About the Book
"Letters to Marc About Jesus" is a collection of letters written by Henri Nouwen to his nephew Marc, exploring the concept of Jesus and his teachings. Nouwen discusses the importance of living a life inspired by Jesus' message of love, compassion, and forgiveness, and offers insights on how to deepen one's relationship with Christ. The book offers a thoughtful reflection on the spiritual journey and the meaning of faith in the modern world.
Joseph Ayodele Babalola
His Background
Joseph Ayodele Babalola was born on April 25, 1904 to David Rotimi and Madam Marta Talabi who belonged to the Anglican Church. The family lived at Odo-Owa in Ilofa, a small town about ninety kilometres from Ilorin in Kwara State, Nigeria. His father was the Baba Ijo (âchurch fatherâ) of the C.M.S. Church at Odo-Owa. Pastor Medayese wrote in his book Itan Igbe dide Woli Ayo Babalola that mysterious circumstances surrounded the birth of Babalola. On that day, it was believed that a strange and mighty object exploded and shook the clouds.
On January 18, 1914, young Babalola was taken by his brother M. 0. Rotimi, a Sunday school teacher in the C.M.S. Church at Ilofa, to Osogbo. Babalola started school at Ilofa and got as far as standard five at All Saintsâ School, Osogbo. However, he quit school when he decided to learn a trade and became a motor mechanic apprentice. Again, he did not continue long in this vocation before joining the Public Works Department (PWD). He was among the road workers who constructed the road from Igbara-Oke to Ilesa, working as a steam roller driver.
Babalolaâs Call to the Prophetic Ministry
Just like the Old Testament prophets, Babalola was called by God into the prophetic office to stand before men. His was a specific and personal call.
Babalolaâs strange experience started on the night of September 25th, 1928 when he suddenly became restless and could not sleep. This went on for a week and he had no inkling of the causes of such a strange experience. The climax came one day when he was, as usual, working on the Ilesa-Igbara-Oke road. Suddenly the steam rollerâs engin stopped to his utter amazement. There was no visible mechanical problem, and Joseph became confused and perplexed. He was in this state of confusion when a great voice âlike the sound of many watersâ called him three times. The voice was loud and clear and it told him that he would die if he refused to heed the divine call to go into the world and preach. Babalola did not want to listen to this voice and he responded like many of the Biblical prophets, who, when they were called out by Yahweh as prophets, did not normally yield to the first call. Men like Moses and Jeremiah submitted to God only when it became inevitable. So, Babalola gave in only after he had received the assurance of divine guidance.
To go on the mission, he had to resign his appointment with the Public Works Department. Mr. Fergusson, the head of his unit, tried to dissuade him from resigning but the young man was bent on going on the Lordâs mission.
The same voice came to Joseph a second time asking him to fast for seven days. He obeyed and at the end of the period he saw a great figure of a man who, according to Pastor Alokan, resembled Jesus. The man in a dazzling robe spoke at length about the mission he was to embark upon. The man also told him of the persecutions he would face and at the same time assured him of Godâs protection and victory. A hand prayer bell was given to Babalola as a symbol. He was told that the sound of the bell would always drive away evil spirits. He was also given a bottle of âlife-giving waterâ to heal all manners of sickness. Consequently, wherever and whenever he prayed into water for therapeutic purposes, effective healing was procured for those who drank the water. Thus, Babalola became a prophet and a man with extraordinary powers. Enabled by the power of the Holy Spirit he could spend several weeks in prayer. Elder Abraham Owoyemi of Odo-Owa, said that the prophet regularly saw angels who delivered divine messages to him. An angel appeared in one of his prayers and forbade him to wear caps.
The Itinerary of Prophet Babalola
During one of his prayer sessions an angel appeared to him and gave him a big yam which he ordered him to eat. The angel told him that the yam was the tuber with which God fed the whole world. He further revealed that God had granted unto him the power to deliver those who were possessed of evil spirits in the world. He was directed to go first to Odo-Owa and start preaching. He was to arrive in the town on a market day, cover his body with palm fronds and disfigure himself with charcoal paints.
In October 1928, he entered the town in the manner described and was taken for a mad man. Babalola immediately started preaching and prophesying. He told the inhabitants of Odo-Owa about an impending danger if they did not repent. He was arrested and taken to the district officer at Ilorin for allegedly disturbing the peace. The district officer later released him when the allegations could not be proven. However, it was said that a few days later, there was an outbreak of smallpox in the town. The man whose prophecies and messages were once rejected was quickly sought for. He went around praying for the victims and they were all healed.
