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In my last blog post, I said I would follow with a series of articles on Biblical Principles that helped me grow and recover from the chaos which came from having a bipolar 1 disorder diagnosis. I will touch on acceptance (Fresh Hope Tenant 1) and overcoming hopelessness (Fresh Hope Tenant 4) in this article.

I have been given many different diagnoses over the years: depression, anxiety disorder, bipolar disorder, PTSD, and schizoaffective disorder, bi-polar type. Just the fact that I had so many different diagnoses tells me several things: First, people are complex and a diagnosis cannot fully capture or describe one’s nature or condition. Second, our conditions are not easily labeled and can change over time. Third, I and all people are more than a diagnosis, or a mental health condition! For me, I am a person who has gone through a lot in my life, in general, and due to my condition.

Amid the chaos that followed a lifetime of hardship and the mental health diagnosis, none of the above realizations occurred to me. I suffered emotionally every day. After I was diagnosed, I saw 2 reports from separate doctors that said my prognosis was poor. I felt like everything that came with having a mental illness was my lot in life. I believed the message that came from society and from doctors and felt that I was doomed to suffer for life. It felt like too much to surmount.

But God. As I described in my 1st blog, I came to a cross-roads in 2010. That was when I submitted myself and my situation to God. In essence, I let go of control and traded it in for trust in God. Submission to God was the key that opened the door to hope and a “faith-filled, full and rich life despite a mental health diagnosis”(Tenant 4). Until then, I was filled with pride preventing me from looking to God or other people for help. I depended instead on myself and unhealthy coping mechanisms. In submitting to God, or surrendering to Him, I gave Him the permission to help me and to work in my life toward more hope and a better future. (He is a gentleman and will not do so without us allowing Him to.)

I believe my pride played a large role in worsening my condition and anguish. It prevented me from reaching out and it reinforced my self-harmful patterns. Let me explain. I really did not like myself and felt like I was a worthless failure. As a result, I put myself down a lot and fell into patterns of negative thinking and self-harmful behaviors. This resulted in making myself the focus of my life. I had little room left for God. Something happened though to get my attention and to clarify what I was doing. One day when I was reading my Bible in Colossians 3, I came across a quote based on 3:1-3.

Colossians 3: 1-3 (NKJV) “If then you were raised with Christ, seek those things which are above, where Christ is, sitting at the right hand of God. Set your mind on things above, not on things on the earth. For you died, and your life is hidden with Christ in God.”

The quote says: “Be careful not to allow your mind to dwell much on your weaknesses and unworthiness.  These excessive feelings spring from a root of pride and a desire for one’s own excellence. (Madame Jeanne Guyon)

I was immediately struck between the eyes by that quote. I had been focusing on my weaknesses and unworthiness and not on God or Jesus. I was caught up in feelings of guilt and shame. I was acting as though God made a mistake when He created me. I was an extreme perfectionist and without realizing it I thought I could be perfect to make up for all those feelings. But it was not working and God helped me to see that in a loving and graceful way. In repentance, I turned to God to help me focus on Him and to rely on Him for help and strength.

Psalm 105:3-4 (NKJV) “Glory in His holy name; let the hearts of those rejoice who seek the LORD! Seek the LORD and His strength, seek His face evermore!”

I found that submitting to God as an initial decision was also a process of living out that decision. It led to seeking God more in prayer and in reading the Bible and applying Biblical principles in my life. That led to increasing peace and freedom. It was part of my journey toward accepting my condition and to reaching a place where God would redeem all the years that I thought were wasted, by using me to help other people as I have recently begun to do. (Tenant 7)

Laura Smith lives in Texas and enjoys time spent with family and friends, painting, and outdoor activities. She is a new group facilitator for Fresh Hope for Mental Health. For questions or comments, or to reach her, please email info@freshhope.us.

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This is the third post in our series featuring excerpts from Outcast, a book by guest contributor Amy Zabel.

There have been many moments when I’ve felt worn—especially after experiencing symptoms of an episode, only to discover the devastating toll it took on my family. How do I comfort them? Where do they get the support they need? How do they recover from the effects of extreme stress caused by my symptoms? I know there are countless families that have experienced—or are experiencing—the wild ride of loving someone with a diagnosis.

This post is for you.

