More Than Two Thirds of Patients on Anti-Depressants Not Depressed

Many individuals who are prescribed and use antidepressant medications may not have met criteria for mental disorders. Our data indicate that antidepressants are commonly used in the absence of clear evidence-based indications.

That’s the verdict of a recent article in The Journal of Clinical Psychology which found that 69% of antidepressant users never met the criteria for major depressive disorder.

The studies almost exactly mirror some placebo studies which usually find about 60-70% of people prescribed with a placebo do just as well as those given an anti-depressant. No wonder, if 70% of them never met the criteria for depression.

As usual, many with their own agendas have jumped on this news to continue their campaign against all medication for mental illness. Such knee-jerk reactions forget or ignore that the statistics still leave 30% who have been accurately diagnosed with depression, many of whom do benefit greatly from medication.

Just as we should campaign vigorously against shocking misdiagnoses and horrific over-prescription, we should also advocate compassionately for the 30% who have been accurately diagnosed and who desperately need such medications.

And the numbers are massive. According to psychiatrist Julie Morris, at least one in every four American women are on antidepressants and one in seven men. That’s tens of millions of people who are being treated for a non-existent disorder. But it still leaves tens of millions whose sanity, and even their lives, depend on medication.

When I am counseling anyone with symptoms of depression and the subject of medication comes up, I always make the following points:

Don’t rush to it: Usually meds shouldn’t be the first option we consider. There are many other things we can do first before resorting to meds.

Don’t rule it out: Yes, many would rather not be on any med, and yes, they should try other means including biblical counseling, to aid healing and recovery. But meds should never be totally ruled out, especially when the grounds for ruling them out may be sinful pride, over-simplistic anthropology, or false presuppositions.

Don’t wait too long: While rushing to meds is to be avoided, so is waiting so long. You may sink so low that it’s going to be much harder to emerge from the pit. The deeper you sink, the longer the recovery.

Don’t rely on them alone: I’ve never seen anyone recover from depression on meds alone. I’ve seen many people do really well who use meds as part of a holistic package of care for the body, the mind, and the soul.

Don’t dwell on side-effects: Some people (a small minority in my experience) experience side-effects from anti-depressants. If you read enough on the Internet, you’ll come across the most extreme examples of this. Side-effects should be weighed, but so should the side-effects of doing nothing. Especially consider the side-effects on other people in your family of your refusing to even try medications because of the possibility that you might experience some side-effects from the drugs.

Don’t be ashamed of meds: Just because some misuse and over use them doesn’t mean you shouldn’t use them. Try to view them as a gift of God and ask for God’s blessing upon them. Also pray for researchers as they seek to develop more drugs that will be more sophisticated and successful in the future. And pray for your doctor that he/she would diagnose you correctly and, if necessary, prescribe the right drug for you as part of a balanced package of spiritual, physical, mental, and social measures.


Check out

Blogs

7 Ways Women Can Grow in Studying and Teaching Scripture without Seminary | Nancy Guthrie
Nancy Guthrie’s answer to this question: “I haven’t been to seminary or received any formal theological training. I’m grateful for all God has taught me over the years through the ministry of the Word on Sunday mornings and in Bible studies in my church, but I often feel inadequate to teach the Bible to others, even though I want to (and others have encouraged me to). What resources are there for theological training I’d be able to use as a non-seminarian—and one who cannot go to seminary at this stage in my life?”

Strong Families Mean Richer States | The Federalist
New research shows people who live in locales that have more married-parent families also enjoy higher incomes and economic mobility overall.

Indulging Transgender Fantasies Makes Them Worse | The Federalist
“Here is the truth I lived. No matter what surgery or hormones one takes, his or her biology, neurology, and genetic composition remain the same, just like that of my dad’s. Yes, he called himself Becky. But my dad was male. He was a son, husband, and father.”

Eight Life-Changing Things Someone Taught Me | Sayable
“There have been seven or eight lessons I have learned over the course of my life that have altered my thinking in profound ways.”

Seminary. Be Here! | Gentle Reformation
Barry York makes the case for on-campus learning as opposed to distance learning.

The Grief, Happiness, and Hope of Late-in-Life Singleness | Her.meneutics
“Over the decades, I have attended countless bridal showers, wedding ceremonies, baby showers, and anniversary parties. Again and again, I celebrated my friends’ milestones while waiting for my own happy ending. Then this year, on my 58th birthday, I bought my wedding dress. Finally, my wait was over.”

