during this illness that any attempt to pray only seems mockery, and they feel that God has forsaken them.
Electric shock treatment, which I believe was discovered by man because God directed the way, has done a wonderful work in breaking up this vicious depressive mental condition, and the patient can grow spiritually as the result of having suffered as he did. When he improves he is able once more to feel God's closeness, to pray, and to be lifted up by spiritual thoughts and meditation. Extreme care is needed in carefully nursing such a person back to health, as he is full of insecurity. Those who seem to be bound by the evil one, or who have a bad spirit, or are possessed by the devil are benefited so that they can again praise God for His goodness to them. These individuals need very large doses of understanding and kindness when returning to their family and friends, and while in this unstable transitory condition they very much need the support of their minister.
There are others who are depressed, have lost confidence in themselves, have many bodily complaints, have great difficulty in sleeping, have loss of appetite, and who gradually lose weight. They are unable to read much, and so are robbed of blessings obtained from reading the Bible and spiritual books. All these symptoms make them believe that they are losing their mind—and then what will become of their family? They do not respond well to ordinary ways of approach from the spiritual point of view. They become extremely dependent and vacillating, and do not seem to know their own mind—The minister may think that they are backsliding, that the devil has them in his power, and become impatient at their apparent lack of interest in religious matters or in their desire to help themselves.
These individuals are ill. They need psychiatric care and the aid and understanding of a Christian minister. Their treatment may last many weeks or months. Throughout the treatment there may be cognizance that spiritual principles have been violated, but nevertheless a realization that God is merciful and will forgive them. The aim of treatment is to assist them to become stable individuals whose minds are turned away from themselves. Interest in and service for others, which is a fundamental spiritual law, brings greater satisfaction and growth. But all these methods must be used and advised as opportunity reveals itself.
In our daily living with ourselves, with the brethren, and those not in the church, we greatly need the fruits of the Spirit to face difficult situations and problems that beset all of us. If we have periods of anxiety, and we all do, daily living with God supports us and brings us through victoriously, for we have learned to depend upon Him for security. When daily contact with God through prayer is neglected as we face life situations, anxiety will more than likely develop, and we shall find ourselves unable to make His promises a part of us. Sometimes we are not able to rise above them, and our anxieties grow. For the time being there seems to be a barrier to religious activity and growth, and a falling away from former religious interests.
The great need for those unfortunates who develop emotional and mental disease is a knowledge that somebody cares for them, that they are wanted in this world, and that they have a place to fill. Ministers and church members have a very important responsibility toward such people, and great care should be taken in nurturing them in the Lord.