25 July 2025

A Tribute to my Counsellor for professional counselling on Bipolar Disorder and severe clinical depression / major depression

(This post was first published on 4 November 2008) 

Dear Friends

Thanks for stopping by. Thank you for your prayers and encouragements.

Today the Lord brought to my remembrance a very dear and wonderful person whom He had used to be a great blessing to me last year.

When I first sought medical help and was diagnosed with clinical depression and Bipolar Disorder (Manic-depressive illness), I had benefitted from a group of counsellors at Counselling and Care Centre, Singapore. I am thankful to God for providing me with a team of very compassionate, kind, understanding and encouraging Christian counsellors who are trained to manage bipolar, depression, OCD and other brain condition.

For me besides prayers, medication, exercise and other helpful means, one very important element in my treatment and recovery was Counselling. Counselling may be talk therapy, psychotherapy or Cognitive Behavioural Therapy. It can be one of the very important tools for a person with bipolar or depression to get well. Cognitive Behavioural Therapy (CBT) is a form counselling with a focus on understanding how our thoughts affect our behaviours. Bipolar alternates between 2 extreme mood swings ie. mania and depression, and our thoughts and behaviours are shaped by these mania and depression episodes which can at times be very confusing. CBT helps to make sense some of these confusions, and help to pick up skills to manage these mood swings so that one can be more functional.

Through CBT, I do realized that I have quite a number of character traits and faulty thought patterns which might have contributed or aggravated my relapses. They become even predominant during a relapse of clinical depression and all my thoughts turned very negative and against me. I am now learning prayerfully to identify and to correct Faulty Thinking Patterns.

I am also somewhat a perfectionist which means my expectation of myself can be rather high, and indirectly I stressed myself up unknowingly. Besides that, I am not a very assertive person. I have problem saying “no”. So very often I unknowingly put myself through a lot of difficulties or take on more than I can handle. I used to have difficulty relaxing or taking breaks. In some sense, I am a workaholic. I am also fulfilling the role of care-givers in quite a number of context, and having little respite. All of the above or the combinations of some of these, could well have weakened my body and mind, and lead to the relapses of clinical depressions.

I know it is not easy to find a good counsellor and not every one will benefit from counselling or CBT. I am thankful to God for providing for me a very compassionate, kind and caring counsellor, Sarah. My time with my counsellor, Sarah and her team, was most meaningful and useful. Sarah and her team were helping me to trace the history of my relapses in the past 20 years which I could remember better, the possible causes of them so that I can learn to manage my illness better. During the counselling session, I was alone in a room with Sarah while her team were following our sessions in another room through a video recording. These are with my permissions.

In actual fact, Sarah was under training and supervision by her team but I didn't know that part at all. And providentially that worked out good for both of us. I have prayed and God provided Sarah. I didn't have any apprehension about her ability to counsel me and that allows her to be used by God in a very wonderful way to help me.

My time with Sarah became life-changing experiences for me! It began for me a journey of self-discovery, of knowing God, myself and others better. Each session with Sarah and her team have yielded some positive results. Accumulatively, these knowledge of self and God’s mercies in them, are changing my life in many wonderful ways. Thank God! My counselling session ended in April 2007 when Sarah who was a trainee at that Centre completed her training. I am deeply indebted to Sarah for the help that she has rendered to me. They have been invaluable to me as I journey on.

At the moment, I am not seeing any professional counsellers. I do seek my Pastor’s counsel and some other friends or family members’ counsels when necessary. I also read books and internet articles to understand my condition better and how best to manage it. Thank God that there are a lot of resources available on the internet. One such website is Bipolar and Depression Support Alliance which has very useful information on symptoms, treatment, resources, etc etc.

I have tried out some other counsellors and am, in particular, indebted to Dr Spencer Lee and Yvonne Ying of Association of Christian Counsellors of Singapore for their valuable helps for some weeks in July and August 2007. They are most compassionate and helpful.

The above counsellors are all trained in cognitive behavioural therapy, etc and they have been helping many people who suffer from depression, bipolar and other mental illnesses. The reasons why I sought their help, besides receiving pastoral counselling from my Pastor, was because I needed someone who understands mental illness and therefore able to help me to manage my illness and symptoms. I am thankful to God for providing them at such times when I needed them the most.

Now I am not seeing any of these professional counsellors but just receiving pastoral counsellings from my Pastor, elders and brethren in my church. I am learning to look to God and use other available means too ie reading God’s Words, prayers, medications, regular exercise, Omega-3 fish oil supplements, learning to manage stressful situations in my life, learn to pace myself more slowly and realistically, learn to take breaks and to relax whenever necessary, etc.

I have written 2 emails to Sarah and a tribute to her as follows:

——

Dear Sarah,

Warm greetings to you in the name of our merciful Saviour and Lord Jesus Christ!

Just a short note to thank you and your team for the help and support you are giving me as I seek the Lord’s guidance to understand and manage my condition better. I really appreciate what you are doing to help me. Your sincerity and warmth really touched my heart. Though we have met only for 3 sessions so far, I thank God that I have been helped by every one of the session. I appreciate what we have been able to discuss so far and the way you & your team are helping me to see things from a different angle. I am learning to be more thankful daily!

I thank God for His goodness and mercies in leading me to your centre and placing me under you and your team. The care and helpfulness of all of you and the other staffs at your centre really impressed me. Thank God for using all of you to help me and others who are in need of help.

May God continue to use you, your team and all the staff at Counselling and Care Centre for His glory. May all of you continue to be used in many wonderful ways to help others and especially God’s suffering people. I am praying for all of you too.

Many thanks again for your enthusiasm to help me and your prayers. It is one of the factors that gives me a lot of encouragement and motivation to come for the sessions. I thank God for you. May you continue to serve our Lord joyfully and faithfully for His glory.

