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Study guide · Christian Living & Suffering

Why Does the Church Get Mental Health Wrong

Reviewed by Jude 3 Project·11 min read

Tap a Bible reference to read it.Hover over a Bible reference to read it.

When someone is depressed or anxious, the people nearby feel pressure to say something helpful, and they feel it quickly. A verse, a reason, a plan. The person carrying the weight often feels the same pressure from the inside: get it together, pray it away, be fine by Sunday. This guide offers a slower response that the Bible already practices. It is called lament. You stay present to God and to others by telling the truth about the pain, out loud and in God’s direction, without requiring it to be fixed first.

The guide is written for two readers at once: the person in the heaviness and the friend sitting beside them. You can work through it alone over a few quiet sittings, or with a small group over one or two meetings. Read the Scripture passages slowly. Skip any question you are not ready for. Nothing here asks you to share more than you choose to.

Why the quick fix feels so faithful

Start with an honest observation. Most people who rush to fix a friend’s depression are not cruel. They love God, and they love the person, and they believe faith should make a difference. That belief is right. The trouble starts when it turns into a shortcut.

In a Jude 3 Project conversation with Lisa Fields, Dr. Maliek Blade, who manages The Whole Brother Mission, describes how this goes wrong in some churches. The mistake he names is a specific assumption: if this person is struggling, there must be a spiritual failure behind it. He describes the damage that comes from “assuming that someone is having this distress ’cause they sinned.” The remedy offered is usually more effort: stop sinning, practice your disciplines harder, and it will lift. Blade’s response is plain: “when in actuality it could be depression, and that’s not necessarily their fault.”

Lisa Fields raised the term spiritual bypassing, and Blade explains it as a kind of distorted thinking that psychology had already described. In his words, it means “disconnecting from the reality of what’s going on in the natural” and adding spiritual explanations where they may not belong. He is careful here. He says Christians do recognize a spiritual dimension to life. His point is that not every hard experience is tied to it, and that people “can have difficult experiences in terms of what they think and what they feel.”

Notice what bypassing actually skips. It skips the person. It moves straight from symptom to solution and never stops at the place where someone simply hurts. That is the place lament refuses to skip.

Pause and observe. Think of a time you heard a quick spiritual answer to someone’s pain, or gave one. What was the answer meant to accomplish? Was it meant to help the person, or to end an uncomfortable moment?

A prayer that refuses to pretend

Lament is not a modern therapeutic idea dressed up in church language. It is one of the most common kinds of prayer in the Psalms. Read Psalm 13 aloud, all six verses. It is short enough to read twice.

It opens with a complaint aimed straight at God: “How long wilt thou forget me, O LORD? for ever? how long wilt thou hide thy face from me?” (Psalm 13:1). The psalmist does not soften this. He does not say God has forgotten him in a way that is secretly fine. He says what it feels like.

Then he asks for something. “Consider and hear me, O LORD my God: lighten mine eyes, lest I sleep the sleep of death” (Psalm 13:3). The request is urgent and physical. He is worn out to the point of fearing death.

Only then does he turn: “But I have trusted in thy mercy; my heart shall rejoice in thy salvation” (Psalm 13:5). The trust comes after the honesty, not instead of it. Psalm 13 is poetry, and it does not promise that every reader’s distress will lift within six verses. What it models is an order of speech: say the true thing, ask for help, and lean on God’s mercy from inside the trouble.

Now read Psalm 88. This one is harder. It begins with “O LORD God of my salvation, I have cried day and night before thee” (Psalm 88:1), and it never turns the corner. Its final verse reads: “Lover and friend hast thou put far from me, and mine acquaintance into darkness” (Psalm 88:18).

Many readers are surprised that a prayer like this made it into Scripture. That surprise is worth sitting with. Psalm 88 ends in darkness, and it is still a prayer. The person praying still calls God “God of my salvation.” For someone in depression, this matters. You do not have to manufacture a happy ending before your words count as faith. Speaking to God from the dark is already a way of staying present to him.

Read closely. Mark every line in Psalm 13 and Psalm 88 that you would be uncomfortable saying in church. Why do you think those lines were kept rather than edited out?

The friends who got the first week right

If you are the friend, the book of Job has a lesson that cuts two ways. After Job loses his children, his wealth and his health, three friends come to him. “So they sat down with him upon the ground seven days and seven nights, and none spake a word unto him: for they saw that his grief was very great” (Job 2:13).

That is a remarkable week. They came, they stayed on the ground, and they said nothing. Then they started talking. Over many chapters they argue that Job’s suffering must be the result of sin, and at the end of the book God says they have not spoken rightly about him (Job 42:7). The friends were at their best in the silence and at their worst when they began explaining.

Job is a long, poetic book about suffering, and it should not be squeezed into a rule that friends must never speak. But it does show the exact error Blade describes: deciding the cause of someone’s pain before you know it, and attaching that cause to their sin. The friends’ speeches were confident and religious, and they were wrong.

