Archive for category Depression

[Abstract + References] Art as a Therapeutic Tool in Depressive Disorders: a Systematic Review of the Literature


Different alternative forms of therapy have been studied in relation to their applicability and effectiveness. The use of art therapy in the treatment of depressive disorder is an example frequently employed in several countries. The aim of this research was to identify and discuss which artistic techniques have been applied most frequently in the treatment of depressive disorders and what their main effects are. The research was conducted in the MEDLINE/PubMed, American Psychological Association (APA) and Web of Science databases. The articles were selected through the Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA protocol). 14 articles were selected, among which the main techniques of art therapy used were: manual work (drawing, painting, and modeling), music, poetry, photography, theater and contemplation of art pieces. It was found that most of the researches are European and as a field of knowledge they depart mainly from medicine. Of the 14 researches of this review, only two failed in the use of art therapy techniques as a therapeutic tool. It can be understood that art therapy is a safe and reliable tool for treatment not only of depression but also of other mental disorders.


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[VIDEO] 2019 Research about Transcranial Magnetic Stimulation TMS | NYC Psychiatrist – YouTube

Psychiatrist Robert D. McMullen – NYC – Depression Specialist – TMS BrainCare

In this video, we introduce Robert D. McMullen, MD who is a psychiatrist in NYC who has been performing psychopharmacology for over 30 years, the last 10 of which includes transcranial magnetic stimulation(TMS). Today, he will discuss some recent developments in research regarding TMS.

There were recently two conferences held in Vancouver, Canada regarding TMS research. The first was a 2 day conference held by the Clinical Society of TMS, which is the U.S organization for TMS research that has been around for 10 years. The second was the three day International Brain Stimulation held every 2 years. During these conferences, new research on TMS was presented.

Usually TMS treatments have been left excitatory on the left dorsolateral prefrontal cortex. It was then observed that if you performed inhibitory treatment on the right side it worked as well. Afterwards, many started doing bilateral treatments. Recent studies suggest that all those forms of treatment work equally as well, although for some, bilateral treatment might work better.

Another breakthrough in TMS treatment in the last few years is theta burst stimulation. It shortens the length of treatment on both sides of the brain(40 seconds on the right and 3 minutes and 8 seconds on the left side).

Recent findings suggest that doing 2 TMS treatments per day increases the odds of patients responding to TMS treatments. One recent study shows that people who receive 2 treatments per day for 15 days did just as well as people who did 1 treatment per day for 30 days. Using theta bursts significantly lowers the length of the treatment allowing multiple treatments to be performed in one day. Ideally, each treatment should be performed 15 minutes apart for optimal effect.

These were just a few of the findings presented at the conferences. Although TMS research is still ongoing, the future is looking bright for this method of treatment.

To learn more:

Psychiatrist Robert D. McMullen – NYC – Depression Specialist – TMS BrainCare

Location 1: 171 W 79th St #2, New York, NY 10024

Location 2: 344 Main St, Mt Kisco, NY 10549 Phone: 212 362-9635

TMS BrainCare

Address: #2, 171 W 79th St, New York, NY 10024

Phone: (212) 362-9635

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[ARTICLE] Complementary and alternative therapies for poststroke depression – Full Text

A protocol for systematic review and network meta-analysis



Poststroke depression (PSD) is an important complication of stroke, resulting in increased disability and mortality, which is a great threat to stroke survivors and public health. Complementary and alternative medicine (CAM) therapies is widely used in the treatment of PSD, However, the selection strategies of different CAM approaches in clinical practice is still not clear, and the purpose of this protocol is to compare the efficacy and acceptability of different CAM therapies using systematic review and network meta-analysis.


According to the strategy, the authors will retrieve a total of seven electronic databases by August 2020, including PubMed, the Cochrane Library, EMbase, China National Knowledge Infrastructure, China Biological Medicine, Chinese Scientific Journals Database, and Wan-fang databases. The network meta-analysis will be performed using Aggregate Data Drug Information System 1.16.8 and Stata 13.0 software. In addition, the Cochrane Collaboration’s tool is employed for the methodological quality, and the quality of evidence will be evaluated according to the Grading of Recommendations Assessment, Development, and Evaluation system.


This study will provide a reliable evidence for the selection strategy of CAM therapies for PSD.


The results of this study will provide references for evaluating the effects of different CAM therapies on PSD, and provide decision-making references for clinical practitioners, patients, and health policy makers.

1 Introduction

Poststroke depression (PSD) is the most common neuropsychiatric consequences of stroke,[1] occurring in 29% to 33% of stroke survivors.[2,3] It is estimated that nearly 2 million individuals in the United States are dealing with PSD at any given time.[4] The major symptoms of early PSD (within the first 3 months after stroke) are dysphoria, melancholia, and vegetative signs.[5,6] The current evidence indicates that the neurobiological factors may be the main factors associated with PSD, specifically includes change in ascending monoamine pathways, excess of proinflammatory cytokines, dysfunction of the hypothalamic-pituitary adrenal axis and alterations in neuroplasticity.[7] Studies have demonstrated that PSD can significantly compromise quality of life, including affecting cognitive function, social activity, and stroke rehabilitation. Moreover, it is also associated with increase mortality risk.[8,9] Current research suggests that disability, personal and family history of a psychiatric illness, and high overall medical burden may be risk factors for PSD.[10,11] Due to the complexity of diagnosis and the uncertainty of various screening tools, consequently, only a small percentage of PSD patients can be accurately diagnosed and treated.[12] The main therapeutic strategies for PSD include pharmacological and nonpharmacological interventions (eg, psychotherapy, surgical therapy, electroconvulsive therapy). In the pharmacological interventions, it has been suggested that Selective Serotonin Reuptake Inhibitors is the first line treatment,[13] such as fuoxetine, sertraline, and citalopram.[14] There is no doubt that the pharmacological therapy for PSD has a positive effect. However, there was also a significant increase in adverse events,[15] such as gastroenterological symptoms, epilepsy/ seizures and hyponatremia.[7] In addition, intolerance of antidepressants by some stroke survivors, and poor treatment adherence may further reduce the impact of drugs in PSD treatment.[16] Thus, better strategies for effective PSD treatment are needed.

Complementary and alternative medicine (CAM) therapies refers to a diverse range of healing techniques that are not considered established or standard practices in western medicine.[17] Many CAM modalities have been used by stroke survivors all around the world,[18] including acupuncture, meridian acupressure, light therapy, exercise, repetitive transcranial magnetic stimulation (rTMS), music therapy, herbal medicines and so on. One study reports that 46% of stroke survivors engage in some form of complementary medicine.[19] In Korea, 54% of stroke patients used CAM therapies, and 16% who felt that it can effectively achieve psychological relaxation.[20] In recent years, CAM therapies has been increasingly sought by people with PSD.[21] It is reported that acupuncture is more effective than short-term use of antidepressants in patients with PSD.[22] Deng et al[23] found that rTMS is a beneficial therapeutic method for managing PSD and may even be superior in efficacy to selective serotonin reuptake inhibitors. Kim et al[24] reported the positive roles of music therapy on improvement of depressive mood and anxiety in stroke patients. A study from Kang et al[25] has proven Meridian acupressure benefits in improvement of PSD.

Despite the numerous CAM therapies for PSD has been evaluated in previous randomized controlled trials (RCTs), However, majority have not been quantitatively analyzed in head-to-head comparisons. Thus, we performed a network meta-analysis (NMA) of all RCTs involving CAM therapies for PSD, to compare and comprehensively rank all available CAM therapies, and assess efficacy and acceptability of different CAM therapies. […]

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[ARTICLE] Depression impedes neuroplasticity and quality of life after stroke – Full Text


Background and Purpose Depression following a stroke/poststroke depression (PSD) has been newly recognized as one of the most common complications after stroke. PSD may affect neuroplasticity and quality of life. The purpose of present study was to find out effects of depression on functional recovery, quality of life and neuroplasticity in patients with acute stroke. 

Methods: A total of 76 cases were recruited for the study and out of which 44 were available for the analysis after six months. Patients were divided into three groups according to severity of depression: Group A (without depression), Group B (mild-to-moderate depression), and Group C (severe depression) on the basis of Patient Health Questionnaire-9 (PHQ-9) scale scores. All patients were assessed for depression by PHQ-9, and for quality of life by Stroke Specific Quality of Life (SSQOL) scale. Neuroplasticity was assessed by measuring levels of serum brain-derived neurotrophic factor. 