Wish you and your family a blessed Chinese New Year.

With sincere thanks & prayers,
Nancie
15 February 2007

——

Sarah’s reply to me:

Dear Nancie,

Warm greetings to you too in the name of our loving and gracious Saviour, Lord Jesus!

Thank you very much for your lovely, thoughtful and heartwarming email. I am touched by your gracious gesture. It is a privilege to be used by God to extend His presence for His precious ones. And you’ve been a great joy to come alongside with. I thank God too for you and for giving me this privilege.

I am greatly encouraged to hear that you have been helped through our sessions. Your words give me impetus to continue and persevere in the work with and for others in the offering of presence and support .

Thank you for praying for us and your continual prayer support is much appreciated. Glad to hear that you have experienced the help of prayers. Indeed, our Lord is the source and the enabler of all we do. All praise and glory to Him!

I shall relay your email to my team. I am sure each one will be encouraged by your words.

Wishing you and your family a Blessed Chinese New Year too.

With grateful thanks and prayers
Sarah
21 February 2007

—–

Dear Sarah,

Thanks for your kind and encouraging reply! Glad that the email has encouraged you. Thank God.

May you and your colleagues continue to press on in the good work that you are doing for God’s glory. I know your work can be very difficult and draining at times. I am glad you work in a team and can discuss and pray with your colleagues. Do take care and may our Lord continue to bless your labours in Him. May you continue to find much joy in helping and supporting others.

Looking forward to see you again soon on Monday, 26th Feb 2007 for our next session! Trust our Lord will continue to bless our time together. Many thanks again for all your help and support.

“For God is not unrighteous to forget your work and labour of love, which ye have shewed toward his name, in that ye have ministered to the saints, and do minister.” Hebrews 6:10

“And let us not be weary in well doing: for in due season we shall reap, if we faint not.” Galatians 6:9

With appreciation,
Nancie

A Tribute to my Counsellor, Sarah

16 April 2007 was my last session with my Counsellor, Sarah because she has ended her training attachment and will be returning to her actual work. I am grateful to God for placing me under Sarah’s care for the last 3 months (since 29 January 2007). I would like to express my deep appreciation and gratefulness to Sarah for helping me to embark on a new journey in my life which is changing my life and my relationships with God and the people in my life in many wonderful ways. Sarah, I will never never forget you. I thank God always for you. I hope you get to read this Tribute I have written especially for you. May God bless and keep you.

Dear Sarah,

Warm greetings to you in the name of our beloved Saviour and Lord Jesus Christ!

Thanks once again for your prayers, listening ears, counsels and encouragements. I have learnt much from our sessions together in the last 3 months. Thank you for your willingness to help me and to go along this journey of self-discovery with me. I will forever thank and praise God for you and your team in the way our Lord is wonderfully using you to help me.

I am thankful to God for causing our paths to cross in such a wonderful way at Counselling and Care Centre during your training sessions there. Surely this is not by coincidence but by God’s providence that I should be seeking help at this particular point of time and you should be under attachment there.

I am grateful to God for hearing my prayers and provided someone like you who is very gentle, caring, sympathetic and encouraging to be my Counsellor. You always see something positive and encouraging that God is doing in all my difficult trials. You constantly seek to help me to see the many mysterious outworking of our faithful God, Who loves us dearly and gave His Son for us, in the various paths I have gone through in the past or are going through now. You have helped me to discover some faulty patterns in my thoughts and feelings which have affected my life and various relationships for so many years. Thanks for slowly helping me to recognise these faulty thought patterns, and change these faulty ways of thinking to more biblical ways, by God’s grace. These are beginning to have such tremendous effects on my life, my relationship with God and others around me. I am thankful to God for providing such a help in you and your willingness to walk through this difficult journey with me. By God’s grace, each session yields some positive outcome. Accumulatively, these new discoveries of self and God’s mercies in them, is beginning to change my life in many wonderful ways. I do look forward to each session with you because I get to know myself better each time, can see more clearer God’s love, mercies and faithfulness and am enabled to improve in my relationships with various people, and also learning to improve in managing the various challenges in my life. Thank God for His mercies and faithfulness!

I trust that when you return to your actual work environment, God will continue to use you to be a blessing to others in need just like the way you have been to me. I have no doubt at all that they will be blessed as I am in their acquaintance with you. You are a very special person who is always gentle, kind, encouraging, uplifting, full of faith and hopeful in the Lord. I will never never forget you and hopefully, by the grace of God, will never forget the precious lessons I am now learning through our sessions together too.

Thank you for sharing my joy and sorrows as I recounted my past history to you. I could sense the deep anguish and pain you feel for me in all my sorrows and trials, and also your delight and joy with me in all my joy. I felt very privilege that you cared for me in this way and I thank God for your kind friendship. It is a tremendous source of strength and support to me in this difficult trial. I know you are praying with me and I want to encourage you, as well as give praise and Glory to God, for His faithfulness and mercies by assuring you that the Lord in His faithfulness is strengthening me each day as I look to Him. Thanks for helping me to identify some of the possible causes of the relapses of my illness and discuss with me how I can better manage them. The many precious lessons we have learnt together in the past months is helping me now to cope better with my illness, with the various challenges in my life, and improve in my relationship with God, my church, my family and people around me. Praise God!

It was hard for me to say goodbye to you yesterday, being our last session together but I know it was necessary in God’s sovereign plan for us. I wish we can remain as friends and keep in touch always. But as you have explained to me that due to some professional ethics, yours and my contacts have to be restricted to this centre and as yesterday was our last session together, our contacts have to terminate there too. I hope I will get to meet you again one day, if God wills, on this earth or if not then, by His mercies, in Heaven when we both see our Lord face to face.

Please take care. I will remember you in my prayers always. May God keep you in His loving care always and bless you in all your various callings. May He continue to make you a blessing and encouragement to His suffering children.

