第二课 抑郁症
lesson 2 Depression

Depression 抑郁症
Case Study … 1 案例研究… 1
  • Every morning Bob wakes up tired and struggles to get out of bed. During the day, he can’t find the stamina to get tasks done at work. He has no desire to play with his children after he gets home and doesn’t have the energy for household tasks.

  • 每天早晨,鲍伯醒来时很累,挣扎着起床。白天,他工作时没有精力完成任务。回家后他不想和孩子玩耍,也没有体力做家务。

  • Sarah has a hard time staying focused. She recently flunked out of college and has lost all confidence in herself. She doesn’t want to try to go back to school or interview for a job, so she stays at home and play video games. She feels like she has fallen into a pit.

  • 撒拉很难集中精神。她最近从大学退学,对自己完全失去信心。她既不想回学校也不想面试找工作,因此她呆在家里玩电子游戏。她感到掉进了深渊。

Key Terms … 2 关键词… 2

Depression is a difficult mood disorder to define. It is the symptom of any number of potential problems. For example, individuals who experience stress may show brief symptoms of depression (sadness, frustration, or a lack of interest in pleasurable activities). Although these people are depressed, they don’t likely have depression. This is why a misdiagnosis of depression is common.


Depression is not the same as grief. Grief is a reaction to loss in one’s life. Grief or sadness is God’s way of slowing a person down in order to process the trauma of loss that has occurred. There is often a relief found in the grieving process which comes through crying and the support of others.


Clinical/Major Depression presents symptoms that are severe enough to interfere with a person’s daily life. These symptoms may last from weeks to months.


Dysthymic Depression is a long-term, mild form of depression.


Bipolar Disorder is a mood disorder thought to be caused by chemical imbalances in the brain that can result in severe mood changes—from manic highs to depressive lows.


Seasonal Affective Disorder (SAD) is a severe depression that is related to the change in the seasons. It begins and ends about the same time every year. Symptoms tend to begin in the fall and continue into the winter months, sapping a person’s energy and causing mood changes. Many believe it is caused by a lack of sunlight or a Vitamin D deficiency. (Spark Notes Editors, 2004)


Causes/Character … 3 原因/特征… 3

Depression can be caused by major changes in a person’s life. These can include everything from the death of a loved one, loss of a job, children moving out, or other changes life brings.


Other factors also enable depression: these would include family of origin history, hormone fluctuations, thyroid abnormalities, stress, diabetes, vitamin deficiency, obesity, chemical imbalances, prescription drugs, feelings of guilt or responsibility, divorce, death, or even exposure to certain types of molds.


Symptoms of depression may include the following:


  • Lack of concentration,

  • 注意力衰退,

  • decreased energy,

  • 力量减弱,

  • feelings of guilt or worthlessness,

  • 负罪感或感觉毫无价值,

  • feelings of helplessness and hopelessness,

  • 感觉无助和绝望,

  • difficulty sleeping,

  • 睡眠困难,

  • dramatic changes in weight,

  • 体重剧烈变化,

  • persistent aches and pains,

  • 持续疼痛,

  • continued sad, anxious or “empty” feelings,

  • 持续悲伤,焦虑或“空虚”感,

  • and, in serious cases, thoughts of suicide (suicidal ideation).

  • 严重的情况,产生自杀的念头(自杀意念”)。

(Cunningham et al, 2009)

Counseling Advice… 4 心理辅导建议… 4

One of the most serious symptoms of depression is suicidal ideation (thoughts/talk of suicide). As you counsel an individual, and you discover that the counselee has expressed thoughts of suicide it is imperative to involve family members and mental health professionals immediately.


It is also important for the counselee to consult his/her physician about any medications that individual may have been prescribed. Depression feeling and thoughts of suicide are sometimes symptoms of certain medications. It cannot be stressed enough: any talk of suicide is to be taken as a serious threat and handled in such a manner. Don’t overreact or underreact.


Steps to Follow … 5 遵循步骤… 5

1)Change in Physical Activity – Suggest that your counselee take a brisk, 30-minute walk the next time he/she feels depressed. Of course, this would need to be something a physician also approves or recommends. Walking with someone else is also helpful. It not only creates accountability, but provides another person to share thoughts and feelings with. Change in eating habits or diet may also be a help. Again, encourage the individual to consult a physician in this matter.


2)Get Some Perspective – It is important to lead an individual to see the “bigger picture.” Lead the counselee to understand that while present loss may be painful, our future hope in Christ is secure. Encourage the individual to think of what might be the source of depression. It could be a spiritual matter. To explore that idea, ask similar questions such as these:

正确判断— 引导人看到“更大的画面”是很重要的。引导辅导对象明白虽然目前的损失是痛苦的,但我们在基督里的未来盼望是明确的。鼓励辅导对象去思考抑郁症的根源是什么。这可能是灵性方面的事情。要探讨这个思路,需要问类似的问题如下:

  • Do you have any sins that you have not addressed or confessed to God?

  • 你有没有任何罪还没有向神坦白承认?

  • Do you need to extend forgiveness to someone who has hurt you in the past?

  • 你需要向过去曾伤害你的人表示饶恕吗?

These types of questions will aid the counselor in directed the depressed individual to the cross of Jesus Christ for healing and hope. When people feel frustrated or hopeless, it is important to provide a source of comfort and hope to combat those feelings and to use as a proper motivation for change.


3)Be Mindful – Encourage the counselee to keep a journal that helps him/her to express feelings the moment they are experiencing them. Ask the counselee to prepare a Top 10 List of things the person likes about him/herself or things they are good at or enjoy.