Results: Quality of life was observed to be significantly affected by depression (P ≤ 0.05). The most commonly affected characteristics were energy, family roles, mobility, self-care, social roles, upper extremity function, and work productivity. Serum BDNF levels were also affected significantly by depression (P ≤ 0.05). 

Conclusion: PSD is a serious complication, affecting quality of life and neuroplasticity (BDNF) in patients. Decreased neuroplasticity further may affect functional improvement.


Despite decrease in stroke mortality rate, there has been increase in the stroke survivors with residual disability and impairment. This has grown interest in the factors that can affect recovery from stroke and quality of life.[1] Depression after stroke or poststroke depression (PSD) is one of the factors that can negatively influence the functional outcome after stroke but is often ignored. With a possible role also in cognitive status and survival, it is an obvious source of suffering for patients and caregivers.[2] PSD may impede rehabilitation, recovery, quality of life, and caregiver’s health.[3],[4],[5],[6] Depression after stroke, though recognized for more than a century, had never received the attention that has been devoted to other stroke complications, such as motor impairment, language problems, or cognitive deficits.[7] PSD not only leads to poor involvement in rehabilitation and delays functional recovery but results in limited social activity and increased disability.[8],[9] Moreover, 12.3–73.2% of stroke survivors suffer from concurrent depression and anxiety which further delays recovery from stroke.[10],[11],[12]

The prevalence of PSD (13.7–31.1%) is four times higher than the likelihood of having depression in the general population without comorbid physical disease. When physical recovery is the main focus of treatment, occurrence of depression and anxiety can be overlooked in the early stage of stroke recovery.[8],[13] Consequently, depression and anxiety are usually diagnosed poorly and inadequately treated.[8],[14] Recognizing these symptoms is difficult because they often overlap with stroke-related impairments.[11],[14]

Based on the literature, the most consistent factors associated with PSD are severe stroke and physical disability.[15] Close relationship between PSD and neurological deficits suggests that PSD may be a psychological, reactive depressive symptom associated with sudden functional deficits.[16],[17] When there are prolonged functional deficits, subsequent familial and social issues may perpetuate PSD.[18] Several clinical studies on major depressive disorder (MDD) have shown that blood–brain-derived neurotrophic factor (BDNF) is associated with depression response. BDNF is a neurotrophin related to neuronal survival, synaptic signaling, and synaptic consolidation.[19] Several studies have been performed assessing BDNF levels in MDD and showing important correlations between MDD and BDNF levels.[20]

Studies regarding the PSD and its impact on neuroplasticity and quality of life are still lacking. The current study was designed to assess patients for depression (by Patient Health Questionnaire-9 [PHQ-9]), levels of serum brain-derived neurotrophic factor (S. BDNF), and their impact on quality of life (by Stroke Specific Quality of Life Scale [SSQOL]) in patients with stroke.[…]

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[Review] Complementary therapies for clinical depression: an overview of systematic reviews – Full Text



As clinical practice guidelines vary widely in their search strategies and recommendations of complementary and alternative medicine (CAM) for depression, this overview aimed at systematically summarising the level 1 evidence on CAM for patients with a clinical diagnosis of depression.


PubMed, PsycInfo and Central were searched for meta-analyses of randomised controlled clinical trials (RCTs) until 30 June 2018. Outcomes included depression severity, response, remission, relapse and adverse events. The quality of evidence was assessed according to Grades of Recommendation, Assessment, Development, and Evaluation (GRADE) considering the methodological quality of the RCTs and meta-analyses, inconsistency, indirectness, imprecision of the evidence and the potential risk of publication bias.


The literature search revealed 26 meta-analyses conducted between 2002 and 2018 on 1–49 RCTs in major, minor and seasonal depression. In patients with mild to moderate major depression, moderate quality evidence suggested the efficacy of St. John’s wort towards placebo and its comparative effectiveness towards standard antidepressants for the treatment for depression severity and response rates, while St. John’s wort caused significant less adverse events. In patients with recurrent major depression, moderate quality evidence showed that mindfulness-based cognitive therapy was superior to standard antidepressant drug treatment for the prevention of depression relapse. Other CAM evidence was considered as having low or very low quality.


The effects of all but two CAM treatments found in studies on clinical depressed patients based on low to very low quality of evidence. The evidence has to be downgraded mostly due to avoidable methodological flaws of both the original RCTs and meta-analyses not following the Consolidated Standards of Reporting Trials and Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Further research is needed.

Strengths and limitations of this study

  • This systematic overview included the comprehensive literature search of important complementary and alternative medicine topics defined by the Cochrane Collaboration.
  • The inclusion criteria were restricted to meta-analyses of randomised controlled clinical trials (RCTs) of patients with a clinical diagnosis of depression.
  • The quality of evidence from meta-analyses was assessed according to Grades of Recommendation, Assessment, Development, and Evaluation.
  • There is a possible lack of evidence of newer RCTs, which have not been analysed by the included meta-analyses.


Depression is one of the most prevalent psychiatric disorders, with about 25% of women and 12% of men suffering from at least one depressive episode during their lifetime.1–3 According to the criteria for diagnosis recommended by the American Psychiatric Association (APA), depressive disorders can be distinguished by their degree of severity or duration and are also characterised by a high comorbidity and an increase of psychological strain for the affected person.4 It is evident that a strong comorbid connection to several chronic conditions like addictions,5 neurodegenerative diseases6 7 or different psychiatric diseases8–11 exists. This leads depressive disorders as one of the leading causes of disability worldwide.12

The most commonly used treatments for depression are antidepressants, psychotherapy or a combination of drugs and psychotherapy. While both treatment strategies (alone and in combination) have been shown to be effective,13–15 more recent meta-analyses also found high dropout and low remission rates16–21 as well as clinically significant differences between antidepressant drugs and placebos only for patients at the upper end of the very severely depressed category.22 This may lead patients to search for alternatives. Increasing mainstream use of complementary and alternative medicine (CAM) support this trend, particularly for different physical conditions with comorbid affective disorders.23–27 The NIH defines CAM as therapeutic approaches that are usually not included in conventional Western medicine systems.28 CAM therapies used in combination with conventional care are considered as complementary, those used instead of conventional care as alternative practices. Types of CAM approaches include natural products, such as herbs and dietary supplements (vitamins, minerals and probiotics) and mind and body practices, such as yoga, chiropractic and osteopathic manipulation, meditation, relaxation, acupuncture, tai chi, qi gong and hypnotherapy. Practices of traditional healers from Europe (naturopathy and homeopathy), Asia (Ayurveda and traditional Chinese medicine) and other continents are also classified as CAM.28 While some complementary therapies have become a promising adjunct in the standard treatment of depression,29 30 others are known for their possible side effects or interactions with standard drugs.30 Recent clinical practice guidelines, in addition, vary widely in their search strategies and resulting recommendations for CAM treatments. While the American College of Physicians (ACP),31 the American Psychiatric Association (APA)32 and the Canadian Network for Mood and Anxiety Treatments (CANMAT) guideline33 provide a more comprehensive overview and critical appraisal of CAM treatments, the Deutsche Gesellschaft für Psychiatrie und Psychotherapie, Psychosomatik und Nervenheilkunde (DGPPN),34 the National Institute for Health and Care Excellence (NICE),35 and the World Federation of Societies of Biological Psychiatry (WFSBP)36 guidelines mainly focus on St. John’s Wort and light therapy. Possible effects and risks of further CAM therapies are not discussed. Thus, the purpose of this overview is to provide a comprehensive search strategy of relevant CAM terms and systematically summarise the existing level 1 evidence for clinical depression as a basis for further guideline recommendations on the efficacy, effectiveness and safety of CAM therapies.[…]

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[WEB PAGE] Individual frequency can be used to control brain activity – News

Reviewed by Emily Henderson, B.Sc.Aug 17 2020

Individual frequency can be used to specifically influence certain areas of the brain and thus the abilities processed in them – solely by electrical stimulation on the scalp, without any surgical intervention. Scientists at the Max Planck Institute for Human Cognitive and Brain Sciences have now demonstrated this for the first time.

Stroke, Parkinson’s disease and depression – these medical illnesses have one thing in common: they are caused by changes in brain functions. For a long time, research has therefore been conducted into ways of influencing individual brain functions without surgery in order to compensate for these conditions.

