Two Trees Media — the Bipolar Experts

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Bipolar disorder and pastoral care

Where do churches meet people with bipolar disorder?

What's happening for people in bipolar crisis?

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First, bipolar disorder affects at least 2 percent of the population. There are likely to be sufferers in most congregations.

Among homeless people and prisoners is found a higher than usual incidence of mental ill-health, including sufferers of bipolar disorder.

People who are adequately treated may never show any signs of their condition. Others report experiencing extreme distress during manic episodes, and often this is accompanied by disordered thinking.

In mania, and so-called mixed states, people with bipolar can experience ecstatic yet distressing delusions. Religious themes are not uncommon, for example that a sufferer is Jesus or the Virgin Mary. This seems to afflict religious and non-religious people alike.

In depressive crises, the disordered thinking may again carry a religious theme, for example the erroneous belief that the person has committed certain crimes or sins. Rarely can a person in bipolar distress comprehend the concept of forgiveness or the idea of salvation.

How, then, shall we approach people in bipolar crisis?

Prayerfully

Loving wastefully

Patiently

Reflectively

Using Mental Health First Aid, psychiatric services if available, and police if necessary for everybody's safety.

In a bipolar crisis, let us not...

Judge behaviour, even criminal or alcohol/drug behaviour

Attempt to correct the person's thinking while in crisis.

Attempt to get the person to reason. They can't do this for the moment.

Tell the person that they will recover if, or only if, they turn to God.

How shall we reflect on this later?

Once again, prayerfully. Reflect on unhelpful traditional Biblical interpretations of madness, and the layering of demons on saints such as Mary Magdalene.

Recall the writings of St John of the Cross, particularly the distinction he makes between 'spritual dryness' and that which is 'of the world'.

Praying for physical (i.e. brain chemical imbalance) healing opportunities and that the sufferer can grow spiritually as they recover from their experience.

How shall this inform our work?

Many churches run hospitals, including psychiatric ones. But almost all of them operate purely to the paradigm of Western biological psychiatry.
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There is a dark and complex intertwining of themes in bipolar and the church. Can these be embraced in love and teased apart? Can the spiritual knowlege of the church be deployed to really heal people in bipolar distress?

What do you think?

These are the suggestions of an Anglican (Episcopalian) laywoman who has bipolar and has carried out extensive research into how people manage their condition. If you would like to add your experience please publisher@twotreesmedia.com

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About Us | Site Map | Privacy Policy | Contact Us | ©2005-2007 Two Trees Media

Last modified 24 August 2008

This page was written and published by Madeleine Kelly, a Christian and bipolar sufferer who underwent undergraduate medical training (University of Melbourne) and who is the author of Bipolar and the Art of Roller-coaster Riding.

Questions or problems regarding this web site should be directed to Publisher at TwoTreesMedia dot com.

This site and the book Bipolar and the Art of Roller-coaster Riding, the 2nd edition of Life on a Roller-coaster - living well with depression and manic depression contain the opinions and ideas of the author, Madeleine Kelly. The site and the book are intended to provide helpful and informative material on the subjects addressed. The book is sold with the understanding that the author is not engaged in rendering medical, health, or any other kind of professional services in the book. The reader should consult his or her medical, health, or other competent professional before adopting any of the suggestions in the book or this site or drawing inferences therefrom. The author and publisher disclaim all responsibility for any liability, loss, or risk, personal or otherwise, which is incurred as a consequence, directly or indirectly, of the use and application of any of the contents of this book or site.