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About the Book
"The Case for Hope" by Lee Strobel explores the power of hope in the face of life's challenges and hardships. Strobel shares personal stories and insights from experts to make a compelling argument for the importance of hope in navigating difficult circumstances and finding purpose and meaning in life. The book encourages readers to embrace hope and to believe in a brighter future, no matter what they may be facing.
Susannah Wesley
If a passing stranger walking through the rural village of Epworth, England, on any given day between 1700 and 1720 had peered through the window of the home of the rector of the local Anglican church, he might have caught sight of something quite strange. Depending on the time of day, this observer might have seen a woman sitting in a chair with her kitchen apron pulled up over her head while ten children read, studied, or played all around her.
Two of those ten children would have been little boys â John and Charles â who would grow up to shape the course of Christian history and thus change the world. The woman under the apron would have been Susanna Wesley, who assumed this odd posture for two hours almost every day. In a moment you will understand why.
Susanna understood the dynamics of large families. Born the twenty-fifth of twenty-five children in 1669, Susanna Annesley grew up the daughter of a prominent, highly educated minister in cosmopolitan London. She had little formal education, but growing up in an academic household with so many older siblings left her well-read and well-rounded intellectually. She met Samuel Wesley, an aspiring Anglican minister, and married him in 1688, when she was nineteen years old.
Susannaâs remaining fifty-three years were far from easy ones. They were characterized by loss, hardship, and struggle. Yet she became a woman of immense legacy, largely through the dual virtues of organization and prayer.
Susanna delivered nineteen children, but nine â including two sets of twins â died in infancy. Another was accidentally smothered in the night by a nurse as Susanna recovered from labor and delivery.
Her husband, Samuel, did not succeed in his thirty-nine-year assignment as rector of the church at Epworth. An intellectual academic, he simply did not understand or identify with the rural villagers in his parish. Nor did they care for him. When he involved himself from the pulpit in a highly divisive political matter inflaming the entire nation in that era, he earned the hatred of a vast segment of the populace. On two occasions the Wesleysâ parsonage burned down, most likely because of arson on the part of Epworthâs embittered parishioners. Susanna and the children were seldom spared harassment and insults.
Samuel was not good with money, and he once spent several months in debtorsâ prison. The parsonage came with a small farm, but Samuel was uninterested in and ill-suited for farm work, so this too was left for Susanna to manage. This was in addition to the huge task of homeschooling all of the children, with their varying ages and gifts.
For decades, Samuel expended all of his energies and most of the familyâs meager wealth working on an exegetical treatise on the book of Job. The sad irony is that while he was away for long periods of time studying and writing about Jobâs intense sufferings, his living, breathing wife was enduring real pain and hardship, largely on her own.
Susannaâs household organizational skills are the stuff of legend. She knew from personal experience that quality one-on-one time with a parent is hard to come by in a family with many children, yet powerfully important. So she set a rotating schedule through which each of her children spent an hour with her alone before bedtime on a designated night each week.
What is more, she somehow found a way to manage the household and give her large brood of children a world-class education that included both classical and biblical learning. Her girls got the same rigorous education as did her boys, something virtually unheard of in that day. Traditionally, girls of that place and time were taught âfeminineâ skills such as needlework and music before undertaking the most basic education, such as learning to read. Susanna firmly believed this was wrong-headed. Her girls were taught the same curriculum as her boys. Among the âbylawsâ by which she ran her home school was this: â8. That no girl be taught to work till she can read very well; and then that she be kept to her work with the same application, and for the same time, that she was held to in reading. This rule also is much to be observed; for the putting of children to learn sewing before they can read perfectly, is the very reason why so few women can read fit to be heard, and never to be well understood.â1
School hours were from 9:00 a.m. to noon and then 2:00 p.m. to 5:00 p.m., six days a week. All but the smallest children completed their assigned chores promptly before the start of the school day. As in many one-room schoolhouses in generations past, older children helped teach the younger.
No Excuse for Not Praying!
Susanna took her relationship to God as seriously as she did her duties as a wife and mother.
Early in her life, she vowed that she would never spend more time in leisure entertainment than she did in prayer and Bible study. Even amid the most complex and busy years of her life as a mother, she still scheduled two hours each day for fellowship with God and time in His Word, and she adhered to that schedule faithfully. The challenge was finding a place of privacy in a house filled to overflowing with children.
Mother Wesleyâs solution to this was to bring her Bible to her favorite chair and throw her long apron up over her head, forming a sort of tent. This became something akin to the âtent of meeting,â the tabernacle in the days of Moses in the Old Testament. Every person in the household, from the smallest toddler to the oldest domestic helpers, knew well to respect this signal. When Susanna was under the apron, she was with God and was not to be disturbed except in the case of the direst emergency. There in the privacy of her little tent, she interceded for her husband and children and plumbed the deep mysteries of God in the Scriptures. This holy discipline equipped her with a thorough and profound knowledge of the Bible.