Scientists at the Max Planck Institute for Human Cognitive and Brain Sciences in Leipzig, Germany, have taken a decisive step. They have succeeded in precisely influencing the functioning of a single area of the brain. For a few minutes, they inhibited exactly the area that processes the sense of touch by specifically intervening in its rhythm. As a result, the area that was less networked with other brain regions, its so-called functional connectivity, decreased, and thus also the exchange of information with other brain networks.

This was possible because the researchers had previously determined each participant’s individual brain rhythm that occurs when perceiving touch. With the personal frequency, they were able to modulate the targeted areas of the brain one at a time in a very precise manner using what is known as transcranial alternating current stimulation. “This is an enormous advance,” explains Christopher Gundlach, first author of the underlying study. “In previous studies, connectivity fluctuated extensively when the current was distributed in different areas of the brain. The electrical current randomly sought its own path in the brain and thus affected different brain areas simultaneously in a rather imprecise manner.

In a preliminary study, the neuroscientists had already observed that this form of stimulation not only reduces the exchange of the targeted brain networks with other networks, it also affects the brain’s ability to process information, in this case the sense of touch. When the researchers inhibited the responsible somatosensory network, the perception threshold increased. The study participants only perceived stimuli when they were correspondingly strong. When, on the other hand, they stimulated the region, the threshold value dropped and the study participants already felt very gentle electrical stimuli.

The deliberate change in brain rhythm lasted only briefly. As soon as the stimulation is switched off, the effect disappears again. Nevertheless, the results are an important step towards a targeted therapy for diseases or disorders caused by disturbed brain functions”.

Bernhard Sehm, Study Leader

Targeted brain stimulation could help to improve, direct and, if necessary, attenuate the flow of information.

Source: Max Planck Institute for Human Cognitive and Brain Sciences

Journal reference: Gundlach, C., et al. (2020) Reduction of somatosensory functional connectivity by transcranial alternating current stimulation at endogenous mu-frequency.  NeuroImage.

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[Slideshow] Types of Depression

Antibiotics could be repurposed as a treatment for depression
tadamichi/ Shutterstock

Depression is more than just feeling down. It takes many forms. Learn more about those forms with this WebMD slideshow.


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[BLOG POST] Depression

Bill Boylan, Jul 16, 2020

Psychiatric Definition of “Depression”:  “When a person feels sad, blue, unhappy, miserable, or ‘down in the dumps.’ Most of us feel this way at one time or another for short periods. True depression is a mood disorder in which feelings of sadness, loss, anger, or frustration interfere with everyday life for an extended period of time.”

NOTE: I won’t be addressing in this teaching an illness similar to depression labeled “bi-polar disorder.” (formerly called Manic-Depressive Disorder) In some ways, a number of the symptoms of bi-polar disorder are similar to those of depression, but I’m not going to write about that illness in this teaching.

    Also, I want to make very clear to you that I don’t have all the answers to all your questions about why you have depression. Depression is a very complex illness that often baffles professionals in the field of psychiatry, psychology, and behavioral science. I’m only going to be sharing with you a little bit about what I do know, some tips to aid in your own healing, and some thoughts about episodes of depression I have suffered.  In addition, I want to tell you that I believe with all my heart that God is the Source of all healing, no matter what various means He may use to heal people having depression. And . . . if you are suffering with depression, God wants to heal you!

    Depression is a dread, horrible, debilitating illness that has reached epidemic proportions in most industrialized nations of the world. Some aptly call it “the dark night of the soul.” It is a mental and emotional darkness of varying degrees in its victims. Some have mild depression, some have seasonal depression (SAD), some have situational depression, some have clinical depression, and some have a deep, dark, lingering, depression that causes the most hopeless feelings humans can experience, sometimes lasting for months and even years. In addition—for Jesus-believers—depression often involves a deep sense of utter abandonment by God.

    Most of the time, people who suffer from any degree of depression feel that they are living in sort of a “dull-grey world.” If you’ve ever seen the movie Pleasantville” you know a little bit about what it’s like to live in a world that is all-grey most of the time—a world almost empty of any color other than dull grey.

   Fortunately, by means of anti-depressant medication, counseling, prayer, etc., most depression can be cured, healed, or brought under control within a matter of weeks or months. It is rare, indeed, for depression to last longer than that—IF the depressed person seeks help. Sometimes, people will experience different episodes of depression throughout their lifetimes, but with enough information about the nature of the illness and its symptoms, most people can be healed and thereafter maintain their mental and emotional health.


          The American Psychiatric Association (APA) provides the following information to aid in the diagnosis of depression. The following listing is of the indicators” of depression; if one experiences 5 or more of these indicators for more than 2 weeks, one is diagnosed with depression:

  • Sleep disturbances – especially sleeping too much.
  • Unusual irritability.
  • Loss of appetite, or overeating; significant weight changes.
  • Difficulty in concentrating or remembering; inability to make decisions.
  • Physical pains that are hard to pinpoint.
  • Loss of self-esteem or attitude of indifference.
  • Loss of interest or pleasure in your job, family, life, hobbies, or sex; loss of pleasure in formerly enjoyable activities.
  • A downhearted period that worsens and won’t go away.
  • Frequent, unexplainable, or uncontrollable crying spells.
  • Feelings of loneliness.
  • Feelings of isolation.
  • Feelings of guilt.
  • Feelings of hopelessness and/or worthlessness.
  • Recurring thoughts about suicide or death.
  • Loss of energy; fatigue.
  • Feelings of extreme sadness.
  • And—for believers in Jesus–there is most often a sense of total abandonment by God.

    I don’t pretend to be an expert on depression, nor am I presently a certified or licensed counselor. But I have experienced 3 distinct periods of depression in my life and I know how depression feels and its debilitating effects! And I know how God has healed me each time! I’ll tell you more about my depression later.

    Furthermore, as a Jesus-believer I have learned much about events, circumstances, and situations which lead to depression—and about how prayer and the obedient “application” of the Bible, the Word of God, to the depressed person’s life can aid a great deal in healing from depression.

    I advise any Jesus-believer suffering from depression to see your primary health care provider, take whatever medicine is prescribed, see a counselor or therapist if necessary (preferably a fellow Jesus-believer), and, in addition, give some thought to the ideas I will list later in this teaching that might help you see the origins of your depression and help in your complete healing.

    Let me make this next point very clear right up front: Please, please get over your fear of seeing a counselor or therapist for fear they might expose some deep, dark secrets in your life! That’s what it’s often all about: exposing deep dark secrets that have caused or contributed to your depression. God cannot heal any area of our lives that we choose to keep hidden from Him (as if we could really hide anything from God . . . ) It’s probably some of those deep, dark secrets which are contributing to your depression in the first place.

    Those hidden secrets need exposed and brought out into the light so God can deal with them. We all have deep, dark secrets. You’d probably be shocked at some of mine. But a good and competent counselor will not be shocked at anything; nothing will surprise or shock them; they’ve seen and heard it all. Get over your reluctance and make an appointment with a good counselor! Do it today!


    First, I want to state again very clearly that—regardless of the causes of your depression—God can and does heal people who have depression! He heals through either prayer or medicine . . . or both, but He does heal depression! He is the Source of all healing; He will heal you!

    Next, I want to tell you that nothing you have done has caused your depression. You don’t necessarily have depression because of some horrible sin you’ve committed. You don’t have depression because you’re a “weak” believer. You don’t have depression because you are an unfaithful Jesus-believer. And, God has not given you depression to punish you for something you’ve done wrong! It’s just an illness for which you need healing!

    Also, you don’t need to be ashamed or humiliated because you’re a Jesus-believer with depression—and you think a “good” Jesus-believer shouldn’t get depression. Say this out loud to yourself very clearly and carefully: “I refuse to ‘should’ on myself!” You have no more responsibility for having depression than you are responsible when you catch a cold or because you are susceptible to migraine headaches.

    And . . . this isn’t just a play on words: Refuse to see yourself as a depressed person; rather, see yourself as a person who happens to have an illness labeled depression. There’s a big difference in the two viewpoints. One viewpoint means you see yourself as a “walking depression” in every area of your life. The other viewpoint means you see yourself as a “whole” person who just happens to have depression in one area of your life—just as you might happen to have a cold at some time, but you are not your cold. You are not your depression.

