Christians In An Age Of Wealth - A Biblical Theology Of Stewardship Order Printed Copy
- Author: Craig L. Blomberg
- Size: 2.88MB | 509 pages
- |
Others like christians in an age of wealth - a biblical theology of stewardship Features >>
About the Book
"Christians In An Age Of Wealth" by Craig L. Blomberg explores the biblical principles of stewardship in a world of materialism and wealth. The book emphasizes the importance of managing resources and possessions in a way that honors God and promotes justice and generosity. Blomberg challenges readers to examine their attitudes towards money and possessions, and offers practical guidance on how to live a life of stewardship and generosity as faithful followers of Christ.
Mary Slessor
Beyond all question or doubt, Mary Slessor deserves a preeminent place among the great missionaries to Africa. Thirty-nine years of her life she gave to the West Coast of Africa, and when she died, an old converted Negress said, "Kutua oh, kutua oh!" that is to say, "Do not cry, do not cry. Praise God from whom all blessings flow. Ma was a great blessing to Africa." And that, assuredly, this unique woman was! J. H. Morrison thus writes of her:
"To heathen Africa she gave a new conception of womanhood, and to the world at large an imperishable example of Christian devotion."
To this verdict every student of African mission history must agree. Scotland also gave to Africa this devoted servant of her Lord, as she gave to the land of Ham so many great Christian workers. Mary Slessor was born December 2, 1848, in the city of Aberdeen, the second of a family of seven children. Her father was a drunkard, who made life miserable for his entire family, but her mother was a beautiful Christian woman who reared her children in the fear of God. And yet those more rugged traits which made her a great missionary in Africa, Mary inherited from her father, whose death was so great a blessing to the family. For many years her mother had to work in a factory to earn a scant living for her children; but after the death of her father, Mary worked for the family, and even when she was in Africa she supported her mother from her meager salary.
But never would the sunshine of Christian faith and joy pass from the simple home, even in those terrible later years when the father, almost frantic from drunkenness, would cause nights of terror. After the unhappy Saturdays, when Slessor spent his week's wages in drinking, there would come a happy Sunday when the mother with her seven children would hurry to Sunday school where Mary became a teacher when she was yet almost a child. Even then she dreamed of Africa, and her favorite game was to teach an imaginary school of black children. She read avidly, and was a constant student of the Bible and of Milton's Paradise Lost. In spite of this she was a mischievous, impulsive, strong-willed child who was able to beat down any boy that picked a fight with her. Her work in the factory brought her constantly in contact with the roughest element of the city, and this tended to make her a rough and ready antagonist for every one who happened to attempt to oppose her.
In 1874, the Christian world was profoundly moved by the news of Livingstone's death. Everybody spoke of the great missionary hero who by his own choice had died in the jungle of Africa. Now Mary could no longer restrain her passion for missionary work in Africa. She confided her wish to her mother who replied :
"My child, I'll willingly let you go. You'll make a fine missionary, and I'm sure God will be with you."
After some months of special training in missionary work, she was appointed for the West Coast of Africa, the "white man's grave." On August 5, 1876, when Mary was twenty-eight years old, she took the vow to consecrate her whole life for this part of Africa, and immediately sailed from Scotland, her beloved country.
Her field was to be in the city of Calabar, where the United Presbyterian Church had done missionary work for many years. Calabar was the principal coast city of Nigeria, which Great Britain protected by her flag. Nigeria was a part of the slave coast from which each year thousands of slaves were shipped to the west. Some of these slaves, who had been sold to Jamaica, in 1824, conceived of the thought of bringing the Gospel to their home country. The mission was planted and the United Presbyterian Church took charge of it. In 1845, greater interest in the work was aroused by Hope Waddell, who spent some time in Scotland in the interest of African missions.
While the mission was fairly successful, Old Calabar remained what it always had been, a wretched and wicked Sodom, where vice and heathenism flourished. Here all the superstitions and barbarous customs of paganism were practiced, and besides the natives learned from the depraved white people many additional criminal practices. Belief in demons was universal, witchcraft and the horrible poison ordeal were practiced everywhere. Human sacrifices were offered on the river bank for success in fishing. When twin children were born they were buried alive or exposed in the woods, while the unfortunate mother was driven into the bush or even killed; for it was believed that the second child to which she gave birth was the product of her mingling with an evil spirit. When chiefs or other great men died their wives were buried alive with them, while their slaves were slain and their heads thrown into the grave. To these hideous customs must be added the horrors of incessant warfare, of slavery and slave-raiding which made the whole country a veritable hell of degradation. Surely, Mary Slessor could not have chosen a field where missionary work was needed more than right at Calabar!
