Dealing with Depression

This weekend at the church where I serve, we began a two-week series on mental health. A new study, published in The Journal of the American Medical Association, found that symptoms of depression in adults across the country has more than tripled since the COVID-19 pandemic began:

In the weeks after the outbreak prompted quarantines and stay-at-home orders, 27.8% of those surveyed had at least one symptom of depression. That compares to just 8.5% of people in 2017 and 2018.

And it’s not just that the proportion of people experiencing signs of depression had increased by mid-April – the burden of those symptoms increased as well. After the pandemic caused a radical shift in daily life, there were “fewer people with no symptoms and more people with more symptoms.”

None of this is particularly surprising. It is difficult to imagine a scenario where the societal upheaval we have endured over these past few months does not have an effect on our mental health.

Struggles with mental health are nothing new. In Psalm 119, the Psalmist has a line that jumped off the page at me as I was reading it as part of my morning devotions this past week:

My soul is weary with sorrow. (Psalm 119:28)

I wonder how many of us can relate to these words because we feel the weight of these words?

The question, of course, is: What do we do when we do feel the weight of these words? In the series we are at my church on mental health, we are talking about how there is both a clinical and a spiritual side to depression. Both must be addressed. Clinically, depression can – and often should – be treated through professional counseling and, perhaps, medication. Spiritually, the Psalmist offers a great place to start in order to address our depression:

My soul is weary with sorrow; strengthen me according to Your word. (Psalm 119:28)

To heal in our depression, we need a word from the Lord – a word that He loves us, that He will take care of us, and that there is hope for us.

If you’re struggling in depression right now, please know that you’re not alone. Please seek clinical help if you need it. But please also meditate on God’s Word. It is full of people who felt like you do. And it is full of people who God helped like He will you. Depression does not need to be determinative. God has a word of hope for you in His Word.

Divorce Inquiries Climb as the Pandemic Lingers

marriage-3961061_1280

Among the casualties of the coronavirus are many Americans’ marriages. New released data indicates that sales of divorce agreements have soared by 34 percent during the pandemic. The pandemic seems to have had especially adverse effects on new marriages, with couples married five months or less pursuing divorce at double the rate of 2019. According to The Daily Mail, “the combination of quarantine life, wavering finances, mounting unemployment rates, illnesses, deaths of loved ones, mental illness and child care” has led to the spike in divorce inquiries.

As long as there has been marriage, there have been stressors and strains on marriages. History’s first marriage featured a husband who ill-advisedly blamed his wife for his bad behavior after he ate some forbidden fruit. When he was confronted by God over his sin, he claimed: “The woman You put here with me – she gave me some fruit from the tree, and I ate it” (Genesis 3:12). His was quick to blame his wife instead of taking responsibility for his own sin. And couples have been following in his footsteps ever since.

In Jesus’ day, countless numbers of marriages were crumbling. Many Jewish rabbis in the first century permitted husbands to divorce their wives for pretty much any reason. There was one school of thought that actually taught that a husband may divorce his wife “if she spoiled a dish for him,” or “even if he found another woman more beautiful than she.” Jesus, however, was having none of this. He pointedly declared: “I tell you that anyone who divorces his wife, except for sexual immorality, and marries another woman commits adultery” (Matthew 19:9). Jesus wants couples to remain together, even during trying times.

COVID-19 has certainly brought its share of trials. Many marriages are struggling. Some are not surviving. But hope is not lost. Jesus, at the same time He confronts those who don’t take seriously a commitment to marriage, also comforts those who are struggling in marriage. He knows circumstances can become difficult, and He cares.

So, if you are struggling in your marriage, now is the time to ask for help. You can certainly reach out to the church where I serve, Concordia, and we would be happy to talk with you. COVID-19 has created enough casualties. Let’s not add our marriages to that sad list.

A Shrinking Design for COVID Times

First, a confession: I have not eaten at a Taco Bell in years – perhaps decades. But when I heard that the famed fast food chain was redesigning their dining areas, I was intrigued:

Starting next year, the restaurants will encompass 1,325 square feet (123 square meters) compared with an average 2,500 square feet for Taco Bell restaurants now. 

Two drive-through lanes will highlight the new restaurants, enabling faster service for eaters who order through the chain’s app. The new facilities will provide contactless curbside-pickup service.

This is in response, the designers explained, to a new reality – that fewer people are eating out since the beginning of the COVID-19 pandemic. Obviously, this is a trend that these designers believe will continue well into the future.

I think they could be right. Even as restaurants re-open, anxiety levels remain high. Many who once felt comfortable around strangers now prefer the company of a close group of friends.

In some ways, Taco Bell’s redesign is a return to the roots of the fast-food industry. When fast food restaurants first started dotting the American landscape, many of them did not have dining areas at all. They were drive-up and walk-up food stands. Indeed, the first Taco Bell had a walk-up window only and was no larger than a two-car garage. But a lack of a dining room does not mean that community around food no longer matters.

