Not only can depression make you question God or feel distant from Him, but it can also make navigating the Christian community more difficult. Depression can be even more challenging for Christians because, unfortunately, there are misconceptions and stigmas associated with depression in many Christian communities.

When you or the people around you do not understand the reality of depression, it makes seeking help more difficult. Depression can already distort your perception of reality or make you doubt your judgment. It’s crucial to be able to recognize what is and is not true about depression.

Many well-meaning people may actually give you bad advice because they don’t understand depression.

Misconception: Depression is not real.

Reality: Depression is a real illness that impacts the brain’s ability to function as it should.

The idea that depression is not real is a very dangerous misconception that prevents many people from getting help.

I (Elizabeth) remember sharing about my depression with a friend. He shared that he had similar experiences. He even felt so bad in high school that his mother took him to the doctor. The doctor diagnosed him with major depression and prescribed antidepressants. When they got home, his mother threw the medication sample in the trash and said that depression was not real. They never went back to the doctor or mentioned the diagnosis again.

My friend’s mother is a strong Christian who cares deeply for her son, but she bought into the myth that depression is not real. She seemed to think it was something shameful. Sadly, my friend to needlessly suffered from depression for years and even despaired of life itself. He finally got professional help for his depression a few years ago and is now thriving.

Misconception: Depression is a sin.

Variation: Being depressed means you are failing to trust God. Being depressed means you are failing to be joyful in all things or to give thanks to God.

Reality: Depression is an illness, not a sin.

If you get a cold or suffer from back pain or any physical illness, does anyone ever tell you that you’re being sinful or failing to trust God because you are in pain? It sounds unreasonable because it is. It’s just as unreasonable to say suffering from depression or any other mental illness is a sin.

God created a perfect world, but when evil entered, perfection was shattered and the world was never the same. We all suffer in some ways from the results of evil breaking into God’s perfect creation. Illness, whether it be physical or mental, is one of the many ways we see how broken our world truly is.

Yes, mental illness is often triggered by stressors or negative environmental factors, but that does not mean it is not real. Physical illness is also frequently triggered by stressors and negative environmental factors. Stress can cause ulcers and increase the risk of a heart attack, very serious illnesses that, like depression, need treatment, not condemnation.

Misconception: Depression will go away if you pray hard enough or have enough faith.

Reality: Depression usually needs to be treated with more than prayer.

Again, depression is a serious illness. As with any illness, someone with depression should seek professional medical treatment. While God is capable of divinely healing mental or physical illness, He does not always intervene in that way. He provides other ways to heal. God gave people like doctors and mental health professionals the understanding and skills to help those who are suffering.

Because chronic stress and trauma can cause physical and chemical changes in the body and brain, they can trigger or worsen depression. Therapy or counseling can be a crucial part of treatment for many people suffering from depression. Being able to process trauma and come up with strategies to reduce stressors and cope with difficulties can help people heal from depression.

Though there is often an environmental and emotional component to depression, the underlying issue is usually biological. This is one reason two people may be going through the same or similar situations and one may develop depression while the other does not. Depression, as with all things involving the brain, is complex, and not even the most advanced researchers fully understand exactly what causes it.

Doctors have found many biological factors that cause or contribute to depression, including genetics, parts of the brain not functioning as they should, problems with neurotransmitters and neurons (nerve cells), and certain medical conditions. Sometimes medications help correct or lessen these issues and so treat depression. Just as people with high blood pressure take medication to help their circulatory systems function better, you may need to seek out medication to help your brain function better.

There is no shame in needing medication for depression if you are a Christian.

Misconception: Depression is a punishment from God.

Variation: If you feel depressed, it’s because you have unconfessed sin.

Reality: Depression is not the fault of the person who is suffering. It is a difficult trial that can refine someone’s faith, but it’s not a punishment for sin.

Once, after I (Elizabeth) shared my testimony with a group of students at my university, a friend came up to me and said, “When I feel like that, I try to figure out what I’ve done wrong that I need to confess.” The comment, while totally inappropriate, was actually meant to be a helpful piece of advice, not a judgment.