Pa David Rotimi, Babalolaâs father, had been instrumental in the establishment of a C.M.S. Church in Odo-Owa. Babalola organized regular prayer meetings in this church which many people attended because of the miracles God performed through him. Among the regulars was Isaiah 01uyemi who later saw the wrath of Bishop Smith of Ilorin diocese. Information had reached the bishop that almost all members of the C.M.S. Church in Ilofa were seeing visions, speaking in tongues and praying vigorously. Babalola and the visionaries were allegedly ordered by Bishop Smith to leave the church. But Babalola did not leave the town until June 1930.
On an invitation from Daniel Ajibola, Babalola went to Lagos. Elder Daniel Ajibola at that time was working in Ibadan where he was a member of the Faith Tabernacle Congregation. He introduced Prophet Babalola to Pastor D. 0. Odubanjo, one of the leaders of the Faith Tabemacle in Lagos. Senior Pastor Esinsinade who was then the president of the Faith Tabernacle was invited to see Babalola. After listening to the details of his call and his ministry, the Faith Tabernacle leaders warmly received the young prophet into their midst.
Babalola had not yet been baptized by immersion and Senior Pastor Esinsinade emphasized that he needed to go through that rite. Pastor Esinsinade then baptized him in the lagoon at the back of the Faith Tabernacle Church building at 51, Moloney Bridge Street, Lagos. Babalola returned to Odo-Owa a few days after that and Elder (later Pastor) J. A. Medayese, paid him a visit.
The news of the conversion of the new prophet reached Pastor K. P. Titus at Araromi in Yagba, present Kwara State. Pastor Titus was a teacher and preacher at the Sudan Interior Mission which was then thriving at Yagba. He invited Prophet Babalola for a revival service. Joseph Ayodele Babalola while in Yagba, performed mighty works of healing. Many Muslims and Christians from other denominations and some traditional religionists were converted to the new faith during the revival.
The fact that Babalola did not use the opportunity to establish a separate Christian organization despite his marvelous evangelical success, must be puzzling to historians, but his intention was not to start a new church. He declared to his followers that he had registered his membership with the Faith Tabernacle, the society which had him baptized in Lagos. He thus persuaded them to become members of the Faith Tabernacle. To facilitate this, he went to Lagos to confer with the leaders, especially as he was not yet well acquainted with the doctrines, tenets, and administration of the church.
Oke-Oye Mighty Revival
There was a controversy among the leaders of the Faith Tabernacle in Nigeria over some doctrines. In the midst of it were, in particular, the Ilesa and Oyan branches of the tabernacle. The Oyan branch was under the supervision of Pastor J. A. Babatope, a notable Anglican teacher, before his conversion and later, one of the outstanding leaders of the Faith Tabernacle in Nigeria. Issues like the use of western and traditional drugs versus divine healing, polygamy and whether polygamous husbands should be allowed to partake of the Lordâs Supper, were among those doctrines that needed to be agreed on. These issues had caused dissension at the IIesa Tabernacle and in order to avoid a split, a delegation of peacemakers made up of all leading Faith Tabernacle pastors, was sent to Ilesa. It was headed by Pastor J. B. Esinsinade of Ijebu-Ode, president of the General Headquarters of the movement and D. O. Odubanjo of the Lagos Missionary Headquarters. The Ilesa meeting was scheduled for the 9th and lOth of July, 1930. The Apostolic Council of Jerusalem in A.D. 48, and other important church councils, are precedents in seeking ecclesiastical direction on matters affecting the life and peace of the church.
Before the delegation left Lagos for Ilesa, Babalola had been invited to meet the leaders at Pastor I. B. Akinyeleâs residence at Ibadan. From there I. B. Akinyele and Babalola joined the delegation to Ilesa. At Ilesa, he was introduced to the whole conference and was lodged in a separate room because of his prophetic mission. The representatives began their meeting and on the agenda were twenty-four items. The first was the validity of baptism administered to a man with many wives. The second was the issue of divine healing because some of the members believed in the use of drugs like quinine to cure malaria fever. They were only able to discuss the first item when there was a sudden interruption which Pastor Adegboyega described thus: âThe concilatory talks at Ilesa were going on, when suddenly a mighty sweeping revival broke out at Faith Tabernacle Congregation Church at Oke-Oye, Ilesaâ. The revival began with the raising by Babalola of a dead child. The mother of the dead child who was restored to life went about spreading the news around the town of Ilesa proclaiming that a miracle working prophet had come to the town of Oke-Oye. This attracted a large number of people to Oke-Oye to see the prophet. According to Pastor Medayese, many of those afflicted with various diseases who came to Oke-Oye were healed. Many mighty works were performed through the use of the prayer bell and the drinking of consecrated water from a stream called Omi Ayo (âStream of Joyâ).