This is to show the gratitude, respect, and love you deserve. So, bring it in for a group hug in print. You’ve earned it. You’re worn, too. Those with a diagnosis are consistently reminded of the importance of self-care. We’re told that self-care is not selfish. This is also true for family members and friends. If you can convince yourself to take time away from the care and concern for the one you love, I assure you it will make tough times easier whenever they arise. Find activities you enjoy and make time for them. Seek out people who encourage you and bring you peace and understanding. Enjoy the beauty of God’s creation whenever possible. Look for ways to find peace in your life to calm the chaos that a mental health condition can sometimes bring to your family.

It’s essential to find someone you can trust—someone who can show you love even without complete understanding. We can’t always comprehend what someone else is going through, but we can still love them. My favorite movie, “A River Runs Through It,” taught me this through witnessing the struggles of the family depicted in the film. Now, I live near a local river, and everything has come full circle for my family as the river runs through our shared experiences. Some of the most important lessons we’ve learned include how to love without complete understanding, how to trust each other, endure, and take time for ourselves when we’re feeling worn.

If you’re a friend or family member of someone with a mental health condition, you probably already know how important it is to respect their dignity and privacy. Don’t report to others everything that is happening to you and your loved one in a crisis. It can come off as “gossip.” It’s easy to be manipulated by emotions when they run high, so look for ways to stay peaceful as you navigate challenging situations. I’ve felt betrayed in this way a few times. It has fractured friendships and close family relationships when I felt I was not loved without complete understanding. I lost my dignity because of conversations that took place behind the scenes. It was like a game of “telephone.” The truth of the story always gets lost—and the victim gets hurt.

As a supporting family member, you need to find someone you can trust, too. Doing so will be highly beneficial to both you and your loved one. If a crisis arises, it’s essential to have a safety plan. I wrote such a plan and shared it with those I care about most, so we can remain safe during a crisis and perhaps prevent one from happening. I would not have the strength to share my story without the love and understanding of family and friends. The ones who never thought I was “too much.” The ones who stayed with me through all the ups and downs. The ones who prayed for me. The ones who stayed with me after a crisis to love me in everyday life. The ones who are still doing the same. These are the people who know how to love without complete understanding.

Our own healing often comes from a place of serving others. This is what Jesus did, and this is the example that He wants us to follow. Thank you to those who sometimes feel worn because of us.“Do not let any unwholesome talk come out of your mouths, but only what is helpful for building others up according to their needs, that it may benefit those who listen.”

– Ephesians 4:29

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When a Mental Health Diagnosis Returns

By Peggy Rice, Hope Coach Trainer for Fresh Hope

It began on a Thursday afternoon. This was my time—set aside for just me and whatever I wanted to do. It was a recent margin I’d built into my week—an afternoon alone, while my husband was gone volunteering, and the time was all mine to do as I pleased: read, crochet, listen to music.

I chose to lie on the couch with the blanket pulled over my head.

I recognized the behavior almost at once. This was old behavior—from 18 years ago.

So I called my psych nurse, the one who manages my meds, and through her assistant, got the message to and from her that my depression was returning, and I probably needed to increase my antidepressant.

It descended as a blanket of depression that afternoon. Or, as my husband described it later, it was as if I drove off a cliff. It happened that fast. Within four hours.

Or did it? Hadn’t it been building all year?

A year of making withdrawals from my emotional tank. I’d been trying in recent weeks to identify boundaries and margins and protect that emotional space, but I was already depleted, and each withdrawal was taking more, until there was just. none. left.

January–March: dealing with chronic pain.
April–June: helping aging parents who live far away.
July: vacation, but it was too long away from home, too hot, too much.
August: recognizing ongoing communication patterns in myself, my marriage, and my family—hard soul-searching efforts and discussions.
September: two particularly difficult days, and the last of my emotional reserves were all used up.

So maybe this afternoon of October 1st, curled up on the couch under the blanket, wasn’t really a surprise after all. I’d been calling it “emotional depletion,” but I knew enough to mention it to my psych nurse at my three-month check-in, so when I called 20 days later, she wasn’t completely surprised that it had gotten darker and deeper.

Thursday evening, I was irritable and crabby. It felt like I was looking at everything around me through sunglasses—everything had a darker shade to it.

Friday I increased my meds. But it’s gonna take a while for me to notice any effects. So a beautiful day in the mountains wasn’t complete joy—I had to really focus and practice staying in the moment, or my negative thinking would swoop in.

