Men Mental Health Grace Alliance Regaining Lives …...2 The Hope and Healing Center & Institute...

Men Mental Health Grace Alliance

Regaining Lives and Rebuilding Families

Minds TransformedLiving Life Renewed and Resilient

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The Hope and Healing Center & Institute (HHCI) is a comprehensive mental health resource dedicated to transforming lives and restoring hope through education, research, training and supportive services.

Hope and Healing Center & Institute 717 Sage Rd. Houston, TX 77056 713-871-1004contact@hopeandhealingcenter.orgwww.hopeandhealingcenter.org

Authors: Matthew S. Stanford, Ph.D. and Joe Padilla Contributors: Madeline Stiers, LMSW and Sarah Dominguez, LPC-Intern

©2019 by Hope and Healing Center & Institute

©2016 by Mental Health Grace Alliance and Matthew S. Stanford, Living Grace

This booklet or portions thereof may not be reproduced in any form without written permission from the authors.

Scripture quotations are taken from the Holy Bible, New International Version (NIV). Copyright ©

1973, 1978, 1984 by International Bible Society. Used by permission of Zondervan. All rights reserved.

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Table of Contents

Vision 4

Group Structure and Flow 5

Guidelines and Prayer 6

Group Sessions

Identity 8

Recovery 13

God is Bigger Than Our Weakness 18

Medication 23

Holistic Care 28

Renewing Your Mind 33

Rest, Relaxation and Joy 40

Managing Stressors 45

Cycles and Triggers 50

Mindful of Grace 54

Grieving and Grace 60

Life Giving Community 64

Safe and Healthy Relationships 68

It’s Not Your Fault 72

Staying Resilient 76

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Vision

It is known that individuals experiencing psychological distress are more likely to seek help from clergy or

ministry staff before any other professional group. Research has shown that only a small portion of churches are

supportive of those dealing with mental health difficulties. This results from a lack of education and stigma. No

church has all the answers for the numerous challenges of a broken world, but most church leaders desire to see

their people rise up and be a part of helping overcome negative attitudes and statistics.

support |səˈpôrt|

1 to bear all or part of the weight of; hold up: 2 give assistance to; enable to function or act.

One simple way you can help is by starting and facilitating a Minds Transformed Group in your area. The

Minds Group is designed to provide an ongoing support structure to help those living with mental health

difficulties hold one another up and give each person practical skills and tools in order to regain their lives and

rebuild their families. All of this is done in a Christ-centered environment with a clear focus on the necessity of

God’s grace for life transformation. Minds Groups focus on the positive, where the goal of each meeting is to end with a greater understanding

of one’s self in regards to mental health difficulties. While the Minds Group does allow some time to share

pressing difficulties, the emphasis is on learning how to filter difficulties through God’s grace and implementing

the many practical skills and tools presented during the meetings.

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Group Structure and Flow COMMUNITY AND DISCOVERY: Each Minds Group session allows for sharing and relationship building.

While the group works together through each topic, personal discovery is encouraged. Group members will

each want to have their own workbook to make notes and as a personal resource to review the various

topics and tools.

FOR ANYONE AT ANY TIME: While the Minds Group follows a weekly curriculum each group topic stands alone

allowing visitors to come at any point.

WEEKLY MEETINGS: The group is designed to meet weekly for 15 weeks OR can be divided up into two separate

7-8 week sessions with a break in the middle (e.g., fall, break for holidays, continue in spring).

HOW THE GROUP WORKS

❶ FAITH

Includes a scripture that looks

at a Biblical story related to the topic. A general overview of the

scripture is given.

Read the scripture together, the

short commentary, and then have a discovery discussion.

Note. Leaders should always bring

their Bible and encourage the group to do the same.

❷ FACTS

Lists specific facts related to the topic to be used for discussion. Read the fact and then use the questions for group discussion.

Many of the topics come with

additional information and practical tools.

Follow the instructions listed in

each activity section.

❸ FUTURE

Gives practical suggestions and tips individuals can immediately

apply in their daily lives.

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Group Guidelines

1. TO GIVE understanding, respect, encouragement, and compassionate support. 2. TO DISCOVER hope and to learn from one another’s journey. 3. TO NOT FIX anyone’s challenges with immediate advice and solutions,

but rather offer our story and what has worked for us. 4. TO NOT DEBATE the right or wrong doctrine or theology. 5. TO RESPECT and maintain one another’s confidentiality.

Group Prayer

Father, thank you for being with us and understanding our journey.

Give us wisdom to discover helpful insights and skills for each of our paths.

Thank you for giving us hope, grace, and Your steadfast love for better days to come.

In Jesus name, Amen.

Use these guidelines and / or sample prayer at the beginning of each group.

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Your True Identity

Guidelines and Sharing

To begin, review the group guidelines. Then, take time to share encouraging stories and/or any challenges. Pray

before starting the topic (see sample prayer).

Lesson Summary

The scriptures teach us that we have been fearfully and wonderfully made in the very image and likeness of God.

Circumstances and struggles do not define who we are, God does. In Christ, we were chosen before the

foundation of the world; predestined for adoption as sons and daughters of the living God; redeemed out of

slavery to sin and death; loved completely and unconditionally; forgiven of all our past, present, and future sins;

given spiritual wisdom and revelation; and marked as such until the day we stand before Him, holy and blameless.

These are the truths that all believers in Christ must continually be reminded of so that we might live out our true

identity.

Key Point

Circumstances and struggles do not define who we are, God does.

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Faith

Your True Identity (Luke 5:3-11)

In this story Peter tells Jesus to abandon him because he saw himself as unworthy and full of sin. Jesus

responds by comforting his fear and giving him a different perspective of his true identity. Yet, like all of us, it took

Peter time to learn his new identity. He was impulsive and made mistakes such as rebuking and correcting Jesus

about his appointed death to come, cutting the ear off a soldier while trying to protect Jesus, then denying he even

knew Jesus. Despite all of this, Jesus did not let Peter’s problems define him; Jesus never gave up loving and

believing in him. Ultimately, Peter became a foundational figure in the early church, truly understanding his

identity.

Struggling with mental health difficulties can cause you to feel unworthy and sinful. The secret to knowing your

true identity is understanding what God truly believes about you. The truth is that your difficulties and symptoms

do not define you, God does.

Do you have any thoughts about this? What do you find interesting about the scripture?

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Facts

❶ ❷ IDENTITY: By faith, the Spirit of Christ has BODY: Some of your symptoms may cause you

taken up residence in you, and you are now in a to isolate and pull away from other people, but

spiritual union with the very Creator of the it doesn’t stop you from having a supportive

universe, God. Problems following a trauma family. As a believer in Christ, you are His child

are only a condition, not your identity. No one and part of a family, which the Bible refers to as

says, “I am cancer,” they say, “I have cancer.” the Body of Christ. This is the community of

No matter the issue or trauma symptom with faith both inside and outside of the church, and

which you may be struggling, you can it includes this Minds Group.

confidently say, “I am not what has happened

to me, it’s only my condition, not who I am.

I am a beloved child of the living God”.

Is being part of a community or a group

Do you have a hard time with this idea? difficult for you? If so, why?

Why or why not? Why do you think attending a group

like this would be helpful?

❸ RELATIONSHIP: Your difficulties do not limit your relationship with Jesus. Feeling disconnected from God can be

normal and frustrating, but it is not a result of your failure or a reflection of God not being present. Christ is in you

and this means His presence is with you always in all circumstances, both good and bad.

He wants you to share your feelings, your thankfulness, and your requests.

The Bible says, "He longs to be gracious to you" (Isaiah 30:18).

Have you ever felt like you needed to “do more” or “be better” for God?

Why is this not true? What are practical ideas that help you remember He is with you or help to encourage your personal faith?

ACTIVITY: MY TRUE IDENTITY

Review and read together the identity statements on the next page.

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My True Identity

Discuss if these truths are difficult to receive and how these truths can help anyone who has mental health difficulties.

What God Believes About You

I am a free son / daughter with a loving Father (Romans 8:15)

I am a brand new person, the old broken sinful me is dead (2 Corinthians 5:17)

I am holy and dearly loved by God, this is my new clothing (Colossians 3:12)

I have been redeemed and forgiven by God’s grace (Ephesians 1:7)

I am a temple, where God’s life and love dwell (1 Corinthians 6:19)

Christ Himself lives in me (He is always present with me) (Colossians 1:27)

I am never separated from Him because I have direct access to Him (Ephesians 2:18)

I am a member and significant part of Christ’s Body (1 Corinthians 12:27)

I am called a “friend” by Jesus (John 15:15)

I have been made complete in Christ (Colossians 2:10) …………………………………………………………………………………………………………………………………………………………………………………..