With sincere thanks and prayers,
Nancie
17 April 2007

———————-

Contact Information for Counselling Helps

i) Counselling & Care Centre
Block 536 Upper Cross Street
#05-241 Hong Lim Complex
Singapore 050536
Tel: (65) 6536-6366
Fax: (65) 6536-6356
Email : info@counsel.org.sg
Webwsite : www.counsel.org.sg

ii) Association of Christian Counsellors of Singapore
c/o 422-A Telok Blangah Road
Singapore 098848 (Near Grace Methodist Church)
Tel: 6274-7480 Fax: 62760024
Email: info@accs.org.sg
Website: http://www.accs.org.sg/

*************************

If you are in Singapore and looking for a Reformed Church, do come and visit my Church, Pilgrim Covenant Church (PCC), for worship and fellowship: https://pilgrim-covenant.com/. We are a Reformed and reforming Church founded on 4 July 1999 in Singapore. We are at the moment a small congregation covenanted to serve and worship the Lord together as a branch of the body of Christ. We have a Gospel work in the state of Johor, Malaysia ie Johor Bahru Christian Fellowship (JBCF): https://pilgrim-covenant.com/about-us/johor-bahru-covenant-fellowship-malaysia/

Or you can join us online for Morning and Evening worship services: https://pilgrim-covenant.com/join-us/online-links/

Thank you for stopping by. Have a blessed day! 

Best Regards
Nancie
4 November 2008

24 July 2025

Reflections on God's grace in recovery from severe clinical depression using injection

Dear Reader, 

Yesterday a friend from my Church shared with me his blog. It is very interesting as he shared his reflections on various things in life. 

This reminded me that I have not been able to share much reflections in my recent posts. Today I like to write on my reflections of God's goodness and mercies in sustainning me day be day and with the help of a new Injection medicine, the Lord Jesus is lifting me up and I am functional again. 

 After many years of severe mood swing with prolonged months of clinical depression, I finally sought medical help in December 2006 and was diagnosed to have Major Depression. I was given antidepressent medicines and thank God He restored me from the severe depression where I was very unfunctional most of the time. But 3 months later in March 2007, I experienced a period of euphoria where I could not sleep for several days and have a lot of energy and creativity. When my Psychiatrist saw me, she immediately said I am prone to Bipolar Disorder II (Manic Depressive Illness) and need to change my medication. 

Thank God for sustaining me over the last 18 years with medical, counselling, exercise, eating healthy, etc etc. I am currently recovering from an episode of 2 months severe clinical depression where oral medication doesn't seemed to help very much. 

A month ago, my Psychiatrist at Tan Tock Seng Hospital (TTSH), Dr Chan Lai Gwen, tried me on an Injection and thank God it is helping me. She had reduced the dosages of some of my medicines twice. My next review is in early August. If I continue to stay well, I will be given this monthly Injection once a month. Thank God!

Spending time in nature and photography are therapeutic to me. So I have been taking short walks to the park near my home and took some photographs. I love to spend time in nature as it always remind me that God is our Creator and Redeemer. I serve a risen Saviour as the Lord Jesus Christ has lived, died and resurrected to redeem me and save me from eternal damnation. In Him, I have hope of eternal life and much blessings in this life and for all eternity. Thank God!

I took the following photos of sunrise when I went for my walk. I love to put Bible verses on them. These are my favourite Bible verses which brings a lot of comfort to me from God's Words.
 


May you be blessed by God's Words!

If you are in Singapore and looking for a Reformed Church, do come and visit my Church, Pilgrim Covenant Church (PCC), for worship and fellowship: https://pilgrim-covenant.com/. We are a Reformed and reforming Church founded on 4 July 1999 in Singapore. We are at the moment a small congregation covenanted to serve and worship the Lord together as a branch of the body of Christ. We have a Gospel work in the state of Johor, Malaysia ie Johor Bahru Christian Fellowship (JBCF): https://pilgrim-covenant.com/about-us/johor-bahru-covenant-fellowship-malaysia/

Thank you for stopping by. Have a blessed day! 

Best Regards,
Nancie 
22 July 2025

21 July 2025

Sermon "Be watchful when you hear the word because your adversary…" by Pastor Linus Church at PCC Church in Singapore

Dear Reader,

Thank you for stopping by. Thank God for the encouraging sermon "Be watchful when you hear the word because your adversary…" from God's Words, the Bible, from the book of Matthew 13:18-23 that my Church's pastor, Pastor Linus Chua, preached during the morning worship in my Church, Pilgrim Covenant Church (PCC), Singapore on 20 July 2025 at 9:30am. 

Matthew 13:18-23 (King James Version/KJV)
18 Hear ye therefore the parable of the sower.
19 When any one heareth the word of the kingdom, and understandeth it not, then cometh the wicked one, and catcheth away that which was sown in his heart. This is he which received seed by the way side.
20 But he that received the seed into stony places, the same is he that heareth the word, and anon with joy receiveth it;
21 Yet hath he not root in himself, but dureth for a while: for when tribulation or persecution ariseth because of the word, by and by he is offended.
22 He also that received seed among the thorns is he that heareth the word; and the care of this world, and the deceitfulness of riches, choke the word, and he becometh unfruitful.
23 But he that received seed into the good ground is he that heareth the word, and understandeth it; which also beareth fruit, and bringeth forth, some an hundredfold, some sixty, some thirty.

Sermon Outlines:
Introduction
Be watchful when you hear the Word because your adversary…
1) Seeks to take the Word out of your heart (Matt. 13:19, Mark 4:15,
Luke 8:12)
2) Seeks to keep you shallow and easily shaken by trouble (Matt. 13:20-
21, Mark 4:16-17, Luke 8:13)
3) Seeks to choke you with the cares of the world and riches and
pleasures (Matt. 13:22, Mark 4:18-19, Luke 8:14)
Lessons
Be watchful and prayerful when we hear the Word
Be grateful for our prophet, priest and king, and live gratefully
 
May you be blessed by God's Words!

