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Anxiety and the triumph of hope: 3 biblical counsellors explain anxiety

As God’s people wandered in the wilderness, they were sustained by bread from heaven – Manna. Not only was it nutritional, it also came with a best-before date (just one day!). God warned them not to bother saving more than they needed for the day. But some paid no attention and took matters into their own hands, saving extra. The next morning they found that their manna reeked and was filled with maggots. When I reached out to three biblical counselors for insight into anxiety, two of them referenced “the manna principle,” reminding me of the importance of relying on the LORD one day at a time. It wasn’t a principle I was aware of, but it also didn’t take long to see the connection. Our hope with this article, and this entire issue, is to help each other rely on the LORD’s daily care for us, resisting the temptation to take matters into our own hands. When we trust Him, we will experience His provision as well as peace. We can move into the future with the confidence of lasting hope. When we don’t, it won’t take long and our blessings will be spoiled by our worries and anxieties. We will begin by seeking insight from three counsellors from the Reformed community in Canada who have experience with providing counsel about anxiety. What follows is an edited account of their answers. **** We hear a lot about anxiety. How would you explain it to a broader church community, some of whom may not understand why it is getting so much attention? Heres Snijder, from BC’s Fraser Valley, has been teaching for 34 years in elementary and high schools in Alberta, Manitoba, and BC. He obtained his MA in Counselling in 2007 and is a Registered Clinical Counsellor with the BC Association of Clinical Counsellors. He counsels on work-related stress and burnout among professionals, parenting and family issues, alienation, isolation, bullying and rivalry, anxiety and depression, among other things. Heres Snijder: Anxiety is any degree of nervousness, worry, or concern that we all experience. There are innumerable reasons and causes for us to fret. Some of the most prevalent ones are fear of death and disease, fear of job loss, fear of self, fear of failure, the fear of not measuring up and not at all mattering, fear of the future, fear of loss (particularly loss of health), and fear of death. The common denominator that underpins these and other fears is the fear of man. Fear, anxiety, worry, disquiet: these are universal themes in the soul of man. Rhonda Wiersma-Vandeburgt: Anxiety has both physical, cognitive, and spiritual aspects to it. Anxiety is physical in the sense that it is both felt physically (racing heart, sweaty palms, hot or tight chest, digestive issues, intrusive thoughts, etc.) and interacts on a physical level (ex. adrenal glands that produce and regulate cortisol and adrenaline and the emotional part of the brain; and the amygdala that controls and regulates emotional responses). On a cognitive level, anxiety interacts with our worldviews, past and current experiences, beliefs about God self and others, desires and fears, that help form our thought responses (for example: "I'm always a failure") and varying emotions that go with those thoughts (for example: "I'm a failure" often leads to the feelings of worthlessness). And on a spiritual level, God speaks into all of this and His Word can and ought to inform our reality. He has the answers and the certainties that anxiety is looking for. As a counselor I seek to address all three areas. Why is anxiety getting so much attention lately? HS: Anxiety is getting so much attention as a result of man’s preoccupation with himself. When there is no relationship with God who is Sovereign, All-Good, and our Provider, then man, by default must step up to the plate of providing for himself. The is both cause and effect of many anxieties. John Siebenga: The “pandemic” event drove home the insecurities of many people regarding sickness, health, the fragility of life. Why? So much depends upon the fact that society has written God out of their lives and taken it upon themselves to create order. We have once again eaten the fruit of the tree of knowledge of good and evil, and when God uses the “pandemic” to come knocking and asking, “where are you?”, we hide. We look to the government to give us security, but it is not found there. We look to “science” but “science” just lets us down. We look to the media and discover that they are in cahoots with the government and “science” so they cannot be trusted. So what do we do, without a higher being to turn to? We cringe in fear and anxiety. We hide our fears and anxieties in escape behind the bushes of delusion and lies. Maybe all this will just pass away. And if not then we will just act as if it did. We smile and say we are fine, just fine when someone asks. We discover that