The horrors of heathenism did not terrify her, since from earliest childhood she had been in contact with vice and sin. She dearly loved the African people for Christ's sake, and at once set out to learn the native language much to the astonishment of the blacks, who said of her that she was gifted "with an Efik mouth." For three years she zealously devoted herself to her new and hard tasks. Then the dreadful coast fever seized her, and she was obliged to return to Scotland for a rest.
But in 1880, Mary Slessor returned to Calabar with new ardor, and now she was allowed to work in Old Town, among the natives, where she employed her own missionary methods. A large part of her meager salary was sent home and she lived largely on native food, which cost her little or nothing. But the chief reason why she preferred living in Old Town, was because she there could become like the natives themselves whom she meant to raise from degradation to purity of life. Her first missionary work was to save the babies that were to be killed or exposed to death. These she gathered and brought to her home, which in a short time became a veritable foundlings' home. But she succeeded in saving also many of the poor mothers who were to be killed, and these together with the children she instructed in the Christian religion. Had she been more inclined to organize her mission work, she might have started a large educational and industrial training school like Lovedale in South Africa, but she was no organizer and was very much averse to routine work. In fact, after a few years' toil in Calabar, she became tired of the humdrum life there, and she begged the Mission Council to permit her to begin work in the interior. For a woman this was a bold and daring venture, and the Mission Council long hesitated before granting her permission. But in 1886, they at last gave consent to her ceaseless requests, and she started off at once for the country of Okoyong, which lies in the angle between the Calabar and the Cross River.
In the district of Okoyong, Mary Slessor encountered a fierce and powerful tribe of Bantu origin, lighter in color than most of the blacks in Nigeria and of finer physique, but thoroughly degraded. Their barbarism was appalling. Head-hunting was one of their favorite pursuits, and between fights they were given to drunkenness and bloody brawls. It was not easy for the white woman to gain permission to settle in the territory of this cruel and oppressive tribe. But in 1888, after many futile attempts, Mary Slessor boldly sailed up the Cross River as far as Ekenge, and begged permission of Chief Edem to establish a mission house in his village. The chief's sister, Ma Eme, at once took a liking to the bold Scottish lass, and induced her brother to permit her to live among the natives. To the end of her life Ma Eme remained a heathen, but she always supported Mary Slessor's work. Mary now returned to Calabar to prepare for a permanent settlement in Okoyong.
On August 3, 1888, her preparations were completed, and in the early hours of a dull gray day Mary Slessor set out for Okoyong. A drizzling rain fell upon the hot country, as a few Christian friends accompanied her to the river and bade her farewell; they said:
"We will pray for you, but you are courting death."
When leaving Calabar, she had five orphan children in her home, the oldest of which was eleven, while the youngest was a babe in arms. No one wanted them and so she took them with her though they added to the hardships of the voyage. Late that night the missionary party were in the Okoyong country, four miles from the village of Ekenge, which was concealed far back in the tropical forest. With her tired and weeping children Mary at once set out for the village where she arrived in a state of complete exhaustion. The oarsmen whom she had commanded to follow, did not arrive, and so alone she went through the forest to the landing place where after a long and severe tongue lashing she finally succeeded in rousing the men from their sleep. By midnight the supplies had been secured in Ekenge.
Mary at once supervised the erection of a mission compound. A mud-walled house was built with several out-stations for the supplies and the women and children whom she might harbor. Unfortunately, the rainy season had set in, so that the whole compound was soon swimming in a pool of muddy water. But Mary was not discouraged. With bare feet and bare head, her hair having been cut short like that of the natives, she worked each day, subsisting on native food, drinking unfiltered water, getting drenched with rain, and doing everything that might have killed an ordinary person. The natives took to her at once, for she perfectly mastered their language, and her fearlessness and good humor made her pleas irresistible. When they fought, she plunged into the midst of the combatants. When they threatened her, she threatened them in turn; when they laughed, she joined in with them. Sometimes she would scold; at other times she would weep; often she would turn her back upon them when they would not obey, but always she kept her commanding attitude which awed the natives into respect. Yet she was no vixen; it was her love for that work that made her so overpoweringly bold. Later, in Scotland, when she was on her furlough, she was so shy that she could not address a meeting as long as a single man was in the audience. But in Africa the chiefs from far and near bowed to her commands and fulfilled her wishes.
