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DIE VERSKIL TUSSEN KLINIESE EN OMSTANDIGHEIDS DEPRESSIE

DIE VERSKIL TUSSEN KLINIESE EN OMSTANDIGHEIDS DEPRESSIE

Kliniese depressie is een van die hoofoorsake van ongeskiktheid in die wêreld. Trouens, in 2008 is kliniese depressie deur die Wêreldgesondheidsorganisasie as die derde grootste oorsaak van ongeskiktheid gelys wêreldwyd, en dit sal na verwagting teen 2030 die nommer een oorsaak van ongeskiktheid wees.

Kliniese depressie, of Ernstige Depressiewe Versteuring, is ‘n algehele liggaamsversteuring waarin daar veranderinge in die normale funksie van die breinbane is (kritiese redenasiebane is onderaktief, vreesbane is ooraktief, ens.); ‘n oorgestimuleerde immuunstelsel met verhoogde inflammatoriese faktore wat bydra tot die ervaring van moegheid, malaise, eetlus- en slaapstoornisse; veranderinge in denkpatrone met oordrewe negatiewe, pessimisties en ontmoedigende prikkels na die gedagtes; en sellulêre veranderinge in die brein met veranderde geenuitdrukking met verlies aan neurotrofiene (proteïene wat neuroplastisiteit verbeter en neurone gesond hou) en witstofvolume in kritiese breinstreke.

Kliniese depressie is ‘n fisiologiese toestand wat die normale funksie van die hele persoon verander – en daar is baie onderliggende faktore wat die risiko verhoog om kliniese depressie te ontwikkel. Trouens, enige persoon, ongeag genetika, kan kliniese depressie ervaar as genoeg van hierdie faktore voorkom. Faktore wat bydra tot die ontwikkeling van kliniese depressie sluit in swak voeding, onvoldoende slaap, onophoudelike geestelike stres, onvoldoende rus, dehidrasie, onopgeloste trauma, dwelmmisbruik, sekere medikasie, eksistensiële angs, verhoudingskonflik of verlies, ongesonde spiritualiteit, fisiese siektes van verskillende soorte, negatiewe denkpatrone, sosiale isolasie, en meer.

Maar daar is goeie nuus – kliniese depressie is behandelbaar! En die beste behandelingsuitkomste vind plaas wanneer ‘n holistiese benadering gevolg word en die onderliggende bydraende faktore geïdentifiseer en opgelos word.

Alhoewel dit goeie nuus is dat die stigma wat verband hou met depressie afgeneem het namate meer mense besef dat kliniese depressie ‘n ernstige mediese toestand is, en nie ‘n geestelike probleem of morele swakheid nie, moet ons versigtig wees om nie alle neerdrukkende ervarings as klinies verkeerd te interpreteer nie. Met ander woorde, nie alle depressie is klinies nie. Nie elke emosionele toestand waarin ‘n persoon gevoelens van depressie, hartseer, tranerigheid, moedeloosheid, hopeloosheid en moedeloosheid ervaar, is as gevolg van ‘n hele brein/liggaamsiekte nie. Soms is die depressiewe bui die gepaste emosionele toestand vir ‘n neerdrukkende gebeurtenis of ervaring en die onaangename bui is deel van ‘n aanpasbare reaksie wat bedoel is om die persoon te motiveer om die ontstellende lewensgebeurtenis aan te spreek en dit te oorkom. Wanneer ‘n depressiewe bui te wyte is aan ‘n omstandigheids gebeurtenis, is die pad vorentoe om deur die gebeurtenis te werk, eerder as om die gevoel te probeer wegneem, hetsy met ‘n farmaseutiese middel, alkohol en onwettige dwelms.

‘n Klassieke voorbeeld van hierdie tipe depressiewe bui is die depressie wat tydens hartseer voorkom. Normale hartseer word geassosieer met depressiewe bui, maar die behandeling is nie ‘n antidepressante nie, maar werk eerder deur die hartseer en kom tot “aanvaarding”. Eers wanneer die verlies verwerk word, kom die individu tot ‘n “aanvaarbare” interne perspektief, en daar is ‘n opklaring van die verlies, en los die depressiewe bui op.