within ourselves there is no antidote to the angst we are feeling. We play our music louder, pour a double of scotch, and for fifteen minutes we feel better. But then it starts all over again. This calls for a return to a pre-enlightenment worldview. A worldview that saw all of creation founded in the Creator God, Who asks, “Where are you?” and then comforts His broken, created image bearers with the gospel. A gospel that lets our anxious hearts relax and allow Him to take care of this hurting world; that allows Him to address the anxieties of our heart, instead of government, science, or media. Is this an issue that deserves more attention in the Reformed community? Would you say that the experience in the church is any different than in the broader public? HS: I would not say that the experience of anxiety in the church is any different than outside of it. Not different, and no, not less frequent, nor less intense either. Individuals who are “churched” are not shielded in any special way against anxiety provoking or inducing situations, relationships or unhelpful/toxic thought patterns. Any human condition, occurrence, loss, or accident will lead us into the realm of anxiety. In the church, it means that the struggle to surrender control over the anxiety-inducing situation will have a different spiritual and relational outcome. Some respond to anxiety by habitually giving it to God. By surrendering their anxious thoughts (Ps. 139) they foster a peaceful mindset. Others turn away from God and let anger and bitterness sour the relationship with Him, with themselves, and their neighbors. I frequently experience both outcomes in my private counselling practice. Jesus was open and transparent to his audience that “in this world we will have many troubles.” His encouragement “…take heart – I have overcome the world” (John 16:33) is not heeded by all. Like the rich young ruler whose first love was material wealth, there are anxious Christians who do not surrender their anxieties. “I believe in God, but still I worry all the time… the two can’t go together, right?” There are many Christ followers who agonize about their salvation, and do not experience assurance whatsoever. They tremble anxiously before a sovereign God. The initiator of the Great Protestant Reformation, Martin Luther, was overcome by tormenting anxieties. No indulgence or self-punishing act or six-hour long confessions could uproot his fear for an eternal future in hell. It resulted in full blown obsessive, compulsive, disordered behaviors. Rhonda Wiersma-Vandeburgt graduated from Westminster Theological Seminary with an MA in Counselling in 2014 and completed a year-long internship with the Christian Counseling & Educational Foundation (www.CCEF.org) in 2015. She works as a contract counsellor (virtually) through Insight Biblical Counselling in Ontario and has her own practice in Southern Manitoba. RV: In some ways anxiety does look different in the church community versus the broader public due to the fact that many people feel that they ought not to be anxious so there is an added layer of guilt and angst added to the struggle. Have you seen any change in recent years when it comes to the prevalence of anxiety? If so, is it because we are just more aware of it now? HS: Yes. I have taught for 34 years at the elementary, high school and university levels. Eight years ago, I transitioned into the counseling field. Both fields show evidence that the anxious frame of mind is increasingly more prevalent. I think it is the spirit of the times: it is no exaggeration to say that there is an epidemic of anxiety. RV: There seems to be a combination of both awareness and a number of different factors, such as: There are changes in our food’s nutrition density and our struggles with a healthy diet (sugar anyone? Can’t go without your daily dose of caffeine?); Influx of technology and 24/7 news leading to ques- tions about where our responsibilities start and end; Breakdown of community and aspects of not “one- anothering” each other; We live in a society (either as a whole or in the church community) that does not easily accept weaknesses and human limitations; We live a comfortable and affluent lifestyle; Trauma; Our theology of suffering is not as robust as it could be; We live in a culture that encourages emotions to rule and dictate our thoughts and actions, instead of align- ing our beliefs, thoughts, and actions according to God’s will (we don’t feel “authentic” if we are not true to how we feel in the moment as an example); We struggle with our identity and we don’t understand our union with Christ as much as we could How does God go about relaxing our anxious hearts? JS: One thing that Christians have a hard time with, and maybe it is even a harder issue for Reformed Christians to grasp, is that God is the “overflowing fountain of all good.” We have fled from Him and hid in the Garden, but He still comes looking