Life

Pastor mental illness
Do you, as a pastor, feel equipped to talk to people about mental illness? (iStock photo)

One in four Americans suffers from some kind of mental illness in any given year, according to the National Alliance on Mental Illness. Many look to their church for spiritual guidance in times of distress. But they're unlikely to find much help on Sunday mornings.

Most Protestant senior pastors (66 percent) seldom speak to their congregation about mental illness.

That includes almost half (49 percent) who rarely (39 percent) or never (10 percent), speak about mental illness. About 1in 6 pastors (16 percent) speak about mental illness once a year. And about quarter of pastors (22 percent) are reluctant to help those who suffer from acute mental illness because it takes too much time.

Those are among the findings of a recent study of faith and mental illness by Nashville-based LifeWay Research. The study, co-sponsored by Focus on the Family, was designed to help churches better assist those affected by mental illness.

Get Spirit-filled content delivered right to your inbox! Click here to subscribe to our newsletter.

Researchers looked at three groups for the study.

They surveyed 1,000 Protestant senior pastors about how their churches approach mental illness. Researchers then surveyed 355 Protestant Americans diagnosed with an acute mental illness—moderate to severe depression, bipolar disorder or schizophrenia. Among them were 200 churchgoers.

A third survey polled 207 Protestant family members of people with acute mental illness.

Researchers also conducted in-depth interview with 15 experts on spirituality and mental illness.

The study found pastors and churches want to help those who experience mental illness. But those good intentions don't always lead to action.

"Our research found people who suffer from mental illness often turn to pastors for help," said Ed Stetzer, executive director of LifeWay Research. "But pastors need more guidance and preparation for dealing with mental-health crises. They often don't have a plan to help individuals or families affected by mental illness and miss opportunities to be the church."

A summary of findings includes a number of what researchers call "key disconnects" including:

  • Only a quarter of churches (27 percent) have a plan to assist families affected by mental illness, according to pastors. And only 21 percent of family members are aware of a plan in their church.
  • Few churches (14 percent) have a counselor skilled in mental illness on staff, or train leaders how to recognize mental illness (13 percent), according to pastors.
  • Two-thirds of pastors (68 percent) say their church maintains a list of local mental-health resources for church members. But few families (28 percent) are aware those resources exist.
  • Family members (65 percent) and those with mental illness (59 percent) want their church to talk openly about mental illness, so the topic will not seem taboo. But 66 percent of pastors speak to their church once a year or less on the subject.

That silence can leave people feeling ashamed about mental illness, said Jared Pingleton, director of counseling services at Focus on the Family. Those with mental illness can feel left out, as if the church doesn't care. Or worse, they can feel mental illness is a sign of spiritual failure.

"We can talk about diabetes and Aunt Mable's lumbago in church—those are seen as medical conditions," he said. "But mental illness—that's somehow seen as a lack of faith."

Most pastors say they know people who have been diagnosed with mental illness. Nearly 6 in 10 (59 percent) have counseled people who were later diagnosed.

And pastors themselves aren't immune from mental illness. Almost a quarter of pastors (23 percent) say they've experienced some kind of mental illness, while 12 percent say they received a diagnosis for a mental-health condition.

But those pastors are often reluctant to share their struggles, said Chuck Hannaford, a clinical psychologist and president of HeartLife Professional Soul-Care in Germantown, Tennessee. He was one of the experts interviewed for the project.

Hannaford counsels pastors in his practice and said many—if they have a mental illness such as depression or anxiety—won't share that information with the congregation. He doesn't think pastors should share all the details of their diagnosis. But he said they could acknowledge they struggle with mental illness.

"You know, it's a shame that we can't be more open about it," he told researchers. "But what I'm talking about is just an openness from the pulpit that people struggle with these issues, and it's not an easy answer."

Those with mental illness also can be hesitant to share their diagnosis at church. Michael Lyles, an Atlanta-based psychiatrist, says more than half his patients come from an evangelical Christian background.

"The vast majority of them have not told anybody in their church what they were going through, including their pastors, including small-group leaders, everybody," Lyle said.

Stetzer said what appears to be missing in most church responses is "an open forum for discussion and intervention that could help remove the stigma associated with mental illness."