    Try to understand your depression in somewhat this way—some people are more susceptible to viruses than other people are; some people have chemical imbalances in their bodies; some people are more prone to certain infections; some people have immune system disorders; some people are more accident prone than others are; some people develop multiple sclerosis; some people have strokes; some people develop diabetes; some people have heart attacks; some people develop cancer. Some people happen to have depression.

    None such physical illnesses and diseases are the faults of those people who have them. Some people have a genetic predisposition to having depression; that genetic predisposition is often triggered by something in one’s environment. But . . . you did not cause your depression because of something you’ve done wrong in your life!

    You simply are a person who happens to have depression. Some people do. Some don’t. It’s that simple. If you can look at your depression in that way, that will serve you well as God begins to heal your depression.

    Depression just happens to some people just because they are mortal, physical, and material human beings subject to sin, Satan, debility, corruption, and death. It’s not your fault that you happen to have depression at this time in your life! And—again—God has not given you your depression.

    But—this is an important point!—Satan and his minions often oppress people . . . which can then lead to depression in people having a propensity for depression. “Oppression” means that if Satan knows you have a propensity for depression, sometimes he will transmit thoughts into your mind that weigh heavily on you in the sense that you begin to fret, worry, feel anger, feel loss, etc. Oppression is meant by Satan and his minions to terrorize you, to rule over your thoughts and emotions in a harsh, discordant manner.

    Then—if and when he gains access to your mind and emotions by means of oppression, that can often lead to depression. Take heart: Acts 10: 38 in the Bible says that Jesus heals people who are oppressed by the devil!

    Please understand that much (not all) depression is triggered by a sense of real or imagined loss of some sort. It may be the loss of a friend, loved one, or pet either by death or separation of some kind. It may be the “loss” of a marriage by divorce or death. It may be the loss of a job or a prized “possession.” It may be the loss of one’s “ministry” as a Jesus-believer. It may be the loss of self-esteem or self-worth. It may be the loss of money or reduced income. It may be having to “downsize” one’s home to move into a smaller apartment or nursing home. It may be the loss of one’s early dreams for life as the realities of day-to-day life have overshadowed those dreams.

    It may be the loss of a child who has grown up and left home for the first time. It may be the loss of prestige. It may be the temporary or permanent loss of one’s good health because of disease, illness, or disablement. Perhaps you still suffer the loss of innocence or purity you suffered in an untimely or painful way as a child or teenager. It may be the loss of one’s beauty or good looks due to advancing age. It may be the loss of rank or advancement because someone else was promoted instead of you. It may be the loss of romantic, fanciful “school girl” expectations about marriage. It could be the loss of a sense of security in marriage because of a spouse’s adultery. Or . . . any similar loss.

    It doesn’t have to be a real, tangible loss either; it can also be an imagined or perceived loss of something, such as a feeling that one has “lost” one’s reputation—whether or not that is really the case. It could be the feeling of loss of respect by one’s co-workers or by others in one’s profession—such as a lawyer losing a high-profile case and feeling he has lost his reputation and the esteem of his colleagues.

    Yes, most depression (again, not all) originates with a real or perceived loss of some type, tangible or intangible.

    In a nutshell, here is how a real or imagined sense of loss works. If you attempt to superimpose real or imagined past losses upon the present, it results in depression in the present. On the other hand—just by way of information—if you attempt to superimpose the future upon the present, it leads to anxiety and stress in the present—and panic attacks sometimes. Our past losses (real or perceived) superimposed upon the present = depression. Our worries about the future superimposed upon the present = anxiety and stress.

    So . . . you (and your counselor) must search for and identify what you feel you have “lost.” That could very well be the starting point in your healing—the point of diagnosis. Ask the Holy Spirit who lives inside you to help reveal the loss(es) to you and to your counselor; He will do so if you ask Him to. And, of course, ask Him to reveal other causes for your depression.

My Healing From Depression

    The story I’m about to tell you of God healing me from depression isn’t one of those hyped instant healings where someone placed their hands on my head, prayed for me, and then proclaimed “Be healed!” while I thrashed around on the floor. Nope, nothing like that. But . . . my healing is just as miraculous as that type of supernatural, instant healing. Healing is healing, no matter what shape or form it takes, no matter how it happens.

    If you’ve never battled depression as I have for most of my adult years, you can’t possibly know the l-o-n-n-g days of depression that just seem to go on and on forever . . . without end—days of unnameable hopelessness, deep despair, overwhelming worthlessness, total exhaustion, sadness beyond sadness, wanting to give up, obsessive suicidal thoughts . . . feeling utterly abandoned by God . . .

    Yes, I’ve battled depression off and on most of my adult life—with bouts of varying lengths and intensity. I may even have had it during my late childhood and teen years, choosing to numb its effects with alcohol. In those days, depression was seldom diagnosed in adults, much more rarely in children and teenagers.

     Clearly, my depression began with perceived losses I experienced in childhood. The first was when I began to realize how mean and brutal my dad was. For example, one of my earliest memories is of Dad throwing down a flight of stairs when I was only about two years old! Even with my thought patterns underdeveloped at that stage, I remember asking myself in my child mind what was wrong with me that Dad would do that to me. I felt a sense of loss as a child having no worth—or that something was wrong with me.

    Dad’s brutality continued throughout my childhood with horrible whippings with a leather belt or razor strap, and most of the time I was left wondering what was wrong with me that I deserved that sort of punishment. Please don’t misunderstand me: I’m not blaming my dad for my problems and depression; I’ve simply tried to explore and understand what led to my adult depressive episodes. In actual fact, Dad was a victim of his own harsh childhood.

    Another factor contributing to my depression was that at age four, my kindergarten teacher sexually abused me in the boy’s bathroom. I couldn’t articulate how I felt at the time, but I know it was a feeling that I had “lost” something—my innocence, my “purity”—something like that. I knew what she had done to me was wrong and that it had “robbed” me of something.

    That perception—along with always wondering what was wrong with me that caused Dad to spank me so much and so hard—left me with a deep sense of sadness, “loss” of my childhood, and a deep sense that I wasn’t really worth much as a human being.

    Along with those feelings, throughout my childhood and early teens, Dad and his father (my grandfather “Baba”) often told me I would never amount to much, called me dumb and stupid, told me I could never do anything right, called me retarded, and the like. I didn’t understand why they felt that way about me, but for years I believed what they told me was true. That’s one of the reasons I began drinking at age nine—just to numb myself from the horrible feelings I had about my lack of worth as a person . . . that for some reason I was an incomplete person.

    Again, I no longer blame Dad or Baba for what they did to me; I forgave them long ago. I know this sounds weird, but I actually look forward to seeing them again beyond this mortal journey and talking through all that made them the way they were and the way they treated me. They know I’ve forgiven them, but we still need to talk through some matters in order to bring final closure. Long ago, I also forgave that kindergarten teacher for abusing me; I hope I get to meet her again some day and offer her my forgiveness in person.

    My first episode of depression in my adulthood occurred as a result of a very bad situation of my own making that occurred in my life at age 33. Because at first I didn’t know what was happening to me or how to deal with it, I made an aborted suicide attempt; of course, it failed or I wouldn’t be writing these words.

     That scared my wife and me enough so that I decided I needed to see a counselor; fortunately, I was employed at the time at a nearby Veterans Administration Psychiatric Hospital with plenty of psychiatrists and psychologists to choose from. My supervisor was very sympathetic and let me see my counselor whenever I felt I needed to. It so happens that my counselor at the time, Dr Ching, was a pioneer in a new counseling procedure known as “Cognitive Restructuring.” That means quite simply, replacing old negative thoughts about oneself with positive thoughts. Along with Dr Ching’s counseling and with a mild anti-depressant medication I took, the three-year period of depression began to quickly be healed. Within just a matter of weeks after beginning to see Dr Ching and taking a mild anti-depressant, I was completely healed.

    I’ll mention more about this later, but it is important for a Jesus-believer having depression to apply the Word of God to one’s life and rely upon the inner empowerment of the Holy Spirit to aid in the healing process. I began to do that with more diligence upon seeing Dr Ching and taking my medication, and it wasn’t long before I was healed. I give God the ultimate credit for the healing, believing he used Dr Ching, the medication, and the application of his Word, the Bible to my life. God heals through many means—through both prayer and medicine and counseling, but ultimately He is the Healer.