Hartseer dien as ‘n goeie voorbeeld van die depressiewe buie wat nie klinies is nie. Soos byvoorbeeld: Depressiewe bui in die nadraai van ‘n verbreekte verhouding, nadat ‘n persoon nie tot die nagraadse skool aanvaar is nie, nadat hy oorgeslaan is vir ‘n bevordering, of nadat hy ‘n finansiële verlies gely het, is ander voorbeelde van nie-kliniese depressie. Die depressiewe buie wat verband hou met die lewe se seer, verliese, teleurstellings en stryd is nie dieselfde as kliniese depressie nie, en dit word nie opgelos met biologiese behandelings (medikasie) nie. Hierdie disforiese buie verdwyn wanneer die probleem wat die disforie veroorsaak, deurgewerk word en ‘n nuwe, aanvaarbare en gesonde begrip verkry word. Die depressiewe buie as gevolg van ontstellende situasies is ontwerp om ons te motiveer om betrokke te raak, deur die hindernis te worstel en die moeilikheid te oorkom.

Die apostel Paulus het geskryf,

“Al kry ons nou baie swaar, vat dit glad nie ons blydskap weg nie. Allesbehalwe. Ons weet mos dat swaarkry ons vorm en slyp om nog meer op God te vertrou. En wanneer ons onverskrokke op God vertrou, help dit ons om ’n sterk Christelike karakter te vorm. En ’n sterk Christelike karakter maak dat ons deur dik en dun glo dat God se nuwe wêreld op ons wag. Wanneer ons al ons hoop op God stel, sal ons nooit teleurgesteld wees nie. Want Hy vul ons lewens elke dag met sy liefde. Dit doen Hy deur die Heilige Gees wat by ons bly” (Romeine 5:3-5 DB’06).

Bybelvoorbeelde van mense met omstandigheids depressie, wat slegs opgelos is deur die omstandighede van die situasie te hanteer, sluit in:

  • Koning Dawid nadat hy deur Natan gekonfronteer is en die verlies van sy baba ervaar het
  • Die apostel Petrus nadat hy Jesus met vloek ontken het en toe uitgegaan en bitterlik gehuil het

Soms sal mense, eerder as om deur hul omstandigheids depressie te werk, hulle egter eerder tot middels, histories gewoonlik alkohol, wend om hul emosionele pyn te verdoof. Ander sal weghardloop in verskeie vorme van ontvlugting, soos vermaak of werkverslawing. Maar hierdie keuses sal die probleem net laat toeneem – en dit kan selfs tot kliniese depressie lei as die poging om dit te hanteer objektief ongesond is, bv. ontkoppeling in liggaamlike oefening, of die eet van “trooskos”, ens.

Omdat omstandigheids en kliniese depressie dikwels in die onmiddellike oomblik soortgelyk lyk – ‘n persoon met enige soort kan hartseer, tranerigheid, moedeloos wees; spreek hopeloosheid uit; ontkoppel van normale aktiwiteite; het verswakte konsentrasievermoë; ervaar verlies aan eetlus; slaap nie lekker nie; gevoelens van waardeloosheid het, en selfs selfmoord oorweeg – kan misverstand, verwarring en verkeerde diagnose voorkom wat tot skade kan lei of doeltreffende behandeling kan vertraag.

As ‘n persoon met kliniese depressie beskou word as net ‘n omstandigheids depressiewe bui, kan hulle effektiewe behandeling vertraag word en langer ly as wat hulle andersins sou gedoen het as hulle vroeër behandeling gesoek het. Erger nog, goedbedoelde familie en vriende, wat gesien het hoe mense met omstandigheids depressie beter word met aanmoediging, gebed, probleemoplossing en die aanspreek van die objektiewe kwessie, kan glo dat alle depressie bloot van omstandighede afhang en/of geestelik is en beweer dat die persoon met kliniese depressie net hoef te bid of meer geloof hoef te hê om gesond te word. Sulke bewerings kan veroorsaak dat die persoon met kliniese depressie se behandeling effektief vertraag word, wat die lyding vergroot, maar daardie familie en vriende sal ook ‘n nuwe laag geestelike angs byvoeg – die leuen dat die depressiewe persoon nie genoeg geloof het nie of dat mediese behandeling ‘n gebrek aan geloof is, wat valse skuldgevoelens byvoeg, stresbane aktiveer, en inflammasie verhoog, wat bydra tot meer kliniese depressie.