Soon the mission compound was full of children who were to be killed, and their mothers driven into the bush. Each day she scoured the woods to find babes exposed and mothers beaten and expelled from the tribal town. These she would bring to the compound, and though by doing this blessed work, she violated every tribal custom, no one dared to interfere with her or molest those whom she sheltered in the compound. Above the house flew the British flag, and in Calabar there were British cannon. Yet, after all, it was her personality which subdued the natives to her will. Of her feats of heroism untold stories are narrated. Once she rescued a babe which had lain exposed in the bush for almost five days, and which she found almost eaten up by the flies and insects. With infinite patience she nursed the little girl back to health. Many years afterwards the young woman was married to an educated native in the service of the Government, and she lived in a fine home and drove around in a motor car. She never forgot the kindness of her good godmother and remained to her end a true Christian. Another time, a son of Chief Edem had been crushed under a heavy log, and upon the advice of a witch doctor, a neighboring tribe was captured to be slaughtered as a propitiatory sacrifice. With great boldness Mary took the burial rites into her own hands, and by her persistent pleas and her irresistible commands saved the victims from a cruel death. In the end, a cow was sacrificed at the grave. It was the first chief's grave in Okoyong which was not saturated with human blood.
In 1891, the British Government appointed her Vice-consul for Okoyong, and though she did not like the routine work connected with it, she readily accepted it because it gave her increased prestige and authority. In 1894, after a service of three years as an official of the Government, she could write in her report:
"No tribe was formerly so feared because of their utter disregard of human life, but human life is now safe in Okoyong. No chief ever died without the sacrifice of many human lives, but this custom has now ceased. Some chiefs, in commenting on the wonderful change, said: `Ma, you white people are God Almighty. No other power could have done this.'"
With the officials of the Government she was always on the best of terms. One of them in later years has given this description of her, as she sat in court and administered justice:
"There was a little frail old lady with a lace shawl over her head and shoulders, swaying herself in a rocking chair and crooning to a black baby in her arms. Her welcome was kind and cordial. I had had a long march on an appallingly hot day, and she insisted upon complete rest before we proceeded to the business of the court. It was held just below her house. Her compound was full of litigants, witnesses, and onlookers, and it was impressive to see with what deep respect she was treated by them all. The litigants emphatically got justice, sometimes, perhaps, like Shylock, 'more than they desired'; and it was essential justice, unhampered by legal technicalities."
Those who sought the settlement of their disputes at the hands and court of Mary Slessor sometimes traveled hundreds of miles and her judgments were never disputed.
However, in spite of her many administrative duties, Mary Slessor never forgot the one great task which had attracted her to Africa. Amid her many labors and difficulties she always testified of Christ. In the mission compound she held services; she daily taught the children at school, and visited the homes of the natives to instruct and comfort them. Sometimes she lost count of the days and on Sundays she would mend the roof of the church with her own hands, while on Mondays she conducted services. But her call to services was always answered by the natives, over whom she exerted perfect control.
In 1896, overcome by ill health, she returned to Scotland on her second furlough, after a stay in Africa of sixteen years. Since she could not entrust her babies to the natives, she brought four of the smallest and most helpless ones with her. She was given one ovation after another, yet she was so shy that she avoided crowds wherever possible, and begged her friends to meet her singly, rather than in groups. While in Scotland, she pleaded with the Mission Council to permit her to open a new mission station farther in the interior of the country. After three years her desire was gratified and a male missionary was appointed in her place in Ekenge. Just then an epidemic of smallpox harassed the whole country. Mary Slessor turned her house in Ekenge into a mission hospital, and leaving it in charge of native helpers, hurried to the more populous town of Akpap, where she fought the disease single-handed. Her old chief, Edem, had caught the infection, and she nursed him faithfully until he died. Then with her own hands she made a coffin, dug the grave, and buried him. When finally two missionaries arrived from Calabar, they found her exhausted from her arduous labors, while her hospital-home in Ekenge was full of corpses, not a single soul having been left to take care of the sick.
