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Mental Health America published its report on the state of mental health in this country a few days ago. I read all forty-five pages. One finding stopped me cold: nine out of ten.

Of the teenagers in America who went through a major depression this past year and got no help at all, 92.8% gave the same reason. They thought they should have been able to handle it on their own.

They thought it was theirs to carry alone.

And among adults, it is 71%. Seven out of ten adults believed they should be able to handle it alone.

Unfortunately, I know that feeling. I have said that out loud to myself. “I should be able to handle this.”

 

I want to say the next part carefully, because I love the church and I have given my life to it.

We in the church have contributed to some of this thinking: that when trouble hits, when we walk through adversity, we should be able to “handle it with the Lord.”

You see, if I believe the Lord will help me handle what I’m going through as I’m going through it, that doesn’t lead me to understand that asking for help — and having someone who has walked through it — can truly help me go through it.

We haven’t done this on purpose. Nobody ever stood in a pulpit and said that needing help means your faith is weak. But we said other things, again and again, and people did the arithmetic themselves.

Give it to God.

Pray harder.

Just have more faith.

God won’t give you more than you can handle.

Say those to a person whose brain is not working right, and here is what they hear. If I still need help, I am failing.

So, they stop telling anybody, or they never tell anybody. And the one thing that would have helped them becomes the one thing they will not do.

Those sentences are not lies. Prayer is real. God is near to the brokenhearted. I believe every word of that, and I have leaned on all of it.

But a true sentence can still land wrong on somebody who is going under.

And it’s not that the Lord isn’t helping someone. He also uses and works through others in our lives to help us.

Paul wrote that God comforts us in our troubles so that we can turn around and comfort somebody else with the comfort we ourselves received. “All praise to God, the Father of our Lord Jesus Christ. God is our merciful Father and the source of all comfort. He comforts us in all our troubles so that we can comfort others. When they are troubled, we will be able to give them the same comfort God has given us.” 2a Corinthians 1:3-4 (NLT)

Here is what is so ironic about it. And it is so much like the brokenness we all live in.

The very thing that will help someone who is struggling with depression is to be able to talk about it — to express it out loud to somebody who has been there and been through it.

And the very thing we do instead is isolate. We stop talking.

Depression only gets worse that way. It can only get worse that way.

A pill is not going to work by itself. We have to work with the medicine to get out of depression, and we have to be able to talk and express it.

So what better thing is there than a friend, or a few friends, in a safe place, who are listening — and who are also offering hope, because they have been there, they got through it, and they are doing well.

 

Seventeen of us met in a church basement on a cold Tuesday night in February.

I was one of them. I was a pastor with bipolar disorder, and I did not know whether I could live well or not.

There were times when I tried to walk through it alone — yes, with the Lord — but in those moments I felt so alone. I knew of no one else who was walking through it.

So I went to some support group meetings.

It was a round robin of people venting the same things I was feeling, with no answers and no hope. Those group meetings actually made me worse.

Ruminating with others about how difficult something is to go through doesn’t bring hope. It reinforces the emotional pain of what someone is walking through.

That’s why my doctor finally encouraged me to start the kind of group I wanted to attend.

That was the beginning of Fresh Hope. That’s why we met on that cold February night.

What I found that night was not a technique. Nobody handed me a method.

I found out I was not the only one. I found out there was hope. I found out that it was more than just possible to live well in spite of my mental health challenges.

That is the whole thing. That is why a group does something a sermon cannot. A sermon tells you the truth. A room full of people who have been where you are shows you the truth is survivable.

Hope is caught more than it is taught.

 

Two more numbers from that report, and then I will stop.

Of those same teenagers, 74.3% said they were worried about what people would think or say if they got help. And 66.4% were worried that what they said would not stay private.

Read those three numbers together, and you have the whole picture. I should handle this myself. People will talk. It will not stay in the room.

A free group, led by somebody who has been there, where what is said stays in the room, answers all three. And that’s what happens in a Fresh Hope group meeting.

 

So here is what I want to leave you with.

If you are the one carrying something alone right now, and you have been telling yourself you ought to be able to manage it: you were never supposed to handle it alone. Not once, anywhere, has God asked you to do this by yourself.

In fact, He created us for relationship with one another. He has laid out that we should help one another.

It’s not a weak faith that asks for help. It’s a strong faith that knows others can become “Jesus with skin on” for us as we walk through troubled times.

And if you are a pastor reading this — somebody in your church is doing that arithmetic this week. They are sitting in your service working out that if they still need help, they must not have enough faith.

You can change what they hear. It will take you one sentence from the front, said like you mean it.

