Delight in Disorder Ministries
Tony Roberts, Chief Shepherd
Delight yourself in the Lord and He will give you the desires of your heart.
(Psalms 37:4)

3 Ways to Best Respond to Someone in a Mixed State
This past week, I've been struggling through mixed states. Mixed states are where the worst of mania and the worst of depression collide to create one monstrous emotional mess (see "Mixed States: Maniacal Despair"). Mixed states are often the most damaging periods in the life of someone with bipolar disorder. Unlike the crippling low of depression where you have no energy to do harm or the ecstatic high of mania where you feel do whatever you can to maintain a wonderful life, someone having mixed states sees no hope and has the energy to do harm. This can destroy our physical and spiritual health and ruin our relationships. Wednesday was my worst day last week. I was just coming out of a major depressive period and I had to gear up for a trip to see my children. I had many calls to make to tie up loose ends and [...]
Mixed States: Maniacal Despair
7 Where can I go from your Spirit? Where can I flee from your presence? 8 If I go up to the heavens, you are there; if I make my bed in the depths, you are there. 9 If I rise on the wings of the dawn, if I settle on the far side of the sea, 10 even there your hand will guide me, your right hand will hold me fast. 11 If I say, “Surely the darkness will hide me and the light become night around me,” 12 even the darkness will not be dark to you; the night will shine like the day, for darkness is as light to you. (Psalm 139) Time will pass; these mood will pass; and I will, eventually, be myself again. But then, at some unknown time, the electrifying carnival will come back into my mind. ― Kay Redfield Jamison, An Unquiet Mind: A Memoir of Moods and Madness For some months, I've enjoyed [...]
Bleeding Prayers
You have taken from me friend and neighbor; darkness is my closest friend. (Psalm 88:18) When I am in the grip of depression, a weighty spirit pins me down to the bed. Some wonder why those of us with mental illness don’t just get up and go about our days. While this would certainly help, sometimes doing this is like running a four-minute mile with a broken leg. So what can we do when we trapped in a cave of despair? Pray? Hardly! We can do next to nothing. Only moan, alone, in misery. Yet, by God’s grace, the Holy Spirit translates our feeble groans into effective prayers. More than anyone, Jesus gets this. On the dark night before he was killed, he sweat prayers of blood. (see Luke 22:44) Then, the Holy Spirit transforms his sweat into strength. He is given the spiritual strength to endure suffering -- [...]
Anosognosia: When You Can’t Believe Something Is Wrong
When Jesus saw him lying there and learned that he had been in this condition for a long time, he asked him, “Do you want to get well?” (John 5:6) Anosognosia, also called "lack of insight," is a symptom of severe mental illness experienced by some that impairs a person’s ability to understand and perceive his or her illness. It is the single largest reason why people with schizophrenia or bipolar disorder refuse medications or do not seek treatment. Without awareness of the illness, refusing treatment appears rational, no matter how clear the need for treatment might be to others. ("Anosognosia" from The Treatment Advocacy Center) I have a friend I'll call Thomas. Thomas is a young man who, when he was in college, began to demonstrate disruptive symptoms. A very bright and engaged student, he suddenly became easily confused and would hide in his dorm. He had been [...]
Mixing Ministry with Mental Illness
How could I serve in ministry with a serious mental illness? How could someone riding manic highs dipping to deadly lows promote stable growth for a congregation? How could I faithfully hear God's voice in the midst of competing voices within and around me? These questions stir my mind and stab my heart. My mind says yes -- I served as a minister with bipolar for almost two decades, a good dozen of which were quite fruitful. My heart grieves that my illness progressed such that, in 2009, I stepped away from pastoral ministry for health reasons. The story I want to share here is not what led to my decline but what, by the grace of God and with the help of the church, has allowed me to serve in ministry with a serious mental illness. Persistent Prayer Partners I fell into the pit of psychological despair [...]
What to Call Psych Units, and Why
Leslie Carpenter, who serves as President of the Johnson County (Iowa) chapter of the National Alliance on Mental Illness (NAMI, posed a compelling question on her Facebook page that is garnering a great deal of response from advocates for persons with mental illness. Leslie asks, If you could re-name a psychiatric unit or system to get rid of the common place, “Behavioral Health”, what would you change it to? She gives this as her rationale: I am hoping to elevate thinking on this away from a name that infers that children and adults with brain disorders like Schizophrenia can be treated with coping skills and behavior modification and help the public to understand these are MEDICAL Conditions that need and deserve Treatment... Finally, she primes the pump with these: 1. Neuroscience Unit 2. Neuropsychiatric Unit 3. Brain Disorders Unit 4.______________________ As of this writing, there have been 61 comments, [...]