It happened again yesterday. A Facebook post from a friend reported the death by suicide of a man in the prime of life. The post also mentioned one of the common denominators in most of these stories: even his closest friends didn’t know how badly he was hurting. That’s the bad news. Far too many struggle with depression in the dark, not knowing what to do with it until it kills them.

Yesterday, World Radio’s Emily Whitten reminded me of the good news (you’re not listening to World Radio yet? Try it here) with her classic book of the month review on D. Martin Lloyd-Jones’, SPIRITUAL DEPRESSION: Its Causes and Its Cure.

Lloyd-Jones was a well-known British preacher of the mid-twentieth century with an agile mind and accessible style who left a career in medicine to pursue ministry because: “Medicine could not cure the real disease. Only the gospel had the power to change people at the core.”[1]

I read SPIRITUAL DEPRESSION years ago with great profit and still counsel others with its five major principles. Lloyd-Jones outlines them in the first chapter and elaborates on them through the rest of the 300-page work.

He begins with temperament, explaining that just as one diet works better for some body types and a different diet works better for others, so our temperaments, our personalities effect how we experience life and how we process it. Lloyd-Jones is quick to point out that temperament has nothing to do with salvation—we are all saved by faith in Christ alone—but it has everything to do with how we experience the Christian life. Self-examination is healthy, indeed a necessary spiritual discipline, but some of us are prone to perpetual introspection, self-accusation, and vain regrets. The first principle is to know ourselves, our particular weaknesses, and compensate for them.

The second is obvious but often overlooked: our physiology. We are body, soul, and spirit and though we talk about them separately we experience them as unity. One affects the other. Illness, sleep deprivation, lack of exercise, and a poor diet contribute to depression. The energy of youth can delay the effects for a while, but fatigue is incremental and cumulative. It catches up with us.

Writing in the 1950s’, Lloyd-Jones could not know what later medical research has shown. Just as some bodies are prone to diabetes and require medication, others are prone to neuro-chemical imbalance and benefit from medicines that enable healthy brain function. But those drugs are not for everyone and can mask serious spiritual issues that need to be addressed first. True guilt arising from real sin that results in painful shame can be cleansed and healed only through the cross of Christ.

Next are the natural cycles between highs and lows. The peaks of excitement that come with great success are usually followed by emotional troughs. Think of Elijah under the juniper tree after the success on Mount Carmel.[2] We manage our emotions better when we anticipate the cycles.

A few hours before the rooster crowed his failure and betrayal, Jesus warned Peter, “The devil has demanded to have you, to sift you like wheat. But I have prayed for you, that your faith may not fail. After you have recovered, strengthen your brothers.”[3] The reality of spiritual assault, the fourth cause, is something every believer needs to keep in mind, especially after a personal failure.

Finally, keep up your faith. Jesus’ instructions to Peter reveal three elements for battling spiritual depression: prayer, partners, and perseverance. We should not face spiritual assault alone. Find brothers who will pray for you. And once you’ve recovered, strengthen others.

Those five principles cover the causes of spiritual depression. Lloyd-Jones ends the first chapter by offering the first principle in effecting a cure, one he learned from the Psalms.

“You have to take yourself in hand, you have to address yourself, preach to yourself, question yourself. You must say to your soul: ‘Why art thou cast down’—what business do you have to be disquieted? You must turn on yourself, upbraid yourself, condemn yourself, exhort yourself, and say to yourself: ‘Hope thou in God’—instead of muttering in this depressed, unhappy way … Then having done that, end on this great note: defy yourself, and defy other people, and defy the devil and the whole world, and say with this man: ‘I shall yet praise Him for the help of His countenance, who is also the health of my countenance and my God.’”

[1] Whitten quoting Lloyd-Jones’ friend, Jason Meyer, from Bethlehem College.

[2] 1 Kings 19:4

[3] Luke 22:31

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