Father Heart of God

The Father will always provide for you (Matthew 7:11; 1 James 1:17) You’re his son/daughter whom He loves deeply (John 16:27; 1 John 3:1)

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Who Jesus is

Jesus will always be an advocate for you, He will never forsake you (1 John 2:1) Jesus calls you a friend, not a servant (John 15:15)

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The Holy Spirit

He is your “Helper” to teach and help you (John 14:26: Romans 8:26)

He fills us to abound in hope (Romans 15:13)

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Future

❶ ❷ Continue to read the “My True Identity” Keep reminding yourself that your

scriptures this week. The more you affirm who circumstances and struggles do not define who

you are in Christ, the more your thoughts and you are, God does. As noted before, He is with

behaviors will begin to reflect your true identity. you, you are part of His family, and He is always

present with His grace.

❸ Remind yourself that you do not

have to “do more” to receive God’s love. His

love and grace are unconditional.

CLOSING PRAYER TIME

To end the group, take time to pray together as a group.

Pray for anything related to the topic or any other needs.

1. No pressure for each person to pray.

2. No pressure to have eloquent or long prayers. Praying, “Thank you,” is enough.

3. Always try to end with prayer that reaffirms comfort and hope.

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Recovery




Lesson Summary Treatments that focus solely on a single aspect of one’s being can bring only limited relief at best. A holistic

approach to care and treatment relieves physical and psychological distress (suffering) with medication,

psychotherapy/counseling, healthy environment, and community support, while revealing love and limitless grace

that is available through a personal relationship with Jesus. Anyone can begin the recovery journey. It is not

impossible to see life renewed. Many people suffering from the debilitating effects of mental illness have found

recovery and live full and meaningful lives. Understanding the recovery process and how it affects both you and

your family is important to help you progress toward health and wholeness.

Key Point

Understand how the recovery process affects both you and your family.

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Faith

Recovery (Philippians 2:13)

Paul wrote this letter to the church in Philippi while he was under house arrest in Rome. Despite his

circumstances, Paul writes with an exuberant and joyful tone to help them recognize the beauty of God working in

them. Thus, he was helping them to see from his own example, that no matter the trials, God is at work in us “to

will and to act in order to fulfill His good purpose.” This means that He provides His life, renewing strength, and

encouragement for your recovery and He never pressures you to earn it.

Recovery is God at work in you “to will and to act in order to fulfill His good purpose.” This will be a journey

of learning and adapting through different periods of growth. In addition, you will experience a growing

resilience and personal renewal. It will not be easy, but God is faithful and will be present with you throughout

your recovery journey.


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Facts

ACTIVITY: MENTAL HEALTH CONTINUUM

Review the diagram and read through the descriptions on the next page.

Use this information for the following facts and discussion.

❶ ❷ Recovery is a process of growth you will In the recovery process relationships change.

experience. Process means this will be This allows you to not always be dependent on

a continuum of growth, not an overnight others as “caretakers,” but to grow towards

breakthrough or a cure. independence again.

Where do you think you and your family

are on the recovery continuum? What can be done to move

you forward?

Why do you think it is important to see

yourself in different roles within the

recovery process vs. always needing a “caretaker”?

Why do some people not move forward

in the process?

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Recovery is a process of growth. Many get frustrated because they want to see immediate healing

and get stuck not recognizing the process. As you grow through this process you will notice yourself

becoming more resilient and experience a renewal of life.

How have you seen yourself and those closest to you become more resilient going

through this process? Do you see how this can provide you hope even when it is extremely difficult?

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Recovery Process

DISTRESS / CAREGIVER

Individuals in distress are often unable to care for themselves. They may be delusional and/or having suicidal or homicidal thoughts requiring them to be hospitalized. This is the beginning of the recovery process.

Family members at this point in the process are reduced to little more than caregivers tending to the

individual’s basic needs (e.g., food, safety, shelter).

STABILITY / MANAGER

Stability is defined as no longer a danger to self or others and cooperative with some level of treatment. At this point in the recovery process, the individual is likely living with a family member or in a residential setting with

some type of assistance.

The family’s relationship has changed from one of caregiver to manager, meaning they are managing their loved one’s treatment. Without the family’s support (management), it is likely that the individual would not continue

with their treatment and deteriorate back into distress.

FUNCTION / PARTNER

Here the individual begins to take an active role in planning and managing their own recovery. At this point in

recovery, both the individual and his family are less concerned about pathology, illness and symptoms, but instead, start to focus more on the individual’s strengths and wellness.

The family’s relationship with their loved one is now that of a partner in their recovery. No longer is the individual

fully dependant on another for his care but is empowered to get better through the support of others.

PURPOSE / FAMILY

At this point in recovery the individual has rediscovered a sense of personal identity. He is beginning to participate

in the local community and is striving to build a meaningful and satisfying life.

The family has regained their familial relationship with the individual. In other words, Mom can be Mom again, not just a caregiver or manager.

Distress Stability Function Purpose

Caregiver Manager Partner Family

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Future

❶ ❷ Continue to learn and review where you and Continue to pray and ask for wisdom how to

your family are in the recovery process. continue to grow in your recovery.

❸

Recognize that recovery is growth towards resilience and a renewed life.

CLOSING PRAYER TIME






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God is Bigger than Our Weakness Guidelines and Sharing



Lesson Summary

In the general public, persons with mental health difficulties are often thought to be addicts, lazy, or faking. In the

church, mental health problems are often “spiritualized” and thought to result from a lack of faith or personal sin.

Research shows that 30-40% of individuals with a mental health disorder who approach their church for assistance

are told there is no such thing but rather, that their problems are the results of sin or weak faith. With proper

knowledge and awareness, a community of believers can overcome stigma and experience God’s grace to ‘‘bear

one another’s burdens’’ (Galatians 6:2).

Key Point

Stigma can be overcome by healthy clinical and biblical concepts (i.e., education, training, and support).

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Faith

God is Bigger than Our Weakness (John 9:1-3)

One day, Jesus encountered a man who had been blind from birth. Jesus’ disciples assumed that sin was the

cause of the man’s blindness. This was a common belief of the day: sin or unrighteousness brought punishment

(i.e., sickness, poverty, a physical handicap) while righteous living brought health and prosperity. But how did Jesus

see it? … “’Neither this man nor his parents sinned,’ said Jesus, ‘but this happened so that the works of God might

be displayed in his life.’”

This blind man was stigmatized as being “cursed” as the result of sin, but Jesus saw him as an opportunity for

the works of God to be displayed in him. The works displayed in this man’s life go far beyond his physical healing.

In this section of scripture, Jesus is emphasizing his messianic authority and power by proclaiming that He is the

light of the world. Once this man sees the “light,” stigma is broken. He boldly defends Christ before the Pharisees

and then without fear publicly worships Him. He sees for the first time physically, and he sees for the first time

spiritually.


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Facts

❶ ❷ Stigma is always born out of fear and Stigma minimizes, disgraces, or dehumanizes

misinformation and can only be overcome by someone so that both inaction and a lack of

truth and education. compassion can be justified.

What fears or misinformation (stigma) Where have you seen this type of

have you felt or heard from others? behavior in relation to mental health

What fears or misinformation have you difficulties? How has this affected you?

believed yourself (self-stigma)?

❸

Mental health difficulties do not hold God back from working in your life. Wrongly held views and beliefs (stigma) are hurtful. Don’t own them.

Can you think of one stigma that someone had against you that needs to change?

ACTIVITY: GOD IS BIGGER THAN OUR WEAKNESS

On the next page, review and read through 2-3 vignettes of men and women in church history who dealt with mental illness.

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God is Bigger than Our Weakness

………………………………………………………………………………………………………………………………………………………………………………….. In 1572, the reformer who penned "A Mighty Fortress Is Our God," Martin Luther (1483-1546) wrote: "For more

than a week I was close to the gates of death and hell. I trembled in all my members. Christ was wholly lost."

According to Luther's famous biographer, Roland Bainton, Luther found himself "subject to recurrent periods of

exaltation and depression of spirit." Luther himself had written that "the content of the depressions was always

the same, the loss of faith that God is good and that He is good to me."