 

WAT KAN JY DOEN?

As jy jouself in ‘n oomblik van ‘n depressiewe bui bevind – hartseer, moedeloos, tranerig – vra jouself af:

  • Is dit omstandigheids depressie? Is dit as gevolg van ‘n werklike verlies, ‘n teleurstelling, ‘n besering? Is dit iets waardeur ek moet worstel wat my sal help om te ontwikkel?
  • Of is hierdie depressiewe bui iets meer? Is dit kliniese depressie, ‘n fisiologiese verlies aan funksie wat weke lank voortduur ten spyte van my bereidwilligheid en begeerte om deur die lewensuitdagings te werk?

As die depressie klinies is, moenie moedeloos wees nie – soek professionele behandeling, want kliniese depressie is behandelbaar!

Professionele kliniese behandeling is egter ook voordelig vir omstandigheids depressie, veral as die depressie nie vinnig opgelos word nie. Dit is net dat omstandigheids depressie nie met biologiese middele behandel word nie, maar deur die persoon te help om die oorsaak van hul depressie op te los.

Ek het pasiënte gehad met omstandigheids depressie waarvoor geen medikasie sou help nie, maar hulle het nie geweet hoe om deur hul omstandighede te werk nie, so hulle het baie baat gevind by professionele berading wat hulle gehelp het om dinge vanuit ‘n nuwe perspektief te sien, nuwe insigte te leer en nuwe hanteringsvaardighede aan te leer wat hulle op hul omstandighede kon toepas, wat gelei het tot die oplossing van die depressie.

Ongeag of die depressie klinies of as gevolg van omstandighede is – albei is ernstig, albei belemmer normale funksionering, albei ondermyn welstand – albei is uiteindelik behandelbaar. Moet dus nooit toegee aan hopeloosheid nie, maar as jy met hopeloosheid versoek word, as jy nie verligting van die depressie vind nie, soek professionele behandeling om die oorsaak van die depressie te identifiseer en te behandel.

Depressie is behandelbaar, daar is hoop, daar is genesing – so moet nooit moed opgee nie!


As iemand wat jy ken met depressie sukkel en selfhelphulpbronne nie genoeg is nie, en professionele behandeling nie gelei het tot die verbetering wat hulle wil hê nie, kan jy hulle laat weet van Honey Lake Clinic (HLC), waar ek die mediese direkteur van die volwasse program is. HLC is ‘n holistiese, Christelike geestesgesondheidsresidensiële behandelingsprogram wat poog om die verskillende oorsake van depressie te identifiseer en op te los – hetsy biologies, sielkundig, relasioneel of geestelik. Ons is hier om te help!

 

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Testimony 56

I cannot thank you enough for opening my understanding to the beautiful truth of God’s Law of Love and how it applies to everything. I have been a Christian for over forty years, but I feel like I am only now seeing with my eyes open. Thank you, Thank you, Thank you!!

Tammy Cinzio, Australia

 

Testimony 42

I am just writing to say that I have been so blessed by the teachings of Come And Reason Minitries recently. I watched last week’s bible study lesson on Youtube and am thankful that the error in the printed lesson guide you use was pointed out and this week’s study was of equal benefit, if not more so. My understanding of God’s nature has been very confused of late and I am so grateful for clarity in this matter. I have never really fully understood previously how a good God can cause bad things to happen and now I realise that He doesn’t, it’s a natural consequence of sin. May the almighty Father and His Son, our Saviour Jesus Christ, continue to bless your ministry.