The result was that thousands of people including traditional religionists, Muslims and Christians from various other denominations were converted to the Faith Tabernacle. As there was no space in the church hall, revival meetings were shifted to an open field where men and women from all walks of life, from every part of the country and from neighbouring countries assembled daily for healing, deliverances and blessings. Odubanjo testified that within three weeks Babalola had cured about one hundred lepers, sixty blind people and fifty lame persons.
He further claimed that both the Anglican and Wesleyan Churches in Ilesa were left desolate because their members transferred their allegiance to the revivalist and that all the patients in Wesley Hospital, Ilesa, abandoned their beds to seek healing from Babalola.
The assistant district officer in Ilesa in 1930 wrote that he visited the scene of the revival incognito and found a crowd of hundreds of people including a large contingent of the lame and blind and concluded that the whole affair was orderly. Members of the church made fantastic claims such as: âHopeless barren women were made fruitful; women who had been carrying their pregnancies for long years were wonderfully delivered. The dumb spoke and lunatics were cured. In fact, it was another day of Pentecost. Witches confessed and some demon possessed people were exorcized.
But the general superintendent of the Wesleyan Methodist Missionary Society of Nigeria at the time has described the reports as âgrotesquely inaccurate accounts of the operations of Babalola.â This of course could be the biased view of a man whose church was said to be the greatest victim of the Ilesa revival.
A revelation was later given to Ayo Babalola to burn down a big tree in front of the Owaâs Palace. The big tree was traditionally believed to be the rendez-vous of witches and wizards. The juju tree was therefore greatly feared and sacrifices were usually made to the spirits believed to reside in it. There was apprehension that this bold act would result in the instantaneous death of Babalola since it was expected to arouse the anger of the gods. But to the great amazement of the people, the prophet did not die but rather continued to wax stronger in the Lordâs work. That single event was said to have made even the Owa of Ilesa and important people in the town to fear and respect the prophet.
The tidal wave of Babalolaâs revival spread from Ilesa to Ibadan, Ijebu, Lagos, Efon-Alaaye, Aramoko Ekiti and Abeokuta. No greater revival preceded that of Babalola. It was popularly held in Christ Apostolic Church (C.A.C.) circles that at one revival meeting, attendance rose to about forty thousand. Among the men of faith who came as disciples to Babalola were Daniel Orekoya, Peter Olatunji who came from Okeho, and Omotunde, popularly known as Aladura Omotunde, from Aramoko Ekiti. These men drew great inspiration from Babalola. Orekoya went on to reside in Ibadan where a great revival also broke out at Oke-Bola through him. It was during his Oke-Bola revival that Orekoya reportedly raised a dead pregnant woman.
Babalolaâs Other Missionary Journeys
After the great revival of Oke-Oye, the prophet was directed by the Holy Spirit to go out on further missionary journeys, but even before this, people from other parts of the country had been spreading the glad tidings of Oke-Oye, Ilesaâs great revival, to other parts of the country. Accompanied by some followers, Joseph Babalola went to Offa, in present Kwara State. Characteristically, people turned out to hear his preaching and see miracles. The Muslims in Offa became jealous and for that reason incited the members of the community against him. To avoid bloodshed he was compelled to leave.
He next stopped in Usi in Ekitiland for his evangelical mission and he performed many works of healing. From Usi he and his men moved to Efon-Alaaye, also in Ekitiland, where they received a warm reception from the Oba Alaaye of Efon. An entire building was provided for their comfort. Babalola requested an open space for prayer from the Oba who willingly and cheerfully gave him the privilege to choose a site. Consequently, the prophet and his men chose a large area at the outskirts of town. Traditionally the place was a forbidden forest because of the evil spirits that were believed to inhabit it. The Oba tried to dissuade Babalola and his men from entering the forbidden forest, but Babalola insisted on establishing his prayer ground there. The missionaries entered the bush, cleared it and consecrated it as a prayer ground. When no harm came upon them, the inhabitants of Efon were inspired to accept the new faith in large numbers.
Babalolaâs evangelistic success in Efon-Alaaye was a remarkable one. Archdeacon H. Dallimore from Ado-Ekiti and some white pastors from Ogbomoso Baptist Seminary were believed to have come to see for themselves the âwonder-working prophetâ at Efon. Both Dallimure and the Baptist pastors reportedly asked some men from St. Andrewâs College, Oyo and Baptist Seminary, Ogbomoso to assist in the work.
The success of the revival was accelerated by the conversion of both the Oba of Efon and the Oba of Aramoko. They were both baptized with the names, Solomon Aladejare Agunsoye and Hezekiah Adeoye respectively. After this event, news of the revival at Efon spread to other parts of Ekitiland.