………………………………………………………………………………………………………………………………………………………………………………….. The Catholic mystic St. Teresa of Avila (1515-1582) suffered throughout her life from debilitating headaches,

seizures and depression, and what appeared to be panic attacks. As a young nun, she was diagnosed with

“shrunken nerves.” Describing her panic-like symptoms, she wrote, “Sometimes I felt as if sharp teeth had hold of

me, and so severe was the pain they caused that I was feared I was going mad." In her classic work, Inner Castle,

she states, “The depression which can afflict the soul … is comparable only with the tortures of hell.” ………………………………………………………………………………………………………………………………………………………………………………….. The famous preacher, Charles Spurgeon (1834-1892), who lit the fires of the nineteenth-century revival

movement, struggled so severely with depression that he was forced to be absent from his pulpit for two to three

months a year. In 1866, he told his congregation of his struggle: "I am the subject of depressions of spirit so fearful

that I hope none of you ever get to such extremes of wretchedness as I go [through]." He explained that during

these depressions, "Every mental and spiritual labor…had to be carried on under protest of spirit. My spirits were

sunken so low that I could weep by the hour like a child, and yet I knew not what I wept for." ………………………………………………………………………………………………………………………………………………………………………………….. A. B. Simpson (1843-1919), the founder of the Christian and Missionary Alliance, suffered with a serious anxiety

disorder. In relation to his nervous breakdown, Simpson’s physician informed him that he was in “the greatest

danger.” Simpson writes, “I was possessed with the idea that at a certain hour I was to die; and every day as that

hour drew near, I became prostrated with dreadful nervousness, watching in agonized suspense till the hour

passed, and wondering that I was still alive.” ………………………………………………………………………………………………………………………………………………………………………………….. Mother Teresa (1910-1997) founded the Missionaries of Charity in Calcutta, India in 1950. She was awarded the

Nobel Peace Prize in 1979 for her work with the sick, orphaned and dying. At the time of her death, the

Missionaries of Charity had 610 missions in 123 countries. In 2007, the publication of her letters and writing

revealed that she struggled with significant depression throughout her life. For example, in a letter to the

Archbishop of Calcultta, Ferdinand Périer, she wrote, “There is such terrible darkness within me, as if everything

was dead. It has been like this more or less from the time I started the work.”

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Future

❶ ❷ Recognize that others’ wrongly held beliefs Take some time this week to research one of

about mental health difficulties are not your the “saints” on the God is Bigger than our

fault. Talk with a supportive relative or friend Weaknesses sheet. Be inspired by their

about educating those closest to you kingdom accomplishments.

about your condition. Remember: although you

struggle with a mental health problem, your

worth is not defined by it.

CLOSING PRAYER TIME






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Medication




Lesson Summary

God created a part of us to be biological, and He can choose to remedy problems through biological treatments.

Taking medication for any illness is simply making wise use of the abundant resources provided to us by a loving

God. He is the almighty God of the universe who made us, saved us, and sustains us. As people of faith, we must

always remember that God is the ultimate agent of healing, and we should turn to Him first in times of illness.

Key Point

Mental health difficulties are brain disorders that often require medication and therapy for ongoing recovery, not

simply stronger faith to overcome them. Medication is only one part of the recovery process.

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Faith

Medication (2 Kings 20:1-7)

Hezekiah was one of the Old Testament’s greatest kings. At the age of thirty-nine he became very sick with

some type of boil or skin ulcer. The Bible tells us he was “mortally ill,” and at the point of death. During his time of

suffering, Hezekiah poured out his heart to God, and God graciously answered his prayer. God instructed the

prophet Isaiah to tell the king’s physicians to put a cake of figs on Hezekiah’s boil, and soon after he recovered.

A cake (or poultice) of figs was a hot, soft, mass of figs and other ingredients commonly used in ancient times

to treat lesions and infections of the skin. God used a common treatment of the day, a physical remedy, to bring

about Hezekiah’s recovery. God healed Hezekiah; the cake of figs was merely the means by which He extended His

healing grace. Similarly, psychiatric medications have proven to be a helpful piece of the recovery process. It is

merely one of the means by which God extends His healing grace.


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Facts

❶ ❷ Physical remedies, such as medications, are Psychiatric medications treat the symptoms of

simply another example of God’s faithful mental health difficulties; they do not cure or fix

provision for us. everything. They minimize symptoms allowing

you to function more normally.

When it comes to mental health Has anyone ever felt that medication

difficulties, why is this sometimes hard would completely cure or “fix” you?

to believe? How has your medication helped?

❸ ❹ If you have a bad day, the first question that The primary function of psychiatric medications

you usually hear from loved ones is, “Did you is to alter the way that the nerve cells in the

take your medication?” The frustration with brain, called neurons, function. Every person

medication is that many depend on it solely for responds to medications differently, and it is

stability. Medication is only one of the normal to try several different medications until

important pieces of God’s faithful provisions for you find the one that works best for you.

the recovery process.

Why is it upsetting when your loved How long did it take to find a

ones ask you, “did you take your medication that works for you, or are

medication?” and Why do you think your you still in the process of searching? If

loved ones ask this question? you’ve found a good medication, what

helped you the most?

ACTIVITY: MEDICATION

Use the “Classes of Psychiatric Medications” on the next page to complete this exercise. …………………………………………………………………………………………………………………………………………………………………………………..

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Class of Psychiatric Medications

Directions: Circle all the medications you have taken or are presently taking (look up on the internet if not listed). Discuss with the group if there is a pattern of one class working, not working, or how a combination of several different categories have been helpful or not.

Antipsychotics (used to treat schizophrenia and bipolar disorder)

Typical

Haldol, Loxitane, Mellaril, Moban, Navane, Orap, Prolixin, Stelazine, Thorazine, Trilafon

Atypical

Abilify, Clozaril, Fanapt, Geodon, Invega, Latuda, Risperdal, Seroquel, Zyprexa

Antidepressants (used to treat depression, bipolar disorder and anxiety disorders)

Tricyclic Antidepressants (TCA)

Adapin, Anafranil, Asendin, Elavil, Norpramin, Pamelor, Sinequan, Vivactil

Selective Serotonin Reuptake Inhibitors (SSRI)

Celexa, Prozac, Lexapro, Luvox, Paxil, Zoloft

Serotonin and Norepinephrine Reuptake Inhibitors (SNRI)

Cymbalta, Effexor, Pristiq, Savella

Monoamine Oxidase Inhibitors (MAOi)

Marplan, Nardil, Parnate

Atypical Antidepressants

BuSpar, Remeron, Wellbutrin

Mood Stabilizers (used to treat bipolar disorder)

Tegretol, Depakene, Depakote, Lamictal, Lithobid (Lithium), Trileptal, Topomax

Benzodiazepines (used to treat anxiety disorders)

Ativan, Klonopin, Librium, Valium, Xanax

Psychostimulants (used to treat AD/HD)

Adderall, Concerta, Cylert, Dexedrine, Ritalin, Vyvanse

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Future

❶ ❷ Educate yourself on how your medication works The more you understand, the more effectively

and its potential side effects (sources: you will be able to dialogue with your physician

psychiatrist, pharmacist, drug company regarding the efficacy of your medication.

website).

CLOSING PRAYER TIME






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27

Holistic Care




Lesson Summary

We are highly complex beings, unlike any other living creature God has made. The scriptures tell us that we are an

embodied spirit, having both physical and non-physical aspects to our being. We are the union of a physical body

with a non-physical mind and spirit. In order to have a truly balanced view of mental health difficulties, it is

necessary for us to see ourselves holistically, as God made us.

Key Point

A holistic approach to recovery takes into account all aspects of our being; spiritual, mental, physical and

relational.

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Faith

Holistic Care (Luke 10:27)

During one of their many confrontations with Jesus, the religious leaders tested Him by asking, what is the

greatest of God’s commandments? Jesus answered them by saying, “’Love the Lord your God with all your heart

and with all your soul and with all your strength and with all your mind; and, love your neighbor as yourself.’”

In other words, love God with your whole being and through your relationships. We are complex beings,

unlike any other living creature: the union of a physical body with an immaterial mind and spirit. Because of this, a

person living with a mental health difficulty needs a holistic approach to recovery that takes into account every

aspect of his or her being.


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Facts

ACTIVITY: HOLISTIC CARE

Review the diagram and read through the descriptions on the next page.

Use this information for the following facts and discussion.