Prayer Leads to Teaching
When husband Samuel was away, as was often the case, a substitute minister brought the Sunday morning sermon at the church. Susanna found these messages uninspiring and lacking in spiritual meat. She had a good-sized congregation of her own at home, so she began teaching them the Bible in her kitchen on Sunday afternoons. Soon neighbors began asking if they could attend. Word circulated and others from the area began asking permission to attend as well. So thorough was Susannaâs knowledge of the Bible, and so gifted was she at communicating its truths, that on any given Sunday after church, Susanna would have as many as two hundred people in attendance at her informal family Bible study, which started in her home but soon moved to a larger venue.
Susanna passed away in 1742 at the age of seventy-three, living long enough to see her sons John and Charles become world-renowned leaders of the global Christian movement. This is her legacy, forged in large part in those diligent hours of intercession under that makeshift apron tent.
The Lasting Legacy of Prayer
John Wesley is estimated to have preached to nearly a million people in his long, fruitful life.
His powerful, evangelistic services were frequently held in the open air to accommodate audiences in the tens of thousands. Traveling on horseback, he regularly preached three or more times a day, often beginning before daybreak. Even at the age of seventy he preached, without the assistance of modern amplification, to an estimated throng of thirty-two thousand people.
It is hard to overstate John Wesleyâs theological impact. He remains the dominant theological influence on Methodists and Methodist-heritage groups the world over, including the United Methodist Church, the Methodist Church of Great Britain, and the African Methodist Episcopal Church, all of which played a pivotal role in the abolitionist movement of the nineteenth century.
Wesleyan theology also formed the foundation for the holiness movement in the United States, which includes denominations like the Wesleyan Church, the Free Methodist Church, the Church of the Nazarene, the Christian and Missionary Alliance, the Church of God (Anderson, Indiana), and other groups which compose the colorful mosaic of Pentecostalism and the charismatic movement in North America.
As prolific a writer as he was busy as a preacher, John Wesley has been called the Father of the Religious Paperback. His published sermons, tracts, pamphlets, and booklets number roughly five thousand items. In addition to theology, Wesley wrote about music, marriage, medicine, science, abolitionism, and current events.
Although John married, he and his wife, Mary, had no children. Because of his giving nature toward the poor, the oppressed, and the unevangelized, he left little of material wealth behind when he died in 1791 at the age of eighty-seven. One biographer said John Wesley âwas carried to his grave by six poor men âleaving behind him nothing but a good library of books, a well-worn clergymanâs gown⌠and â the Methodist Church.ââ2 The same writer observed that Johnâs impact was so profound that he in effect âsupplied a new starting-point to modern religious history.â3
Johnâs younger brother Charles was very much a partner in and vital contributor to these accomplishments. A brilliant musician and lyricist, he wrote more than 6,600 hymns, many of which are still in hymnals the world over today.
Charles and his wife, Sarah, had three children who survived infancy, including two boys, Samuel and Charles Jr., who were musical prodigies. Charles Jr. grew up to serve as the personal organist of the English royal family. His brother, Samuel Sebastian Wesley, became one of the most accomplished British composers of the nineteenth century. A contemporary of Mozart, Samuel is sometimes called âThe English Mozart.â4
John and Charles Wesley were passionate lovers of God and powerful persuaders of people.
As a result, the brothers were viewed by many of their contemporaries as religious fanatics. History has been far kinder in its verdict. It views them as world changers. And every one of the changes they wrought is part of the legacy of Susanna Wesley. In his 1864 biography, John Kirk wrote of Susanna, âHer name has been everywhere received with respect; and by a large and influential Christian Community it has been cherished with strongest affection. Her success in the education of her children has been the theme of universal admiration; and no one has yet ventured to hazard even a conjecture as to how much the cause of religion and the well-being of the human race are indebted to her steady piety and extraordinary talents.â5
We hope that as you read [the story of] Susanna Wesley, youâll grab on to the power of them. For Susanna Wesley, there was no amount of distraction that could keep her from prayer and the Bible. That kind of life, deeply rooted, produced great fruit, as evidenced not only by the people who came to hear her teach but also by the children she influenced. The great truth in her story is how prayer does not occupy the stage of activity. Its power is in the quiet trust of gentle souls who are willing to pull away from the everyday to commune with God.
John Wesley, The Heart of Wesleyâs Journal, ed. Ed Hughes and Hugh Price (Peabody, MA: Hendrickson, 2008), 127.
William Henry Fitchett, Wesley and His Century: A Study in Spiritual Forces (London: Smith, Elder & Co., 1906), 1.
Ibid.
Peter Matthews, Whoâs Buried Where in London (London: â¨Bloomsbury, 2017), 37.
John Kirk, The Mother of the Wesleys: A Biography (Ambler, MA: â¨Tresidder, 1864), vii.
Excerpted with permission from Only One Life by Jackie Green and Lauren Green McAfee, copyright Jackie Green, Lauren Green McAfee, Bill High.
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.