If you are in Singapore and looking for a Reformed Church, do come and visit my Church, Pilgrim Covenant Church (PCC), for worship and fellowship: https://pilgrim-covenant.com/. We are a Reformed and reforming Church founded on 4 July 1999 in Singapore. We are at the moment a small congregation covenanted to serve and worship the Lord together as a branch of the body of Christ. We have a Gospel work in the state of Johor, Malaysia ie Johor Bahru Christian Fellowship (JBCF): https://pilgrim-covenant.com/about-us/johor-bahru-covenant-fellowship-malaysia/
Thank you for stopping by. Have a blessed day! 

Best Regards,
Nancie 
21 July 2025

19 July 2025

Mr John B MacArthur had been called Home to be with the Lord on 14 July 2025 at the age of 86.

Dear Family and Friends, 

The late Mr John B MacArthur had been called Home to be with the Lord on 14 July 2025 at the age of 86.

Like many people, I have been and continue to be helped by Mr John MacArthur's videos and messages.

Below is a very encouraging message by Mr John MacArthur on how he can be thankful during trials.

He spoke of how he saw the good and kind providential hands of God in everything in his life. Every hard things, every challenge, no matter what the challenges.

He can be grateful because he knows the outcome of everything. He said the outcome of everything is to the glory of God and the benefit of His children.

He made sure he allowed his heart to rejoice in the Lord because he knew God will perfect him and bring glory to Himself through his trials, probably more than any other way.

May you be blessed too if you get to listen to this short message!

   

May you be blessed by God's Words!

If you are in Singapore and looking for a Reformed Church, do come and visit my Church, Pilgrim Covenant Church (PCC), for worship and fellowship: https://pilgrim-covenant.com/. We are a Reformed and reforming Church founded on 4 July 1999 in Singapore. We are at the moment a small congregation covenanted to serve and worship the Lord together as a branch of the body of Christ. We have a Gospel work in the state of Johor, Malaysia ie Johor Bahru Christian Fellowship (JBCF): https://pilgrim-covenant.com/about-us/johor-bahru-covenant-fellowship-malaysia/
Thank you for stopping by. Have a blessed day! 

Best Regards,
Nancie 
19 July 2025 

13 July 2025

Sermon "A Divine Invitation" preached by Pastor JJ Lim from Isaiah 55:1-3 at PCC Singapore

Dear Reader,

Thank you for stopping by. Thank God for the encouraging sermon "A Divine Invitation" from God's Words, the Bible, from the book of Isaiah 55:1-3 that my Church's pastor, Pastor JJ Lim, preached during the morning worship in my Church, Pilgrim Covenant Church (PCC), Singapore on 13 July 2025 at 9:30am. 

Isaiah 55:1-3
1 Ho, every one that thirsteth, come ye to the waters, and he that hath no money; come ye, buy, and eat; yea, come, buy wine and milk without money and without price.
2 Wherefore do ye spend money for that which is not bread? and your labour for that which satisfieth not? hearken diligently unto me, and eat ye that which is good, and let your soul delight itself in fatness.
3 Incline your ear, and come unto me: hear, and your soul shall live; and I will make an everlasting covenant with you, even the sure mercies of David.

Sermon Outlines:
A Divine Invitation                     
Text: Isaiah 55:1-3 
Introduction
1. What Kind of Invitation Is This?
2. Who Is This Invitation Issued To? 
3. What Are They Invited to Do? 
4. How Do We Respond to the Invitation?
Conclusion
a. It is a divine invitation. We cannot ignore it without consequence.
b. All are called, but especially those who agree they are suffering from spiritual thirst. 
c. We must drink the water and buy without money the milk and wine that Christ has purchased for us. 
d. We must remember and believe all that Christ did for us when He made the purchase.

May you be blessed by God's Words!

If you are in Singapore and looking for a Reformed Church, do come and visit my Church, Pilgrim Covenant Church (PCC), for worship and fellowship: https://pilgrim-covenant.com/. We are a Reformed and reforming Church founded on 4 July 1999 in Singapore. We are at the moment a small congregation covenanted to serve and worship the Lord together as a branch of the body of Christ. We have a Gospel work in the state of Johor, Malaysia ie Johor Bahru Christian Fellowship (JBCF): https://pilgrim-covenant.com/about-us/johor-bahru-covenant-fellowship-malaysia/
Thank you for stopping by. Have a blessed day! 

Best Regards,
Nancie 
17 July 2025 

02 July 2025

"Our heart shall rejoice in Him." Psalm 33:21 from CH Spurgeon's Morning and Evening devotional book, 2 July, Morning.

Dear Reader,

Thanks for stopping by. I read the following encouraging portion from CH Spurgeon. May you be blessed too!
"Our heart shall rejoice in Him." Psalm 33:21

Blessed is the fact that Christians can rejoice even in the deepest distress; although trouble may surround them, they still sing; and, like many birds, they sing best in their cages. 

The waves may roll over them, but their souls soon rise to the surface and see the light of God's countenance;...... and helps them to sing amid the tempest, "God is with me still." 

To whom shall the glory be given? Oh! to Jesus--it is all by Jesus. 

Trouble does not necessarily bring consolation with it to the believer, but the presence of the Son of God in the fiery furnace with him fills his heart with joy. 

He is sick and suffering, but Jesus visits him and makes his bed for him.....