Kevin DeYoung Appointed to RTS Faculty
Reformed Theological Seminary has appointed Kevin DeYoung as chancellor’s professor of systematic and historical theology as of January 1, 2016.  Kevin will teach at RTS while he continues as senior pastor of University Reformed Church in East Lansing Michigan . The position of chancellor’s faculty is designed to provide for a professor to teach at multiple RTS campuses benefitting a greater number of students.

Kindle Books

The Reformation: How a Monk and a Mallet Changed the World by Steve Nichols $2.99.

John Calvin: Pilgrim and Pastor by Robert Godfrey $2.99.

The Grand Weaver: How God Shapes Us Through the Events of Our Lives by Ravi Zacharias $2.99.

The Power of Rest: Why Sleep Alone Is Not Enough. A 30-Day Plan to Reset Your Body by Matthew Edlund $2.99.

Recommended New Book

Worshipping with Calvin by Terry Johnson. Been out for a few months now, but well worth a look.

Video 

Justified by Faith Alone: New Teaching Series by R C Sproul
So, so good to see Dr. Sproul back to his teaching in this new video series. I love the setting for this. You can watch the first episode free and buy the DVD here.


Bonfire Repentance

The Heidelberg Catechism’s answer to question 94, “What does God enjoin in the first commandment?” contains eleven verbs, eleven “doing” words.

“A. That I, as sincerely as I desire the salvation of my own soul, avoid and flee from all idolatry, sorcery, soothsaying, superstition, invocation of saints, or any other creatures; and learn rightly to know the only true God; trust in him alone, with humility and patience submit to him; expect all good things from him only; lovefear, and glorify him with my whole heart; so that I renounce and forsake all creatures, rather than commit even the least thing contrary to his will.”

These verbs can be divided into two categories that apply to all kinds of sins:

Sin-ward actions: Avoid, flee, renounce, forsake.

God-ward actions: Learn, trust, submit, expect, love, fear, glorify.

The God-ward actions cannot happen without the sin-ward actions, and the sin-ward actions cannot happen without the God-ward actions. They are two sides of the one experience of repentance.

AN ILLUSTRATION OF REPENTANCE

We can see an illustration of most of these verbs in action in Acts 19v13-21 where the idolatrous magicians and occultists of Ephesus were powerfully impacted by the Gospel of Christ:

  • They feared (v. 17)
  • They glorified the Lord Jesus (v. 17)
  • They believed (v. 18)
  • They came out into the open (v. 18)
  • They confessed (v. 18)
  • They showed their deeds (v. 18)
  • They burned their spell-books (v. 19)
  • They turned to God’s book (v. 20)

I would have loved to see that bonfire of repentance. Some estimates put the value of books burned at several million dollars of today’s money. In burning their spell-books, they were saying three things:

I detest my past: I hate what I was and did.

I want to make sure I do not return: I want to make it as difficult as possible for me to take up these practices again.

I want to make sure others will not be led astray: They could have sold their books to others for large sums of money they didn’t want their financial gain to result in spiritual loss for others.

AN APPLICATION OF REPENTANCE

But let’s not just go back a couple of thousand years to Ephesus, or a few hundred years to Heidelberg. Let’s bring this right up to date and apply it to our own lives with this one question: What should you put on the bonfire? Of course, it need not be a literal bonfire. But if not a literal bonfire, then use these repentance verbs to have a spiritual bonfire.

If the Holy Spirit fell in reviving power among us today, I don’t think Harry Potter conferences and books would be first to go up in flames. But I do believe there would be a huge conflagration of one of the greatest idols of our own time – digital technology. Don’t think you’ve turned your phone, your computer, or social media into an idol? Test yourself with these questions (read the rest at The Christward Collective).


Check out

Blogs

Sovereign Grace in the Wilderness by Steven Lawson | Ligonier Ministries Blog

20 Ways Being a Mom Makes You a Better Leader | Selma Wilson

Your Husband’s Infidelity Is Not Your Fault | Her.meneutics

Abused Christian Wives, It Is Not Your Fault and You Don’t Deserve It. | One Christian Dad

Knowing When and Where to Apply for a PhD Program – Everyday Theology

Busy Unlike Jesus | For The Church

Relevant, Old Paths by Burk Parsons | Ligonier Ministries Blog

Two Underused Strategies for Addiction | Desiring God

Kindle Books

Two practical books for family and relationships. And one epic history.

Boundaries with Teens: When to Say Yes, How to Say No $2.99.

Beyond Boundaries: Learning to Trust Again in Relationships $2.99.

