Monday, October 31, 2022

I Have a Psychiatric Diagnosis

I Have a Psychiatric Diagnosis: What Does the Bible Say? Edward T. Welch (New Growth Press, 2022)

This very short book tries to address some very big topics, and overall does a pretty solid job of it. Welch is trying to bridge the divide between the reality of psychiatric diagnoses and what that means spiritually, so that we can understand:
- What God says, &
- How the bible speaks in ways that help you find wisdom, rest, and hope in Jesus, with a diagnosis
“Psychological categories help us see important human struggles. Spiritual categories include those struggles and help us see more. Spiritual indicates that God speaks in every detail of our lives, and we need him in every detail.”
He carefully balances the wisdom of learning from the world, medicine and health, with what we find in God’s word. 
“Careful observations, like those of the mental health sciences, help us to see important things; Scripture reveals what is most important. It opens our eyes to what is unseen and eternal.”
So, his approach is to:
  • Listen to God and get help from his people. This including returning to the gospel and understanding that Jesus calls us to speak to him about our struggles, and to believe the gospel and how it practically impacts our lives with mental health struggles 
  • Listen and learn from those who have experience. This includes medical specialists, those who understand and live with it, and exploring options such as medication. 
“These two approaches anchor the rhythm in what is ahead—listen to Scripture and God’s people, listen to those who have experience, listen to what God says. Back-and-forth. Listen, learn, ask for help. The cycle continues until you understand your struggles (or another’s struggles) better and have ways to help. What is important is that Scripture has the final words of hope.”
From this point, Welch explores four areas:

1. Anxiety and panic disorders. This is a helpful simple chapter, pointing to the wisdom of the world in recognising panic and anxiety and that all is not right, then turning us to God and how seeking him and the gospel speaks to our deepest anxieties and give us freedom to bring them to the Lord. 
“Faith simply acknowledges that you are desperate and needy, and only Jesus can give what you most deeply need. Your panic attacks have exposed the delusion that life is just fine—you can manage on your own—and it is good news when delusions are exposed. When we feel in control, we have no reason to turn to the Lord.”
2. Trauma. This is really a primer on trauma, helping the reader to understand its impacts and challenges. Turning to the gospel, we can see that God knows you and loves you, he has entered dark places to find you, he cleanses you from shame, and makes your future new. He encourages the person who has experienced trauma to find words to describe their experience, and speak them to God and to others. 

3. Depression. This chapter encouraged starting with listening to God and his people, and speaking our concerns, doubts, worries and melancholy to the Lord remembering that Christ is our faithful helper and friend. There is an encouragement to share your life with others, no matter how hard it feels.

4. Narcissism - this was a confusing chapter, for it was aimed at the person interacting with the narcissist, not the narcissist themselves. It does seek to find common ground for we are all sinful, we get to know their story, and assume they are normal human beings. But even this felt discordant with the rest of the book, and a little condescending.
“The narcissist has no problem, at least none that he or she feels. If there is any problem, it is you. Your disloyalty, your base ignorance and overt stupidity, your lessness. So you begin by finding words that help you understand someone else. You first go out and listen to what others are saying.”
The book abruptly ends after this chapter, with a list of further reading recommendations. I couldn’t figure out why more wasn’t included. The introduction mentions anorexia, obsessive-compulsive personality disorder, attention-deficit/hyperactivity disorder, substance abuse, bipolar disorder, schizophrenia. I was surprised that narcissism was included over some of the others, and would have appreciated a reason for choosing to address only those four. Each chapter finishes with questions, but they were so open ended as to almost be unhelpful, with each including: “What questions do you have?”. I’m not sure that helps anyone unless you provide a way for them to explore it further.

You can hear Welch’s care & compassion for people in his writing, but I felt this book fell a little short on what it was trying to offer.

I received a ecopy of this book in exchange for an honest review.

1 comment:

Alison said...

Thank you. I was going to write down the name of the book, but after reading your article, I decided it wouldn't be helpful. We are living with ADD and autism. Blessings