❶ ❷ PHYSICAL: The physical needs associated with MENTAL : Mental health difficulties are often a

mental health difficulties go well beyond psychological battle between reality and negative

medication and include sleep, diet and nutrition, thoughts that overwhelm a person’s mind.

exercise, and relaxation. Professional psychotherapy alongside everyday

mental activities is part of the recovery process.

What are some things outside of What are specific strategies you use

medication that help you physically to deal with negative thoughts?

balance life and manage difficult Which mental activities help you manage

symptoms? life or difficult times?

❸ ❹ SPIRITUAL: God is always present. He does not RELATIONAL: Comfort, encouragement and

neglect us because of our difficulties. Isaiah 57:15 support from family, friends and those in the

and Psalm 34:17-20 reveal a God who dwells in church are vitally important in recovery.

glory as well as a God who dwells with those who

are lowly or crushed in spirit, “in order to revive

them.” Mental health difficulties do not intimidate

God. Even when you feel alone, know He cares

for you in every step of the recovery process.

When you do feel alone and abandoned Who are key people in your family, friends

by God, what helps you know and/or faith community that make a

God is for you? difference in your life?

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Holistic Care

A HOLISTIC APPROACH TO CARE INCLUDES

Physical: sleep, medication, relaxation, nutrition, exercise.

Mental: psychotherapy, positive coping, healthy thinking, structure and routine, cycles and triggers, creative mental activities.

Spiritual: identity in Christ, prayer, knowing God’s character and relationship with us, breaking stigma and shame.

Relational: education, life-giving community and healthy relationships, learning to handle conflict, opportunities to serve.

31

Future

❶ ❷

Evaluate your current treatment plan. Is it Encourage your close friends and loved

holistic? In other words, are your physical, ones to attend a Families Transformed Group.

mental, spiritual, and relational needs being met?

❸

Actively seek out a faith community that can encourage and support you.

CLOSING PRAYER TIME

To end the group, take time to pray together as a group. Pray for anything related to the topic or any other needs.




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32

Renewing Your Mind Guidelines and Sharing



Lesson Summary

Unhealthy thinking often develops in childhood as the result of unfortunate and difficult life experiences (e.g.,

trauma) and/or being taught maladaptive thinking by parents and friends. We also become more prone to

unhealthy thinking when we are under stress. When we are under pressure, we are more likely to take thinking

“shortcuts,” which result in less accurate and more extreme interpretations and reactions. Our emotions are the

result of what we think or believe about other people, the world, and ourselves. The more a person’s thinking is

characterized by distortions, the more likely they are to experience negative emotions and engage in maladaptive

behaviors.

Key Point

Our emotions are the result of what we think or believe about others and ourselves. Using a simple healthy

thinking tool can bring comfort and calm to difficult emotions.

33

Faith

Renewing Your Mind (James 1:2)

Persecution from both the Romans and Jews was common for the early Christian Church. Writing to the

suffering and discouraged Jewish Christians dispersed across the Roman Empire, James, the half-brother of Jesus,

encouraged them to “consider it pure joy” despite their difficulties. James is not commanding or pressuring the

believers to be good Christians by saying … “you must be joyful … you have to be joyful … or you have to choose

joy.” Instead, James is igniting their faith by reminding them of the joy of who they are in Christ. He is reassuring

them that Jesus is present with them to persevere through any trial. The joy is in knowing that when we

encounter various trials we are never lacking or distant from Christ.

Everyone struggles with negative thinking, but those with mental health difficulties and disorders often

struggle more intensely with negative thoughts and feel trapped by them. Jesus is present to help anyone

struggling with these negative thoughts and discover a renewed perspective of life. This takes a little patience and

time, but anyone can learn and discover healthy thoughts and encouraging truths leading to greater rest, comfort,

and wisdom to persevere through any challenge (Matthew 11:28-30).


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34

Facts

❶ ❷ While unhealthy thinking patterns are often Healthy thinking does NOT mean positive

deeply ingrained in us, they are changeable. thinking, which is only seeing the world through

There is hope. With simple tools, we can begin rose-colored glasses. No one can look at things

changing negative thought patterns to healthy positively all the time. Sometimes, bad things

thought patterns and encouraging truths. happen. Thus, healthy thinking means looking

at life and the world in a balanced way.

Encouraging truths renew your sense of worth

What do you think about the idea that leading to comfort despite the challenges.

our emotions are the result of what we

think or believe about others and What does it mean for you to view

ourselves? What is an example of this things in a balanced way vs. thinking

from your own daily life? positively? Have others tried to get you

to “be positive”?

❸ ❹ Thinking traps or “shortcuts” result in less Renewing thoughts is a process that takes time

accurate and more extreme interpretations and and practice. Be patient as you learn these

reactions. encouraging truths.

ACTIVITY [1]: COMMON THINKING TRAPS

Review and read through the “Common Thinking Traps” descriptions on the next page. Identify and discuss as a group 1-3 thinking traps that are most common for yourself.

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ACTIVITY [2]: RENEWING YOUR THOUGHTS

Review and read through the “Renewing Thoughts” instructions and tools on the next couple pages after the “Common Thinking Traps.”

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Common Thinking Traps

All-or-None Thinking: Looking at things in absolute, black-and-white “I really thought I would feel better by now. categories, instead of on a continuum. People This medication isn’t working! I might as well who think in black-and-white terms see a stop taking it.” small mistake as a total failure. …………………………………………………………………………………………………………………………………………………………………………………….. Overgeneralization: Thinking that a negative situation is part of a A co-worker made a joking but rude comment cycle of bad things that happen. People to you in front of other employees. As a result who over generalize often use words like you conclude that all people are mean, “always” or “never.” superficial, and no one likes you. …………………………………………………………………………………………………………………………………………………………………………………….. Mental Filter: Focusing only on the negative part(s) of a Edmond was angry and doubted his work situation and ignoring anything positive or good. because he noticed that one student got up and

left during his talk. …………………………………………………………………………………………………………………………………………………………………………………….. Fortune Telling: Predicting that things will turn out badly without “I’ve been studying hard but I know that I’m any evidence. going to fail my test tomorrow.” …………………………………………………………………………………………………………………………………………………………………………………….. Emotional Reasoning: Assuming that one’s negative feelings necessarily Daniela’s apartment is untidy and she is reflect the way things really are. overwhelmed by the prospect of cleaning. She

feels that it’s hopeless to even try and clean. …………………………………………………………………………………………………………………………………………………………………………………….. Labeling (Name-Calling): Saying or thinking only negative things about Crystal just cheated on her diet. She thinks to yourself or others. herself, “I’m a fat, lazy pig!” …………………………………………………………………………………………………………………………………………………………………………………….. Should Statements: Telling yourself that you or others “should” or “I should be able to handle this without help “must” act in a certain way. from others!” …………………………………………………………………………………………………………………………………………………………………………………….. Mind Reading: Concluding what others are thinking without John’s friend Cindy did not say hello to him any evidence or making any effort to check it when she passed him on the street. He decides out. that she doesn’t like him anymore. …………………………………………………………………………………………………………………………………………………………………………………….. Personalization and Blaming: Believing that everything others do or say is Ralph’s son is doing poorly in school. He feels your fault or a direct, personal reaction to you that he must be a bad father. “It’s all my fault that in some way. he isn’t studying.

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❹

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Renewing Thoughts

RECOGNIZE: What happened? What was the trigger?

REVIEW: Thoughts, feelings, and physical symptoms

1. Thoughts (What am I thinking?):

2. Feelings (What are my emotions?):

3. Physical (What am I experiencing?):

4. Behaviors (What am I doing?):

REALIZE: What thinking traps am I falling in to?

RENEW: Challenge your thinking

1. Find the evidence against your thoughts. What is the evidence against my thoughts?

2. Double standard – would I say this about someone else I love and respect? Develop comforting thoughts

3. What would God say to bring comfort? Imagine Christ’s arms wrapping around you in support of you.

4. What would you say to a child for comfort?

RETHINK: New thoughts, feelings, and physical symptoms

1. New Thoughts (What am I thinking now?):

2. New Feelings (How do I feel now?):

3. New Physical (What am I experiencing now?):

4. New Behaviors (What am I doing now?):

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Renewing Thoughts

If comfortable have someone volunteer a challenge and work together using the steps provided. (Using an eraser board or poster board will be helpful for this activity).

❶ RECOGNIZE: What situation or problem is bothering you? What happened that triggered you?

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❷ REVIEW: What are the specific thoughts, emotions, physical sensations, and behaviors?