Dam Busters: The True Story of the Inventors and Airmen Who Led the Devastating Raid to Smash the German Dams in 1943 $1.99.


Check out

Blogs

A Marriage Leaning on Jesus and Longing for Heaven | Desiring God
A short update on Ian and Larissa. See Kindle book offer below.

Why the Race Conversation Is So Hard | 9Marks
Jonathan Leeman highlights a number of political and spiritual difficulties with discussing race issues.

The Sgt. Schultz generation | World Magazine: Marvin Olasky
“We’re certainly not the greatest generation. We’re not even a pretty good generation. We’re the Sgt. Schultz generation.”

Helicopter parents are not the only problem. Colleges coddle students, too. | The Washington Post
“In the past decade, college campuses have turned into one big danger-free zone, where students live in a bubble and are asked to take few, if any, risks in their education.”

The Best Colleges for Low Income Students | Lifehacker
“College is an insanely expensive endeavor, and for low income students there are all kinds of factors to consider. Priceonomics crunched some numbers to attempt to come up with the best schools for low income students.”

Insomnia – The Non-Sleeping Giant | The Aquila Report
“All of a sudden, out of the blue, as if the Lord needed to teach me to be more humble and compassionate with others, I found that I had insomnia.”

Gospel Conversation in an Age of Texting, Tweeting, and Distraction | Randy Newman
“I expected a revolt. Instead, I got gratitude. I anticipated accusations of being a crotchety old man, but students told me they felt a sense of relief. I had just announced my decision to no longer allow computers or cell phones (or other tools of technology) in my classroom. ”

Recommended Resources from ACBC on Homosexuality | Biblical Counseling Coalition Blogs

Recommended New Book

A History of Western Philosophy and Theology by John Frame.  So glad for this book, especially as I’ve been using older books of a similar nature for the past six months. A modern cataloging and analysis is most welcome.

Kindle Books

Eight Twenty Eight: When Love Didn’t Give Up by Ian and Larissa Murphy $2.99.

Unlimited Memory: How to Use Advanced Learning Strategies to Learn Faster, Remember More and be More Productive by memory world champion Kevin Horsley $4.99. Worth a try! It’s fascinating even to see the potential of the human mind.

Everyone Communicates, Few Connect: What the Most Effective People Do Differently  by John Maxwell $3.99.

Video

Mom-Judging
For education not edification. If you want to know where our culture is at regarding that most important of influences – motherhood – have a look at this video. You’ll weep when one mom describes her desire to raise a gender-neutral child. What’s so painful is to see this being equated with the “evil” of judging someone for not breastfeeding.


Ten Dangers of Passive Sanctification

Having highlighted Five Attractions of Passive Sanctification, here are ten dangers that accompany this error.

1. The danger of lost doctrine

One danger of passive sanctification is of confusing and conflating sanctification with justification, which may end up with us losing both of them. Thus, the worthy desire to exalt justification ends up with us losing it, and the commendable desire to connect sanctification with justification in this way ends up with us losing both. As Kevin DeYoung wrote:

If in trying to honor justification by faith alone we provide the same formula for sanctification, we are destroying the former as much as the latter.

It’s like hot and cold water. When I want a shower, I want piping hot water. When I want a refreshing drink, I want the water to be ice cold. But if I mix the two, I end up have a disgustingly lukewarm drink and a very brief and unpleasant shower.

2. The danger of lost law

There is a real danger here that we lose God’s moral law from the Christian’s life. I’m not saying that those who advocate passive sanctification deliberately aim for this. But it’s the end result at least for many who read and follow such teaching.  The only imperative left seems to be “Believe in your justification.”

But if salvation is from sin, and sin is transgression of God’s moral law, then we surely want God’s moral law in our lives at least to help us identify the sins we are to confess and flee from, and, as God’s children, to know what pleases Him.

3. The danger of lost effort

Passive santification seems to focus all effort and work upon resting in Christ’s effort and work for us. However, there’s a lot more effort and work than that if sanctification is to happen. In his classic work, Holiness, J.C. Ryle said:

In justification the word to be addressed to man is believe — only believe; in sanctification the word must be ‘watch, pray, and fight.’

The very same apostle who says in one place, “the life that I live in the flesh I live by the faith of the Son of God,’ says in another place, “I Fight,” “I run,” “I keep under my body”; and in other places, “let us cleanse ourselves,” “Let us labour,” “Let us lay aside every weight.

