Getting at the Spiritual Causes of Depression (Yes, There are Spiritual Causes)-

Why, my soul, are you downcast? Why so disturbed within me? Psalm 42:11a NIV

Depression is real and it really sucks.  

Seriously.

Anyone who has battled depression or knows someone who has battled depression knows this is one-hundred-percent true.

It is estimated two-hundred-sixty-three-million people worldwide suffer from depression. Many psalms record David’s struggle with what we would call clinical depression (Psalm 42, Psalm 113:1-6, Psalm 22:1-2, Psalm 6).  Until very recently scientists believed depression was caused entirely by a chemical imbalance in the brain brought on by a shortage of the neurotransmitter serotonin.  Recent studies have disproved that long-held theory and left doctors scrambling to figure out the cause depression.   

It is now thought depression is brought on by a host of factors. Including but not limited to a genetic predisposition, chronic stress, prior trauma, and a tendency to brood over past mistakes (perfectionism).

I do not doubt all those factors contribute to depression. 

Genetics are real. Stress is real. Trauma is real.  Focusing deeply on an issue that cannot be controlled or solved will make anyone feel depressed. All that being said, I also know there is a strong spiritual component to depression. That does not mean a person is an especially bad sinner if they get depressed. Nor does it mean I think every case of depression has a purely spiritual cause. That being said, sometimes people behave or think in ways that create spiritual problems in their lives. Those spiritual problems create fertile soil for depression to take root. Some of the spiritual causes of depression are:

Moral Passivity-

Passivity is the sin of letting sin go unchecked. Anytime a Christian chooses to ignore a moral wrong or sidesteps dealing with sin in their life or the life of someone they love rather than dealing with the sin appropriately (Acts 3:19, Ephesians 4:15, Matthew 18:15-16), one of two things inevitably happens. The believer either becomes hardened to sin (and more likely to become entrenched in sin) or they become depressed. Willfully ignoring a wrong makes the passive observer of the sin complicit in the sin (Psalm 1:1, Psalm 32:5) and sin separates us from God (Micah 3:4, Isaiah 59:2). Human beings were made to be in relationship with God. When we live outside the design we were created for depression is the natural result. The key to digging out of depression caused by moral passivity is to reverse course and begin proactively repenting of our own sin and confronting any sin we have been willfully overlooking in those we love (Galatians 6:1, 1st Timothy 5:20, James 5:19-20, Luke 17:3).

Deferred Hope–  

Wanting something that never materializes is demoralizing (Proverbs 13:12). For Christians who obey the Bible it’s even more demoralizing. This is because serious Christians pray and commit their plans to the Lord and then they expect God to establish those plans, because that’s what the Bible says He will do (Proverbs 16:3). When we don’t get something pray for the disappointment can lead to spiritual doubt. Spiritual doubt is a fast track to depression and anxiety. Here’s the thing we have to remember: God is not liar. This means that if a hope we have has been deferred (delayed) there’s a reason for it. It might be we are hoping for something God knows is not best for us. It might mean God is still working on it. It might mean there’s some growth and maturity that needs to take place in us so we steward the blessing well when we do get it.  In order to deal with this type of depression we must pray, trust and do our part. We should pray God will work in us so that our desires will be in alignment with His will for our lives (Proverbs 3:6). Then we have to trust God to accomplish His will in His timing. We also need to do our part. Our part, is actively seeking to grow, learn, and break any bad habits we have in preparation for “the next thing” God has for us.

Loss of Connection with the Head (Jesus) or the Rest of the Body (the Church)-

Humans were designed to live life in relationship. It’s part of what it means to “be made in the image of God” (Genesis 1:26). God is relational and we were made to be like Him. Anytime we lose healthy connection with other Christians or with Jesus (Colossians 2:18-19) depression is a likely outcome. Getting back into healthy relationship with God and/or other Christians will goes long way in healing the depression caused by a broken relationship with Jesus or His body.

An Absence of Self-reflection-

Humans are capable of a of an absurd level of self-deception (Jeremiah 17:9). It is possible to be knee-deep in sinful attitudes and not even be the teeniest bit aware of it. In fact, we are so prone to self-deception we can even convince ourselves our sinful attitudes are somehow good and healthy. Sigh. Anytime we feel plagued by depression that has no apparent cause we need to examine our lives and ask God to show us if there is anything we don’t want to see in ourselves.

And finally, because Christians are a new creation in Christ (2nd Corinthians 5:17) holding on to the stuff of our old life is a fast-track to a life of sadness, frustration and defeat. Letting go of the old stuff Jesus saved us from is the first step and most important step in living a life of emotional and spiritual flourishing.