    My second episode of depression began—again—with a very negative situation of my own making resulting in situational depression. Fortunately, the negative situation changed very quickly, thanks very much to the quick action at the time by my wife to totally change the negative situation. That episode of depression lasted only about six weeks. Again, I was depression-free and hoped I would remain so for the remainder of my life.

    The third—and longest—episode of depression lasted six long years! It, too, began with a very bad situation I found myself in . . . of my own making. Unfortunately, the relatively mild situational depression developed quickly into a very deep period of depression lasting six years. I won’t even begin to describe the sense of abandonment by God, the hopelessness, the “darkness,” the sense of aloneness . . . Only someone who has had similar depression can even begin to understand what that type of depression is like.

    It lasted for six years because—feeling so utterly helpless—I neglected to apply the principles I had previously learned through the years in dealing with depression. I have even counseled many persons having depression—and have seen amazing results in many instances—but I simply felt so hopeless and helpless this time that I didn’t do what I needed to do to “trigger” God’s healing.

    I was treated by three separate counselors at various times, and I took numerous anti-depressant medications (which for the most part made me even more of a “zombie” than I was by the depression alone). But, I neglected to apply many of the principles I learned earlier. I knew what I needed to do, but simply could not bring myself to take any positive action toward my healing. It was a horrible “catch 22” situation: the more depressed I was, the more I neglected to apply “healing principles” to my life; the more I neglected to apply those principles, the more depressed I became. It’s often the case that deep depression such as I was experiencing leads to a hopeless sense of inertia, immobilization, and paralysis where one just doesn’t have the inner resources to move off “dead center.”

    Finally, one day during the early part of my sixth l-o-n-n-n-g year of depression, the counselor I was then seeing (a spiritual person, but not necessarily a Jesus-believer) got real angry with me in our afternoon session and said, “Bill, you know what you need to do in order for God to heal you. If you don’t get off your butt and start doing what you know to do, then I’m through counseling you. You can just go home and lay on the couch all day and rot!”

     Somehow that angry outburst got through to me and I knew that I had to take at least one tiny little step that God could then follow through on and begin to heal me. I knew that I needed to take a tiny step—do anything—that would serve to “activate” God’s healing power in me. So . . . one day I forced myself to get cleaned up and go to the local library and volunteer a couple of hours a week; I secretly hoped they couldn’t use me, but they signed me up right away as a volunteer to work with their “Homebound Program.” That was the tiny action—the trigger—that God needed me to take so that He could then do what He needed to do in order to heal me.

    I stopped taking all my medications “cold turkey” and, instead, began “taking” the Bible as my “medicine,” developing a new, ravenous hunger for the Bible. I read it for hours and hours each day and night. Whenever I came to a passage or verse that “spoke” to me I would immediately ask the Holy Spirit to use it to heal me, restore me, and transform my life. I believed (rightly or wrongly) that I would die if I didn’t read, study, and apply the Bible to my life once again.

    Also, I began attending church services again; oh, I had been going sporadically, but the services held little meaning for me. I was simply attending because I felt it might help in my healing process . . . and because my wife convinced me to regularly begin attending church again. And, attending church did help. One Sunday morning, I experienced a “magic”moment” when I knew that I knew that I knew I was going to be completely healed and set free from the depression that had enslaved me for six years! When that magic moment occurred, my healing was speeded up exponentially and it was only a couple of months or so after that when I could say I was completely healed.

    Who healed me? God! How? In my case, through prayer, by means of a very “directive” counselor, by renewed attendance at church, and by seriously taking the Bible as my daily medication.

    To recap, I’ve had three episodes of depression in my adult life. It began with deep feelings of “loss” during my childhood—loss of self, loss of worth, loss of feeling I was valued by anyone (except maybe by my mother and sister). I did not become a Jesus-believer until age 18, so before that time I had no inner spiritual resources with which to deal with the depression. And, at age nine I began drinking very heavily and stayed drunk almost daily for the next nine years—in order to numb the feelings of loss.

    If I were to attempt to put “in a nutshell” how God healed me of all three episodes of depression, I would say it like this. First, I learned to forgive anyone and anything that had caused me to feel loss and—and anger at the loss. Then, I had to realize that it seemed like I had a propensity for depression—just like some people have a propensity to be overweight, to develop diabetes, or to have migraine headaches or osteoperosis. It’s not that I was created by God to be that way, but simply because of the results of my sinful fallen nature, I had a propensity to be a depressed person. I repeat: God does not cause illness, sickness,   accidents . . . or depression. They are caused by Satan and by our fallen, sinful condition.

    But . . . I believe that sometimes God allows us to become ill or to have accidents so that He can then heal us for his glory . . . and his alone! And, so that we can learn more about ourselves and about his grace, mercy, and sovereign healing in our lives. God allows many of his children to be broken at their weakest points so that afterwards we are strong at the broken places—strong with his inner strength!

    I praise God for healing me from depression three times in my adult life. Each healing has resulted in my being able to share with others God’s grace, mercy, and healing power in my life! Bottom line . . . well, I haven’t figured that out yet. But I believe it has something to do with a biblical principle that when we are weak He is strong; when we are ill, He is our Healer; when we are Broken, He is the Potter Who puts the broken pieces back together.

    I readily admit I don’t understand all there is to know about depression; I don’t understand why I have had 3 horrible episodes of depression—one of them resulting in six seemingly wasted and lost years. I just don’t understand. And I don’t understand God’s healing processes. But I do know that God is a good God and absolutely everything He does is good (Psalm 119: 68). I also know that God is love (1 John 4: 8) and everything that happens to me is always filtered through his great and deep love for me. So . . . yes, there’s much I don’t understand about my years of depression. But what I do understand about God’s love and goodness is enough.

    All I know is that I never, ever, ever want to have depression again, and I pray daily that it will never return.

    As I hinted earlier, when God healed me just a little over a year ago from that last long bout of depression, I developed a new, ravenous, voracious hunger for the Bible once again, and since then have read it completely through almost 4 more times. I’m not trying to impress you—simply to inform you about the supreme importance of the Bible in my life and for my healing and health. I simply cannot live this mortal life I have been sent here to live without the Bible. I crave it more than food!

    There’s a song that sort of sums up what I have written about my healing from depression; it’s entitled “I Will Go On.” I wish I could sing it to you, but I can’t so here are the words:

“I repent [change my mind] for the moments I have spent
Recalling all the pain
And failures of my past.
I repent for dwelling on the things
Beyond my power to change–
The chains that held me fast.

I will go on.
My past I leave behind me.
I gladly take His mercy and His love.
He is joy and He is peace.
He is strength and sweet release.
I know He is and I am His.
I will go on.

I give up the bitterness and hate;
And blaming men and fate
For all my discontent.
The guilt and pain I empty from my cup
So God can fill it up
With peace and sweet content.


I accept the promise of the dawn–
A place to build upon,
To make a brand new day.
I will begin convinced that Jesus lives;
Assured that He forgives
And that He’s here to stay.


    There you have it, dear friend struggling with the dark night of your soul. Take heart! There is sweet release and peace. Day is dawning. Deliverance will come. You will be free of the depression. You will go on!

    See a health care provider. If you need medication, take it. See a good and godly counselor, if at all possible; otherwise, any caring counselor can help even if he or she is not an authentic Jesus-believer—they still want to work with you within your faith-system to help you get well. Read the LIFE-giving Bible and obediently apply it to your life. Keep a journal, writing down important events in your recovery process. Trust the Holy Spirit Who lives within you to “rise up” and help you find total and complete recovery from your depression. I assure you, you will be well and whole again!

Prognosis: Your Healing from Depression

    To begin using the Bible in your healing, please read Hebrews 4: 12 in the New Testament. This reference teaches that the Bible actually gives LIFE to those who read and obey it. I can’t explain how that happens, but the Bible is, in actual fact, God’s LIFE-giving “medicine” for healing and wholeness. Moreover, the Bible is full of power. I can’t explain that either; the Bible is God’s instrument of super-natural power in the life of the Jesus-believer (any pre-believer, too) who reads and obeys the Bible, the Word of the Living God. And, only the Bible can plunge like a “sharp sword” deep into our psyches and spirits to diagnose the losses that have led to our depression. There are other biblical references that teach much the same, but we won’t look at them at this time.