for us. Guido de Bres, in Belgic Confession Article 17, penned so eloquently and so beautifully how God “set out to seek man when he trembling fled from Him.” Anxiety at its worst is to be known by God with all the foibles and idiosyncrasies of our fallen humanity. That is man’s greatest fear. Like Rich Mullins sings in another place, “we are weak and not as strong as we think we are.” In our weakness, we can look to Him, but that means we have to admit that we just cannot do it on our own. We need to surrender. Surrender. Such a hard word to accept, embrace and see it as a sign of grace. My sister was wont to call this dethroning God and putting ourself back on the throne. She was right. But God’s rich salvation is all over the Word that God has given us, His love, His mercy, His grace for His people, all the way from Genesis 1 to Revelation 22. So, with John on the isle of Patmos, we can fall down and worship the Lion of the tribe of Judah, the Lamb of God, who takes away the sin of the world. For too long, much of our preaching has centered on the wrath, justice and the formidable requirements that God requires of us. So often we hear that we are bad, bad, bad and then a quiet addendum at the end of the sermon that says that it is by grace we are saved and so be thankful. The joy of salvation ought to ring from the beginning of the service to the end, and allow God’s people to surrender into the Lord’s loving arms. “Though your sins be as scarlet, they shall be as white as snow” is the same truth today as it was when Isaiah wrote these words so many thousands of years ago. How do we get that truth to dwell in our anxious hearts? Augustine said it so well in his Confessions: “the heart is restless until it rests in thee O Lord.” Sink back and relax in God’s arms – revel in the joyous dance of the Father, Son and Holy Spirit. And even as inviting and tempting as that sounds, in our weak, feeble minds, we say, “It ain’t easy.” And you would be right. It is actually impossible, “unless we are regenerated by the Spirit of God.” We need to look to Jesus who bore all our anxious thoughts in the Garden of Gethsemane and on to the Cross. Allow Him to strap you to His yoke because it is easy and His burden is light. Learn from Him, for He is gentle and lowly in heart, and you will find rest for your souls. That is the promise of the gospel. And if God says so, it must be true. For a Christian, this does not alleviate anxiety; it gives us a place to turn in our anxious moments. If someone reading this is really struggling with anxiety, what hope do they have of overcoming it? John Siebenga, from northern BC, is a licensed Christian counsellor with a wide variety of life experiences. This includes working as a journeyman carpenter, a school teacher and principal, and serving with his wife in a Reformed church plant in Prince George. HS: Lots of hope! First off, anxiety is not a mental illness. In fact, when handled properly, anxiety can lead you towards a thriving and flourishing life. Anxiety does not have to be a pathological condition. Rather, it is like an emotion or a state of mind that signals that a proper response is required – comparable to the blinking light on a vehicle’s dashboard; “check tire pressure”. A proper response is exactly that: check the tire pressure: no need for an oil change just yet – and need to replace the whole engine! A certain level of anxiety is often necessary and beneficial. If I am faced with, say, having to cross a busy street, or present a speech to a large audience, or write an important exam, or arrange for a difficult conversation, then to not experience any anxiety would actually be more troublesome. On the other hand, if I have developed such a fear of anxiety that I cannot tolerate it, I may be led to believe that I cannot handle life without an external crutch, like a prescription drug. Even though leading pharmaceutical companies have a vested monetary interest in having me believe that, how about pressing the pause button here to look for some other responses first, prior to resorting to medication right away? RV: The Lord is near, that is your hope. Our anxieties and fears arouse the deep compassion of God for us. A child cries out for mom or dad when they are scared. When you go to a new situation or event, it's easier to do so with someone you know. There is good reason that following "do not fear," God says "I am with you." We need a person in our struggle with anxiety and fear, and God is the Person to do it with. Often, we look at the promises of God and we struggle to see how they map onto our life experiences. This is where lament comes in: "God, you say this, but do you see what is happening in my life?" The Psalms are beautiful places to land here, and in this way too we see God's provision for us by giving us words to come to Him. The Psalms so often wonderfully capture our inner struggles and anguish. I encourage my counselees