(Excerpts From CH Spurgeon's Morning and Evening, 2 July, Morning.)
If you are in Singapore and looking for a Church or a Reformed Church, do come and visit my Church, Pilgrim Covenant Church (PCC), for worship and fellowship: (https://pilgrim-covenant.com/). Our address is Block 203B (Tower B) #07-07, Henderson Road, Singapore 159546. We are a Reformed and reforming Church founded on 4 July 1999 in Singapore. We are at the moment a small congregation covenanted to serve and worship the Lord together as a branch of the body of Christ. We have a Gospel work in the state of Johor, JB, Malaysia ie Johor Bahru Christian Fellowship (JBCF): https://pilgrim-covenant.com/about-us/johor-bahru-covenant-fellowship-malaysia/. You can also join us online for our Morning and Evening worship services(https://pilgrim-covenant.com/join-us/online-links/). 

Thanks again for stopping by. Have a blessed day!

Best Regards,
Nancie
2 July 2025

30 June 2025

Sermon by Pastor Tongkam Pongponsak on "Only the Eternal God Can Satisfy the Eternal Heart" from the Bible text in Ecclesiastes 3:1-11.

Dear Reader,

On 29 June 2025, my Church (Pilgrim Covenant Church) in Singapore, ordained Pastor Tongkam Pongpansak to be our Missionary Pastor to our mission work among the Karen children, youths and community, in MaeSaeRiang, Northern Thailand.

Pastor Tongkam preached the sermon below on "Only the Eternal God Can Satisfy the Eternal Heart" from the Bible text in Ecclesiastes 3:1-11.

Ecclesiastes 3:1-11 (KJV)
1 To every thing there is a season, and a time to every purpose under the heaven:
2 A time to be born, and a time to die; a time to plant, and a time to pluck up that which is planted;
3 A time to kill, and a time to heal; a time to break down, and a time to build up;
4 A time to weep, and a time to laugh; a time to mourn, and a time to dance;
5 A time to cast away stones, and a time to gather stones together; a time to embrace, and a time to refrain from embracing;
6 A time to get, and a time to lose; a time to keep, and a time to cast away;
7 A time to rend, and a time to sew; a time to keep silence, and a time to speak;
8 A time to love, and a time to hate; a time of war, and a time of peace.
9 What profit hath he that worketh in that wherein he laboureth?
10 I have seen the travail, which God hath given to the sons of men to be exercised in it.
11 He hath made every thing beautiful in his time: also he hath set the world in their heart, so that no man can find out the work that God maketh from the beginning to the end.

Sermon Outlines of "Only the Eternal God Can Satisfy the Eternal Heart"
Text: Ecclesiastes 3:1-11
Introduction
1. Everything in This World Is Temporary
2. Nothing in This World Can Completely Satisfy Us
3. Man Is Made for Eternity, and Only the Eternal God Can Satisfy Our Hearts
Conclusion

 

On YouTube: https://www.youtube.com/watch?v=JMlTXFnm9Us

If you are in Singapore and looking for a Church or a Reformed Church, do come and visit my Church, Pilgrim Covenant Church (PCC), for worship and fellowship: (https://pilgrim-covenant.com/). Our address is Block 203B (Tower B) #07-07, Henderson Road, Singapore 159546. We are a Reformed and reforming Church founded on 4 July 1999 in Singapore. We are at the moment a small congregation covenanted to serve and worship the Lord together as a branch of the body of Christ. We have a Gospel work in the state of Johor, JB, Malaysia ie Johor Bahru Christian Fellowship (JBCF): https://pilgrim-covenant.com/about-us/johor-bahru-covenant-fellowship-malaysia/. You can also join us online for our Morning and Evening worship services(https://pilgrim-covenant.com/join-us/online-links/). 

Thanks for stopping by. Have a blessed day!

Best Regards,
Nancie
29 June 2025

20 May 2025

How to help someone in crisis : Helping someone with clinical Depression or Bipolar Disorder

(This post was first published on 12 February 2008)

How to help someone in crisis

The following is taken from the website of Depression and Bipolar Support Alliance (DBSA) :

Sometimes depression and bipolar disorder have symptoms that can best be helped by inpatient psychiatric treatment. Try to find out what treatment is available to your loved one, and what steps you can take during a crisis before the crisis occurs, if possible.

People may need to go to the hospital if they:

  • Threaten or try to take their lives or hurt themselves or others
  • See or hear things (hallucinations)
  • Believe things that aren’t true (delusions)
  • Need special treatments such as electroconvulsive therapy
  • Have problems with alcohol or substances
  • Have not eaten or slept for several days
  • Are unable to care for themselves or their families, e.g., getting out of bed, bathing, dressing
  • Have tried treatment with therapy, medication and support and still have a lot of trouble with symptoms
  • Need to make a significant switch in treatment or medication under the close supervision of their doctor
  • Have any symptom of mania or depression that significantly interferes with life

Voluntary hospitalization takes place when a person willingly signs forms agreeing to be treated in the hospital. A person who signs in voluntarily may also ask to leave. This request should be made in writing. The hospital must release people who make requests within a period of time (two to seven days, depending on state laws), unless they are a danger to themselves or others.

Most psychiatric hospital stays are from five to ten days. There are also longer residential rehabilitation programs for alcohol or substance abuse, eating disorders or other issues that require long-term treatment.

Involuntary hospitalization is a last resort when someone’s symptoms have become so severe that they will not listen to others or accept help. You may need to involve your loved one’s doctor, the police or lawyers.

Involuntary hospitalization is an option of last resort only. It is better to talk with your loved one before a crisis and determine the best treatment options together. Work with your loved one in advance to write down ways to cope and what to do if symptoms become severe. Having a plan can ease the stress on you and your loved one, and ensure that the appropriate care is given.

How can I convince my loved one to check in voluntarily?

