What Your Patients are Hearing

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Mental health and religious faith

A recent article in the Philadelphia Inquirer related the downsides and upsides of religious belief in the struggle against depression. The article discussed Yashi Brown, who at age 20, dealt with a bout of depression that led to manic episodes and contemplation of suicide. To her dismay, Ms. Brown found that her Jehovah’s Witness faith community was of little help.

Twenty years later, Ms. Brown, who now works as a mental health advocate in Los Angeles, better understands why relying on the faith’s teachings did not work. “I was in the throes of a manic episode,” she said. “I didn’t even have the tools to say a prayer.”

Ms. Brown’s experience highlights the burden faced by some religious traditions in helping church members with mental health issues. Instead of receiving tangible care from mental health professionals, those who are suffering can be told to rely on faith alone. The fallout is especially profound for African Americans like Ms. Brown, research shows. African Americans are 20% more likely to experience serious psychological distress than their white counterparts but are less likely to seek help – even if they can financially afford it.

The racial/ethnic disparities in health care that affect African Americans partly explains this reticence to seek treatment. Another factor is the multigenerational acceptance among some African Americans of mental trauma as a normal part of life, according to Meagan McLeod, a pastor and spiritual care director for Friends Hospital, a psychiatric hospital in northeast Philadelphia. “The idea is, if prayer worked for our ancestors when we were in slavery, then prayer has to be able to work now,” said Ms. McLeod.

Meanwhile, the article said, mental health professionals and clergy think that faith and mental health treatment “can – and should – work together. Research suggests higher levels of religiosity or spirituality are associated with lower rates of depression, anxiety, substance use disorder, and suicidal thoughts. Prayer can have the same calming effects as meditation,” such as both lowering blood pressure and respiratory rates. Incorporating religious approaches into the mental health treatment of African American patients might be particularly helpful, the article said.

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