Nine out of ten of those teenagers believe they ought to carry it by themselves. They are wrong, and I was wrong about it too, for a long time. You were never supposed to carry it alone, and you do not have to carry it one more day.

 

If you are thinking about taking your life, or you are frightened by what is happening in your mind, please reach out. Call or text 988, the Suicide and Crisis Lifeline. Someone will answer, any hour of the day or night, and it costs nothing. You do not have to be in crisis to call — you only have to need somebody.

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Should I Go to Church If I’m Depressed?

By Peggy Rice, Hope Coach Trainer for Fresh Hope

Last Sunday, I went to church for the first time in nearly four weeks.

On October 1, depression descended on me like a blanket. I recognized it almost immediately. I had experienced depression before, and I knew what was happening.

What followed was a difficult stretch of exhaustion, medication adjustments, disrupted sleep, and the emotional heaviness that accompanies depression.

And for several Sundays, I didn’t go to church.

On Monday evening, while facilitating a Fresh Hope support group, I mentioned that the previous day had been my first Sunday back at church since the depression began. I noticed several looks of astonishment, perhaps even shock. I don’t know exactly what people were thinking. Perhaps they were simply surprised. But their reactions stayed with me.

Was it surprising that someone who loves Jesus, who leads a Christian mental health support group, and who has spent years encouraging others in their faith would stay away from church for several weeks because of depression?

And that led me to a larger question:

Should I go to church if I’m depressed?

——–

When Just Showing Up Feels Like Too Much

One of the realities of depression is that ordinary activities can require extraordinary effort. Getting out of bed. Getting dressed. Making conversation. Being around people. Even things we ordinarily enjoy can become exhausting.

For me, attending church isn’t simply a matter of walking into a building, sitting through a worship service, and going home. Church involves people. People I know and love. People who know and love me. People who will naturally ask how I’m doing. And when I’m depressed, even answering that simple question can feel overwhelming.

Do I smile and say I’m fine when I’m not? Do I tell the truth and risk opening a conversation I don’t have the emotional energy to sustain? Or do I simply stay home?

There have been Sundays when staying home wasn’t about avoiding God or turning away from my faith. It was about recognizing that I had very little emotional capacity available. I simply didn’t have anything more to give.

Depression Doesn’t Mean I’ve Lost My Faith

I love Jesus. That hasn’t changed. I still pray. I still seek God’s presence. I still believe He is with me, even when I cannot feel the comfort or joy I long for.

But depression can affect how we experience nearly everything, including worship, prayer, and Christian fellowship.

Sometimes the things that ordinarily nourish us don’t seem to reach us emotionally. That doesn’t necessarily mean we’re doing something wrong.

I wonder whether we sometimes confuse visible spiritual activity with spiritual health. If someone is attending church, participating in Bible study, serving in ministry, and smiling on Sunday morning, we may assume they’re doing well. And if they’re absent, withdrawn, or visibly struggling, we may wonder what’s wrong spiritually.

But depression isn’t that simple. A person can love God deeply and still struggle to get out of bed on Sunday morning.

A Sacrifice of Praise

I remember a Sunday during an earlier season of depression when I went to church alone. My husband was traveling, and I was struggling.

As the worship music began, I started to cry. And I kept crying. I cried through the entire worship time. But I also kept singing.

I remember praying, “Lord, this is what You mean. This is a sacrifice of praise.”

There was no joy in my singing that morning. No emotional uplift. No sudden relief from the depression. But I was worshiping.

Hebrews 13:15 (NLT) says:

“Therefore, let us offer through Jesus a continual sacrifice of praise to God, proclaiming our allegiance to his name.”

I’ve never forgotten that Sunday.

Recently, I shared that experience with my pastor. He offered another perspective I hadn’t considered. He told me that even coming to church while experiencing depression was itself a sacrifice. I’d been thinking about the sacrifice of singing praises through my tears. He helped me recognize the sacrifice involved in simply showing up.

And perhaps that’s something we need to understand about people who are experiencing depression. What looks like an ordinary Sunday morning to someone else may represent an extraordinary effort for the person sitting beside them. Sometimes the sacrifice is in the singing. Sometimes it’s in simply walking through the doors. And sometimes, perhaps, we don’t have the strength for either.

What Does a Welcoming Church Really Look Like?

I’ve been thinking about what it means for a church to be welcoming to people experiencing depression, or any mental health challenge.

Most churches want to be friendly. We greet people at the door. We smile. We ask how they’re doing. We invite them to participate. Those are good things.

But what happens when someone walks through the doors who doesn’t smile back? What if they look sad, withdrawn, or uncomfortable? What if they don’t have the energy to make conversation? What if they don’t want to explain what’s wrong?