Laura P., United Kingdom

 

Testimony 21

I am absolutly on fire with the message at Come and Reason! I can’t get enough! I’ve read your book, blog, and articles. I’ve listened to your Bible study podcasts, your radio show, and your series – all excellent! It wasn’t until the past couple of years that I have I like I’m becoming “healthy,” with more to share with others than just beasts and commandments! I used to be a Bible worker and preached when the pastors were gone until I had had enough. I didnt realize at the time what the problem was, but i know now… the message wasn’t properly focused. Now my flame is rekindled. All of your little examples are so perfect in explaining something “complicated” and making it easily understood! Now I’m trying to shape it into a life changing evangelistic series! Thank you!

M.T., USA

 

Testimony 30

God lead me to your book “The God-Shaped Brain” while I was searching for another book about the brain and then to your interview about your book on HeartWise Ministries [where] I found out about [Come And Reason Ministries]. I’m now devouring the webcasts of your Bible studies. I have been so greatly blessed and I thank God so much for your courage to speak the Truth in love no matter what. Listening to you contrast the two opposing systems (laws) and digging deep to unearth the hidden treasures in the Bible makes me so incredibly happy and I feel very blessed to be part of your Bible Study Group although I live far away. I am just so excited that there is a group of people that is spreading the Truth about the character of God and it saddens me how few realize what our Father in Heaven is really like.

Kessy B., Australia

 

Testimony 29

Thank you for all of your work to correct misconceptions about God’s character. So many people that my husband and I have talked to seem to be against the natural law construct and view it as “errant” and “dangerous.” Having learned more about it through your blogs and lessons, I don’t really understand why they view it that way, except that it means they have to relearn theology they have known for their entire lives. But I’m so excited to relearn this. For the past few years I have been questioning how I could trust a God who punishes arbitrarily and is full of wrath for those who don’t obey His commands. That view made me afraid to “mess up” or “not be good enough,” even within my relationship with God. I really appreciated the point you bring out about God not wanting us to serve Him because we are afraid, but because we love Him.

Melissa H., IN, USA

 

Testimony 65

I have been tuning into your weekly study classes for a while now and wanted express my appreciation for the teachings that ha been a huge blessing in opening up the true message of the word. Viewing scripture under an imposed law theory always, without fail, raised more questions, concerns, and conflicting scripture interpretations that were discouraging at the very least. Looking at scripture through the design law lens has brought more truth to light for me personally and an understanding of our Heavenly Father that places Him “above all others,” where I am now more than thrilled to witness and serve Him.  I “stumbled” across this ministry a year or so ago and would only watch a few minutes at a time. But the more I listened and the longer I paid attention, the more my spiritual eyes were opened to the ever present truths of scripture. The comprehension of the great controversy and it’s origin by the lies perpetrated and perpetuated throughout the Bible on the attack of God’s character and government is truly priceless. Keep up the Good Work! Your servanthood is desperately needed in such a time as this!

Jeff D., Reading, MA, USA

 

Testimony 55

I was born [into the church], then I left it for many years. 10 years ago, I came back, but I could not take the hypocrisy and the lack of answers to the missing pieces. I struggled, but I did not abandon my commitment to know the truth. God is leading me to the simple understanding of his relevance and I am relearning what the church taught me as a youth… that he loves me, that he has led me to a knowledge of him such as I have never known. He is using Dr. Jennings to connect the dots that are now so apparent and hiding in plain sight!

Dean P., Arlington, TX, USA

 

Testimony 49

I came into the church at 21, but that is as far as it went. I was so confused about what love is. I couldn’t find it in the bible, because I am not a person that can read between the lines. I have no logic. I have read many, many books; trying to figure out the crux of the matter. They were helpful, but something was still missing. I have become very frustrated to the point of crying out to God, “Where can I go?”  I needed some basics.

I found two books, written by Timothy Jennings, MD, to be very helpful. God showed me that I had lived my whole life in fear. I didn’t even see it. Now, I do. God is so good.  I discovered the “The Remedy”  Dr. Jennings new book, “The God-Shaped Heart!” Oh, I was so excited, I purchased them right away.