In college, my fast food haunt was a nearby Jack In The Box. Its two tacos for 99 cents was too good a deal for a college student to resist. Though I would never actually eat at the restaurant, I would also never eat from the restaurant alone. A buddy would always go with me to the drive-thru and we would bring a bag of tacos back to our dorm to share. The community was incredible, even if the food was not.

Numerous studies have been conducted on the importance of meals and community. The Atlantic summarized a few of these studies a few years back:

Using data from nearly three-quarters of the world’s countries, an analysis from the Organization for Economic Cooperation and Development (OECD) found that students who do not regularly eat with their parents are significantly more likely to be truant at school…

Children who do not eat dinner with their parents at least twice a week also were 40 percent more likely to be overweight compared to those who do, as outlined in a research presentation given at the European Congress on Obesity in Bulgaria… On the contrary, children who do eat dinner with their parents five or more days a week have less trouble with drugs and alcohol, eat healthier, show better academic performance, and report being closer with their parents than children who eat dinner with their parents less often, according to a study conducted by the National Center on Addiction and Substance Abuse at Columbia University.

With such pronounced sociological benefits, it’s no wonder that in the early Church:

They broke bread in their homes and ate together. (Acts 2:46)

COVID-19 has taken a lot from us, including, for many, a center of community in restaurants. Many restaurants remain shuttered. For those that are open, the experience is not the same. Half empty dining areas and blocked-off tables provide a strange – instead of friendly – experience. But community will outlast COVID. After all, we need each other. Whether in our homes, in a dorm room, or in a restaurant dining room, we will find ways to be together. The early Church did. And we still will.

For right now, eating out may be dangerous to our health. But figuring out ways to be together that don’t spread disease remains good for our souls.

Processing a Pandemic

Marseille during the outbreak of a pandemic in 1720 by Michel Serre

“When the pandemic is over…”

I’ve heard these words spoken over and over again by many people. And, I agree with them. I do believe this pandemic will eventually pass. But in my darker moments, I must admit that I also wonder about these words. I want to ask: “You say, ‘When the pandemic is over.’ When, pray tell, might that be?”

I have a feeling I’m not alone in asking this question. Not only am I not alone in asking this question among those around me; I am also not alone in asking this question among those throughout history.

In a really interesting long form piece for New York Magazine, Andrew Sullivan takes his reader on a whirlwind tour of plagues throughout history. His descriptions of many historic plagues are gruesome. Take, for instance, the plague that swept through Rome in 536:

Black rats arrived in the Roman port of Alexandria. They carried with them their own parasite, a flea that lived on the rats’ blood and could survive up to six weeks without a host – making it capable of enduring long sea voyages. And as the bacteria spread among the rats, and their population began to collapse, the fleas, desperate for food, sought alternatives. Living very close to the rats, humans were an easy target … For several days after infection, you were asymptomatic, then grotesque black buboes appeared on your body – swollen lymph nodes near where the fleas had bitten. Death often came several days later.

John of Ephesus noted that as people “were looking at each other and talking, they began to totter and fell either in the streets or at home, in harbors, on ships, in churches, and everywhere.” As he traveled in what is now Turkey, he was surrounded by death: “Day by day, we too –  like everybody – knocked at the gate to the tomb … We saw desolate and groaning villages and corpses spread out on the earth, with no one to take up [and bury] them.”

This is not even the worst of Mr. Sullivan’s descriptions. His recounting of the 1918 flu pandemic here in the States is even more jarring:

In her book Pandemic 1918, Catharine Arnold notes that “victims collapsed in the streets, hemorrhaging from lungs and nose. Their skin turned dark blue with the characteristic ‘heliotrope cyanosis’ caused by oxygen failure as the lungs filled with pus, and they gasped for breath from ‘air-hunger’ like landed fish.” The nosebleeds were projectile, covering the surroundings with blood. “When their lungs collapsed,” one witness recounted, “air was trapped beneath their skin. As we rolled the dead in winding sheets, their bodies crackled – an awful crackling noise which sounded like Rice Crispies [sic] when you pour milk over them.”

But as the summer of 1918 began in the U.S., relief spread. Maybe it was over. And then, in the fall, confident that a vaccine was imminent, several cities, notably Philadelphia, hosted war-bond parades, with large crowds thronging the streets … In the coming weeks, the city morgue was piling bodies on top of bodies, stacked three deep in the corridors, with no ice and no embalming. The stench was rank. City authorities were reduced to asking people to put their dead loved ones out on the street for collection.

This is horrifying.

But Mr. Sullivan is not simply content to leave his reader with dreadful descriptions of plagues past. He also invites us to grapple with some hard truths that our being revealed by our present plague, like this one:

We are not in control.

This is most certainly true.

Christians, for millennia now, have known this and proclaimed this. But they have also trusted in and told of One who is in control – One who can, and even does, heal the sick and raise the dead.

Mr. Sullivan notes:

Reminding humans of our mortality, plagues throw up existential questions. 

