Therapy counts.
Stubbornness tends to run in my family, and pride tends to run in me. This combination resulted in a three-year refusal to consider seeking professional help. A breakdown (or five) after a difficult summer in Cambodia led me to a counselor's office, where I finally found hope in the face of suicidal thoughts.
In therapy, I learned how to process emotions. I experienced grace. I met Jesus in a new way.
However, though therapy brought me a long way, I still floundered in waves of depression, especially with transitions to and from life overseas.
Observation: Therapy has literally been a life-saver. It brings perspective and fosters humility. It can facilitate major healing. It requires hard work mentally and emotionally. It is often the first step in breaking down stigma and pride. Though it's thought of as a practice reserved for "people with problems," therapy can benefit everyone. We all have problems, after all, whether we admit it or not! Perhaps the only difference between those who go to therapy and those who don't is the humility and courage to recognize and own our problems.
Bottom line: Therapy can do wonders for health! It is not a guaranteed cure for anything.
God can bring breakthrough.
At the beginning of the year, I found myself at a weekly gathering with friends from church. As the sound of piano keys and voices filled the house, I remembered how earlier in the day the Lord had nudged me to ask for prayer for depression. I didn't understand why. Over six years, I'd prayed and asked for prayer more times than I could count.
Yet in obedience, I approached Alexa, one of our leaders and now a dear friend, and tapped her on the shoulder. Her eyes met mine with a smile. Nervously, I explained I was experiencing depression and asked if she would pray for me.
"Yes," she replied, "I actually would love to because I've experienced depression myself."
Surprised and grateful, I closed my eyes as she prayed over me. She prayed for me to experience whatever breakthrough she had experienced.
The next morning, I woke up with hope surging in my chest. I felt 85% better! The Lord had brought breakthrough.
Observation: It's important to realize healing doesn't come as a result of actions or disciplines themselves. This is why "read your Bible" and "pray more" are dangerous solutions to give someone who is depressed (not to mention the propensity to come across as insensitive and judgmental). Even though these practices can connect us with God, these actions cannot heal us. Prayer, reading the Bible, Scripture memory, worship, nor repentance can heal us. Furthermore, God does not promise to heal us from depression or relieve our suffering, even if we do ask Him!
Bottom line: God can heal in an instant. His desire is for His children to come to Him with our burdens. He does not guarantee breakthrough, and spiritual disciplines are not cures.
Medication can be effective.
Shortly before asking Alexa to pray for me, I began taking antidepressants. It was somewhat of a last-ditch effort, as I'd always been in staunch opposition of medications. My reasons ranged from, "I don't want to be dependent on anything" to "They don't actually work" to "I'm weak if I take them."
When I finally visited a doctor, the first medication I tried actually made my depression worse. I'm thankful my therapist recognized and addressed this. When I switched to a different pill, I slowly began to notice positive effects: more energy, fewer suicidal thoughts, and an overall elevation in mood.
Since these effects occurred so closely to the prayer-sparked breakthrough, I wondered if the medications truly did anything or if it was simply the prayer. When I asked the Lord about it, I felt I should continue the meds. Later, a dose increase resulted in more positive effects. In fact, I went from feeling 85% better to 95% better!
Observation: In my head, finding a spiritual answer (prayer) to depression was more attractive because I thought a physiological source meant there was something wrong with me. Additionally, physiological depression can't be proven by a simple test or lab result, so there's ample room for questioning and criticism. This can be the hardest treatment choice for church-goers because it can be seen as a lack of faith.
In reality, taking medications shows incredible courage, resilience, and incredible humility to admit we are not in control of our minds. This lack of control is true for all people, but the facade is often forced down only in those of us with mental illness. Many times, people who take medications are meeting God in a new way, with humility and a recognition of how little we know about our brains and how little we control. If righteousness includes "right thinking" about God and how we relate to Him, then the humility involved in taking medications can bring about a form of righteousness.
Bottom line: Medications aren't for everyone, but the biological component to depression should not be dismissed. Medications can help. They are not a guaranteed cure.