  • Explain that the person is not going to an institution, asylum or prison. Hospitalization is treatment, not punishment.
  • Reassure your loved one that the hospital is a safe place where a person can begin to get well. No one outside the family needs to be told about the hospitalization.
  • Tell your loved one that getting help does not mean someone has failed. A mood disorder is an illness that needs treatment, like diabetes or heart disease. Hospitalization is nothing to be ashamed of.
  • Call the hospital and find out more about admission, treatment and policies.
  • Help your loved one pack comfortable clothing and safe items that are reminders of home.
  • Offer the person a chance to make choices (such as what to take to the hospital, or who to go with), if this is desired.

How should I talk to a person in crisis?

  • Stay calm. Talk slowly and use reassuring tones.
  • Realize you may have trouble communicating with your loved one. Ask simple questions. Repeat them if necessary, using the same words each time.
  • Don’t take your loved one’s actions or hurtful words personally.
  • Say, “I’m here. I care. I want to help. How can I help you?”
  • Don’t say, “Snap out of it,” “Get over it,” or “Stop acting crazy.”
  • Don’t handle the crisis alone. Call family, friends, neighbors, people from your place of worship or people from a local support group to help you.
  • Don’t threaten to call 911 unless you intend to. When you call 911, police and/or an ambulance are likely to come to your house. This may make your loved one more upset, so use 911 only when you or someone else is in immediate danger.

Crisis Planning:

Some people find it helpful to write down mania prevention and suicide prevention plans, and give copies to trusted friends and relatives. These plans should include:

  • A list of symptoms that might be signs the person is becoming manic or suicidal.
  • Things you or others can do to help when you see these symptoms.
  • A list of helpful phone numbers, including health care providers, family members, friends and a suicide crisis line such as 1-800-273-TALK.
  • A promise from your friend or family member that he or she will call you, other trusted friends or relatives, one of his or her doctors, a crisis line or a hospital when manic or depressive symptoms become severe.
  • Encouraging words such as “My life is valuable and worthwhile, even if it doesn’t feel that way right now.” “Reality checks” such as, “I should not make major life decisions when my thoughts are racing and I’m feeling ‘on top of the world’. I need to stop and take time to discuss these things with others before going through with them.” How can an advance directive or a medical power of attorney help?

An advance directive and a medical power of attorney are written documents that give others authority to act on a person’s behalf when that person is ill. Your loved one can specify what decisions should be made and when. It is best to consult a qualified attorney to help with an advance directive or a medical power of attorney. These documents work differently in different states. The resources below can give you more information.

National Association of Protection and Advocacy
(202) 408-9514 http://www.napas.org/

Treatment Advocacy Center
(703) 294-6001 http://www.psychlaws.org/

How long will it take before the person feels better?

Some people are able to stabilize quickly after starting treatment; others take longer and need to try several treatments, medications or medication combinations before they feel better. Talk therapy can be helpful for managing symptoms during this time.

If your friend or family member is facing treatment challenges, the person needs your support and patience more than ever. Education can help you both find out all the options that are available and decide whether a second opinion is needed. Help your loved one to take medication as prescribed, and don’t assume the person isn’t following the treatment plan just because he or she isn’t feeling 100% better.

There is hope:

As a friend or family member of someone who is coping with bipolar disorder or depression, your support is an important part of working toward wellness. Don’t give up hope. Treatment for mood disorders does work, and the majority of people with mood disorders can return to stable and productive lives. Keep working with your loved one and his or her health care providers to find treatments that work, and keep reminding your loved one that you are there for support.

page created: May 4, 2006
page updated: May 4, 2006
If you are in Singapore and looking for a Reformed Church, do come and visit my Church, Pilgrim Covenant Church (PCC), for worship and fellowship: https://pilgrim-covenant.com/. We are a Reformed and reforming Church founded on 4 July 1999 in Singapore. We are at the moment a small congregation covenanted to serve and worship the Lord together as a branch of the body of Christ. We have a Gospel work in the state of Johor, Malaysia ie Johor Bahru Christian Fellowship (JBCF): https://pilgrim-covenant.com/about-us/johor-bahru-covenant-fellowship-malaysia/

Or you can join us online for Morning and Evening worship services: https://pilgrim-covenant.com/join-us/online-links/

Thank you for stopping by. Have a blessed day! 

Best Regards
Nancie
26 July 2025

 

19 May 2025

Christians do get depressed too: The Carers by Dr. David P Murray on clinical depression

(These series of 6 messages on "Depression and the Christian" are also available on .pdf, .mp3 and video formats which can be downloaded from the website of Sermon Audio )

DEPRESSION AND THE CHRISTIAN

BY DR. DAVID P MURRAY

(6) THE CARERS

INTRODUCTION

We have been studying depression from a biblical perspective, and have covered five areas so far:

  1. The Crisis
  2. The Complexity
  3. The Condition
  4. The Causes
  5. The Cures

We now come to the final area of our study – The Carers. For our purposes, the carers are the depressed Christian’s family, friends, and fellow-Christians, who will be involved to one degree or another in helping the sufferer to get better. Usually these carers will have no medical training and often they will have very limited or incorrect knowledge of mental illness. However, they have a critical role in helping a depressed person get better. Research has shown that mental health patients will get better much quicker if they have someone close to them whom they can confide in and get support from.

This lecture, then, will consider ten areas for carers to consider when trying to help a depressed person get better.

1. Study

As Christians, we surely want to be the person whom our loved ones turn to in time of need. And, when they do turn to us, we want to be able to help them and not hurt them further.

It is, therefore, imperative that we learn about depression and other mental illnesses in order to avoid the very common mistakes that lay-people often make when dealing with the mentally ill, and in order to be of maximum benefit to those who are suffering.

Apart from studying how Jesus dealt with the ill, the weak, and the distressed you might want to read some of the very helpful books, written from a Christian perspective, which are now available. In order of readability and usefulness they are:

Overcoming Spiritual Depression by Arie Elshout.