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❸ REALIZE: List out the specific Thinking Traps that you used.

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❹ RENEW: Examine the evidence, what is there to prove that your thoughts may not be correct

or the truth? Would you agree with those thoughts if your friend were having them? What is God’s perspective? What would you say to a child to help comfort them? ………………………………………………………………………………………………………………………………………………………………………………….. ………………………………………………………………………………………………………………………………………………………………………………….. …………………………………………………………………………………………………………………………………………………………………………………..

❺ RETHINK: What are your new or desired thoughts, emotions, physical sensations, and behaviors?

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38

Future

❶ ❷ Continue to use this exercise each time you Focus on the new and desired healthy thoughts

are bothered by a situation that causes you and encouraging truths to bring you

negative or upsetting feelings. comfort throughout the week.

CLOSING PRAYER TIME






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39

Rest, Relaxation, and Joy Guidelines and Sharing



Lesson Summary

Individuals may not be able to directly influence the main causes of their stress and the difficult symptoms that

follow, but they can always protect and strengthen themselves through what is within their control. For example,

a simple daily structure and routine can bring a sense of peace and rest while using relaxation techniques can help

minimize the harmful effects of stress. Making rest, relaxation, and joy a regular part of life happens by

incorporating relaxation techniques, structure, hobbies, and humor.

Key Point

It is important to schedule in rest, relaxation, and joy into your daily routines.

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Faith

Rest, Relaxation, and Joy (Luke 10:38-42)

The stress and daily pressures of life can be very distracting. These stressors can trigger symptoms and life can

become unsettled. This difficult experience can feel much like Martha’s situation, which left her focused on the

stressors and distracted from the very presence of the Savior in her home, while Mary found rest and joy at His

feet. Jesus did not say He was displeased with her, or that He didn’t love her for being “worried and bothered”.

However, because He loves Martha, He merely pointed where she could find rest. Martha’s attention was

distracted, but Jesus’ love for her was not. His desire was for Martha to simply rest and enjoy sitting together.

Overwhelming anxiety and symptoms can leave you feeling “worried and bothered,” not making any progress,

and drawing you away from your own personal rest with Jesus. In the context of recovery, regularly practicing

relaxation techniques and developing restful and joyful activities are therapeutic, minimizing symptoms and

bringing stability.


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Facts

❶ ❷ STRUCTURE and ROUTINE: Having a good JOY: Always try to find humor and joy in your

structure and routine to your day is important day. Having a hobby, doing something fun, or

to feel restful. Without structure, many find watching a good comedy movie or comedian

themselves distracted and lacking purpose. are great outlets.

What are some simple things you do, or When was the last time you really

can do, to build structure and routine enjoyed doing something fun and you

into your daily life? got to laugh?

What happens if you don’t keep to that What could you do this week to

structure? bring yourself joy?

❸ ❹ STAYING ACTIVE: Some of the symptoms REST: For some, it is very common to

can cause you to isolate yourself and lose experience overwhelming anxiety while trying

interest in things you once enjoyed. When you to focus on God through reading the Bible and

find yourself in this situation, try to take up a prayer. This can result in feelings of guilt,

hobby that you find enjoyable. Hobbies are making one feel that they are not a “good”

extremely therapeutic because they build Christian. The point is to simply focus on God’s

confidence and self-worth. desire to give you rest and joy.

What are some things (hobbies) you What are simple ways we can find rest

enjoy doing and do you get to do them with God, without feeling as though we

regularly? If not, how can you build need to do something for Him?

these consistently into your schedule? List out ideas.

ACTIVITY: LEARNING RELAXATION

The physical symptoms of stress and anxiety (e.g., heart racing, sweating, shortness of breath, nausea) can be overwhelming. Relaxation techniques, such as progressive muscle relaxation and paced

breathing, cannot only be helpful during these episodes of panic, but can also help when done daily. …………………………………………………………………………………………………………………………………………………………………………………

As a group complete steps 7-8 of the progressive muscle relaxation and 4 square breathing

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Progressive Muscle Relaxation and Breathing Response

1. Take a seat, get comfortable, and take a few deep breaths.

2. Face and Forehead: Begin by tensing the

3. muscles in your face: tense the muscles in

your forehead and scalp by wrinkling your forehead and frowning … now relax and let your forehead be “smooth.”

4. Eyes: Tense the muscles around your eyes

by shutting your eyes tightly together … now relax and let your eyelids be smooth and let your eyes “float” in their sockets.

5. Cheeks and Jaws: Now tense the muscles in

your cheeks and jaws by gritting your teeth together firmly … now relax, let your lips part slightly and let your jaws “hang loose.”

6. Neck: Moving to the muscles in your neck,

tense the muscles by pressing the back of your head against the chair as if you are looking up at the ceiling … now relax and let your chin come down to your chest and rotate your head from side to side before returning your head to a comfortable position.

7. Shoulders: Tense the muscles in your

shoulders by shrugging your shoulders upward towards your ears … now relax and let the weight of your arms bring your shoulders down into a slumped and relaxed position.

8. Hands and Forearms: Tense the muscles in your hands and forearms by clenching your hands into fists … now relax.

9. Upper Arms: Now tense the muscles in your

upper arms by bending your arms at the elbow and “making a muscle” … now relax.

10. Back: Tense the muscles in your

upper, middle and lower back by arching your back away from the chair … now relax.

11. Chest: Tense the muscles in your chest by

taking a deep breath and holding it for about 5 seconds … now slowly exhale … another deep breath … breathe out more air than you breathed in … another deep breath … slowly exhale and then continue breathing normally.

12. Abdomen: Next, tense the muscles in your

abdomen either by pulling your stomach in or pushing it out … now relax.

13. Hips and Thighs: Moving to the lower half

of your body, tense the muscles in your hips and thighs by pressing the heels of your feet against the chair … now relax.

14. Lower Legs: Finally, tense the muscles in

your calves, ankles, feet, and toes by pointing your toes away from your body … then relax.

Paced Breathing – Breathe in to the count of 3 and out to the count of 10 for 3-5 breaths, making sure that you slowly and fully exhale.

Four Square Breathing – Breathe in for 4 seconds, hold for 4, breathe out for 4, pause for 4, and then repeat for 1-5 minutes.

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Future

❶ ❷ STRUCTURE and ROUTINE – Set up a daily REST and JOY – Jesus encouraged the heavy

routine for exercise, meals, sleep, work, and laden to find rest in Him (Matthew 11:28-30)

enjoyable activities. Include in your routine and even the disciples who experienced

ways to relax, laugh, and enjoy God. suffering for sharing the gospel were refreshed with His Spirit and joy (Acts 13:52).

❸

RELAXATION – Begin practicing one of the relaxation

techniques daily or ask your therapist or mental health

coach for help finding other relaxation

techniques online

CLOSING PRAYER TIME





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44

Managing Stressors Guidelines and Sharing



Lesson Summary

Everyone has natural ways of coping with problems. Some coping strategies are positive and can even be

personally healing. Then, there are those negative coping methods which adversely hinder any progress in

recovery. When individuals struggling with mental health difficulties take direct positive action to cope with their

problems, they put themselves in a position of power. Active positive coping is empowering and takes away

feelings of helplessness.

Key Point

Managing stressors is using positive coping strategies, while avoiding negative strategies.

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Faith

Managing Stressors (1 Corinthians 10:13)

Paul is encouraging the church in Corinthians to remember that all their challenges and temptations (i.e.,

stressors) are common, and the beauty of their union in Christ supplies them grace and strength to manage and

endure all their stressors. Freedom in Christ is not that we will never be challenged or tempted, but recognizing

our pressures and seeing His grace empower us to manage, endure, and triumph each challenge.

Mental health difficulties can have distressing symptoms which require the use of various coping methods on a

daily basis. God desires to reveal healthy ways for you to cope and lead you away from unhealthy methods. The

more you practice healthy coping, the greater resilience you will gain and negative symptoms will no longer drive

you into distress. God’s grace will lead you to triumph.

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Facts

❶ ❷ Recovery is an ongoing, daily Active coping means accepting the impact of

process. It happens little by little and is not a mental health difficulties on your life and matter of being cured in an instant. Recovery making changes that take direct action to

involves learning healthy ways to cope and improve things for the long haul.

How have you seen resilience work What are specific things that you have in your life? What holds people back done to actively cope in order to from progressing in their recovery? improve life?