Meanwhile the British armies had penetrated the country west of the Cross River, and had even gone beyond the Niger, where mighty cannibal tribes inhabited the Ibo country. At Itu there was a great slave-market from which captives were constantly shipped to Calabar. At Arochuku, thousands of pilgrims worshiped a most terrible idol, called the long Ju-Ju. The British force took Arochuku, subdued the tribes, and demolished Ju-Ju. In this way a vast and populous country was thrown open to the work of Christian missionaries. Mary Slessor could not restrain her desire to follow the missionary call into this wild and unknown territory, and finally the Mission Council permitted her to take up work among the degraded natives of this section of Nigeria. She was now fifty-four years of age, but with fresh vigor she set out on the new venture. Twelve more years she was spared for work and achievement in Nigeria. She established herself first at Itu and, later, when a medical missionary took charge of this important field, she pushed on up country. Everywhere the people received this strange, good woman with joy and respect. In her work she was assisted by Christian boys and girls from Okoyong, and the progress of the missionary enterprise was as rapid as it was encouraging. The old Ju-Ju idol had been overthrown by the Christian God, and so the natives wanted to know who this mighty Lord was. At one unknown place, called Akani Obio, Mary Slessor was kindly received by a chief named Onoyom, who at Calabar had been instructed in the Christian religion, but who later on had returned to heathenism. He now offered to build a church in which Mary Slessor might teach the people, and contributed fifteen hundred dollars for the mission compound which she erected. When, with other converts, he later came to the Lord's Table, he said:
"Akani Obio is now linked on to Calvary. I am sure our Lord will never keep it from my mother."
Her success was so great that the British Government, in 1905, again asked her to administer justice in and around Itu. She consented to do the work, but refused the high salary offered to her, since she was supported by mission funds. With great tact and skill she discharged the duties of this office until ill health obliged her, in 1909, to resign the post. For a number of years she rode from village to village on a bicycle, which her Government friends had bought for her, but toward the end of her life she had to be drawn from place to place in a rickshaw.
In 1912, her health was completely shattered, and her many friends arranged for a short vacation in the Canary Islands. She accepted the offer, hoping that her life might be spared for a few more years of service. She was a frail little lady, with a face wrinkled like yellow parchment, but in spite of her weakness she was full of enterprise and fun. When she returned to Calabar, she received from the King of England the silver cross of the Order of St. John of Jerusalem, which is conferred only on persons who are eminently distinguished for philanthropy. She was glad to escape the publicity connected with this great honor and said, as she returned to the interior, that she could never "face the world again after all this blarney." Her mind was still busy with new missionary projects. Near Itu she founded an industrial home for women and girls. To Scotland she sent letter after letter asking for new workers. She urged the Missionary Council to provide motor cars for their missionaries in order that they might gain more time for missionary work. She herself moved from place to place, opening village after village to the ever increasing number of Christian missionaries that were sent to Nigeria. Finally, only one solitary city, the populous town of Iban, held out, refusing steadfastly to receive the Christian missionaries. But she was undaunted. So long and ardently she pleaded with the town chiefs that at last she gained the victory. That night she wrote a letter to her friends in Scotland, telling them that "she was the happiest and most grateful woman in the world."
But a last heavy blow was to strike this ardent woman missionary. This was the cruel World War, which penetrated also into Africa. When she heard the first news of the great tragedy, she was at Odore Ikpe, where she was building a mission compound. When she heard that Belgium had been invaded and the French armies were on the retreat, and when she learned that her own country was involved in the struggle, she sank back as if struck by lightning. Her native girl helpers put her to bed, where she lapsed into unconsciousness. Afterwards they placed her in a boat and rowed her to Itu. Under the careful medical care she rallied and returned to her mission station, where she taught her classes as usual, though she could no longer stand while conducting the service. But right to the last Sunday of her life and by sheer force of will, she continued in her work. Death claimed her on Wednesday, January 13, 1915, just as the dawn was breaking. Her body was taken to Calabar, where she was buried on Mission Hill, a most beautiful cemetery, which overlooks a large part of the city where she labored so faithfully when she served as a missionary apprentice. For thirty-nine years she had served Africa, bringing to this darkened country the light and life of her Lord.
