The buzz around Elder Jeffrey Holland’s recent talk started almost immediately: “it’s the first time someone has addressed mental illness in general conference.” Although serious mental and emotional challenges have been discussed regularly ( e.g., by Elder Richard Scott) and more specific recommendations made in writing by other general authorities (e.g. by Elder Alexander Morrison), this was the first time an apostle had made such explicit statements in General Conference about depression itself.
Perhaps the best thing about Elder Holland’s talk was the gentle, but direct encouragement towards other members to understand that serious mental and emotional problems are legitimate, debilitating conditions – with clinical depression described as “an affliction so severe that it significantly restricts a person’s ability to function fully, a crater in the mind so deep that no one can responsibly suggest it would surely go away if those victims would just square their shoulders and think more positively – though I am a vigorous advocate of square shoulders and positive thinking!” Elder Holland goes on, “No, this dark night of the mind and spirit is more than mere discouragement” – relating his own encounter with some of these intense feelings as well.
For anyone facing depression who has ever heard from a family member, “come on – just look at the sunshine outside. It’s a beautiful day. Just think on the bright side!” – these words must have been deeply relieving. And for the family members trying and desperately wanting to be helpful, Elder Holland’s words offer some exquisite guidance on a more gentle and compassionate and patient and hopeful response.
Indeed, there is so much abundant hope and good counsel in his talk (including about preventing illness wherever possible by monitoring our stress levels better), that it has intrigued me how much attention one part of his talk, in particular, has received. After encouraging members facing debilitating depression to “seek the advice of reputable people with certified training, professional skills and good values,” Elder Holland directs people to “prayerfully and responsibly consider the counsel they give and the solutions they prescribe.”
Fair enough! When offered counsel from a therapist or a medical professional, that’s what anyone should do, right? Think carefully and prayerfully about what to do in their own situation. But Elder Holland didn’t stop there: “If you had appendicitis, God would expect you to seek a priesthood blessing and get the best medical care available. So too with emotional disorders. Our Father in Heaven expects us to use all of the marvelous gifts He has provided in this glorious dispensation.”
“Wow, did you hear what Elder Holland just said?!!” The flood-gates opened….one LDS woman who had not felt right about starting an anti-depressant (but who had faced substantial pressure from her family in that regard), received a text message from a family member moments afterwards, stating simply: “SEE?!!” For a topic as nuanced and charged as the appropriate role of anti-depressants in sustainable healing, many were lightning quick to interpret his words as a full resolution – even a carte blanche endorsement of anti-depressants as something that perhaps even God was commanding us to use-when-prescribed?
For those who feel it’s the right thing personally to take an anti-depressant, such words may offer a helpful confirmation. But what about those who feel some level of personal resistance to anti-depressants – who just don’t feel right about it? Should they be pressured to acquiesce on the basis of Elder Holland’s statement? Should anti-depressants be incontrovertibly accepted by the faithful as one of the “marvelous gifts God has provided” for us in our day? And more to the point, should dissenting from a doctor’s opinion be considered demonstrating recklessness or less faith?
These are tough questions – and surely deserving of more open, thoughtful, mindful conversation among us (the very kind of gentle consideration Elder Holland demonstrated himself). After writing 600 pages about anti-depressants in my dissertation research, I’m well aware of a nuanced and ongoing professional and research debate regarding the appropriate role of anti-depressants in healing from depression. Researchers and professionals definitely do not agree on the answers – and there is a need for a great deal more evidence gathered on the subject.
There is also a wide personal diversity in experiences. While on one hand, many have experienced some relief and support from anti-depressants, there are many others who feel nothing or worse in taking them and growing concern with the outcomes of long-term use (which appears to make people more depressed after many years of taking them – when compared with those who never tried them).
Given the diversity of both professional and personal opinion, there is a crucial need for more space and openness to discuss these questions. Once again, it seems clear that Elder Holland’s talk was intended to enrich our Church conversation about mental health and grow more compassion and gentleness among us – more mindful attention and mindful listening.
One thing is clear: To use Elder Holland’s words as some kind of weapon to pressure someone into any course of action regarding medication is hypothetical to the apostle’s core message – and indeed, to the larger health of the Kingdom. In my previous post, I have also suggested that a pattern of unquestioning obedience to medical authority may actually underlie our surprisingly high levels of anti-depressants and other prescription drugs in Utah.
Bottom line: Let’s dialogue. And how about supporting each other in what feels right in each of our unique circumstances? As Joseph Smith himself underscored, pressure, control or compulsion “in any degree” is always unrighteous – EVEN when we’re convinced we know what someone else really needs.
Sitting in the Sacred Grove 
If the capacity for joy is impaired in an intense or enduring way,it is a life experience that needs to be acknowledged and managed.There are various options as to how it might be explained or given some kind of meaning.These various options may lead to propositions for resolution ,eg. medication, support ,therapeutic strategies [cbt.] and the embracing of faith or hope.Perhaps a combination of each of the above.It is sad to think that moral dilemma’s may arise about which choices or directions we may pursue. A sense of personal failure in the light of such challenges are possibly a complication prevalent in a culture which places a high value on achievement and is prone to the “tyranny of the shoulds” .Therefore I agree that more consideration ,thoughtfulness and charity may be the optimum environment for recovery.Particularly when embraced by the sufferer and engendered by those who are closest.
Well said, Paul! In an environment of “consideration, thoughtfulness and charity” – individuals will be supported in pursuing the pathway of healing that feels right to them. In my experience, so often the sense of dilemma of which you speak is being compounded by external directives (from friends, family members, professionals) that one SHOULD (if one was open, or enlightened or not hard-headed) embrace a particular type of treatment. Period. No other options. It’s “right path” vs. “wrong path” of treatment. My point here is that the current research and professional discussion does NOT justify such consensus certainty or pressure. In a larger context where researchers themselves are conflicted on the worth of different treatments, individuals and families ought to have space to consider for themselves what they need and want.
If one looks at the definition of prescribe, we find: “to advise and authorize the use of a medicine or treatment for someone, especially. in writing.” So that means a medicine or treatment. For someone to interpret that as ONLY medicine only indicates their own ignorance about a matter.
I think the hard part is, there are some folks who should be on drugs regardless of how they feel about it, who do serious harm to others because they aren’t on them. On the other hand, there are folks who shouldn’t necessarily be on drugs, who don’t do serious harm, even if there are some psychiatrists who would prescribe them. And there may be many medical doctors who prescribe drugs in a reckless manner.
My key take-home message was, follow the Word of Wisdom (As I interpret it to mean, “TAKE CARE OF YOURSELF.”) Respect your body and go to the proper healthcare professional to obtain healing (or start it), don’t treat it merely as a “If you have faith enough you’ll be healed” sort of thing. Don’t be embarrassed, get treatment.
I was just overjoyed that he actually admitted depression as anything other than the result of sin.
Nice points. Yes – of course, the word “prescription” can refer to many more things than meds. And for sure – taking care of ourselves in whatever way we feel guided.
Perhaps where we disagree (somewhat) is I believe people’s sense and intuition about their needs should be respected no matter what – including foster kids our agency works with, who often don’t feel good about treatment they are prescribed – but are forced because presumably others “know what they need.” There is a lot of forced treatment going on and even more subtle-pressure-towards-accepting-what-you-really-need, you know? From a mindfulness perspective, there is a deep wisdom in our own minds and hearts that we ought to honor and acknowledge – and not push away.