Even in Jesus’ day, people were eager to ascribe blame for illness and disability, but He challenged their assumptions. We see this in John 9:1-3 (New Living Translation).

As Jesus was walking along, He saw a man who had been blind from birth. “Rabbi,” His disciples asked Him, “why was this man born blind? Was it because of his own sins or his parents’ sins?”

“It was not because of his sins or his parents’ sins,” Jesus answered. “This happened so the power of God could be seen in him.

The assumption that depression or any mental illness is a punishment for sin is just as faulty as the disciples’ assumption that the man’s physical blindness was a result of sin.

Misconception: Depression is just an excuse for laziness or not doing your “Christian duty.”

Variation: You are letting God and your church down if you are too depressed to serve or minister.

Reality: God loves you however much you do to serve Him.

People who are depressed are already dealing with enough without also being shamed for not doing “enough.”

Churches often rally around people going through physical illness, bringing them meals and showing them grace. Sadly, mental illness is often met with judgment instead of compassion and support.

Not only is this unhelpful, it’s unbiblical. Depressed or not, your relationship with God is more important than doing or serving. We see this in Jesus’ interaction with two sisters named Martha and Mary in Luke 10:38-42 (NLT):

As Jesus and His disciples were on their way, He came to a village where a woman named Martha opened her home to Him. She had a sister called Mary, who sat at the Lord’s feet listening to what He said. But Martha was distracted by all the preparations that had to be made. She came to Him and asked, “Lord, do You not care that my sister has left me to do the work by myself? Tell her to help me!”

“Martha, Martha,” the Lord answered, “you are worried and upset about many things, but few things are needed— or indeed only one. Mary has chosen what is better, and it will not be taken away from her.”

God is more concerned with your heart and obedience than how much you serve at church or how many times you can share your testimony. Your service for God is an expression of the change He has brought about in your life rather than a strategy for winning His favor.

But no matter what anyone says, having a relationship with God is not about what you can do for God. He’s already done everything through Jesus’ sacrifice on the cross, so once you have a relationship with God, you cannot lose it by failing to do religious things.

People who are depressed are already dealing with enough without also being shamed for not doing “enough.”

Depression can make it very difficult to accomplish the tasks of day-to-day life, including ministry. You may be in a season in your life when you need to focus on seeking healing from your mental illness and let some other commitments go. That’s okay.

Even if you cannot serve in your normal roles at church or minister in any way, God still loves you. No one should try to guilt or shame you for not being able to do what you would normally do as your Christian service.

You should be allowed to serve when you are able, trusting God to provide you with opportunities to share your faith even when you’re depressed.

I (Elizabeth) remember that in one season of bad depression, my thoughts spiraled downward until they came to a point where I wondered, What if I feel utterly depressed and unable to do anything every day for the rest of my life? At that moment, God gave me the assurance that He would still love me and have a purpose for my life.

The reality is that God will probably give you many opportunities to serve and minister at a time when your depression is not at its worst. He will give you a new, powerful testimony about His faithfulness during suffering, like He did with me. You can use your story to serve others who are in the midst of suffering.

But even if you can never do anything else “for God” again, He still loves you and would not leave you or forsake you.

Misconception: People with depression are unstable and cannot be trusted with church leadership or responsibilities.

Variation: Depression is an indication of unconfessed sin or weak faith, so people with depression are not fit for leadership.

Reality: Depression and other mental illnesses do not disqualify people from leadership or church roles. Experiencing depression can give people compassion or perspective in a way that actually makes them excellent leaders.

Some people may need to step back from certain roles during times of deep depression, but others who struggle with depression are perfectly capable of serving and even leading in ministry activities.

Radical dependence on God is crucial not only for surviving depression but also for ministry and leadership.

This is especially true when people are seeking treatment or have depression that is well controlled. Though depression, like many medical conditions, may be a lifelong struggle, people often learn to cope well with resources like counseling and medication.