The effort is much more than merely spiritual or intellectual. There’s a muscular physicality to it involving our eyes, our mouths, our arms, our hands, our legs, our muscles, our tendons, our sexual organs, and every other part of our body.

4. The danger of lost motivation

By reducing the motivation for obedience to one item (justification) we lose multiple motivations to holiness. Kevin DeYoung wrote that he found 20 motivations for holiness in 2 Peter alone! I need all the motivations I can get.

5. The danger of a lost dimension

If nothing we do can influence our experience of God’s love, then the primary focus of good works becomes our fellow man. However, the Bible says that, by God’s grace, we can do good works of Christian service to others which ALSO please God as sweet-smelling sacrifices (Phil. 4:16; Heb 13:16; Heb 13:21).

In other words, our works on a horizontal level also impact our vertical relationship with God. Our creature-to-creature relationships influence our creature-Creator relationship.

6. The danger of lost love

Although the advocates of passive sanctification believe they are exalting and securing God’s love for the believer, there’s a real danger of their views leading to a loss of the sense and experience of God’s love for them. How so? Because, contrary to what they teach, God does respond to our obedience with more manifestations of His love.

Yes, we love Him only because He first loved us (1 John 4:19); and, yes, we love him first then keep His commandments, not vice versa (John 14:15); but yes also, when we do respond to His love with love-fueled obedience, Christ responds to that with loving indwelling, divine communion, and Trinitarian manifestation (John 14:15, 21, 23). What a powerful motivation to active sanctification!

God’s love for the believer never changes, but the believer’s experience of that love can change. God may withdraw the assurance and the daily experience of His Fatherly love because of my disobedience. He loves me no less, but I don’t have his love shed abroad in my heart to the same extent or degree. But He also may pour more of that love into my heart in response to loving service and obedience.

7. The danger of lost chastisement

If there is no link between our works and pleasing God, then there can be no link between our afflictions and displeasing God. Although we certainly want to avoid the error of Job’s friends who said all suffering is a result of personal sin, we must also avoid the idea that it never has anything to do with our conduct and character.

There is a benefit from suffering if we see it as the loving discipline of a loving heavenly Father, all for our good. We cannot make infallible links between sin and suffering but God does sometimes link them and calls us to search for these links too.

Paul expects moral and ethical change to result from our sufferings (Rom. 5:3-5) and the Apostle expects fruit form our suffering (Heb. 12:10-13).

8. The danger of lost spirituality

There’s so much more to Christian experience than the rather one-dimensional presentation of it in passive sanctification. Yes, the Spirit drives us back to Christ’s finished work every day. That’s one element of the Spirit’s work in us – and it is a wonderful experience, no question – but the Psalms, John 14:21 & 23, Revelation 3:20, and many other places, invite us to a far wider, deeper, richer, and more soul-satisfying experience of communion with God through His Spirit. There’s a vast amount of Christian literature, not least among the Puritans, that widens the vista of the life of God in the soul of man way beyond this limited view of the Spirit’s subjective work.

9. The danger of lost unity

This teaching around passive sanctification often divides God’s people, weakening the church. Now if it was truth that was causing the division, we would accept that. However, as I hope has been demonstrated, it is not truth, or at least not a biblically balanced and complete presentation of truth. J. C. Ryle says it best of the passive sanctification teaching of his own day.

I must deprecate, and I do it in love, the use of uncouth and newfangled terms and phrases in teaching sanctification. I plead that a movement in favor of holiness cannot be advanced by new-coined phraseology, or by disproportioned and one-sided statements, or by overstraining and isolating particular texts, or by exalting one truth at the expense of another…and squeezing out of them meanings which the Holy Ghost never put in them… The cause of true sanctification is not helped, but hindered, by such weapons as these. A movement in aid of holiness which produces strife and dispute among God’s children is somewhat suspicious.

10. The danger of losing Christ

The Gospel is not justification. But one of the dangers of this imbalanced emphasis on justification is that it seems to put justification in the foreground and Christ in the background. As W. Evans wrote:

The fact of the matter is that the heart of the gospel is not justification.  Nor is it sanctification.  It is Jesus Christ himself, who is “our wisdom and our righteousness and sanctification and redemption.” The Apostle Paul came preaching “Christ crucified” and more often than not he directed Christians, not to their own justification, but to the crucified and risen Christ in whom they are both justified and sanctified.  The gospel involves freedom from both the penalty and the power of sin, and the latter is not simply to be collapsed into the former.  Only when we begin with Christ and our spiritual union with him will we give both justification and sanctification their proper due.