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About the Book
"The Torch And The Sword" by Rick Joyner is a Christian book that discusses the importance of spiritual warfare and living a life of purpose and destiny. Joyner emphasizes the need for believers to be equipped with both the power of the Holy Spirit (the torch) and the Word of God (the sword) in order to effectively combat evil and fulfill their God-given missions. The book offers guidance on how to walk in faith and obedience, overcome spiritual battles, and advance the kingdom of God.
Ann Judson
As the life of Mrs. Ann H. Judson was completely identified with that of her heroic husband, it has been thought neither desirable nor possible to contemplate, them altogether apart. The reader, therefore, who has read our sketch of Dr. Judson, has become familiar with the great events and heroic achievements of her life. Hence the following pages will be devoted chiefly to an estimate of her character. And as she manifested great simplicity and force of character, was actuated by unmistakable motives, and kept ever in full the one great object of her life, her biographers have never been at a loss to decide with what lines and colors to depict her. She was not one of those women who, though brilliant and famous, have been so volatile that it required, not a writer, but rather a photographer, to
"Catch, ere she change, the Cynthia of this minute,"
and so, by a long succession of dissimilar pictures, to enable us to form some general notion of a versatile and extraordinary but illogical and inconsistent life.
A few brief memoranda may be here set down, in order to prepare the reader to accompany us in our analysis of some of the elements in Mrs. Judson's character.
Ann Hasseltine was born at Bradford, Massachusetts, [United States], December, 22d, 1789. She was converted at the age of seventeen, and after completing a pretty thorough and extensive course of study at Bradford Academy, she engaged, not from poverty, but from a sense of duty, in teaching the young. As she opened her school with prayer, her little pupils at first seemed astonished at such a beginning, as some of them had probably never heard a prayer before. She taught school in Salem, Haverhill and Newbury.
Her marriage took place at Bradford, February 5th, 1812, and on the 19th of the same month Mr. and Mrs. Judson embarked for Calcutta. They reached Rangoon in July, 1813.
She set out to return to America by way of London in 1821, and after spending a year in England and Scotland she sailed for New York, where she arrived on the 25th of September, 1822, but proceeded at once to Philadelphia. While here she composed and published a "History of the Burman Mission." She spent some time in Baltimore under medical treatment. She also visited Washington. In June, 1823, she embarked again for Rangoon, where she arrived in December, 1823, after an absence of two years and a half.
She died of remittent fever, at Amherst, a town near the mouth of the Salwen, October 24th, 1826, in the 37th year of her age. Dr. Judson was absent at the time, and no fellow-missionary was present at her death or burial:
By foreign hands thy dying eyes were clos'd,
By foreign hands thy weary limbs compos'd,
By foreign hands thy humble grave adorn'd,
By strangers honor'd and by strangers mourn'd."
Rightly to estimate the excellences of Ann Hasseltine Judson, our readers ought to be acquainted with the state of religion in the Congregational churches of New England, at the beginning of the present century. For information on this subject we have no room.
Her piety was intelligent and sincere. The pastors of that day seem to have been less faithful than the principals and professors of the academies. Miss Hasseltine, under the religious teachings and exhortations of the latter, learned to search her own heart and to understand the difference between common morality and the gracious affections. She was also somewhat indebted to books on practical piety, such as Bunyan's Pilgrim's Progress and Bellamy's True Religion.
One Sunday morning she took up Mrs. Hannah More's Strictures on Female Education. The first words that caught her eyes were those of a quotation of Scripture: "She that liveth in pleasure, is dead while she liveth." For a little season these words alarmed her, and she resolved to lead a life more serious and thoughtful. Converted during a revival in the Spring of 1806, her narrative of her religious exercises at the time (no common production regarded from a literary point of view) is a striking proof of the evangelical character of her experience, and of her clear intellectual analysis of its elements. The tests of a state of grace were some of them perhaps more severe than Holy Writ requires. But after agonies of soul which remind one of Bunyan's, as related in Grace Abounding, she came out of the conflict with unmistakable evidence of newness of life. As she owed much to a revival of religion, so she was ever after a friend of awakenings. She also became a winner of souls. Whether on the land or on the sea, sick or well, among acquaintances or strangers, she considered it her duty to invite sinners to Christ. She did not allow her large ideas of "the good of being in general," and preaching the Gospel to all nations of the world, to blind her to the needs of every person she met in private and social intercourse.