They do. Whether we take the time to grapple with these existential questions, however, is up to us. Historically, people have answered threats to their existence in one of two ways:

Let us eat and drink, for tomorrow we die! (Isaiah 22:13)

Or:

Even though I walk through the valley of the shadow of death, I will fear no evil, for You are with me; Your rod and Your staff, they comfort me. (Psalm 23:4)

Some are confronted by a time like this and simply resign themselves to revelry, for they believe that this is all there is. Others are confronted by a time like this and hope for a restoration, for they know this is not how things should be – but they also believe that there is One who will make things as they can be. And they believe that this One remains with us to comfort us, even during a pandemic.

Which way will you respond to this present moment? Choose wisely.

All The Stuff We Don’t Know

Coronavirus Disease 2019 (COVID-19) - United States Department of ...
Credit: U.S Department of State

COVID-19 continues to be stubbornly confusing. As researchers push to discover treatments and develop a vaccine, their efforts and preliminary conclusions concerning the virus and its treatments have been plagued by some embarrassing mistakes. Most recently, a study that appeared earlier this month in the Proceedings of the National Academy of Sciences has come under fire. The New York Times reports:

The study claimed that mask-wearing “significantly reduces the number of infections” with the coronavirus and that “other mitigation measures, such as social distancing implemented in the United States, are insufficient by themselves in protecting the public.” It also said that airborne transmission was the primary way the virus spreads.

Experts said the paper’s conclusions were similar to those from others – masks do work – but they objected to the methodology as deeply flawed. The researchers assumed that behaviors changed immediately after policy changes, for example, and the study failed to take into account the seismic changes occurring across societies that may have affected the reported incidence of infection.

It turns out that even when it’s generally agreed that a particular study’s conclusion is broadly correct, the methodology researchers use to arrive at their conclusion can still be suspect, which is part of the reason so many of these types of studies raise more questions than they answer. The more we try to learn, the more our enduring ignorance about this virus becomes apparent.

An article in The Wall Street Journal summarizes the state of our ignorance sharply:

What is the true mortality rate? What is a safe social distance? How contagious is the virus? What percentage of carriers are asymptomatic? We still don’t know any of these facts with certainty.

There was a time when we had a certain bravado about what our scientific studies could solve. The 19th century patron of scientific positivism, Auguste Comte, once confidently proclaimed: “From science comes prediction; from prediction comes action.” But Comte’s aphorism now seems to be a summary of the struggles with our response to COVID-19 rather than a pattern for how to get our response to it right. Predictions are consistently changing. And our actions must be continually revised to keep up with these provisional predictions.

When the apostle Paul writes to the Christian church at Corinth, they, too, like we once were, are quite confident in their knowledge. He says about their confidence:

We are fools for Christ, but you are so wise in Christ! We are weak, but you are strong! You are honored, we are dishonored! (1 Corinthians 4:10)

The Corinthians, however, do not know as much as they think they do. The Corinthians are divided over their spiritual leaders, so Paul has to admonish them:

Don’t you know that you yourselves are God’s temple and that God’s Spirit dwells in your midst? (1 Corinthians 3:16)

If the Corinthians are one spiritual temple, they should not be fighting over different spiritual leaders. The Corinthians should know this – but they don’t seem to.

But Paul isn’t done yet. The Corinthians are also ignorant of the proper boundaries for sexual morality as they celebrate a man among them who is sleeping with his mother-in-law. Paul must warn them again:

Your boasting is not good. Don’t you know that a little yeast leavens the whole batch of dough? (1 Corinthians 5:6)

Paul says that the sexual immorality of one man affects the spiritual vitality of the whole Corinthian congregation. The Corinthians should know this – but they don’t seem to.

But Paul still isn’t done. A couple of chapters later, Paul has to remind the Corinthians that they need to support their spiritual leaders so they, in turn, can support their families:

Don’t you know that those who serve in the temple get their food from the temple, and that those who serve at the altar share in what is offered on the altar? In the same way, the Lord has commanded that those who preach the gospel should receive their living from the gospel. (1 Corinthians 9:13-14)

The Corinthians should not be stingy with their leaders, but generous. And again, the Corinthians should know this – but they don’t seem to.

It turns out that human ignorance is as old as the Scriptures and part and parcel of our finitude. There is so much that we should know – or would like to know – but simply do not. Thus, instead of living with arrogance, we are called to approach the mysteries of life – the spiritual as well as the scientific ones – with a healthy dose of humility. One of the most important things for us to know is that there is so much we don’t know.

None of this is to say that we should end our efforts to combat COVID-19, nor is it to say that we should abandon our search for effective treatments and a vaccine. Science’s value to discovery and progress is not in question. But its limits must still be admitted and respected. The positivism of a prior age simply cannot face all the facets of a pandemic like this one.

So, let’s show grace, patience, and pay appropriate respect to our scientific researchers as they continue to carry out their important work while also holding onto faith as, together, we continue to walk into the unknowns of COVID-19 with the One who knows all things – God Himself.

With Him, we can face what we don’t yet know.