❸

Negative coping strategies include venting that’s intended to hurt, anger and aggression, denial, alcohol and other substance abuse, isolation, and self-blame. Negative coping strategies are passive, not active. Positive coping strategies include planning and structure, humor, getting support from others, positive

distractions, relaxation techniques, and faith (encouraging comfort and truth). If you continually used healthy coping management, how different would your life be? What

would prevent you from utilizing these healthy coping skills?

ACTIVITY: MANAGING STRESSORS

Review and read through the “Managing Stressors” descriptions on the next page.

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Managing Stressors

Discuss as a group the coping and management strategies you have found most and least helpful.

Positive Strategies

Active

• Ask a loved one to help you brainstorm and problem solve ways to relieve stress

• Do a small a simple project: cleaning,

gardening/planting, painting, building a small model

• Set flexible and reasonable goals

• Routine relaxation techniques

• Make a list or journal different things you

are thankful for and blessings in your life

• Develop a schedule and routine

• Exercise, go for a bike ride or walk

• Prayer that leads to comfort and hop

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Passive

• Spend time with friends

• Get a massage

• Enjoy fresh air and being outdoors

• Watch a funny / light-hearted TV show or movie

• Take a shower or bath

• Play a game, work a puzzle

• Knitting, sewing

• Art, photography, music, reading, writing

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Negative Strategies

Active Passive

• Cutting / Self-harm

• Substance abuse

• Physical / verbal aggression

• Sexual misconduct

• Overspending

• Isolation • Not eating

• Sleeping • Avoidance

• Self-blame

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Future

❶ ❷ This week, practice using the positive coping Identify and minimize the use of negative

strategies on the worksheet to find which ones coping strategies in your daily life. God’s grace

are most helpful for you. is within you to help you eliminate them.

CLOSING PRAYER TIME





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49

Cycles and Triggers Guidelines and Sharing



Lesson Summary

We all have good days and bad days. It is no different for individuals living with mental health difficulties. For

some, their cycle of problem episodes can be predicted while others go through rapid cycles. Others may have an

overall mental health difficulty and may not experience different cycles. For these individuals, different stressors or

triggers can cause difficult episodes. A recovery-orientated lifestyle requires an understanding of the predictable

cycles and triggers for better life management.

Key Point

Stable and difficult times are both part of all mental health difficulties and should be expected.

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Faith

Cycles and Triggers (Philippians 4:11-13)

The apostle Paul spent many years in his ministry dealing with persecution and trouble. He was beaten and

stoned to near death, struggled with depression (2 Corinthians. 7:5-6), had many sleepless nights, was often thirsty

and without food, and was subsequently imprisoned for years. While in jail he wrote these words that addressed

the cycles of his life, “... I have learned to be content whatever the circumstances. I know what it is to be in need,

and I know what it is to have plenty. I have learned the secret of being content in any and every situation, whether

well fed or hungry, whether living in plenty or in want. I can do everything through Him who gives me strength.”

Paul was human and could have easily become angry with God for not blessing him with a “good life,” but he

learned how to be resilient and content in any circumstance, good or bad. There are many stressors associated

with mental health difficulties, but they do not limit anyone from learning by faith how to be resilient and content

in any situation.

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Facts

❶ ❷ CYCLES: During times of stability, common TRIGGERS: Life has ups and downs, but

signs often appear that reveal a more difficult overwhelming stress can trigger symptoms,

cycle (episode) is coming (e.g., losing sleep or affecting your stability and focus.

over sleeping, increasing irritability, not eating

or over-eating, racing thoughts or slower

cognitive processing, increasing anxiety or

nervousness).

Do you know specific stressors that

Have you noticed seem to trigger your symptoms?

signs before a difficult episode? What What happens and how do you

are the specific signs for you? recover?

❸ ❹ Negative cycles triggered by seasonal changes, Your cycles and triggers are related to your

events or transitional times (e.g., holidays, end mental health difficulties. You are not a failure

of school semester) can be predicted and in your faith or as a person because of them.

minimized. Without a plan or process to help

minimize these cycles or triggers, life will be

driven more by symptoms affecting your

thoughts, emotions, and behavior.

What helps you to understand that these

What are the most difficult times for you mental health challenges are not a result

and what type of plan do you have for of failing God nor a punishment from

those times? Him? Is this difficult to accept? Why or why not?

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Future

❶ ❷ Take note of the triggering events and cycles in your Identify and learn therapeutic tools and outlets

life and prepare a plan with (e.g., relaxation techniques, healthy

your supportive community (e.g., doctor, distractions, leave the room or event when

therapist, family, close social/spiritual overwhelmed, exercise, talk to a friend) so that

community) for how you might better your symptoms do not become overwhelming

manage stress and symptoms. and distressing.

❸

In times of stability, simple Bible study and encouraging interactions with a faith community can help

build your personal confidence. Remember, it is Christ who gives us strength and grace

during both the good and bad times.

CLOSING PRAYER TIME






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53

Mindful of Grace Guidelines and Sharing



Lesson Summary

Brain imaging research reveals that the practice of mindfulness meditation has significant benefits by causing a

reduction in symptoms and stress. Mindfulness is a mental technique that focuses one’s full attention on an

activity, subject, or image in order to calm the mind (through various methods). Eastern philosophies of

mindfulness and meditation focus on emptying the mind; however Biblical mindfulness is filling up on God’s truth

and positive characteristics, which naturally lead to gratitude and peace. Meditation is mentioned often in the

Bible and tied to rewarding benefits of relaxation, mood stability, and a healthy “renewed mind”.

Key Point

Mindfulness meditation helps to promote relaxation, stabilize moods, and reduce symptoms of stress all while

encouraging positive self-esteem and faith.

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Faith

Mindful of Grace (Philippians 4:8-9)

While captive in Rome, Paul writes a letter to the beloved church in Philippi. Despite his suffering, Paul writes

with a joyful tone and appreciation for this small body of believers. Paul closes his letter with one last point

towards personal benefit and reward. He instructs them to practice the art of mentally dwelling on praiseworthy

or good things, which is a type of mindfulness meditation. Paul is helping the church to reframe their mindset from

the pressures of this life to embrace the reality of their comfort and security in Christ. Paul encouraged his

example of life, not to make them to be like him, but to reveal they had the same Christ with them able to give

them surpassing peace in everything.

Meditating is often mentioned in the Bible and tied to rewarding benefits. As described by David in Psalm

104:34, “My meditation of Him shall be sweet, I will be glad in the Lord” (KJV). This is one of the creative and

important tools that can help defuse distressing symptoms.


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55

Facts

❶ ❷ Mindfulness meditation is not trying to empty When starting mindfulness meditation

your mind or achieve some state of complete techniques, it is normal to have a difficult

“serenity.” Rather, it is focusing on positive time with distracting thoughts interfering. Over

attributes, images, information, and activities in time, it will become easier to focus as you learn

order to provide more self-care and comfort. different techniques that work for you.

Why are we encouraged to Why do you think we might struggle

to regularly practice this type of with lots of distracting thoughts during

devotional life? Is this a new idea or mindfulness meditation?

concept for you, why or why not?

❸

There are many forms of mindfulness; it is about finding what works for you. You can read and reflect on scriptures that bring personal comfort, or imagine peaceful scenes that reflect comfort and safety.

Others ways involve art, music, and peaceful activities. These can become part of your devotional experience or even become new hobbies.

Have you ever thought that mindfulness meditation could be more than just a simple exercise, why or why not? How can you see yourself using different mindfulness ideas?

ACTIVITY [1]: MINDFULNESS MEDITATION EXERCISE

Use the “Mindful of Grace” tool on the next page to complete this exercise (3-5 minutes).

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Mindful of Grace

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5. ABIDING FOCUS: Choose a focus word or phrase

for repetition. You can use a word such as "love"

or "peace," or a word/phrase with special

meaning to you. For example, Psalm 23:1-3

listed below.

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3. COMFORT THE BODY: Sit in a comfortable

position in a quiet place free of distractions.

Close your eyes and relax your muscles

progressing from your feet to your calves,

thighs, abdomen, shoulders, head and neck.

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6. BREATHING WITH COMFORT: Breathe slowly

and naturally and as you do say your focus

word, sound, phrase or prayer silently to

yourself while you exhale.

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4. REMOVE DISTRACTIONS: Intruding worries or

thoughts should be dismissed to the best of

your ability by focusing on the repetition.

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5. REST IN THE MOMENT: Continue for several

minutes. It's okay to open your eyes to look at a

clock while you are practicing, but do not set an

alarm.