And the courage of Mrs. Judson was as remarkable as her piety. Was there nothing in it of the nature of fanatical hardihood or a rash and willful closing of the eyes on the dangers and unavoidable miseries of a woman's missionary life? We say a woman's, for she was the first American woman that resolved to enter the field of Foreign Missions. Harriet Newell, who accompanied her, informs us that Miss Hasseltine was the first to determine to leave her native land and to go to India; and the journal of the former shows that she was influenced by the example of her more adventurous friend. But this was not the only time that she was called to encounter suffering and death all alone. After the death of her earliest female associate, Mrs. Newell, she was again left alone. And during her husband's imprisonment, her own hardships, perils and sufferings were enhanced by the fact that she was the only European woman at the Burman capital, and there was not one fellow-foreigner to help her meet the scorn and rancor of the populace or the insolence, apathy, terrorism, and extortion of the barbarous officials.
Her consecration to the cause of Christ was complete. About the time of her conversion, the question of the nature and extent of true submission to God began to be discussed in England. When Rev. John Lord, so well known as a lecturer on history, was being examined for ordination, a member of the council asked him whether he were willing to be damned in case it should please God to send him to perdition. His reply was, "Well; fathers and brethren, if the question were whether I am willing that you should be condemned, I might answer without much hesitation, but I have not, I must confess, any such submission to God, as in any case to be willing that I should myself be doomed to final misery."
As for Miss Hasseltine, in her narrative of her Christian experience, she relates how she was brought to an absolute submission to the divine Sovereignty. Afterwards, when her sister asked her if she were willing to be lost, she replied with careful discrimination: "I am not willing to be an enemy of God; but so submissive is my spirit that I could not be unhappy, however He might dispose of me." Well does Mrs. Sigourney pronounce her piety disinterested and sublime.
Her intellectual powers were of no common order. Though, while a girl, she had a strong relish for social amusements, such was her desire for knowledge, that a book could allure her from the gayest social circle. "This desire," says Mr. Knowles, "is almost invariably an attribute of eminent mental powers; and the person thus happily endowed, needs nothing but industry and adequate means, to assure the attainment of the highest degree of literary excellence." Hers were fortunately the means and industry. At the Bradford academy she displayed a rapid perception and a retentive memory, as well as that strong reasoning faculty which her writings everywhere exhibit. She wrote much and well, but as the most of her compositions have perished, we can not form a fair estimate of her abilities as an author. Her letters are marked by that seriousness and fervor, that masculine strength and clearness, which characterized her mind and heart.
Her "Address to the Females in America," in behalf of her schools for Burman girls, is written with zeal and gracefulness, and her "History of the Burman Mission," is a concise and well conducted narrative.
She became perfectly familiar with the Burman language and character; and probably her most eloquent addresses were those, which she made to the King, Queen and other persons connected with the Burman Court. Dr. Wayland speaks of her as possessing great clearness of intellect and large powers of comprehension. It was not to be expected that a woman with such superior gifts and acquirements, would escape the weapons of malice. "Envy with its acute vision," says her biographer, "and calumny with its open ear and ready tongue, although they have assailed her, have never insinuated a doubt of the purity of her life." For a lady to be a successful author, was provoking, but for her to be also a world-renowned missionary, was a crime, that deserved no mercy.