I’m not supposed to feel like this by Chris William, Paul Richards, and Ingrid Whitton Broken Minds by Steve and Robyn Bloem.

A Practical Workbook for the Depressed Christian by Dr John Lockley

Another book, of course, is the well-known Spiritual Depression by Dr Martyn Lloyd-Jones. However, you should be aware that Dr Lloyd-Jones does not deal with every aspect of depression as an illness, but rather only with some of the spiritual consequences of depression.

A book which is written from a non-Christian perspective, but which is still useful, is Mind over Mood by Dennis Greenberger and Christine Padesky.

It is important to remember that reading these books will not turn you into a mental health professional, but it will make you more useful and helpful to loved ones in distress.

2. Sympathy

Thoughtful and prayerful study of mental illness should naturally and automatically increase our sympathy for those who suffer with it. By sympathy we mean an ability to communicate that we truly understand the problem and the symptoms, that we are deeply concerned, and that we will do all that we can to help. In many cases, such sympathy can have powerful therapeutic effect on the sufferer. The lack of it can only multiply the pain and deepen the darkness. Consider the following quote from Russell Hampton, who suffered himself from depression:

"If there were a physical disease that manifested itself in some particularly ugly way, such as postulating sores or a sloughing off of the flesh accompanied by pain off an intense and chronic nature, readily visible to everyone, and if that disease affected fifteen million people in our country, and further, if there were virtually no help or succour for most of these persons, and they were forced to walk among us in their obvious agony, we would rise up as one social body in sympathy and anger. There isn’t such a physical disease, but there is such a disease of the mind, and about fifteen million people around us are suffering from it. But we have not risen in anger and sympathy, although they are walking among us in their pain and anguish."

It will greatly help you to sympathise if you always remember that you could just as easily be in the same position, suffering the same illness.

For who maketh thee to differ from another? and what hast thou that thou didst not receive? now if thou didst receive it, why dost thou glory, as if thou hadst not received it? (1 Cor.4:7).

If you treat depressed people with impatient contempt, you may, like many others before you, have to learn sympathy the hard way.

3. Support

Support follows sympathy. It involves being available to listen and talk either in person or at the end of a phone. It includes praying with the person, especially as the mentally ill may find it impossible to put words and sentences together in prayer. It means unconditional love, love which is maintained even when you do not agree with every decision your loved one is making, and even when they may unjustly turn on you. It requires practical help such as child-minding to enable a young mother to get a few free hours each week, or such as taking an elderly person out in the car to give them a refreshing change of scenery. It demands wisdom to know when you are getting out of your depth and more professional support is needed from medical services. The benefits of such supportive friendship cannot be overestimated:

The presence, the availability, just the existence of a friend like this provides a tremendous degree of comfort to the depressed person, as it demonstrates in physical terms how much he is cared for, accepted, loved, as he is, warts and all. It is not difficult for the depressed person to go on to realise that if individual Christians can love him that much, how much more will God do the same.

Unconditional friendship is the key, as is loyalty. The real friends are the one who can accept the depressed person as he is – on good days, bad days, sad days, frightened days and angry days. Friends like this don’t put pressure on in any way, but allow the sufferer to be himself, however horrid that may seem to be. As one of my depressed friends said, “It’s a relief not to have to put on a disguise.”

On a congregational level, pastors and officebearers should encourage a supportive atmosphere: For our churches to be really effective in supporting those with mental health difficulties, we need to establish a culture where everyone in the local church knows that it is acceptable to have problems
from time to time, and that the church as a whole – and especially its leadership – is there to support church members during these times as well as in times of success.

The Church should be especially aware of the need to “support the supporters”. To be an effective support to the mentally ill is physically, mentally, emotionally, and spiritually demanding. As Christians we need to be conscious of the need not only to support the depressed person but also to minister to the needs of their nearest and dearest.

4. Stigma

There is still a stigma attached to mental illness, and depression in particular. Ignorance and misunderstanding have filled the public mind with many prejudices and falsehoods. As a result, many still view mental illnesses such as depression as a choice, or as a sign of weakness, or as an excuse to opt-out of life. The depressed person may also share these mistaken beliefs, and so double their sense of guilt and failure. Consequently, they will often be very reluctant to admit what they are feeling, and so go for many long months or even years without asking for help or seeking treatment.

Following steps 1-3 above will help to reduce this stigma. But the Church can also help by making clear that Christians do not have to be perfect with no problems, and by demonstrating that when people do experience problems they will not be ignored or avoided.

Also, the preacher should present a balanced view of the Christian life, as represented in the Psalms, over a third of which deal with fear, anxiety, and despair. This is part and parcel of normal Christian experience in an abnormal world. Let us remind ourselves again and again:

For who maketh thee to differ from another? and what hast thou that thou didst not receive? now if thou didst receive it, why dost thou glory, as if thou hadst not received it? (1 Cor.4:7).

Almost anyone can experience mental health problems, given the wrong sequence of life experiences and stressors.

5. Secrecy

As is clear from the above, it often takes a huge amount of courage for someone to admit to depression, often due to the fear of what people will say. If someone, therefore, trusts you enough to confide in you, then you must maintain the strictest confidence. There must be no “sanctified” gossip – “I’m just telling you this so that you can pray about it…!” It is tragic that so many depressed Christians have to prolong their secret suffering because of a justified fear that no one can keep a secret in the Church! The Church is in desperate need of Christians who are known to have this simple talent – they keep confidences.

6. Self-esteem

Depression and anxiety bring to the surface deeply rooted self-doubts and self-criticism. The depressed person will often feel useless and worthless. They will have very low self-esteem. What should we do to address this?

Some Christians are reluctant to give people any praise or encouragement because of the risk of making a person proud. However, it is safe to say that pride is one of the least risky vices for someone who is depressed. Pride results from having an over-inflated view of oneself. Depression involves the opposite.