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6. LANDING: When you have finished, remain

seated, first with your eyes closed and then

with your eyes open, and gradually allow

your thoughts to return to everyday reality.

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The Lord is my shepherd, I lack nothing.

He makes me lie down in green pastures,

He leads me beside quiet waters,

He refreshes my soul.

He guides me along the right paths

For His name’s sake

Psalm 23:1-3

RETHINK: What are new thoughts, emotions, and physical sensations?

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Future

❶ ❷ Try to incorporate a simple mindfulness It is normal to have difficulty at first. It’s not a

meditation activity this week. failure; rather it is exploring and learning

something new.

❸

Remember to try different activities that might be most helpful for you.

Do not get stuck on any particular method not working.

CLOSING PRAYER TIME






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58

Grieving and Grace Guidelines and Sharing



Lesson Summary

Learning you have a mental disorder can bring profound sadness as you search for your new normal. It is

important to remember that grieving is a normal process that takes time. In some cases, grieving can lead to

depression and intensify mental health symptoms requiring some extra attention from professional counseling and

treatment. A supportive community can bring great comfort during this experience.

Key Point

Grieving is normal and a process that is unique for each person and takes time.

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Faith

Grieving and Grace (Matthew 14:12-21)

After learning of the tragic news of John the Baptist’s death, Jesus got into a boat and went off to a secluded

place to be alone. The crowds often followed Jesus, and after some time, He returned to find the crowds waiting

for Him. Jesus was full of compassion and ministered to the sick and later performed the miracle of feeding 5,000

hungry people.

Throughout the Bible, grieving a loss was important. Going through a traumatic event is extremely difficult

and, like Jesus, we all need time to properly grieve because that is how God designed our emotions to heal.

Having a proper understanding of the grieving process allows you to be patient with yourself, receive comfort

along the way, and gracefully regain emotional strength and a sense of purpose.

Do you have any thoughts about this? What do you find interesting about the scripture? What are some things you have grieved, are grieving, or will grieve in the future?

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Facts

ACTIVITY: GRIEVING AND GRACE

Review and read through the descriptions on the next page.

Discuss with one another where you might be in this grieving process.

❶ ❷ Grief is the reaction to a personal and Lean upon your supportive community (family,

significant loss. The aftermath affects how we friends) and allow them to bring you comfort,

perceive ourselves and our overall safety and and encouragement. God designed us to grieve

security. Loss can be defined as the loss of a our losses. It is His way of allowing our

loved one, employment, a home, emotions to heal.

personal dreams, or the loss of something

private and personal to our lives.

Who within your immediate

community provides support and

Have you ever realized that you might what do they do? What are practical

be grieving from life before and after ways to support someone

the trauma? Why or why not? who is grieving?

❸ ❹ The grieving process can feel like being on a Grieving is a not a linear process; it is a process roller coaster. The key is to be aware of the that takes time. Going through this process will

management of your overall health and lifestyle empower you to find your new normal in life. (e.g., sleep, eating, energy). If your health is It will bring you to a healthy acceptance and a

going down and you feel ongoing depression, purposeful life.

it is common for many to seek professional therapy. Don’t be afraid or ashamed to receive

professional care.

Who has helped you through this process the most? What are specific How has allowing yourself to grieve

things they have done that were brought you to a healthy place? comforting?

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Process of Grieving

❶ Shock: denial and fear

This is “God’s airbag” to cushion the initial impact of the news. Shock buys time to find strength to address the

situation. Parents may maintain hope that the diagnosis is incorrect, reject the permanence of the diagnosis or

deny that there will be an impact on their lives.

Nourishment Needs: Being able to share with someone with a supportive and listening ear. Parents may need to

be reassured of their safety and start creating a routine schedule. Patience and grace from family and friends who

don’t constantly push the parents to “face reality.”

❷ Pain: anxiety, sadness and anger

Experiencing and validating the pain and reality of the situation. There is upset in learning to change and adapt to

a new identity and relationship. The anxiety of coping with the care that will be required from the child sets in.

Parents experience sadness that the typical child they prepared for during pregnancy is no longer their reality.

Nourishment Needs: A supportive community of people who are nonjudgmental. Therapy may be needed to help

the parents to grow in their relationships and life.

❸ Bargaining: shame and guilt

Attempting to maintain a sense of control in the situation, parents will often bargain with God or begin to blame

God or others. Parents may feel their sins have caused their child’s affliction, they are not strong enough in their

faith or they have failed in some way. Trying to rationalize why this has happened to them often leads to feelings

of guilt and shame. Nourishment Needs: Strong relationships with people who will affirm their faith and God’s love for them. Find

pride in their child and the small things they are accomplishing. Therapy if depression or anxiety do not cease.

❹ Resiliency: acceptance and resolve

Regaining a new sense of normal and truly reaching acceptance of the child’s disability. There is understanding that although parenting this child will come with struggles, there will still be happiness and love found in the relationship and in the new family structure.

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Future

❶ ❷ Actively seek out a group of individuals Remember, Jesus took time to grieve so allow

(professional or personal) that can encourage yourself the space to acknowledge your

you and let them know how they can condition, God’s overwhelming love for you,

specifically help you. and move forward into purpose.

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Life Giving Community Guidelines and Sharing



Lesson Summary

God has called us to “rejoice with those who rejoice, and weep with those who weep” (Romans 12:15). We are all

designed for life-giving community. Living with mental health difficulties brings up many questions, thus having a

supportive community will help each person thrive. As well, giving to others brings refreshment. The same Spirit

that connects us to God also connects us to one another. Sharing the burden lightens the load for everyone.

Key Point

An active and supportive community of believers promotes a healthy life while isolation brings frustration and

fatigue.

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Faith

Life Giving Community (Hebrews 10:24-25)

Throughout scripture, community life is continually highlighted as a key element in encouraging and

stimulating one another towards fruitful lives in God. The New Testament church experienced many difficulties,

thus most of the New Testament was written to address how to best love, bless, and persevere as one unified

community.

Unfortunately, mental health difficulties are often misunderstood and stigmatized. This causes many to feel

isolated, frustrated, and fatigued. But there is hope! An understanding and Christ centered community can help

find creative ways to stay connected and will foster compassionate relationships that encourage and strengthen

one another’s lives. The essence of a community is not to rely on human strength, but rather on the unifying love

of Christ that flows throughout and transforms lives.

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Facts A fruitful faith community …

❶ ❷ ENCOURAGES AND STRENGTHENS: A BUILDS CONFIDENCE: Coming into a new

strong community offers acceptance, comfort, community, it is normal to feel some anxiety

support, and encouragement. They gain related to sharing with others about your

wisdom as they learn from one another’s mental health difficulties. It is important to have

mistakes and successes. Community life is a few understanding and trusted friends

centered on like hearted understanding. They who can honor you, and allow you to focus

take risks together, believe in one another, and on being yourself.

strengthen one another.

What community do you have that Who are some of those key people in

encourages and supports you? your life, and what do they do to help

Where else would you like to find you? If you don’t have someone

another community for yourself? currently, can you think of 1-2 people

who could step into that role?

❸

STAYS CONNECTED: Because of stigma, mental health difficulties can sometimes cause you to feel alone and misunderstood. In addition, it is normal for gatherings or events to cause overwhelming

feelings of anxiety and discomfort. The stigma and discomfort can be frustrating, causing many to pull away and isolate. The way around this is to stay connected to special people who you trust and who can support you. Do not exhaust yourself trying to keep up with gatherings or community events that wear

you down.

What are ways you’ve been able to stay connected to community and avoid isolation?

ACTIVITY: LIFE GIVING COMMUNITY - ENCOURAGMENT

Take some time to recognize the positive changes you have seen in one another and / or comment how being

part of this group (community) has been especially helpful.

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Future

❶ ❷ Focus on developing close friendships that As you feel more confident, your friendships

honor you, with people you trust. Then, when will broaden and you can share more about

you are able, enjoy the larger group settings as yourself to them. When they see your grace,

yourself, not someone who is exposed as strength and confidence, you dispel stigma

always being “the sick one.” and become an authority on the topic.

❸

Take time to build close friendships into your life.

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Safe and Healthy Relationships Guidelines and Sharing



Lesson Summary

Developing trusting relationships involves patience and work on both sides. Even if there has been hurt or

problems in the past, they can be overcome with an attitude of grace. Then, there are relationships that have a

negative influence and hinder your overall recovery. Relationships are not always perfect; however, they can be

safe and healthy relationships allowing you to grow into giving and receiving love and trust. God wants to help you

develop new supportive relationships and / or strengthen your existing relationships.