She was of sanguine temperament, but without the changefulness which so often attends it. Coupled with great firmness and resolution, it carried her forward in her career with a steady vivacity and hopefulness. Herein did nature co-operate with grace; for in her early years, as we are told, she was distinguished by feelings unusually ardent, and by a love of enterprise and adventure.
Her restless spirit was indeed sometimes the occasion of grief to her mother, who once said to her, "I hope, my daughter, you will one day be satisfied with rambling."
Her excellent biographer, Mr. Knowles, admits that her constitutional fervor may sometimes have had too much influence over her feelings, and, we think he might justly have added, over her judgment. When told by her London physicians (men so often consulted by patients of her class), that she could not live if she returned to India, she gave no heed to the intelligent and prudent warning.
Again, while returning to the East, she was on her arrival in Hindustan assured that there was great prospect of war between the English and the Burmans. Friends both at Serampore and Calcutta concurred in advising her not to go forward to Rangoon. This unanimous advice was, we are told, enforced by an account of the real state of things, which was furnished to her and her fellow missionaries by the chief Secretary of British India. Yet, after all, she, flew deliberately, as no bird would have done, directly towards the thunder-cloud. We hold the unpopular opinion that right thinking is as acceptable to God as right feeling. We own, indeed, that it is not certain that she did not think wisely, when, in the face of all human counsels and alarms, she determined to put health and life in jeopardy by going to Rangoon at that portentous time. We are equally ready to concede that very few of the heroes or heroines of the church and the world have been markedly wise and prudent. We might go on to make several other concessions in favor of Mrs. Judson, were it not that to set them down at proper length would carry us too far out of our way. It is sufficient to add that she showed an admirable superiority to fear, from the time of her first approach to India, when her eyes caught a distant glimpse of the towering mountains of Golconda, to the moment when she cast her last dying look on the waters of Martaban.
Mrs. Judson acquired a proper independence of heart and mind. This is commonly regarded as a masculine rather than a feminine virtue; but her tragic life, in which a heroic energy and resolution were so often demanded, called into exercise the highest manly excellences. These, disentangling themselves from natural weakness and temptation, arose to those serene regions where they met the strong current of divine grace, and were thereby wafted perpetually towards the supreme object of Christian pursuit. But this independence was not joined to an audacious and obstinate disposition, but to meekness and to a lady-like delicacy and quietness. It was this independence that sustained her rare perseverance. Hence, "amidst perplexities, disease and danger, she pressed steadily forward towards the great object to which her life was devoted. The state of her health repeatedly forced her away from the scene of her labors; but she returned the moment her recruited strength would permit. The tumults of war, and the exasperated barbarity of the government, subjected her and her associates to sufferings unparalleled in the history of modern missions. But as soon as peace returned, instead of flying from a country where she had endured so much, and where her benevolent toils had been so cruelly requited, her first thoughts were directed to the re-establishment of the mission." Many other instances might be cited in proof of Mrs. Judson's superiority to circumstances, and her consequent power to persist unfalteringly in a grand enterprise.
In personal presence she happily blended modesty and self-possession. In her manners there was such an ease and repose that at first you suspected that she was wanting in feminine sensibility and ardor. You had only to mention the Burman mission or any subject connected with human redemption, to see her eyes flash with enthusiasm and to find features and voice expressing the most delicate and most prevailing eloquence.
Her figure was rather above the medium height; in complexion, she was a brunette: but after her return from India it was impaired by the sallow tinge, which a tropical climate almost always lends.
The portrait prefixed to her memoir, as first published, was thought by her friends correctly to represent her as she appeared during her visit to the United States. She then had, we are told, an oval face, with a profusion of black curls, and dark deep eyes. Her pleasant, open countenance had in unsought air of dignity. Her conversation partook of the same admixture of sweetness, frankness and unaffected majesty.
