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Depression and Night Terrors

I had my first night terror not long after the onset of severe depression. It was a horrific experience that reminded me of when I had been delirious as a child while running a very high fever. The difference here was that it occured as I was falling asleep, and I was not sick.

A night terror is an extremely unpleasant form of nightmare, differing greatly in intensity. Night terrors either develop from a nightmare during deep sleep, or trigger while falling asleep.

From my experiences, night terrors differ from nightmares in two areas. Firstly, a night terror would continue even after I woke up. Somehow, although I was completely conscious and able to talk, my subconscious mind continued dreaming, overlaying the horror of the dream upon consciousness, like two overhead transparencies, one laid upon the other, distorting both.

But the worst aspect of night terrors was the terror aspect itself. The night terror would establish a set of rational, logical rules, and would then break them completely, so that would could not be, was; so that what could not happen, happened. And the rational, logical part of my mind completely rebelled in horror as the rational and logical rules of the dream world were warped and twisted into something impossible, inconceivable - that defied all reason.

I suffered a few night terrors during depression, never knowing what they were. As I slowly recovered from depression, their frequency reduced until they ceased almost altogether. I did notice that times of extreme stress were a common trigger.

Here is an example of a night terror. While still recovering from depression, I had to go to the USA by myself to attend a trade fair. I arrived at the hotel late at night, only to find that my friend who was supposed to meet me was not there, and had left no message. Going to the arranged hotel room, I found that all of my friend's co-workers were asleep. There was a makeshift bed was in the middle of the room, so I got in and went to sleep.

Due to that stressful environment, a night terror hit me that night. I dreamed that upon checking out of the hotel, I had to pay $10,000 instead of $300. My mind completely rebelled at this impossible scenario, and though I tore myself awake, the night terror simply kept on going...

After I got married, my wife witnessed me having a night terror in the middle of the night, and seeing the dream continue after I woke up, she wondered if it was related to my complex partial epilepsy. So the next time I saw my neurologist, I told him about them, fearing I was having seizures again, although on medication. But the neurologist just laughed, and said, 'Oh, you were having a night terror.' And he proceeded to explain that they were just really bad nightmares, and nothing to worry about at all.

That knowledge brought relief, and the truth that they were nothing to fear set me free from worrying about them. I also found some techniques to deal with them. As they often trigger while drifting off to sleep, I learned how to recognise when one was developing, and how to immediately force my dream into an entirely different direction, stopping it becoming a night terror. Waking myself at that stage was another way of stopping them developing.

If a night terror triggered during deep sleep, I would wake myself up, and although the night terror continued while I was conscious, I would turn on my bedlamp, stare at it, sit up for a while, and then I would turn the light off and lay back down to sleep. Even though the night terror was still going, I would press into the Lord and take refuge in Him, and reassure myself that it was nothing to fear and would stop soon. Before long, it would stop and I would fall back asleep.

Psalm 91:1-6 (NIV)
He who dwells in the shelter of the Most High
will rest in the shadow of the Almighty.
I will say of the LORD, "He is my refuge and my fortress,
my God, in whom I trust."
Surely he will save you from the fowler's snare
and from the deadly pestilence.
He will cover you with his feathers,
and under his wings you will find refuge;
his faithfulness will be your shield and rampart.
You will not fear the terror of night,
nor the arrow that flies by day,
nor the pestilence that stalks in the darkness,
nor the plague that destroys at midday.
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Tips for Dealing With Ghost Networks



If you live in the United States, has this ever happened to you?

You call a psychologist, social worker of psychiatrist who is on your plan only to find out that they are not on your plan?

Have you found yourself feeling disgusted from this experience?


Have you thrown the towel in, forgoing the therapy route?


If so, you need to consider that you are being haunted...by a Ghost Network.

A Ghost Network, also called a Phantom Network, is a collective list of doctors and specialists that your insurer insists are contracted providers for your medical or mental health needs. However, many of these identified individuals are not members of the network.

I have been part of a Ghost Network, haunting the managed care company of Group Health Insurance, for over a decade. I do not participate with them, haven't signed a contract - yet, year after year, they have my name in their panel of specialists. Many potential patients call my office thinking that I am in their plan, only to learn the ghostly, uh, I mean ghastly truth, that I am not.

If you find yourself bedeviled by a Ghost Network, try these tips:


1) Tell your employer and colleagues about the situation so that the next time a choice for a different insurance coverage comes up, a change can occur.


2) Managed Care companies and Health Insurance Carriers sell their services by "showing off" the list of specialists they have in their network. Ask your employer or Human Resources Department to cold-call doctors to see if their provider list is accurate.


3) The Managed Care organizations that use Ghost Networks are engaging in fraudulent behavior and bad faith, making promises they cannot deliver. Call your state Attorney General and Insurance Department and lodge a complaint. Never underestimate the power of your voice.