From Great Missionaries to Africa by J. Theodore Mueller. Grand Rapids, Mich: Zondervan, ©1941.
Christian Depression and the use of Medication
An acquaintance of mine, Becky, is a grandmother who cites her chief joy in life as âpleasing the Lord and walking faithfully with him.â She delves into Scripture daily, and for decades has shepherded others through Bible studies. Christ has claimed her heart, and daily stirs her mind. Yet seasons of guilt and uncertainty have punctuated Beckyâs walk with her Lord, because while she remains steadfastly devoted to Christ, she also struggles with clinical depression. To maintain her clarity and focus on Godâs word, she needs help from an antidepressant medication. As is often the case, depression runs in Beckyâs family. When despair first gripped her in her twenties, Becky had already watched her mother slide through the deep darkness into a mental breakdown. Sheâd witnessed firsthand how depression can ravage a life, as well as the critical roles that medication and counseling can play in drawing sufferers back into the world again. But even these experiences didnât banish Beckyâs concerns about taking antidepressants herself. She wondered if she were right to take medication for an issue that seemed spiritual. Her guilt only deepened when someone in authority at church claimed, âItâs rare for someone to really need antidepressants, because usually things can be solved biblically.â âHearing that from the pulpit sent me into the depths of guilt,â she relates. âI feel so guilty that I must take this medication that has kept me well for years.â A Troubling Subject The doubts swamping Becky trouble so many of us who suffer from depression. Some of us worry that reliance upon medications implies a paltry faith. Others confuse antidepressants with opioids, and fear addiction. In an opposing scenario, our pain-averse culture, which prioritizes comfort and instant gratification, can mislead us toward chemical prescriptions for normal, refining grief. Throughout, questions churn: Are antidepressants permissible? Or sufficient? Does our need for them reflect a deficit in faith? How do they factor into other means of grace with which God has blessed us, such as prayer, study of the word, and counseling? After a careful exploration of depression, its treatment, and how the Bible guides us in suffering, these questions should give way to discernment and gratitude. No medication can sponge away the blackness in our hearts. But in his steadfast love and mercy toward us, God has gifted us with medical science as a means of common kindness. In the right circumstances, when carefully combined with counseling and spiritual disciplines, antidepressants can ease some of us back into daylight. While we should never rely on medication exclusively, neither should we demonize those who use it as part of a comprehensive approach. More Than Sadness At this point in the discussion, we need to define terms. In the undulating course of life, seasons of grief, tears, and bleakness can trouble all of us. In most cases, these valleys have limits. We may sink low, but we retain our capacity to climb, and eventually we crest into the bright air again. Clinical depression, also called major depressive disorder , falls outside these usual variations in emotion. The fact that depression increases the suicide rate by 27 times  that of the general population should alert us to something gone terribly awry. 1  In major depression, hopelessness, despair, and lack of motivation persist long after wounds have healed, for reasons even the victim canât always pinpoint. Sufferers canât control their descent into darkness, nor can they wrench themselves from its clutches by sheer will, because the social, spiritual, and practical factors we can easily see interact with changes deep in the brain, hidden from view. The ramifications are not only spiritual, but also physical (see the table below), 2  hampering engagement in even the most basic stuff of living. Laughter, conversation, and interaction feel impossible, even with those we love. 3  Routine self-care overwhelms, and some of us find ourselves bed-bound, too bereft of joy to drag ourselves into the world. In many ways, living through depression resembles dying. Itâs crucial to distinguish this affliction from appropriate sadness or grief, because God works through our suffering to refine us (Genesis 50:20; Jonah 2; Romans 5:2â5). We should never seek chemical means to buttress ourselves through the typical  peaks and valleys of our emotions. Not only can melancholy and anguish be worthy responses to the travails of a sinful world, but God also disciplines us, shapes us, and draws us closer to himself through our ordeals. Even Jesus wept in the face of loss (John 11:34â36). Depression, however, isnât typical grief. It can persist even when our days unfold free from catastrophe. Itâs a complex beast, whose sufferers desperately need prayer, Christian love, and professional help. A Complicated Problem Too few sufferers of major depression actually receive the help they need. Guilt â which is a feature  of the disorder (see the table) â and stigma discourage many with depression from seeking assistance. 