"Churches talk openly about cancer, diabetes, heart attacks and other health conditions; they should do the same for mental illness in order to reduce the sense of stigma," Stetzer said.

Researchers asked those with mental illnesses about their experience in church:

  • A few—10 percent—say they've changed churches because of how a particular church responded to their mental illness. Another 13 percent ether stopped attending church (8 percent) or could not find a church (5 percent). More than a third, 37 percent, answered "don't know" when asked how their church's reaction to their illness affected them.
  • Among regular churchgoers with mental illness, about half (52 percent) say they have stayed at the same church. Fifteen percent changed churches, while 8 percent stopped going to church, and 26 percent said "don't know."
  • Over half, 53 percent, say their church has been supportive. About 13 percent say their church was not supportive. A third (33 percent) answered "don't know" when asked if their church was supportive.

LifeWay Research also asked open-ended questions about how mental illness has affected people's faith. Those without support from the church said they had struggled.

  • "My faith has gone to pot, and I have so little trust in others," one respondent told researchers.
  • "I have no help from anyone," said another respondent.

But others found support when they told their church about their mental illness.

  • "Several people at my church (including my pastor) have confided that they too suffer from mental illness," said one respondent.
  • "Reminding me that God will get me through and to take my meds," said another.

Mental illness, like other chronic conditions, can feel overwhelming at times, said Pingleton. Patients can feel as if their diagnosis defines their life. But that's not how the Bible sees those with such conditions, he said.

He pointed out that many biblical figures suffered from emotional struggles. And some, were they alive today, would likely be diagnosed with mental illness.

"The Bible is filled with people who struggled with suicide, or were majorly depressed or bipolar," he said. "David was totally bipolar. Elijah probably was as well. They are not remembered for those things. They are remembered for their faith."

LifeWay Research's study was featured in a two-day radio broadcast from Focus on the Family on Sept. 18 and 19. The study, along with a guide for pastors on how to assist those with mental illness and other downloadable resources, are posted at thrivingpastor.com/mentalhealth.

LifeWay Research also looked at how churches view the use of medication to treat mental illness, about mental and spiritual formation, among other topics. Those findings will be released later this fall.

Methodology

LifeWay Research conducted 1,000 telephone surveys of Protestant pastors May 7-31, 2014. Responses were weighted to reflect the size and geographic distribution of Protestant churches. The sample provides 95% confidence that the sampling error does not exceed plus-or-minus 3.1%. Margins of error are higher in sub-groups. In addition, LifeWay Research conducted 355 online surveys July 4-24, 2014 among Protestant adults who suffer from moderate depression, severe depression, bipolar disorder or schizophrenia. The completed sample includes 200 who have attended worship services at a Christian church once a month or more as an adult. LifeWay Research also conducted 207 online surveys July 4-20, 2014 among Protestant adults who attend services at a Christian church on religious holidays or more often and have immediate family members in their household suffering from moderate depression, severe depression, bipolar disorder or schizophrenia.

For the original article, visit lifewayresearch.com.

Get Spirit-filled content delivered right to your inbox! Click here to subscribe to our newsletter.


Dr. Mark Rutland's

National Institute of Christian Leadership (NICL)

The NICL is one of the top leadership training programs in the U.S. taught by Dr. Mark Rutland. If you're the type of leader that likes to have total control over every aspect of your ministry and your future success, the NICL is right for you!

FREE NICL MINI-COURSE - Enroll for 3-hours of training from Dr. Rutland's full leadership course. Experience the NICL and decide if this training is right for you and your team.

Do you feel stuck? Do you feel like you’re not growing? Do you need help from an expert in leadership? There is no other leadership training like the NICL. Gain the leadership skills and confidence you need to lead your church, business or ministry. Get ready to accomplish all of your God-given dreams. CLICK HERE for NICL training dates and details.

The NICL Online is an option for any leader with time or schedule constraints. It's also for leaders who want to expedite their training to receive advanced standing for Master Level credit hours. Work through Dr. Rutland's full training from the comfort of your home or ministry at your pace. Learn more about NICL Online. Learn more about NICL Online.

Charisma Leader — Serving and empowering church leaders