Paul gives a shorter instruction that fits beside Job: “Rejoice with them that do rejoice, and weep with them that weep” (Romans 12:15). Weeping with someone is not the same as solving their problem. It is joining them where they are.

Listening before explaining

The conversation between Lisa Fields and Maliek Blade was not only about mental health. Much of it was about how Christians talk with people who doubt or disagree. Their observations still apply here, because the same impulse is at work: the urge to deliver the right answer before understanding the person.

Lisa Fields compares good apologetics to what a counselor does. “You have to sit there and listen to people for a while,” she says, before pointing them toward any truth. She adds that “a therapist might know something about you when you first walk in the door from one conversation, but they can’t tell you that yet ’cause you’re not ready to receive it.” Describing young adults who had left the faith and later re-engaged church, she says the heart change came from listening, and that “the listening went a long way.”

Blade puts the same idea in a single sentence: “The way that some people are is their ears don’t turn on until you touch their heart.” He is talking about how people receive what we say, and he is careful to say it does not look the same in every situation. For a friend beside someone in depression, the implication is practical. Your true and helpful words may land later. Your presence lands now.

Blade also explains why quick encouragement often fails. Describing the devotional he edited, he contrasts it with the kind of reading that functions as a little boost with morning coffee, and says “the picker upper might not deal with the complexities of what the man is experiencing.” A verse texted at the right moment can be a gift. A verse used to close the subject is a picker upper doing a job it cannot do.

Lament is also not a substitute for care. Jude 3 teaches that seeking therapy is not a failure of faith, and that God works through trained counselors and clinicians. Jude 3 also refuses to spiritualize what is medical or to medicalize what is spiritual, and urges people to seek qualified care and prayerful support together. Lament and a doctor’s appointment belong in the same week. One is speaking honestly to God. The other is caring for the mind he gave you.

A practice: three honest lines

This practice has two versions. Choose the one that fits you this week.

If you are carrying the weight

Using Psalm 13 as your pattern, write three lines to God. Keep them short. Nobody else needs to read them.

  1. The complaint. Say plainly what this is like. Use your own words, not the words you think you should use. Blunt is fine.
  2. The request. Ask for one specific thing. Sleep. A clear morning. The nerve to call a counselor. Someone to notice.
  3. The lean. If you can, write one line of trust, however small. If you cannot, write Psalm 88:1 instead and stop there. That is still a finished prayer.

Read the three lines back once. Then, if it seems right, consider showing them, or just the first line, to one person you trust. That step is optional. The point is to stop carrying the weight in total silence, not to perform your pain.

If you are the friend

Plan one visit, call or walk this week where your only goal is to be there. Before you go, decide what you will not do: no diagnosis, no explanation of why this is happening, no list of solutions. You may ask questions. You may stay quiet. If the person mentions something practical you can carry, like a ride to an appointment or a meal, offer to do that specific thing.

Afterward, notice what was hard. Many friends find the silence harder than the conversation. That discomfort tells you something about yourself, not about them.

Blade says that “God also shows up in our moments of silence and solitude as well,” and that sometimes “the most spiritual and obedient to God thing is to not do another thing.” He was speaking about ministers running on productivity, but the principle carries over. Some weeks, the faithful move is to stop producing answers.

If heaviness ever turns into thoughts of ending your life, or if a friend tells you about such thoughts, treat that as urgent. Tell a trusted person today, and in the US call or text 988 to reach the Suicide and Crisis Lifeline. Lament is honest prayer. It is never a reason to stay alone with danger.

Questions for conversation

  1. Psalm 13 moves from complaint to request to trust, while Psalm 88 never reaches trust in words. What does it change for you that both are in Scripture?
  2. Blade describes the assumption that distress comes from sin. Where did you first pick up an idea about what struggling believers must be doing wrong, and how has it shaped the way you treat yourself or others?
  3. Job’s friends did well in silence and badly in speech. What makes it hard to stay quiet when someone is suffering?
  4. Lisa Fields says listening often has to come before any truth can be received. When has someone listened to you long enough that it changed what you could hear?
  5. What is the difference between a verse offered as company and a verse offered to end the conversation? Can you think of an example of each?
  6. Lisa Fields says “there is a gap oftentimes between what we know in our head and what we know in our heart.” Where do you notice that gap when it comes to how you think about depression or anxiety?
  7. What would it look like for your group, family or church to make room for lament without treating it as a lack of faith?

Before a group meets

If you are leading, read both psalms aloud yourself first and decide which questions suit your group. Make it clear at the start that everyone may pass on any question, and mean it. Do not ask people to read their three lines aloud. If someone volunteers, thank them and move on without analyzing what they wrote.

Know beforehand where you would direct someone for help: the 988 number and at least one local counselor or clinic. If someone shares that they are in danger, your job is to help them reach real support, not to manage it in the room. Follow up privately afterward with anyone who seemed to carry more than they said.

One last thing to carry out of this study. The next time pain shows up, yours or someone else’s, try asking a different first question. Not what is the fix? but what is true right now, and have we said it to God? Sometimes answering that honestly is the first faithful step.