Would they still feel welcome?

And perhaps more importantly, would they feel free to come back exactly as they are?

I think there’s a difference between being a friendly church and being a church where people feel safe being honest about their struggles. I don’t know exactly how we create that kind of community. But I think we need to ask the question.

Communicating Welcome Before Someone Arrives

I follow Pastor Craig Groeschel of Life.Church on Facebook. He frequently speaks openly about mental health, personal struggles, and the challenges of life.

Life.Church is enormous, and honestly, the size of a church like that might intimidate me. But when I see a pastor speaking so openly about mental health, something else happens. I think, ”Maybe I would be welcome there.” Before I’ve ever walked through the doors, something about the message communicates that struggling people belong. That matters.

Of course, there’s a difference between a pastor communicating acceptance and a congregation actually living it out. A church can offer excellent mental health programs, provide resources, and educate its leaders. Those things are important.

But what happens in the lobby on Sunday morning? What happens when someone isn’t cheerful or approachable? What happens when a person needs to be present without being expected to participate, explain, or give anything in return? I wonder if that’s where our understanding of welcome is really tested.

When We Need to Receive Instead of Give

For much of my life, I’ve been someone who listens, encourages, supports, and cares for others. Those are things I value. They’re part of how I believe God has created me and called me to serve.

But this season has been different. I’m tired. I’m emotionally depleted. And now I’m experiencing depression.

I’ve come to recognize something about myself that is difficult to admit:

Right now, I need to be cared for.

I need places where I don’t have to be the encourager, the leader, or the person who has something to offer. I need to be able to simply be.  

And I wonder whether our churches know how to make room for that.

Not just for people who are temporarily having a difficult week, but for those whose depression may last weeks or months. People who cannot easily smile. People who may not be able to serve. People who might sit quietly in the back and leave without speaking to anyone. Can we allow them to belong without expecting anything from them?

Galatians 6:2 (NLT) says:

“Share each other’s burdens, and in this way obey the law of Christ.”

I wonder what it would look like if we took that instruction seriously when it comes to depression and other mental health challenges.

Sometimes sharing someone’s burden may mean listening to their story. Sometimes it may mean offering practical help or simply sitting beside them. And sometimes it may mean reassuring them that it’s okay to be quiet, to rest, or to step away from responsibilities without feeling that they’ve disappointed anyone.

So, Should I Go to Church If I’m Depressed?

As I’ve wrestled with whether to attend church during depression, I’ve also had to acknowledge something important: when I stay home, I’m the one who misses out.

I don’t go to church because God needs me to be there. God is just as present with me in my living room as He is in the sanctuary. But I go to church because I benefit from being part of the body of Christ. Corporate worship is especially meaningful to me. There’s something deeply encouraging about joining my voice with other believers in praise to God. I’m also blessed by the teaching of God’s Word and the opportunity to learn and grow alongside others. I know those are blessings I miss when I stay home. And during those weeks of depression, I knew that. I wasn’t unaware of what I was missing. I wasn’t indifferent to it.

I knew I was missing something good, something that ordinarily nourishes my soul. And I still didn’t have the capacity to go.

That’s part of what makes this question so difficult. Sometimes recognizing what would be good for us doesn’t mean we have the strength to participate in it. 

I believe Christian community matters. I believe gathering together for worship matters. I believe isolation can become dangerous when we’re depressed.

But I also believe depression is real, that our limitations matter, and that sometimes getting through the day requires nearly all the energy we have.

I don’t think the answer is as simple as telling someone they need to push through and attend church. Nor do I think staying away indefinitely is necessarily the answer. Perhaps we need to ask a different question.

Instead of asking only whether someone experiencing depression should go to church, perhaps we should also be asking:

What kind of church are we inviting them to come to?

Is it a place where they can arrive exhausted? Where they don’t have to smile? Where they can worship quietly, or simply sit and listen? Where they can be honest if they choose, but aren’t required to explain themselves? Where they can receive care without first having to give something?

I don’t have all the answers.

But I do know this: When someone who is depressed finds the strength to walk through the doors of a church, I hope they discover a community that welcomes them just as they are. And when they can’t find the strength to come, I hope they know they haven’t been forgotten. Because the church should be a place where struggling people belong.

Even on the Sundays when they can’t make it through the doors.

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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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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A fun night of music, comedy and giving!

Get ready for a special evening packed with big laughs, inspiring music, uplifting moments — and tons of hope!

Please plan on joining us for our Celebration of Hope event on Thursday, September 3rd, 2026 at 6:00 PM! Join us either in person at The Relevant Center in Elkhorn, NE, or virtually from your computer.

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

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