    Now, let’s turn to a specific biblical reference that will help us see how the Bible “works” to aid in our healing from depression. I invite you to turn to only one pertinent reference (there are many) that we will use to show you how reading and obeying the Bible works in our healing processes. That reference is Psalm 37.

     The reference begins by urging us not to fret or be envious (of evil doers or evil doing). For purposes of this teaching, let’s think of the evil-doing as something or someone that has “robbed” us, causing our loss. To fret is to have something (our loss) eat away or gnaw at us; a loss that wears us down because we continually focus on it day after day, almost to the exclusion of everything else going on in our lives. If we continually fret about our losses day after day, week after week, it eats away at us, gnaws at us, and wears us down.

    We must turn our fretting over to the Holy Spirit by a conscious act of our will—by a quality decision—by a firm resolve—asking Him to super-naturally empower us from within to stop the endless cycle of fretting—to “let go” of the losses and not dwell upon them any longer. To trust God that He will “make up” for our losses in a miraculous manner, turning “bad” past losses into “good” present or future results. Some of that letting go may involve forgiveness of someone else or yourself.

    Forgiveness is not something you necessarily feel; it is an act of your will; it is something you do. Forgiveness doesn’t necessarily set the forgiven person free (if it’s someone besides yourself you must forgive), but it sets you—the forgiver—free! Forgiveness is not about the other person; it’s about you. You can free yourself of many past losses by the simple act of forgiving yourself or others.

    Next in Psalm 37, we find envy. Envy is a feeling of discontent and ill will because of another’s “gains” of advantages or possessions while we have suffered losses. We mistakenly compare ourselves with others and what they “have” with what we don’t have—with our losses. It’s the age-old matter of not being able to “keep up with the Joneses.” It’s seeing others doing well while we feel we are suffering losses. The Joneses will always be a part of our mortal lives here on planet earth. We must learn to ask God to help us see that the “riches” we have in Jesus are far more than anything the Joneses possess or could ever hope to possess. That’s not an ethereal, spiritual play on words; it’s a truism that we must learn to recognize and accept our “riches in Jesus” if we are authentic believers in God and in the truths of the Bible.

    Next, Psalm 37 says we must trust in the Lord. What exactly does that mean? Trust is a many-faceted word used throughout the Bible. It means to have a firm belief in the reliability, trustworthiness, honesty, integrity, and justice of God and his revealed truth in the Bible. It means to have confidence in God without fear of the outcome simply because He is God. It means to trust that God is good and that all He does is good (Psalm 119: 68). It means we believe without reservation that He is faithful to carry out all his good plans and purposes (not ours’) in our lives.

     We are to “feed on” his faithfulness, that is, we are to daily meditate upon and dwell upon his faithfulness. How do we do that? We are to read, meditate upon, and study the Bible daily—and apply it to our lives by obeying what we read. As we do that, our sense of loss is slowly diminished as we see that God truly is good and everything He does (or allows to happen) in our lives is for our good.

    Next, in Psalm 37 we are to “delight ourselves” in the Lord. What does that mean? We are to understand that our relationship with God should give us joy and pleasure. One earmark of depression, of course, is that we often feel very sad—sometimes over something specific, but sometimes it is a generalized feeling of overall sadness for which we can’t necessarily pinpoint the cause: we’re just sad and have no joy at all. Most of the time we often feel that life has no reason for pleasure. It takes an act of our wills—again, a quality decision, a firm resolve—that we will find something (even a very small thing) in our relationship with God that we can delight in—that we can find joy and pleasure in.

    It may be something as insignificant as making ourselves take a moment to find joy in seeing a beautiful bird in our backyard. Maybe, it’s just a fleeting moment of joy that quickly goes away, but those moments will build up as we find them—perhaps only one fleeting moment a day or perhaps a few each day.

     The same holds true for pleasure. If we will look for brief moments of pleasure and acknowledge their reality, they, too, will have a cumulative effect in overcoming our depression. Find a moment of pleasure in your relationship with your spouse or children; find a brief few seconds of pleasure in seeing a beautiful baby in the supermarket. Then find another moment of pleasure . . . and another . . . and another. Let them build up.

    At this point, I encourage you to start keeping a written journal of such moments of joy or pleasure so that when things seem so sad you can hardly stand it, you can turn to your journal and remind yourself that you have found just a few moments or seconds of joy and pleasure. As mentioned above, such moments that you have felt and recorded in your journal will have a cumulative effect in driving back the darkness of the depression. It won’t happen overnight (in some cases it does, but not always). Let your journal be a written record of your arduous climb up and out of the deep pit of depression.

    Yes, make a quality decision that you will find moments of joy and pleasure in your life, record them in your journal, and it will help to drive away the deep darkness of your depression. Of course, continue taking your medication and working with your counselor.

    Next, Psalm 37 tells you to commit your way to the Lord. The word “commit” means to actually take your burdens of depression and sort of “roll them over” from your weak shoulders onto God’s strong shoulders. Again, this takes moment-by-moment acts of your will to do that. For example, take a specific loss you are feeling or a specific thing or event that causes you to feel sadness, and then in a moment of time, roll that specific loss, thing, or event from your shoulders over onto God’s shoulders. Actually picture in your imagination yourself doing that. Actually “see” yourself rolling it over from your bent shoulders onto God’s strong shoulders.

    Then, when you have accomplished that (and it might take a very hard effort on your part to do that) be sure to note the event in your journal, noting the exact time and date you rolled it over onto God’s shoulders. Keep a cumulative written record as you do that; maybe you can only come up with the inner strength to do it once a day or even once a week, but when you do, note it in your journal so that when that particular loss comes back to haunt you, you can know that on a certain date and time you rolled it over onto God’s shoulders and it’s a “done deal.” Also, keep records in your journal of other positive events in your journey, such as a date and time when your forgave someone, etc.

    Do not record negative events in your journal, only good, positive events!

    Verse 7 of Psalm 37 encourages us to rest in the Lord and wait patiently for Him. What does that mean? In terms of your depression, it means to take time now and then just to stop working so hard to overcome your depression; it means to take a period of inactivity when you just sort of “give up” working so hard to come out of the depression. It’s like stopping at a “rest stop” on the interstate highway system. It’s when you just put your mind in neutral and “take a break” from the depression. During that rest stop or period of inactivity, you are giving the Holy Spirit (Who lives within you in your spirit) a brief period of time when you sort of “free Him up” to do some of his own work inside your mind and emotions to further set you free from the depression.

    As to waiting patiently for God, it means that during your rest stop, you are essentially giving God permission to do some work of his own inside you that He sometimes can’t do because there’s so much turmoil and frantic activity going on inside you that you are simply not giving Him an opportunity to do what He needs to do to help you overcome your depression. It’s simply giving yourself a “time out” to allow the Holy Spirit to do some things inside you that He ordinarily “can’t” do because you’re not giving Him a “chance” to do so while your mind is churning and going “100 miles an hour” and you just can’t seem to stop.

    Give yourself a rest period, and while you’re resting simply wait for God to work in you whatever miracles He needs to perform to help in your healing from the depression. Jot down in your journal what you feel God does when you are resting—even if it seems to be very insignificant. Again, these episodes of resting and waiting on God will have a cumulative effect in your healing.

    Finally, Psalm 37 encourages you to cease from anger and wrath. Much of our depression is often caused by anger and wrath we have toward real or imagined loss, past situations over which we had no control, people whom we feel have caused us to incur or suffer loss. The Bible says that anger itself is not sin; it’s merely one of the many emotions God has created us with. However, the Bible says we should not go to bed at night still harboring anger. We simply need to go ahead and let ourselves feel the emotion of anger (we can’t deny our feelings), give vent to it, express it, but then let it go before we go to sleep at night. Anger, left unresolved, can burn inside us, leading to bitterness and crippling of our mental and emotional wellbeing. Again, the emotion of anger in and of itself is not wrong; the Bible simply cautions us not to sin while we are angry.

    If we let anger fester in our conscious and subconscious minds (especially during the night while we sleep) it can grow and grow and just overwhelm us the next day. Again, by an act of your will, by a conscious choice, by a quality decision, by a firm resolve, let the anger go before going to bed each night. You can do it, but sometimes it will be one of the hardest things you will ever do.