Suffering is a universal experience, so church leaders need to be well-equipped to care for people who are going through hardship. When you’ve walked with God through something as difficult as depression, it gives you a greater ability to walk with others through difficult times.

Not only can depression increase a person’s level of compassion and empathy, it can also provide a new perspective on life that equips them for Christian leadership.

Personally, when I (Elizabeth) was depressed, my prayer life increased. I needed God in a way I never had before. In some moments, all I could do was pray, “God, help everything to be okay.” But I knew He was there, sustaining me when I did not have the ability to sustain myself.

Radical dependence on God is crucial not only for surviving depression but also for ministry and leadership.

Depression also gave me eternal perspective. Eternal perspective is understanding that God and eternal things matter so much more than our present reality.

During times of depression, I really identify with the book of Ecclesiastes. In it, Solomon, a king of Israel and son of King David, talks about the ways he sought fulfillment and meaning in life. He lists temporary things such as pleasure, knowledge and wisdom, possessions, success, hard work and so on.

He declares each of these cravings as “meaningless.” When you experience depression, it’s easier to share Solomon’s perspective because none of these things can lift you out of depression. The things of God begin to matter more. You crave the eternal.

Even when things were really bad, I knew that one day, I would be with God in heaven and I would never have to suffer again. I want everyone to be there with me and get the chance to experience lasting, eternal joy. Depression helped me understand the value of ministry and of helping people start a relationship with God in a new way.

Misconception: It’s shameful to discuss mental illness openly.

Reality: Church community should be a safe environment for people to discuss mental health without judgment.

Sadly, some Christians can be very judgmental about mental illness, but that is not a biblical response. Mental illness is not something you should be made to feel ashamed of or fear sharing with your church community.

Depression and mental illness should receive as kind and gentle a response from Christians, as they do from Jesus.

Jesus made it clear He was not pleased with people who put on a show of being very religious and moral and who judged others.

A group of religious leaders called the Pharisees were the epitome of religious people who act like they have it all together and judge others who do not. Jesus often called the Pharisees out for their hypocrisy. In contrast, Jesus was gentle and kind with people who were struggling and even sinning but who were open to God changing their lives.

The Christian community should never be a place where people feel they need to hide and cover up what they are really going through. In a genuine Christian community, people can share all of their struggles and ask for prayer without fear of shame or judgment. They can testify about how God is working through whatever is happening in their lives.

Depression and mental illness should receive as kind and gentle a response from Christians, as they do from Jesus.

Misconception: You can always tell if someone’s depressed by outward appearances or actions.

Reality: You cannot always tell that someone is depressed from how they look or act.

Many people with depression are so skilled at hiding their condition that you would never know from the outside.

I (Elizabeth) have heard people say something along the lines of, “But you do not look depressed.” I’m not sure what exactly people think depression should look like, but depression can look a lot of different ways.

You can wish you no longer existed but look fine to the people around you. This is especially true for someone struggling with bipolar disorder, which includes high moods, called manic episodes, alternating with deep, severe depression.

Sadly, I’ve had a friend and a teacher who suffered from bipolar disorder die from suicide. Both were very outgoing and fun to be around much of the time. I remember meeting so many people at their funerals who were stunned and confused. I heard comments like, “He’s the last person I would ever have guessed would be suicidal,” or, “But he was always so happy.”

You cannot assume someone is okay based on external appearances.

Misconception: It’s okay to talk about another person’s depression or struggles with mental illness as long as they do not know.

Variation: Sharing someone’s struggles with mental illness without their knowledge lets other people know they need to be sensitive.

Reality: When people share their mental health concerns, those should be respected and kept in confidence. It is gossip to talk about others’ mental health behind their backs.

Talking about someone else’s personal issues when they have not given you permission is never a good idea. But it can be especially painful when you are sharing someone’s struggles with mental illness.

Whether you think you are having a serious conversation about a real issue or you are just sharing gossip, using specific examples from the life of a person you know is a breach of their trust. Prayers and prayer requests for others should be respectful, not thinly veiled opportunities for gossip or judgment.

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