And perhaps that’s what surprised me the most—how quickly depression thoughts returned!

I’ve been practicing “thinking about what I’m thinking about” for years. Taking every thought captive unto Christ. Replacing negative self-talk with the truth of God’s Word. I’ve been practicing this, and teaching it to my Fresh Hope group, for years. I have charts and handouts with “not this thought—think this instead.”

But the thoughts that depression brings are their own monster.

I was thinking things on the e-bike ride in the mountains that never would have entered my mind two days prior! Like, as we rode behind the hospital, “Is there a psych ward there? If I checked in, could they make this go away in a day or two?” Or, “Here we go again. And it’s only going downhill from here. Might not go away this time.” Or, “I’m such a downer to anyone around me.” There were many such thoughts, just in an hour.

I remember my therapist from 18 years ago telling me that those weren’t my thoughts. That it was depression talking. And honestly, I accepted him at his word, but didn’t really believe it.

Until now.

Because these things I was thinking were so out of character for me. They were nothing I would have said to myself on Wednesday. And here on Friday, they entered my mind unbidden and sounded almost like truth.

Praise God that I had been practicing talking God’s truth to myself over these past several years, because I was able to recognize that the thoughts didn’t reflect what I actually believed. It was depression distorting the way I was seeing myself and my future—depression whispering in my ear. The thoughts still came, but I didn’t have to accept them as truth.

One of the hardest things about this is that I’ve been depression-free for eight years. Eighteen years ago, I went through a 10-year journey, in and out of depressive episodes. And with the exception of a brief hiccup last spring, when my psych nurse and I dropped my single antidepressant too low, I haven’t felt sad or down or depressed.

Even that brief situation with the lower dose only lasted a week, and it didn’t feel like this. Then, I was just sad—extremely sad. But this time, it’s all the old “feels.” All the familiar patterns and thoughts and emotions that plagued me for 10 years.

It’s almost like an old friend, in its familiarity and, dare I say, comfort?

No, it’s not comfortable.

More like putting on my old ratty sweatshirt with holes and stains and tears. Ugly, yet somehow comfortable.

I’m trying not to give in to the comfort. Because it’s not true—it’s a false comfort. It’s a lie. Again, it’s those whispers that depression is telling me:

“Come closer. Sit down. Remember what this feels like.”

Whispers of a Siren’s Song, luring me until I crash into the rocky shore.

No, I don’t want to remember.

I want to fight. I want to stay emotionally healthy. Mentally healthy.

But fighting looks different to me now than it did 18 years ago.

This time, I recognized what was happening. I made the phone call. I told my husband. I increased my medication as directed. I went to the mountains even though depression came along for the ride. And when the thoughts came, I noticed them. I named them. I challenged them with what I know to be true.

I don’t know how long this episode will last. I don’t know whether the medication change will be enough or whether there will be more steps ahead. And I’m trying very hard not to let depression answer those questions for me.

Because depression wants to tell me that I’m back where I was 18 years ago.

But I’m not.

Those eight years of emotional and mental health didn’t disappear on Thursday afternoon. Neither did everything I learned during the 10 difficult years that came before them. I’m not starting over. I’m starting from here—with experience, tools, people who know what’s happening, medical help, and a faith that has been tested before.

And maybe that’s what fighting looks like today.

Not pretending I’m okay. Not demanding that I feel better tomorrow. Not believing every thought that enters my mind.

Just doing the next healthy thing.

And then the next one.

If you’ve been doing well for a long time and suddenly find yourself facing familiar symptoms again, maybe you need to hear what I’m telling myself right now:

A recurrence does not erase your recovery.

Reach out. Tell someone. Call your doctor. Use the tools you’ve learned. And when your diagnosis starts whispering that everything you’ve gained is gone, remember: you are not standing where you stood the first time.

Neither am I.

And today, that gives me hope.

If you’re struggling, reach out to your doctor or a trusted person. In the US, you can call or text 988 to reach the Suicide & Crisis Lifeline.

About the Author: Peggy has been involved with Fresh Hope as a Group Facilitator for over 8 years and as the Hope Coach Trainer for over 6 years. She can be reached at peggy@freshhope.us.

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We are excited to announce we will have comedian, Tim Boyd as our special guests!

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