Mrs. Judson's destitute and forsaken plight, as her husband found her at Ava, on his return to his home from Maloun, at the close of the negotiations for peace, was afterwards graphically described by Mr. Judson to his wife Emily. Some vague intimation had created the fear that she was dead. As soon, therefore, as he was released, he ran to his house. The door was open, and without being seen by any one he entered. "The first object that met his eye was a fat, half naked Bengalee woman, squatting in the ashes beside a pan of coals, and holding on her knees a wan baby, so begrimed with dirt that it did not occur to the father that it could be his own. He gave but one hasty look and hurried to the next room. Across the foot of the bed, as though she had fallen there, lay a human object, that at first glance was scarcely more to be recognized than his child. The face was of a ghastly paleness, the features sharp, and the whole form shrunken almost to the last degree of emaciation. The glossy black curls had been shorn from the finely-shaped head, which was now covered with a close-fitting cotton cap. The whole room presented the appearance of the very deepest wretchedness. There lay, sick, the devoted wife who had followed him so unweariedly from prison to prison. The Bengalee cook, who held the child, had been her only nurse. The wearied sleeper was awakened by a breath that came too near her cheek, or perhaps, a falling tear."
Long before Mr. Judson's imprisonment she had adopted the Burmese style of dress â we say style, for in Asia fashion is not known. Her friend, the wife of the governor of the palace, presented her with a dress and recommended her to wear it, rather than a European costume, as better adapted to conciliate the people. "Behold her, then," said Mr. Judson to Mrs. Emily, "her dark curls carefully straightened, drawn back from her forehead, and a fragrant cocoa blossom drooping like a white plume from the knot upon the crown; her saffron vest thrown open to display the folds of crimson beneath; and a rich silken skirt, wrapped closely about her fine figure, parting at the ankle and sloping back upon the floor. The clothing of the feet was not Burman; for the native sandal could not be worn except upon a bare foot. Behold her standing in the door-way (for she was never permitted to enter the prison) her little blue-eyed blossom wailing, as it almost always did, upon her bosom, and the chained father crawling forth to the meeting." Behind her stood her faithful servant, Moung Ing, and by her side, to guard the threshold, the merciless "spotted face." As the father struggled forward to receive his child, his companions in misery, who were fastened to him, seconded his wishes by a simultaneous movement towards the door. This scene, we are told, remained to the end of his life among Dr. Judson's most vivid recollections.
The influence of Mrs. Judson as a political adviser at the Court of Ava, during the Burman war, has been very generally overlooked. When it is remembered that she was for a long time the only European at the capital that had not been sent to prison and so denied all intercourse with the members of the Court, and that, though she was well acquainted with the British power and policy, yet, as an American, she had the advantage of being a neutral, we need not wonder that, as is now well known, she was the author of those eloquent appeals to the government which prepared it for submission to the terms of peace. She persuaded the haughty and proud court to yield its notorious inflexibility in favor of the welfare of the people. Hitherto sincerity in negotiations with an enemy had not been observed. She urged the importance of an honest diplomacy and the necessity of keeping good faith in all offers of peace to England. No official acknowledgement of her political services was to be expected either from the Burmese or from the British; for the party to a treaty that should express gratitude to a mediator would be suspected by the opposite party of having obtained the better bargain. Policy, it is thought, dictates the necessity of a good deal of formal grumbling. While officials greedy of pay and place, are loud and urgent in their claims based on their services in diplomacy, it is not surprising that British histories of Burmah should so often ignore both Mrs. Judson's good offices at the court of Ava, and those of Mr. Judson in securing the treaty of Yandabo. It is but just, however, to the Governor General of India to add that he allowed Mr. Judson, five thousand two hundred rupees, in consideration of his services at this treaty and as a member of the subsequent embassy to Ava.