Key Point

Understanding what a healthy relationship is and that God desires you to be in safe and healthy relationships that

empower your recovery.

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Faith

Safe and Healthy Relationships (1 Corinthians 15:33)

Paul’s letters were written to help guide the Corinthians of a pure and simple devotion to Christ, reminding

them not to be deceived into negative patterns that would hurt them (2 Corinthians 11:3). One of the areas Paul

addressed was to not let negative relationships pull them back into corrupt and distorted thinking towards

themselves. Those types of relationships would create unhealthy lifestyles. Paul never said to hate, judge, or to

not love thy neighbor, rather to not let negative influences come between their recovery in life and fellowship in

Christ.

Depending on your symptoms, relationships can feel hard to maintain or cause a dependency on others.

Negative relationships will constantly bring about negative feelings and you may wonder, “what have I done

wrong.” On the other hand, safe and healthy relationships will make you feel understood in your difficulty, will

seek to support and empower your recovery, and will never take advantage of you. Safe and healthy relationships

are not perfect, but they are built on seeing each other as worthy and valuable. This is what motivates both

people towards giving and receiving trust, honor, respect, and unconditional love.


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Facts

❶ ❷ The symptoms of mental health difficulties and A number of people with mental health

disorders can interfere with trust, emotional Difficulties have a hard time staying

closeness, communication, and effective emotionally balanced, thus they can rely on

problem solving. God will provide grace and their spouse, boyfriend / girlfriend, family, and

you can learn simple ways to build healthy close friends. It is important to learn

relationships. balance in manage your emotions

vs. constantly depending on others for

emotional, spiritual, and physical security.

How has your mental health condition How have you learned to stay balanced

affected your closest relationships (i.e., in your relationships (giving / receiving)

spouse, boyfriend / girlfriend, family, or vs. always being dependent on others?

best friends?

❸

Negative relationships involve strong emotional dependency, feeling coerced or pressured into sex,

ongoing substance abuse, violent and aggressive behaviors, and / or criminal activity. Safe and healthy relationships are ones where there is mutual love, honor, and respect. Safe and healthy relationships are

not perfect, but they provide a healthy environment for you to thrive.

What are the most important things you do to make sure you have safe and healthy relationships … and how do you protect yourself from unhealthy relationships?

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Future

❶ ❷ Supportive and empowering Continue to build and grow in safe and

family and friends are an important part of your healthy relationships that offer mutual love,

recovery. They can be there to honor, and respect. Remember they are not

listen and to help you through rough times. perfect, but they provide a healthy environment for you to thrive.

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It’s Not Your Fault Guidelines and Sharing



Lesson Summary

People struggling with mental health difficulties often feel as though they have failed themselves, others, or God.

This topic looks at the life of Job, who encountered many of the same difficulties as those suffering with mental

illness. Limited in their understanding of God’s character, Job’s friends assumed that his suffering was punishment

for hidden sin. God, however, always sees beyond man’s reasoning. By revealing truth and grace, we can help

ourselves and others take on God’s perspective in relation to suffering and any mental health difficulty.

Key Point

Truth removes guilt and condemnation, and helps those living with mental health difficulties know it is not their

fault.

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Faith

It’s Not Your Fault (James 5:11)

Job was a man who loved God fully. Despite this, he suffered the loss of his family and was afflicted with a

physical illness that had no cure. Job did not understand why all this was happening. Job’s wife and friends gave

him bad counsel, assuming he must have sinned to receive this bad fortune. Job’s problems and illness were not

his fault, but Job endured by honoring and trusting the Lord, and God restored his life.

Mental health difficulties are challenging for the individual, as well as their family and friends. As a result, like

Job, you may have lost your family, and some may have assumed or suggested that you did something wrong or

sinful that caused your difficulties. The truth is that this mental health difficulty is not your fault! It is a physical

disorder just like having diabetes or high blood pressure. Like Job, you are enduring the best you know how, and

God is with you. “He is compassionate and full of mercy” to help you take steps towards health and wholeness

(Isaiah 57:15).


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Facts

❶ ❷ Mental health difficulties are physiological Mental health difficulties are not the result of

conditions affecting your thoughts, emotions your sin or having weak faith.

and behaviors that require professional support All believers struggle with

and care like any other health issue. sin and weakness of faith but God still chooses

to love and give us purpose.

How have you resolved this within your Why do you think others believe mental

own life? If not, why is it still difficult? health problems result from weak faith

or sin?

❸ ❹ Your symptoms are the result of the disorder, God has a purpose and plan for your life and

NOT sin or weak faith. Symptoms may include His desire, through recovery, is to

hopelessness or other negative feelings or bless you with a more meaningful life. No

thoughts. God knows the difference between matter what weaknesses or struggles you have,

your difficulties and who you are in Him. God is for you, not against you. Therefore,

recovery and a meaningful life is possible for all.

What helps you understand that your How has your mental health difficulty

mental health difficulties are not from robbed you of your purpose? What

a personal failing … what do you think are ways you have found or can find

God wants us to know about this? purpose again?

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Future

❶ ❷ LEARN about your specific mental health FOCUS on God’s grace. Use times with God to

difficulty and know that God is for you. All the continually remind yourself that He never stops

while, make a special effort to remember that it blessing or loving you. He loves you, and as you

is not your fault. endure like Job (following through with the recovery process), “the Lord is

full of compassion and is merciful” towards you

every step of the way.

CLOSING PRAYER TIME






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Staying Resilient Guidelines and Sharing



Lesson Summary

Resilience is the capacity to do well when faced with difficult circumstances. Learning to protect one’s personal

integrity under pressure and maintaining a positive outlook on life will lead to resilience. The following factors play

a role in building resilience in individuals and families: empathy, care, acceptance, respect, support in close

relationships, social responsibility, gaining knowledge of and developing life skills, solving problems successfully,

and having resilient role models. Sometimes you may not feel resilient, but you have made it this far.

Key Point

Reinforce and praise signs of resilience in your own life and in other members of the group.

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Faith

Staying Resilient (Philippians 1:6)

Resilience is the capacity to endure and recover from any type of difficulty. The purpose of this group was to

help you become resilient in all aspects of your life: physically, mentally, spiritually, and relationally. You now have

new insights and some basic skills necessary to maintain your stability, improve your life, and find your purpose.

The scripture says that God has begun a good work in us, and He is faithful to complete it. He is constantly working

for our good. He never gives up, not even on the bad days. We are His delight and His work in progress, God’s

masterpiece!


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Facts

❶ ❷ Resilience is the capacity to manage without Resilient people are aware of the situation, their

becoming overwhelmed and feeling thrown own emotional reactions, and the behavior of

into crisis when faced with difficulties. It does those around them. In order to manage

not mean mental illness is cured or life is feelings, it is essential to understand what is

perfect; it is a strength that empowers life. causing them and why. By remaining aware,

resilient people can maintain control of the

How have you seen resilience within situation and their emotions. This allows them

your own life? to think of new way to tackle problems.

Give examples, and remember no matter Do you have any recent situations where

how small they may be, it is still you were able to manage feelings or

resiliency. symptoms by remaining aware?

❸

Resilience can be learned. Some techniques for fostering resilience include: building positive beliefs in your abilities, finding a sense of purpose in your life, developing a strong social support network,

embracing change, being optimistic, nurturing yourself, developing problem-solving skills, and establishing goals.

What are some ways that you have fostered resilience in your recovery journey?

As you continue, how do you see your life improving over the next year?

ACTIVITY: LIFE GIVING COMMUNITY - ENCOURAGMENT

Discuss your life heroes or people you know whom you admire and who display resilience and strength.

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The key to this exercise is to know that the qualities you point out in others are your own personal values

and what Christ has given you to be gracefully resilient.

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Future

❶ ❷ Keep working on your skills. Resilience takes Continue to use your coping and relaxation

time to develop, so do not become techniques daily to deal with episodes of

discouraged if you still struggle to cope with anxiety and to train your body to more

problematic events. effectively deal with stress.

❸

Be proud of what you have accomplished so far. You are building resilience!

CLOSING PRAYER TIME






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Men Mental Health Grace Alliance Regaining Lives …...2 The Hope and Healing Center & Institute...

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Transcript of Men Mental Health Grace Alliance Regaining Lives …...2 The Hope and Healing Center & Institute...