(Schuetze & Matzke, 1988)

Light on the Path … 6 路上的光… 6

Read and React. Read the passage and answer the following questions:


Let’s look at 1 Kings 19:4 – He [Elijah] himself went a day’s journey into the wilderness. He came to a broom bush, sat down under it and prayed that he might die. “I have had enough, Lord,” he said. “Take my life; I am no better than my ancestors.”

参看列王记上19:4 –自 己[Elijah] 在 旷 野 走 了 一 日 的 路 程 , 来 到 一 棵 罗 腾 ( 小 树 名 , 松 类 ; 下 同 ) 树 下 , 就 坐 在 那 里 求 死 , 说 : 耶 和 华 啊 , 罢 了 ! 求 你 取 我 的 性 命 , 因 为 我 不 胜 於 我 的 列 祖 。

1)What are Elijah’s symptoms of depression?


2)What changes or circumstances did Elijah just experience?


Let’s consider 1 Kings 19:5-6 – Then he lay down under the bush and fell asleep. All at once an angel touched him and said, “Get up and eat.” 6 He looked around, and there by his head was some bread baked over hot coals, and a jar of water. He ate and drank and then lay down again.

思考列王记上19:5-6— 他 就 躺 在 罗 腾 树 下 , 睡 着 了 。 有 一 个 天 使 拍 他 , 说 : 起 来 吃 罢 ! 6他 观 看 , 见 头 旁 有 一 瓶 水 与 炭 火 烧 的 饼 , 他 就 吃 了 喝 了 , 仍 然 躺 下 。

1)In what ways did God provide for Elijah in his moment of depression?


2)What are some practical ways we can provide for others who suffer from depression?


We now take a moment to read Isaiah 41:10 – So do not fear, for I am with you; do not be dismayed, for I am your God. I will strengthen you and help you; I will uphold you with my righteous right hand.

现在我们花点时间读以赛亚书41:10–你 不 要 害 怕 , 因 为 我 与 你 同 在 ; 不 要 惊 惶 , 因 为 我 是 你 的   神 。 我 必 坚 固 你 , 我 必 帮 助 你 ; 我 必 用 我 公 义 的 右 手 扶 持 你 。

1)It has been said that a depressed heart is a fearful heart. What does God specifically promise to help combat fear and depression?


2)The Bible recognizes the burden of depression. How can that message serve as a source of comfort to one who is suffering?


Some Mindful Questions … 7 思考题… 7
  1. How long have you been feeling depressed?


  2. Have you been depressed before?


  3. Is there a family history of depression?


  4. Have you lost interests in hobbies or other activities?


  5. Have you recently thought about harming yourself?


  6. Do you have trouble sleeping?


  7. Have your eating habits changed?


Now, it’s Your Turn … 8 现在,实战练习… 8

Choose one of the case studies provided. Apply the concepts we’ve learned in this lesson to the vignette:


  • Every morning Bob wakes up tired and struggles to get out of bed. During the day, he can’t find the stamina to get tasks done at work. He has no desire to play with his children after he gets home and doesn’t have the energy for household tasks.

  • 每天早晨,鲍伯醒来时很累,挣扎着起床。白天,他无法工作时没有精力完成任务。回家后他不想和孩子玩耍,也没有体力做家务。

  • Sarah has a hard time staying focused. She recently flunked out of college and has lost all confidence in herself. She doesn’t want to try to go back to school or interview for a job, so she stays at home and play video games. She feels like she has fallen into a pit.

  • 撒拉很难精神集中。她最近从大学退学,对自己完全失去信心。她既不想回学校也不想找个工作,因此她待在家里玩电子游戏。她感到掉进深渊。

1) Distinguish the kind of depression that is being presented. Defend your decision.


2) What other questions might you need to ask to help you with your decision?


3) How could you encourage this person with God’s Word?


4)Why would it be a bad idea to tell this individual to “just snap out of it”?



Collin, Gary R. (2007) Christian Counseling 3rd Ed.: A Comprehensive Guide. Nashville, TN: Thomas Nelson.

Cunningham, Patricia D.; Connor Pamela D.; Stegbauer; Cheryl Cummings; Mynatt, Sarah L. Measures of

Affective Temperament, Mental Health Risk Factors, and Functional Health in a Retrospective,“”

Descriptive Study of 35 Patients. The Primary Care Companion to the Journal of Clinical Psychiatry 11(2):68-73 · February, 2009

Meier, Minirth, Wichern, Ratcliff. (1992) Introduction to Psychology and Counseling: Christian Perspectives and Applications. Grand Rapids, MI: Baker Book House.

Schuetze, A., Matzke, F. (1988) The Counseling Shepherd. Milwaukee, WI: Northwestern Publishing House.

Spark Notes Editors. (2004) Spark Charts: Abnormal Psychology. Barnes and Noble Publications.

Christian-Counseling-Part 1
基督徒心理辅导 大纲
Christian Counseling Catalog
第一课 上瘾
lesson 1 Addictions
第二课 抑郁症
lesson 2 Depression
第三课 焦虑
lesson 3 Anxiety
第四课 妒忌和羡慕
lesson 4 Jealousy and Envy
第五课 生气的解决方案
lesson 5 Anger Resolution
第六课 愧疚和羞耻
lesson 6 Guilt and Shame
第七课 悲痛和损失
lesson 7 Grief and Loss
第八课 自尊
lesson 8 Self Esteem
第二课 抑郁症
lesson 2 Depression