Mrs. Judson's narrative of her husband's imprisonment at Ava and Oung-pen-la must always rank among the most graphic and pathetic to be found in English literature. Such a conjuncture of events, such alternations of favorable and unfavorable occurrences; such contrasts of character in the intercourse of persons of the highest refinement and of the coarsest and most brutal barbarians â barbarians who had just enough of the light of civilization occasionally darting upon them to reveal, like lightning at midnight, vast surroundings of the deepest darkness;â the transitions from hope to terror through which Mrs. Judson was so often hurried; her description of the fate of others: as of the renowned Burman General Bandoola âhow enthusiastically, yet blindly, his troops set out for the strife with the British forces; the entire assurance which pervaded the palace that he would return in triumph, bringing English captives to be the slaves of the princes and princesses of golden Ava; then the news of Bandoola's sudden death in the storming of Donabew; how the King received it in silent amazement, and the Queen, in Eastern style, smote upon her breast and cried Ama! ama! (Alas! alas!) â how on that long walk of two miles though the dark streets of the capital she heard the people say, "Who can be found to fill Bandoola's place? Who will venture since the invincible general has been cutoff?";â how, in low tones, the poor common men were heard to speak of rebellion in case a call was made for more soldiers; the delayed arrest of the Spanish consul Lansago and the Portuguese priest (a delay which we are sorry she did not stop to explain); the sufferings and death of the Greek prisoner on the way to Oung-pen-la;â her care in feeding and clothing the other European prisoners as well as her husband, making no distinction except in case of the threatened execution of all, when, having interceded for all, the heart of the wife dutifully implored that he at least might be spared;â her daily visits to the prison, carrying food to the door she was not permitted to pass â food which the keepers would not even allow their servants to bear a few paces to the hands of their famishing charge without an extra fee;â her daily visits to the governor of the city to obtain some mitigation of her husband's sufferings;â her nightly return to her solitary home, two miles away, and her throwing herself, worn out with fatigue and anxiety, into her chair to invent some new scheme for the release of the prisoners;â her construction of little bamboo cabins near the prison to serve as hospitals for her sick husband;â the first appearance of poor little infant Maria at the door of the prison in the arms of her mother;â the sickness, terror and vexation of the prison life at Oung-pen-la;â her making presents to the jailors to obtain leave for Mr. Judson to carry his emaciated little daughter around the village to beg a little nourishment from the mothers who had infants of their own;â the hopes of life and liberation that were raised by the news of the execution for high treason of their diabolical foe at court, the Pakan woon, one of the King's brothers;â the effect of all-absorbing hopes, fears, pains, anxieties and exasperating exactions in causing in her heart an almost total oblivion of home and kindred for nearly a year and a half;â and then the reasonable expectation of liberty spreading like the light of the morning on the crests of dark mountains;â last of all, best of all, the certainty, of freedom and that greater joy than any other human triumph ever knew, when they found themselves floating down the Irrawaddy of a moonlight evening, surrounded by six or eight golden boats; and the next morning, saw that they had sailed within the British lines and the bounds of civilized life;â these events and others, perhaps more touching than these, must be read in Mrs. Judson's own letter to her brother, before we are prepared to form any tolerable notion of her rare benevolence, her ingenious kindness, her quick sagacity, her star-like perseverance and the peculiar qualities of her genius.
Much is it to be regretted that there was no one at her bed-side competent to mark and remember her last words during those eighteen days of sickness. Though little Maria's disease had worn out her mother, and was, it is supposed, the innocent occasion of her mortal sickness, she, was nevertheless a great comfort to that mother during the lonesomeness which was caused by her husband's long imprisonment and his subsequent absence at the court of Ava.
In her last letter to him she says, "When I ask poor little Maria where Papa is, she always starts up and points towards the sea." Mrs. Sigourney makes touching mention of the relation of the sick child to the dying mother:
Dark Burman faces are around her bed,
And one pale babe,âto hush whose wailing cry,
She checks the death groan, and with fond embrace,
Still clasps it firmly to her icy breast,
Even till the heart-strings break."
From The Story of Baptist Missions in Foreign Lands... by G. Winfred Hervey. St. Louis: Chancy R. Barns, 1885.
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.