4  In a survey of 5.4 million adults in the US reporting an unmet need for mental-health services, 8.2% did not seek mental-health treatment because they did not want others to find out, 9.5% because âit might cause neighbors/community to have a negative opinion,â and 9.6% due to concerns about confidentiality. Some 28% believed that they could handle the problem without treatment, and 22.8% did not know where to go to receive treatment. 5  Such statistics reveal that the road to healing slouches uphill. Many tread it alone. Yet even those who seek help embark upon a tortuous path, without easy remedies. We have no quick-fix cures for depression, because the neurobiological underpinnings that fuel our despondency are much more elaborate than a simple chemical imbalance. Regions of the brain responsible for memory and executive function shrink in depression, as do the pathways connecting these areas to sites controlling mood, fear, and drives. 6  Brain cell loss is accelerated among the depressed. 7  The actions of chemical signals between nerve cells are disrupted, especially serotonin, a neurotransmitter that helps regulate mood, sleep, appetite, and pain. 8  While we donât know in all cases whether these changes cause  depression or arise as a result  of the disorder, they hint at why sufferers struggle to recover. In depression, the architecture of our own brains traps us in the dark. And yet, while neurological changes abound in depression, even biology doesnât tell the entire story. While some individuals are genetically prone to major depression, 9  a first episode requires the intermingling of this risk with social, psychological, and spiritual triggers. Medical illnesses contribute in up to 15% of cases, and depression increases the risk of a future heart attack by two to threefold among people with heart disease. 10  People with seasonal affective disorder, who struggle with depression during the winter months, respond well to bright-light therapy, while others without this temporal pattern donât. Some sufferers struggle with anxiety in depression, others with melancholy, and still others with catatonia or psychosis. This variability hints that the current diagnosis we call major depression  is probably an umbrella term, a catchall phrase encompassing multiple related syndromes with similar effects, but distinct causative mechanisms. This diversity in depression creates treatment challenges, as one personâs struggle doesnât resemble anotherâs. Promising research suggests that MRI scans of the brain may differentiate between depressive subtypes and allow for more precise, targeted treatments. 11  But this research is preliminary. In the meantime, depression continues to wreak havoc upon its victims, earning the eleventh spot on the World Health Organizationâs list of conditions causing the greatest disability and mortality. 12  Treatment of such a highly convoluted, variable, and debilitating disorder doesnât proceed simply. Imperfect Options The two mainstays of treatment for clinical depression are antidepressant medications and psychotherapy or counseling. While both these avenues can provide life-giving support, neither offers a quick fix. And while both play vital roles in recovery, neither diminishes the importance of spiritual disciplines as we strive to reclaim our joy. Most antidepressants work by increasing the concentration of serotonin in the brain. Given strong evidence for reduced serotonin transmission in depression, for decades we hoped that replenishing serotonin would reverse the disorder. Given what we now know about brain structure and circuitry in depression, itâs no surprise that antidepressants produce modest effects. Although these medications can promote crucial improvements  in symptoms, when used alone they facilitate full remission  in only about 50% of cases. 13  While this effect can be life-giving for half of sufferers, itâs disappointing for a class of medications we hoped would definitively treat the illness. (Imagine our predicament if insulin reduced blood sugar in only half of diabetics, or if antibiotics eradicated the most common bacterial infections only half the time.) Research also reveals only a small benefit of antidepressant therapy over a placebo pill. Just meeting with a health care provider to receive a placebo constitutes personal connection and care, and ameliorates symptoms in up to 35% of cases. 14 Such research, coupled with criticism that studies supporting antidepressants often suffer from publication bias, has sparked debate about whether antidepressants work at all. Last year, a research group attempted to put the issue to rest by conducting a large meta-analysis of FDA data on antidepressants, and found that all twenty-one agents studied were more effective than placebo. The study garnered significant media attention, with exuberant headlines proclaiming, âThe Debate Is Over!