4) The legal issue here is that you are entitled to a specialist for your medical needs. If there are no specialists because of the Ghost Network practice, your are entitled to have one at no additional cost to you. Many people don't know this!


Resources:


McCain-Edwards-Kennedy Patient Bill of Rights


13 Things Your Health Insurer Doesn't Want You To Know


This is New York State's Managed Care Complaint Website For your own state, do an online search.





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Learning to Live with a Disability


Learning to live with the unexpected onset of a disability or chronic illness is a challenge.

I lost all hearing in my left ear at the beginning of 2005. Combined with the thunderously loud tinnitus, I felt as though my head was submerged in deep water. I was forced to rely upon my right ear, my ‘bad ear.’

My left ear felt like a lump of dead flesh on the side of my head, a sensation exaggerated by the fact that I could no longer hear any sound when I rubbed my hand against the ear. One of the worst aspects of the disability was that I became extremely self conscious, always aware that something was out of kilter. I was disturbed by the fact that so many of my thoughts gravitated around me and my situation, instead of upon Jesus and those around me.

Being the master procrastinator that I am, I delayed making another appointment with the ear specialist and spent the new few months learning how to live with the disability.

Social gatherings became almost impossible, but my church friends made special allowances for me. I remember going to a home group meeting, and as the church was a Japanese language Christian church, the minister was speaking in Japanese. One of the other Australian guys, who spoke Japanese, came over to translate what the minister was saying for me. “Which is your good ear?” he asked kindly, and then stood at my right side.

Being unable to function as part of a team, I resigned as the church pianist, a step I had been loath to take as I been a church pianist for almost twenty years. I also stopped listening to music, since hearing music in one ear instead of in stereo was unbearable. I think this was one of the hardest things to get used to, as music has always been one of my greatest passions.

I kept trying to talk to people at church, but felt like a freak because I had to turn my head sideways so my right ear could hear them. Who wants to talk to someone’s ear?

There was one funny thing, though. One of my friends in the church was deaf in her right ear. Sometimes we would stand side by side and attempt to converse with the other, yet not be aware of it at first. We had a good laugh and swapped sides so that I stood with my right side towards her left.

One thing that helped me greatly was something I had learned while recovering from depression back in the early ‘90s. My counselor had taught me that to be in deep surrender to God really meant to never look back with regret upon the past, nor forward to any wish in the future - comparing ourselves to what we used to be, or what we wanted to be, was a hindrance for resting in God's will. Each day I was to pray: “I'm content to be who You made me to be, today. I'm content to be where You put me today, and I'm content to be how You made me to be today.”

These past few weeks I have been reading ‘One Liter of Tears, A Young Girl’s Fight for Life,’ the diary of Aya Kito, published by IBC, 2007/2005. From the age of fourteen years, Aya began exhibiting the symptoms of incurable degenerative disease, spinocerebellar degeneration. The disease acts as a prison, as the person retains full mental capacity although they progressively lose all physical control.

I was moved to see Aya’s mother give that same advice to her.

My mom and I talked about my future. According to my mom, "Unlike people who cannot see or are handicapped, the things you were able to do before never leaves your mind. You think hard about why you can't do it anymore, and you become emotional. So it always starts with the struggle in your mind. Even if others may view it merely as a machine-like radio exercise, it is actually a struggle in your mind, it’s training. Aya, I think that as long as you live every day to its fullest, you'll have a future. Aya, you cry alot, and when I see you cry, I feel so sorry. But looking at reality, you have to understand where you are right now and make your life full, or else you'll never live with your feet on the ground.”

And it is the same advice that Paul gave us, one of the theme verses of my life:

‘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.’ Philippians 4:12-13 (NIV)

p.s. - An operation in Sept 2005 restored about 70% mid-range hearing to my left ear, and reduced the tinnitus. At the moment, I can just get by, though I really need to get myself some hearing aids (long story...). My right ear, however, is slowly getting worse. Will it last until my sixties, or suddenly go deaf like my left did? I do not know, but I will not spend today worrying about what might or might not happen tomorrow. And should trouble strike in the future, Jesus will be there, reading and able to help me cope with it at that time.

p.p.s. - I believe that Jesus Christ is the same yesterday, today and forever, and that His healing power is still available today. And although I will never cease asking to be healed of my infirmities, I take care to ensure that my faith and hope is placed in Christ, and not in the possibility of being healed. For His grace is sufficient for me.


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Ten Tips to Keep "You" in Yuletide Cheer


The holiday season can be a time of great joy, connection and celebration. And if you find yourself feeling the warmth of the season, you are lucky.

Many, though, do not find the holidays a time for celebration. Family strife, financial woes, traumatic memories and even loneliness can make the season dark, not bright.

