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The Psalms treat depression more realistically than many of today’s popular books on Christianity and psychology. David and other psalmists often found themselves deeply depressed for various reasons. They did not, however, apologize for what they were feeling, nor did they confess it as sin. It was a legitimate part of their relationship with God. They interacted with Him through the context of their depression.
It is absolutely vital for Christians to understand and accept that while depression usually has serious consequences for our spiritual life, it is not necessarily caused by problems in our spiritual life.
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My main concern with the nouthetic counseling movement is its assumption that behind almost every episode of depression is personal sin. Regrettably, the modern biblical counseling movement still uses language that supports this conclusion.
We would never take this view (sinful cause/spiritual solution) when counseling people with cancer, strokes, broken legs, diabetes, or Alzheimer’s. As Reformed Christians, our default position is that these physical problems are most likely the result of living as fallen creatures in a fallen world. Why should our default position with brain problems be any different? Are we saying that the brain, the most complex organ in our body, is somehow exempt from the effects of the Fall?
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We should assume the depression is a result of living as a fallen creature in a fallen world rather than assume that the person has caused his suffering by his personal sin. If we are wrong, in the course of counseling we will soon find out and wisely adopt a different approach.
Believe the depression is part of the “all things” that are working together for your good (Rom. 8:28).
You are actually where God wants you to be, even if it is emotionally painful.
David and other psalmists often found themselves deeply depressed for various reasons. They did not, however, apologize for what they were feeling, nor did they confess it as sin. It was a legitimate part of their relationship with God. They interacted with Him through the context of their depression.
If we come to the point that our default position in dealing with the causes of depression is that it is sin until proven otherwise, we are getting painfully close to the disciples’ position: “Master, who did sin, this man, or his parents?” (John 9:2). It is also a position that is somewhat akin to the health, wealth, and prosperity gospel, in which the diagnosis for trials is personal sin and the prescription is more repentance and faith.