â But the data warrant a more restrained response. We can confidently glean from the review that antidepressants can lessen  symptoms of depression after eight weeks of therapy. Thatâs good news for those clambering in the gloom, for whom even a minor improvement can provide stability to engage with the world. But it still doesnât mean antidepressants have earned a reputation as a miracle cure. 15 Taken in total, research on antidepressants supports their use as one component  of a comprehensive approach. Antidepressants are often necessary  to equip us for the hard work of recovery, but they are not typically sufficient . While antidepressants can lift our darkened mood, full recovery also requires attention to elements that pharmacology cannot penetrate: our social support, our patterns of thinking, our habits and histories, and especially our walk with Christ. While antidepressants improve serotonin signaling, psychotherapy and counseling can help us navigate the social and cognitive barriers to recovery. And a rich life of prayer and Bible intake, with support from the body of Christ, is essential to usher us through the storm. Non-Pharmacological Support The term psychotherapy  often scares Christians, as they automatically associate it with the atheist Sigmund Freud. The term, however, refers to multiple approaches in clinical psychology, many quite different from Freudian psychodynamics. According to the medical literature, cognitive-behavioral therapy and interpersonal therapy are most effective in depression, but other methods also garner favor. 16 Psychotherapy and counseling can be crucial to keeping depression at bay. Studies show that antidepressants and psychotherapy have similar efficacy in treating acute depression, but after treatment ends , those who discontinue antidepressants commonly relapse. 17  By contrast, the benefits of psychotherapy persist long after treatment stops. Dr. Karen Mason, associate professor of counseling and psychology at Gordon-Conwell Theological Seminary, has witnessed this phenomenon firsthand. âThereâs a biological vulnerability that antidepressants address, but people are also dealing with social and behavioral issues that reinforce their depression,â she relates in personal correspondence. âYou might be on antidepressants alone for six months, and they help, but as soon as you stop them you become depressed again because patterns of thinking are still there.â In Dr. Masonâs experience, spiritual support can also be crucial to recovery. âPeople struggle through the lens of their faith,â she remarks. âIn depression, usually the person has a low sense of self-worth, and faith can influence this.â For the believer, our value in Christ, and as Godâs image-bearers, helps us sift past the shadows and cling to life. Whether we enroll in psychotherapy or use an antidepressant, our identity in Christ, and what God has done for us through the cross, remain central. A Multifaceted Approach For those of us with mild cases of major depression (as determined by a professional using validated instruments), itâs reasonable to begin with a trial of therapy or counseling alone, and to consider an antidepressant after several months if thereâs no improvement. But those with severe cases are at high risk for suicide. In such harrowing circumstances, the precaution of an antidepressant in addition to counseling can be lifesaving. Indeed, given the benefits of psychotherapy and antidepressants together, the American Psychiatric Association (APA) recommends combination therapy in moderate to severe cases of major depression. 18 The APA further recommends that sufferers who improve with antidepressants continue these medications for four to nine months after a first episode, as the risk of recurrence is high before this period. For those who have endured three or more major depressive episodes, the APA recommends continuing an antidepressant for life . Such recommendations can unnerve us. We might worry about addiction, and question the strength of our faith. We read headlines announcing that primary care physicians now prescribe 40% of antidepressants, often without documenting a psychiatric diagnosis, and we wonder if weâre aiding an epidemic of self-medication to numb the ordinary ripples of life. 19 Before we chastise one another, consider that while half of people recover from a first episode of depression without further issues, after three episodes the risk of recurrence approaches 100%. 20  In chronic and recurrent depression, maintenance antidepressants donât imply addiction, but rather a vital precaution to safeguard against future episodes. Addictive drugs produce euphoria, sedation, or other states that veer from reality and dishonor God (1 Corinthians 6:19â20). Our craving for such substances never abates as long as we continue taking them. Few people, by contrast, covet antidepressants. About 60% of people who take an antidepressant complain of uncomfortable side effects, including diarrhea, nausea, vomiting, insomnia, drowsiness, weight gain, sexual dysfunction, and anxiety. 21  Given these unpleasant effects, the dropout rate for antidepressant therapy is high, with many stopping the medications before their depressive symptoms resolve. 