    When we are depressed, sometimes it’s hard enough just to make a decision to get out of bed, to eat, or even to go to the bathroom. For example, one depressed client of mine attempted to explain to me that no matter how urgently she sometimes needed to go to the bathroom, she just couldn’t make the decision to go—sometimes resulting in her wetting herself; yes, depressive indecision can get that bad! But down inside you—at the core of your being—there is that little spark of life where you can make decisions like I have noted above. You can do it. You must do it. For your own wellbeing, you must draw upon that little spark of life down inside you and make such quality decisions as I have described above. Being able to make such decisions, along with taking your medication, and working with your counselor or therapist will go a long way in cooperating with God to rid you of your of the depression.

    I’m not writing about “gritting your teeth” and conjuring up the inner strength to make such quality decisions; that won’t work. You may feel that you’re just too “dead” inside to make such decisions, but deep down inside you there is a tiny “spark of life” from where you can make such acts of your will, such quality decisions, such firm resolve. You can do it by drawing upon God’s strength within you!

    There is one other element I want to suggest you bring into play as you work toward your healing from your dark night of the soul; I’ve already alluded to it. Jesus lives inside you in his “unbodied form” of the Holy Spirit. He took up permanent residence within you when you became an authentic Jesus-believer. Often, when we are depressed, He just remains deep within us in sort of a “dormant” state because we are too ill to even acknowledge his presence within us.

     The Holy Spirit is a strong “untapped resource” we can call upon to help us be healed of the depression. The Bible says that He is a “power source” within us which we can tap into to help us in our healing. Again, it’s very difficult to make any decision when we are depressed, but we must make a quality decision to ask Him to empower us to help us overcome the depression. He will do so, but we must ask Him to do so; He will seldom, if ever, do anything within us that we do not ask Him to do.

    Try daily to make a quality decision to ask Him for assistance in your healing. Simply say something like this: “Holy Spirit, I know you live inside me and want as much as I do for me to be healed of this depression. Please empower me to make the decisions I need to make and the actions I need to take; please empower me to read and apply the Bible to my depression; please empower me to take my medication; please empower me to cooperate with my counselor. You are the ‘power of God’ within me. I ‘release’ you to empower me in any way you want to help heal me of this depression.”

    There you have it: how to apply the Bible to aid you in your healing. Take your medication. Cooperate with your counselor. Keep a written journal. Read, apply, and obey the Bible. Ask the Holy Spirit to empower you in ways that will aid you in the healing process. Draw on that spark of life deep within you to make quality decisions that will bring you out of your depression. Pray, even if sometimes it’s only a one-word plea to God for help.

Helpful Tips For Healing

    Now I want to give you some practical tips that will help you “free up” God the Holy Spirit to heal your depression.

    First, it is vital that you take some small step to begin to crawl up and out of the dark pit of depression you find yourself in. Any small step will do—just some small move off dead center that you would not ordinarily do while you are depressed. What do I mean? Well, for example, if you’ve been laying in bed or on the couch in the back bedroom for days, weeks, or even months, make a quality decision that you will do whatever you need to do so that you lay down one hour later tomorrow. Or, if it’s a decent day outside, go out into your back yard, and just take 5 or 10 deep breaths. Or, get up and make yourself a cup of tea—anything that you would not ordinarily feel like doing while you are depressed.

    Why make one small move like that? Well, that’s an outward “sign” that inwardly you are “releasing” your faith toward God, allowing the Holy Spirit to rise up from within you where He lives in your spirit and begin to empower you from within to begin climbing out of the pit of depression. Whatever small move you make will serve as a “trigger” to “unleash” the Holy Spirit from within you and activate the healing power of God. Just do anything to start moving and get you off the “dead center” of depression. Such a small move or decision serves as a “point of contact” for you to tap into the Holy Spirit’s power within you. It’s like the simple act of turning on a light switch “releases” tremendous electrical power to light up a darkened room.

    I’ve alluded to the following hints and tips for your healing above, but now I want to try to put them together in a meaningful way as sort of “steps” you can follow to cooperate with God in your healing. God heals through the “twin streams” of both prayer and medicine. Continue seeing your health care professional and/or counselor; continue taking your prescribed medication. But . . . begin to look at these other means God will use to heal you as well.

    First, you need to make a steady and persistent application of the Bible to your life. Here are some tips about how to do that—tips that have worked with me and with many others whom I have counseled who have depression. How can you do that?

    Purchase a little packet of 3 x 5 cards. Then, as you read your Bible from day to day and a verse or reference sort of leaps out at you and gives you some hope, either write down that reference on a 3 x 5 card or write out a “positive” thought for yourself based on the Bible reference. So . . . you are going to be writing on 3 x 5 cards either actual Bible references word-for-word, or, you’re going to be writing positive, personalized thoughts based on Bible references. I call either of these “Bible Decrees, Bible Declarations, or Positive Proclamations.”

    Here’s an example of what I mean. Look up Jeremiah 29: 11 in your Bible. Either write it down word-for-word (from a modern English version of the Bible) or write yourself a positive thought based on that verse. Here’s how such a thought might read on your 3 x 5 card: “God’s plans for me are to give me a future with hope beyond this depression!”

    The next step is my “prescription” for you. Carry such 3 x 5 cards with you throughout the day (or make multiple copies to affix to your bathroom mirror, to keep in your vehicle, to keep on your desk at work) and then 3 to 5 times each day say the words on the card OUT LOUD. There are important medical reasons why you must say them aloud 3 to 5 times every day, but I won’t go into those reasons in this teaching; it’s just important to know you must say them out loud. As you accumulate more and more cards, break them down into sets where you only carry 6 to 8 cards with you at any given time; maybe have 6 cards you’ll read aloud on Monday, 6 more on Tuesday, and so on. Eventually, you might have 30 or 40 cards (or more), but use only 6 to 8 of them each day. “Take” your “prescription cards” OUT LOUD regularly and consistently every day just like you take your prescription medication.

     My second tip for you concerns prayer. Maybe you are so depressed that you can’t even pray. That’s okay . . . for now. But find no more than two people (friends, your Pastor, etc.) whom you can ask to pray for you—and whom you know will do just that! Someone to pray for you regularly and consistently for God to heal you from your depression. They must be two people who are very positive people, not pray-ers who are negative. I’m sure you know they type of negative people I mean. Ask them to report to you at least once a day (in person, by telephone, or by e-mail) what they have prayed about that day and perhaps what God has “told” them about you while they have prayed (if you and your praying friends believe in that sort of thing . . . that God “speaks” to people). It’s important that they’re in touch with you each day and tell you specifically what they prayed about for you that day.

    Next, if you’re not already doing so, please, please find a good, concerned, compassionate counselor to work with you. It would be best if the counselor is a Bible-believing counselor, but that’s not absolutely necessary if you can’t locate one. The very best type of counselor would be a Jesus-believer who uses a method of counseling labeled theophostic counseling, but there aren’t as many of those types of counselors as there are other types. Incidentally, you can find out if there’s a theophostic counselor near you by going to on the internet.

    My next tip for you is to find someone ( Jesus-believing friends, a pastor or priest, etc.) who is willing to share Communion (the Eucharist, the Lord’s Supper, the Table of the Lord—whatever you choose to call it) with you regularly and consistently—preferably a minimum of once a week. Each time while you are taking Communion, either specifically ask God yourself (or have those who are with you) to apply the “healing benefits” of Communion to your depression.

    My final tip is to find someone who will be willing to pray for you and place their hands on you for healing according to the principles found in James 5: 14 – 16 in the New Testament portion of the Bible. Someone who will be willing to do that for you regularly and consistently, again, a minimum of once a week.

    Understand this final point: once God has healed you of the depression—for most people who have once suffered with it and been healed—very often the depression will still sort of “linger” around you or “hover” around you attempting to come back. I can’t explain that phenomenon, only that it has happened to me and to many others I have worked with towards their healing. Don’t be fearful when that happens; just be vigilant and be aware that it can and might happen. Just don’t let it “get it’s foot in the door” of your life again.

    I don’t have all the answers about healing from depression. I don’t even have many of the questions! I don’t know why some people are healed more readily and more quickly than others. I simply believe that God heals people from depression, and that He will heal YOU!

    I assure you that if you will do all that I mentioned in the above paragraphs, you will be healed of your depression! I know. I have had 3 episodes of depression in my adult life. God has healed me of all three of them. I remain totally free of depression today and by God’s grace I will continue to be free, whole, and well!