If you are having a rough time as the holidays approach, here are some tips to keep YOU in this Yuletide Season.

1. Put yourself first.

2. Don't over-schedule your time.

3. Keep a limit on spending.

4. Avoid triggers that set old traumas into motion.

5. Focus on what you can control.

6. Choose to do things you want to do, not have to do.

7. Keep expectations realistic.

8. Don't be afraid to delegate or ask for what you need.

9. Stay in the present and look toward the future.

10. Use your senses to find beauty and peace in small moments around you.





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Freedom for the Captives


It was evening, midway through 1989, and the view outside my friend’s lounge room window was of a sky darkened by foreboding rain clouds. I remember sharing my deepest fear with a group of Bible college colleagues. “I suffered a burnout back in ’86 – it was absolutely dreadful. I’m terrified of that happening to me again one day.”

I know now that it was not a ‘burnout’, but a mild episode of depression. 1986 was the final year of my diploma of primary education, yet rather than concentrate on finishing the course, I unwisely began a Bible college correspondence course, became too heavily involved in my local church, and started fasting most lunchtimes. To cap this off, chronic insomnia began afflicting me.

I became so run down that ten weeks of constant illness forced me to pull out of teacher’s college. Sharing this with a pastor at my church, he accused me of doing this on purpose, and then removed me from my position of co-leading an important church ministry. I could not blame him for that since I had neglected my responsibilities since becoming ill. However, accusing me of doing this on purpose was quite a shock. Later, when another pastor heard of this, he supported me and encouraged me to rest and recover.

The next few months were very dark. Not only was I emotionally down, but I felt guilty all the time, always feeling as though I should be doing more than I was. I began wondering if it would ever end.

I slowly pulled out of that dark phase at the beginning of 1987. Upon the return of my zeal for life, I resigned from my job and attended a brick-and-mortar Bible college from the middle of that year.

It seemed as though my life was back on track. Unfortunately, in many people, depression tends to be cyclic, and unless we learn how to deal with it, we run of the risk of succumbing to it again, and again. Unaware that I had suffered a mild bout of depression, and in fact, ignorant of depression’s nature, I forged ahead with my goal to be a pastor and a missionary. However, at the back of my mind was this unsettling fear that I may one day end up back in that dark place.

Psalm 116:3
The cords of death entangled me,
the anguish of the grave came upon me;
I was overcome by trouble and sorrow.


During 1989, a combination of factors triggered the return of depression, except in this occasion I became so severely depressed that my previous depressive episode seemed like a walk in the park.

Psalm 116:4
Then I called on the name of the LORD:
"O LORD, save me!"


I could have spent the rest of my life stuck in cycles of depression. And considering what lay in my future, it was virtually guaranteed. Complex partial epilepsy emerged in 1996, and from 2003 my hearing began to deteriorate rapidly, thanks to otosclerosis. However, that is not how my future turned out. For throughout those dark, desperate months of severe depression, I called and called upon the Lord to save me.

Psalm 116:5-6
The LORD is gracious and righteous;
our God is full of compassion.


Jesus, full of compassion and grace, heard my prayers to save me from that dark cycle. With gentleness He helped me to face my fears, to deal with deep wounds from my childhood, and to receive Biblical counselling for the faulty thought processes and theology that kept tripping me up.

Psalm 116:7
The LORD protects the simple hearted;
when I was in great need, he saved me.


Although dealing with these issues was very painful, through His word, counselling, and the book “Self Help for Your Nerves” by Dr Claire Weekes, the Lord taught me how to break depression’s fear-fight-flight cycle.

Psalm 116:7
Be at rest once more, O my soul,
for the LORD has been good to you.


After eight months of anguish and despair, followed by four years of hope-filled recovery where I lived an almost normal life, the Lord lead me to green pastures, to wholeness, to inner rest.

Psalm 116:8-9
For you, O LORD, have delivered my soul from death,
my eyes from tears,
my feet from stumbling,
that I may walk before the LORD
in the land of the living.


But the Lord did not stop there. By setting me free from the fears, faulty thought processes and theologies that had caused me to stumble so many times, by teaching me how depression works and how to overcome it, Jesus set me completely free and restored me to the land of the living.

Jesus said:
“The Spirit of the Sovereign LORD is on me,
because the LORD has anointed me
to preach good news to the poor.
He has sent me to bind up the brokenhearted,
to proclaim freedom for the captives
and release from darkness for the prisoners,
to proclaim the year of the LORD's favor
and the day of vengeance of our God,
to comfort all who mourn,”

Isaiah 61:1-3

I no longer fear depression - its cyclic hold on me has been broken. Although I have endured new trials, such as epilepsy and going deaf, I have not stumbled nor regressed back to depression. By his mercy the Lord set me free from captivity.

All verses from the NIV.


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