22  Addiction isnât even an appropriate consideration. When used wisely in severe depression, antidepressants donât offer an escape from suffering, but rather equip us to contend with it. When used with discernment, these medications can root us in reality, and help us to focus with clarity on our risen Lord. Becky, who shared her experiences at the start of this article, emphasizes their role with this point: âThis issue has kept a short tether between the Lord and me as I seek him and stay in his word â I know I must!â Depression and Christian Suffering Even when we grasp that major depression isnât normal sadness, we can still struggle with misconceptions that depression is somehow âun-Christian.â âHow can a believer like me struggle with depression when I have the gospel?â one sufferer asked me. Another admitted, âI feel like there must be something wrong with me and my alleged âfaith.â I end up chastising myself for not having the kind of faith that would lead me out of this depression.â Such comments echo those of Dr. Beverly Yahnke, executive director of The Lutheran Center for Spiritual Care and Counsel: Far too many well-intentioned Christians are imbued with the conviction that strong people of faith simply donât become depressed. Some have come to believe that by virtue of oneâs baptism, one ought to be insulated from perils of mind and mood. Others whisper unkindly that those who cast their cares upon the Lord simply wouldnât fall prey to a disease that leaves its victims emotionally desolate, despairing and regarding suicide as a refuge and comfort â a certain means to stopping relentless pain. 23 An assumption common to such doubts is that gospel hope should guard us against maladies of the mind. But such assertions lack both empathy and biblical grounding. Christ has triumphed over death (1 Corinthians 15:55; 2 Timothy 1:10), and when he returns, all its wretched manifestations will wash away (Isaiah 25:7â8; Revelation 21:4). But for now , we still live in the wake of the fall. We must never mistake the Christian life for a prance through a garden path. Jesus warns that persecution will follow us into the world that has rejected him (Matthew 16:24â25; John 1:10â11; 15:20). All creation groans (Romans 8:22â28). Sin still seethes across the globe, stirring up calamity, infiltrating the synapses in our brains to tangle our thoughts and feelings. Our Savior himself was a man of sorrows, acquainted with grief (Isaiah 53:3), even though he shared perfect communion with the Father. While sin stains the world, even those most devoted to Christ can sink into despondency. The gospel doesnât promise us freedom from pain, but an abundantly more precious gift: the assurance of Godâs love, which prevails  over sin and buoys  us through the tempests. Christ offers us hope that transcends the crooked wantonness of this broken world. Suffering can bear down on us. Depression can crush even the most faithful among us. But in Christ, nothing can separate us from Godâs love (Romans 8:38â39). The Source of Our Hope Christians should feel empowered to consider medical treatments â whether antidepressants or otherwise â as blessings, given by God as evidence of his mercy. We clearly see from Jesusâs ministry that healing displays the Fatherâs love for us (Mark 1:40â41; 3:1â5; Matthew 8:1â3; John 9:1â7). Prophets and apostles also mention physical means of healing as instruments to nurture the hurting (Isaiah 38:21; 1 Timothy 5:23). Perhaps the best example is the parable of the good Samaritan, when the passerby stops to tend to an injured manâs wounds with bandages, oil, and wine (Luke 10:25â37). Such passages should chase away our guilt if we require antidepressant medications as part of a multifaceted, prayerful approach to depression. And yet, while we partake of these ordinary means of grace, they cannot offer us the renewal we find in Christ. We quench our parched souls only from the living water that springs from the gospel. Weâre right to accept medical advances for what they are â blessings from God, gifts to help us heal and prosper. While we seek treatment, however, we must still turn our eyes toward God (2 Chronicles 16:12). The need for a heavenward gaze does not limit itself to depression, but to any ailment of mind, body, or soul. As Christians we cleave to a hope that far exceeds any protocol or prescription. Whether we use medications or not, a vital response when we sink into despair is to pray and to meditate as best as our clouded minds permit on his living and active word (Philippians 4:6; James 1:5; Hebrews 4:12). When we kneel before our Lord in humility and supplication, and with palms open lift our burdens to him, he draws us near (Psalm 34:18), even as we struggle through the avenues of medications and counseling. In the coming age, our Savior will chase away the specters that loom over creation (Revelation 21:4). In the meantime, we take comfort that he too has walked in darkness. He too has endured deep suffering, not from brain circuitry gone awry, but willingly, for our sake, out of abundant love for us (John 3:16). And to that truth we cling, even when the shadows descend, even as we labor through medications and therapy, and breathlessly scramble for the light.