     This approach will also work with a pre-Jesus-believer, but it will generally take longer because a pre-believer is generally not as sensitive and “open” to the work of the Holy Spirit or to the life-giving power of the Bible, prayer, Communion etc. The Holy Spirit is not limited in any way from working in the life of a pre-believer, however.

    By the way . . . this is an important point: if you have family members or friends who have never had depression, don’t expect them necessarily to understand what you’re going through. If they’ve not had depression they most likely won’t understand your suffering. Get help outside your circle of family and friends. Consider yourself fortunate if you do happen to have family members and friends who are sympathetic; if so, they may try to help, but in most cases they can’t. Get some outside help!

    Unfortunately, often family members and friends will say things to you like: “Hey, just get over it; you can do it. Snap out of it! Just be more positive about things. Look on the bright side of things. Think more positive thoughts. Stop being around negative people who bring you ‘down.’” You’ll hear lots of statements like that; just ignore them. Such family members, friends, and acquaintances mean well, but they just don’t understand your depression. Don’t even try to explain your depression to them; if you do that, many times they will simply think you are a negative “whiner.”

    Well, there you have it: the definition of depression, it’s diagnosis, its causes, the story of how God has healed me from depression on three separate occasions, and—finally—your own prognosis of how God is going to heal you from your depression, with some tips for you to use in cooperating with Him in your healing. God is a loving, good God who wants to heal you of your depression even more than you want Him to! And, He will heal you!

Bill Boylan
Life Enrichmnt Services, Inc. 
Revised and updated December 2018 


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[WEB PAGE] 8 Workouts For Depression You Can Do At Home

A person with natural, curly hair kneels on a yoga mat during a stretch routine. Working out with depression can be hard, but it's not impossible if that's something you want to do.

By Jay Polish, July 23, 2020

If you live with depression, you know that one of the most irritating — and frankly, offensive — things someone can say is “you’ll feel better if you just work out.” It’s far from that simple, because being down isn’t something you can just will yourself out of. But when you do want to work out and your mental health’s getting in your way, having some at-home workouts for depression in your back pocket can make it easier to get started.

Yes, it’s annoying when someone who doesn’t have depression chirpily tells you what will help. But the science backs it up: According to a 2019 study published in the journal Depression and Anxiety, working out can help improve your mental health. The study acknowledged that it’s often harder to start exercising when you’re already in the midst of a tough emotional state, but it found that moving for even a half-hour a day could give you that mood boost you need.

“Since my mood worsens when I don’t move, I prioritize some kind of movement every single day,” says Glo yoga teacher Elena Brower. “The simple act of making even a short duration of effort helps me to feel productive in my work, healthy in my mind, and peaceful in my body.”

1 Move To Your Favorite Tunes

Sometimes, you might just have to take a deep breath and dive in. “Don’t think too much about waiting to feel better or to be in a better mood to start working out,” says Jeff Paul, a senior area personal training manager at Blink Fitness. “Instead, think about how you’ll feel better after you get a workout in.” When your mind wants to go but your body doesn’t want to cooperate, knowing these eight workouts for depression that you can do at home can make movement more accessible.

Not every dance workout has to be a high-intensity Zoom class. “One of the best ways to stay moving is to schedule myself 10 minutes of music with movement,” Brower says. “It doesn’t matter what kind of movement — even running in place on my yoga mat works — but I have to listen to music I love when I’m doing it. When I’m in the depths of sadness, which runs in my family and lives in my bones, this helps me tremendously to keep energy moving through my system.”

2 Stretch It Out

“Sometimes when you’re going through depression, even leaving the house may seem like something really difficult to do,” Paul says. The good news is you don’t even have to break a sweat to get some movement in. “Going through a simple at-home stretching routine will not only help you feel better physically, but you’ll also feel better emotional that you were able to complete it,” he says.

Figure out what feels manageable to you. Maybe it’s some gentle stretching, or you just need to remind yourself to take a few long breaths in and out. “Choose a very short, low-intensity practice that doesn’t contribute to feeling burdened or overwhelmed,” says Glo yoga teacher Jason Crandell. “Resist the notion that it’s an all-or-nothing dynamic in which you’re either working out intensely or not at all.”

3 Grab A Friend

Even if it’s virtual, having a pal with you can help. “With a workout buddy, you can hold each other accountable, leave whatever is on your mind outside of the workout, and hopefully experience a few laughs while you train,” says Courtney Olson, a certified personal trainer and nutritionist with Blink Fitness. FaceTime your friend to do some breathing or kickboxing together, and feel free to make faces at each other to see who breaks into a giggle fit first.

4 Run (In Place)

Some sunlight might help you feel a little lighter, but you can still get a good jog in even if you can’t quite get yourself out the front door. “Running in place is so silly, but I love it,” Brower says. “Jumping in place with good alignment of knees and feet also works; plyometric exercise circulates lymph and energy through the body and really helps to change my state.”

5 Get In Some Sun Salutations

Yoga isn’t a cure-all, but it can serve as a restorative form of movement when you want to exercise but lack the desire or ability to jump into something high intensity.

“Just doing a few sun salutations can also be a great help to shift sticky moods quickly,” Brower says. It’ll take all of two minutes if you just want to do a couple of cycles of standing, folding, stretching, and standing again. Your body will get warm but probably not overly sweaty. You can go as slow as you need, or as energetic as you want.

Simple, brief yoga practices that are designed for new students are a great starting place,” Crandell tells Bustle. “Many people can be intimidated by what they perceive yoga to be — or who they perceive yoga is for. In reality, there are styles of yoga — especially those designed for new students — that are highly accessible and beneficial.”

6 Stay Home (Even After The Pandemic)

“The upside of practicing at home is that it’s private, and this can be reassuring for many,” Crandell says. “This privacy can decrease the feeling of external pressures to perform or fit into a specific story of body-type narratives. It’s possible that this will relieve the additional burden of fitting into an exercise culture that you may not resonate with.”

Brower personally loves working out at home during the pandemic, because it comes with a huge side of self-love. “As long as I stick to my schedule, I find home workouts to be delicious,” she says. “I jump right into a bath or shower and do all sorts of yummy self-care that I would’ve rushed through at the gym.”

7 Go Online

Sometimes, the mental energy it takes to convince yourself to exercise is so draining that you can’t spend any more thinking on the moves themselves. “Working out can be an added stress if you have to come up with the workout yourself,” Olsen says. “Make it easier on yourself by looking up a workout video. There are tons of videos out there for free. Take advantage of them and try something new.”

8 Get Outside

It might be super hard to get out the door when you’re feeling especially down. But once you do, Olsen says, the rewards can make you feel a bit better. “Getting outside and taking in vitamin D is a great way to boost your mood while providing a mind-clearing experience,” she says.

If you’re like me and a solo walk without a destination gives you anxiety, Olsen recommends going on little errands. It doesn’t have to be a formal workout for the movement to “count.”

Studies referenced:

Choi, K. W., Zheutlin, A. B., Karlson, R. A., Wang, M. J., Dunn, E. C., Stein, M. B., … Smoller, J. W. (2019). Physical activity offsets genetic risk for incident depression assessed via electronic health records in a biobank cohort study. Depression and Anxiety. doi: 10.1002/da.22967



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Background: Developing countries like India are facing a double burden of communicable and non-communicable diseases. Stroke is one of the leading causes of death and disability in India. The estimated adjusted prevalence rate of stroke range, 84-262/100,000 in rural and 334-424/ 100,000 in urban areas. Depression is characterized by persistent feelings of sadness accompanied by feelings of hopelessness, worthlessness and helplessness. Depressed patients can experiences loss of energy or fatigue, inability to concentrate and decreased interest in daily living activity with changes in sleep and weight, and thoughts of death and suicide.

Objectives: To measure the prevalence of depression in chronic stroke patients.

Study design: Observational study

Methods:  A total of 85 participants were recruited in this observational study. Each participant was given BDI scale.

Results:  About 85 participants, 52.9% were moderately depressed, 18.85% of severely depressed, 16.5 % of mild mood disturbance, and 11.85% of borderline depressed chronic stroke patients.

Conclusion: This study concluded that prevalence of depression ranges from moderate to severe percentage in chronic stroke patients.

via PREVALENCE OF DEPRESSION IN CHRONIC STROKE PATIENTS | International Journal of Medical Science And Diagnosis Research

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