I can get rid of most of my books, because “The Remedy” brings the Love of God out so clearly, even I can’t miss it. Now, I want to sit and read my Bible. Wow, what a revelation! It is just simply Awesome! I am so grateful to Jehovah Almighty for hearing my prayer for more understanding! I am so encouraged!

Jackie S.

 

Testimony 22

I have found your Bible study class lectures to be very inspiring and useful as I prepare to teach class every other week. I subscribe to the podcast and download your notes on the weeks I teach. The audio and notes are such a great help in preparing. My own understanding of God’s character has grown as I teach the class. Commendations on the thought-provoking and well-prepared material Come and Reason provides. Personally, I get excited by the tie you make between the spiritual and mental/physical domains.

A.A. Corrales, NM, USA

 

Testimony 11

I would love to have a copy of “Healing the Mind” DVDs to have in my therapy office. I enjoy having clients check out materials to enhance their therapy experience. I have sat under Dr. Jennings’ teaching at an American Association of Christian Counselors convention and respect his work greatly.

K.B., LA, USA

 

Testimony 28

I have been following your Bible study class for about a year now. I must say I am impressed with how your ministry has grown. I took it upon myself to listen to all your lesson podcasts from the past and they have both enriched me physically, mentally, emotionally and spiritually. I have learnt a lot from this class. I have also noticed how the class has grown in spiritual strength. One of the things that benefited me is that now I am not afraid of God. I use to be, but now it has melted away. The second thing is that you helped me to have a real life relationship with God. Now He is my friend that was always there and I love having him with me all the time. Thirdly, because of this class, it inspired me to take over and lead a class. I have called it “Let Us Reason Together,” adapting your inquisitive style and creating a class of free thinkers.

T. Banda, Malawi, Africa

 

Testimony 2

I continue to enjoy your lessons every week. The more that I research your conclusions, the more I am convinced that the Holy Spirit has lead you to distill out the essence of human redemption. Thank you for your courageous stand for the truth.

S. G., TX, USA

 

Testimony 43

Two years ago I stumbled upon your book, “Could It Be This Simple,” and then found “The God-Shaped Brain” videos on YouTube, your bible study class, and the ‘Come And Reason’ mobile app. I shared your book with a friend and after nine months of showing love, patience, and kindness this person has been changed by the love of God, too. The same love that healed me, I now express to other women in tangible ways, such as to a Baptist woman with high anxiety and childhood trauma. She was extremely happy and relieved when I shared about the so-called “judgment of God” and burning in hell. She had no desire to serve a God that was so harsh. I have repeated the phrase dozens of times to her. “What we believe has power over us, but we have power over what we believe…”

This message that you are sharing has changed my life. I will continue to serve other women and bring this message of God’s healing love to their lives by sharing your books, YouTube videos, and The Remedy Bible app. Keep up the good work. Don’t be discouraged. God is doing a mighty work in and through this ministry!

Jill L., Midwest, USA

 

Testimony 18

The Healing the Mind DVD set tarted me on a journey that has changed my relationship with our loving God more significantly than any other study, and brought me to your book and Bible study podcasts, which I now listen to daily, thanks to the availability of archived content on your site and on iTunes.

Anonymous

 

Testimony 34

I was introduced to Come and Reason Ministries by accident, via a passing comment made in a bible study class we were visiting. I checked this website out and my life was changed. The understanding of the truth of God’s character, and how we apply it, is so right. The tricky part is consistently applying which “lens” to look through. As I began to understand, I started sharing the basics of this understanding with a discussion group I was leading and, suddenly, a lot of things started to make sense that never used to. At the same time, I enjoyed an amazing opportunity. I was able to conduct a full bible study at WORK! What an amazing experience! It is such a joy to share the truth about God and to share how it all fits in the war between God and Satan. So many people benefit when we have a correct understanding about how God works and who He really is! Thank you for this transformational understanding. Keep up the good work! God Bless you!

Tony P., CA, USA