The missionaries also visited other towns in the present Ondo State. Among them were Owo, Ikare and Oka. Babalola retreated to his home town in Odo-Owa to fortify himself spiritually. While he was at Odo-Owa, a warrant for his arrest was issued from Ilorin. He was arrested for preaching against witches, a practice which had caused some trouble in Otuo in present Bendel State. He was sentenced to jail for six months in Benin City in March 1932. After serving the jail term, he went back to Efon Alaaye.
One Mr. Cyprian E. Ufon came from Creek Town in Calabar to entreat Babalola to âcome over to Macedonia and help.â Ufon had heard about Babalola and his works and wanted him to preach in Creek Town. After seeking Godâs direction, the prophet followed Ufon to Creek Town. His campaign there was very successful. From Creek Town, Babalola visited Duke town and a plantation where a national church existed at the time. Certain members of this church received the gift of the Holy Spirit as Babalola was preaching to them and were baptized. When the prophet returned from the Calabar area, he settled down for a while. In 1935 he married Dorcas.
The following year Babalola, accompanied by Evangelist Timothy Bababusuyi, went to the Gold Coast. On arrival at Accra, he was recognized by some people who had seen him at the Great Revival in Ilesa. After a successful campaign in the Gold Coast he returned to Nigeria.
The Birth of the C.A.C. in Nigeria
The spectacular evangelism by Prophet Joseph Ayo Babalola brought with it a wave of persecution to all who rushed into the new faith. The mission churches allegedly became jealous and hostile especially as their members constituted the main converts of the Faith Tabernacle. It was widely rumoured that the revival movement was a lawless and unruly organization. The Nigerian government was put on the alert about the activities of the movement. At this time, the leading members of the movement were advised to invite the American Faith Tabernacle leaders to come to their rescue. The leaders from America, however, refused to come as such a venture was said to be against their principles. As a matter of fact, the association between the Philadelphia group and the Faith Tabernacle of Nigeria was terminated following the marital problems of the leader of the American group, Pastor Clark. The Nigerian group then went into fellowship with the Faith and Truth Temple of Toronto which sent a party of seven missionaries to West Africa. Again, the fellowship was stopped when Mr. C. R. Myers, the only surviving missionary, sent his wife to the hospital where she died in childbirth.
Despite these disappointing relationships with foreign groups, the Nigerian Faith Tabernacle still considered it prestigious to seek affiliation with a foreign body. The rationale for this can be found in D. 0. Odubanjoâs letter to Pastor D. P. Williams of the Apostolic Church of Great Britain of March 1931. In the letter Odubanjo claimed: âThe officers of the government here fear the European missionaries, and dare not trouble their native converts, but often, we brethren here have been ill-treated by government officersâ.
This was followed by a formal request for missionaries to be sent to strengthen the position of the Nigerian Faith Tabernacle. Missionaries did come and, on their advice, the Nigerian Faith Tabernacle was ceded to the British Apostolic Church. Consequently, the name changed from Faith Tabernacle to the Apostolic Church.
Doctrinal differences between the two groups soon began to appear in forms similar to the ones that caused the termination of the association with the American groups. The subject of divine healing, was one of the most important issues. Some of the invited white missionaries from Britain were found using quinine and other tablets and this caused a serious controversy among the leading members. It was unfortunate that the controversy could not be resolved and the movement subsequently split. One faction of the church made Oke-Oye its base and retained the name the Apostolic Church. The other larger faction and in which Prophet Joseph Babalola was a leader eventually became the Christ Apostolic Church. This church had to go through many names before May 1943 when its title was finally registered with number 147 under the Nigerian Company Law of 1924. Today, the church controls over five thousand assemblies, and reputedly is one of the most popular Christian organisations in Nigeria and the only indigenous organization with strong faith in divine healing.
Professor John Peel recorded that the membership of the C.A.C. in 1968 was well over one hundred thousand. That figure must have doubled by now. The church opened up several primary and grammar schools, a teachersâ training college, a seminary, maternity homes and a training school for prophets. The years between 1970 and 1980 saw further expansion of the church to England, Ivory Coast, Sierra Leone and Liberia. At present the church has its Missionary and General Headquarters in Lagos and Ibadan respectively.
Babalola was a spiritually gifted individual who was genuinely dissatisfied with the increasing materialistic and sinful existence into which he believed, the Yoruba in particular and Nigeria in general were being plunged as western civilization influence on society grew.
The C.A.C. believes that the spiritual power bestowed on Babalola placed him on an equal level with Biblical apostles like Peter, Paul and others who were sent out with the authority and in the name of Jesus.
Joseph Ayo Babalola slept in the Lord in 1959.
David O. Olayiwola
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.