Other Christians misconstrue the doctrine of original sin and total depravity to mean that there is no kind of “good” in anyone, and so again fail to say anything positive to the person. However, without minimising the wickedness of the human heart and without denying our inability to do anything pleasing to God apart from through faith in Christ, we should feel free to encourage the depressed person to have a more realistic view of themselves by highlighting their God-given gifts, their contributions to the lives of others, their usefulness in society, and, if they are Christians, their value to the Church. For example, a depressed young mother may feel a total failure in every area of her life because she has not got a perfect home or perfect kids. We can help such a person to see that she achieves a lot in a day even though she might not manage to do everything she would like. We might remind her of all the meals she makes, clothes she washes and irons, the shopping she organised, and so on, and so help her to see herself and her life in a more accurate and realistic light.

It is wrong to pat ourselves on the back when something has been accomplished as a result of our initiative. It is equally wrong, however, to focus on what we have not accomplished. In 1 Corinthians 15:10 we have a clear example of humility accompanied with a healthy opinion of one's accomplishments: "But by the grace of God I am what I am: and his grace which was bestowed upon me was not in vain; but I laboured more abundantly than they all: yet not I, but the grace of God whichwas with me." Paul knew very well that he daily offended in many things (James 3:2; cf. Rom. 7; Phil. 3:12), and yet he did not go so far as to cast out all his accomplishments. I do not believe that this is God's will. In contrast to sinful forms of self-confidence and self-respect, there are also those that are good, necessary, and useful. Without a healthy sense of these, human beings cannot function well. We may pray for an appropriate sense of self-confidence and selfrespect, clothed in true humility, and we must oppose everything that impedes a healthy development of these things (be it in ourselves or others) with the Word of God.

7. Subjectivism

One of the most common tendencies in depression is to focus on feelings, and to base beliefs and conclusions on these feelings. This is especially true of Christians. They may feel forsaken and so conclude they are forsaken, etc. There is also the tendency to read Bible passages and books which address the feelings in the hope that this will help to restore true feelings, whereas such a focus tends only to make things worse.

We should encourage the depressed person to move away from the realm of the subjective and to instead think on the objective truths of Christianity – things which are true regardless of our feelings – justification, adoption, the atonement, the attributes of God, heaven, etc.

8. Speak

The general rule is to listen much and to speak little. However, here are a number of things not to say:

• Pull yourself together
• Don’t get so emotional
• O, you’ll soon get over it
• It’s a sin to be depressed
• Just believe the promises
• Smile, it can’t be that bad
• Well, things could be worse
• At least it’s nothing serious
• You should confess your sins
• You are not still on medication, are you?

The more you understand depression the less likely you will say such hurtful and damaging things.

9. Suicide

If you suspect someone is considering suicide then you should sensitively and wisely ask the person if they are thinking along these lines. This will not plant suicidal thoughts in their minds, but may allow the suicidal person to admit to this and to seek professional help.

In Broken Minds, the pastor Steve Bloem gives a number of reasons he has, at times, used to convince himself not to commit suicide:

• It is a sin and would bring shame to Christ and His church.
• It would please the devil and would weaken greatly those who are trying to fight him.
• It would devastate family members and friends, and you may be responsible for them following your example if they come up against intense suffering.
• It may not work and you could end up severely disabled but still trying to fight depression.
• It is true – our God is a refuge (Ps.9:10)
• Help is available. If you push hard enough, someone can assist you to find the help you need.
• If you are unsaved, you will go to hell. This is not because of the acts of suicide but because all who die apart from knowing Christ personally will face an eternity in a far worse situation than depression.
• If you are a Christian, then Jesus Christ is interceding for you, that your faith will not fail.
• God will keep you until you reach a day when your pain will truly be over.

10. Slow

It is important to realise that there are no easy answers and there are no quick fixes in dealing with depression. It usually takes many months and in some cases even years to recover. You should, therefore, take a long-term view and patiently wait for improvement. Don’t get frustrated over lack of progress and be aware that temporary relapses may occur.

Patience is essential, because, by the nature of illness, the depressed person is likely to go over the same ground time and again, needing the same reassurance that was given a day, a week or a month ago.

In the meantime let us take our depressed Christian brethren continually before the throne of grace and plead, “Lord, he whom thou lovest is sick.”

CONCLUSION

In the course of these lectures we have been looking particularly at how depression affects the Christians. In closing I would like to refer back to something which I have touched upon now and again – the way God will sometimes use depression to bring an unconverted person to the Saviour. If you are unconverted and feeling depressed, at least part of the solution may be repentance from your sins and faith in Christ. That is not to say that you may not need medication and counselling as well. However, medication and counselling will only be a temporary solution if you do not seriously address your spiritual state before God. Pills might get you through this world, but they will not be available in hell, the place of ultimate torment, despair, and gnashing of teeth.“Believe in the Lord Jesus Christ and you shall be saved.”

All 6 articles on Depression and the Christian:

  1. The Crisis
  2. The Complexity
  3. The Condition
  4. The Causes
  5. The Cures
  6. The Carer
If you are in Singapore and looking for a Reformed Church, do come and visit my Church, Pilgrim Covenant Church (PCC), for worship and fellowship: https://pilgrim-covenant.com/. We are a Reformed and reforming Church founded on 4 July 1999 in Singapore. We are at the moment a small congregation covenanted to serve and worship the Lord together as a branch of the body of Christ. We have a Gospel work in the state of Johor, Malaysia ie Johor Bahru Christian Fellowship (JBCF): https://pilgrim-covenant.com/about-us/johor-bahru-covenant-fellowship-malaysia/

Or you can join us online for Morning and Evening worship services: https://pilgrim-covenant.com/join-us/online-links/

Thank you for stopping by. Have a blessed day! 

Best Regards
Nancie
26 July 2025