to lament in the face of struggle, but also then to cling to God's character. Who is our God? For example, 2 Kings 6 is a passage I will use in counseling: God is Warrior, He has fiery chariots and angels fighting for us. "Wow. I know you feel alone, but God assures He is with us always." I also encourage counselees to "push into their fear." Fear and anxiety have a way of narrowing our worlds down because we don't want to do scary and hard things. When we push into our fears, we take God's hand and we "test and prove" that His promises, and who He is, are true. If we do not push outside of our comfort zone, we cannot experience God's grace and mercy for us in times of temptation and sorrow. I would say that overcoming anxiety ought not be a primary goal; use anxiety as an invitation or opportunity to draw nearer to God, that is the goal of life. Are there practical things that you have found to be helpful as well (relating to physical health, media usage, diet, etc.)? HS: Yes! Physical exercise: Adrenaline is the stimulating hormone: it plays an important role in your body's fight-or-flight response. Physical exercise is one very helpful way to restore the balance with a grounding or resting hormone, cortisol. Exercising outdoors offers additional benefits: no indoor air for a change, the changing scenery as you walk or jog… Media usage: No screen time for one to two hours prior to putting your head on the pillow. The mind needs time to prepare to enter into sleep. Good night’s sleep: Embrace the fact that sleep is a gift of God. Today’s society has devalued sleep to the level of an unwelcome interruption in the working routine. To receive sleep as a kind gift of God, what a difference it will make when we prepare the mind to receive it humbly and gratefully as such! (Ps. 127:2; Ps. 4:8). Cut sugar out of your diet Connect meaningfully, face to face, regularly with friends, family, neighbors. Play board games. Make music: Sing! Join a choir! RV: Breathing deeply (umbrella breathing, choir breathing, diaphragm breathing, box breathing) is helpful because when we are afraid or anxious, our breathing typically because more rapid and shallow. When we breathe deeply, we increase oxygen into our bloodstream, which helps our brain function optimally, and shallow breathing typically is a physiological response that will increase anxiety. Sleep is wonderful. However with anxiety sleep oftentimes is restless, broken, or simply impossible. Napping and resting physically are all helpful and listening to music to help with relaxation has been helpful for some of my counselees. I recommend soothing music like Scripture Lullabies or piano music with nature sounds. Another useful app that I found personally helpful was the Dwell App, which is a Scripture listening app that has different music to listen to while someone is reading Scripture out loud. Screen time is often a contributor to anxiety. We all struggle to one degree or another with FOMO (fear of missing out), and an insatiable attitude for "one more" when it comes to shorts on YouTube, Instagram, or SnapChat. This leads to low grade anxiety. Place extensive limits on social media and news outlets. In counseling I talk about the "manna principle" (shared by a professor at CCEF): God provided the Israelites with just enough manna for one day. They were not allowed to gather up or store extra manna for the next day (except the night before the Sabbath). In this way, God will give you just enough for what you need today. Where can you see God's provision for you today? Praying with another person through Scripture (see Donald Whitney's resource Praying Scripture") is immensely helpful to not feel alone and also to know that there are words we can pray when we are feeling wordless (1 Peter 5:7). I encourage mediation on Scripture. For example, "fear not little flock, I have been pleased to give you the kingdom" (Luke 12) is a short phrase that we can sit and chew on for a while: "I am a sheep, God is my shepherd. I am little but God is big and powerful. God is pleased to give to me; He is generous! He is pleased to give me his kingdom. What does it mean to be part of his kingdom? If I am part of his kingdom, that means I am a royal child, a citizen, that gives me identity"...and so forth. What things should be avoided? RV: I speak to a help here: please do not assume that you understand what a person is going through even if you have struggled with anxiety. Ask good questions, seek to really know the peson, and point to Jesus. HS: A few things include: Exposure to “news” media: The incessant litany of catastrophe, discord, fights, protests, violence, and accidents – without a split-second opportunity to actually process these events – leads to a persistent state of mind of “overwhelm,” resulting in elevated levels of anxiety. Isolation Appreciate FOMO for what it is: Ask yourself: have I led myself into FOMO – a Fear Of Missing Out – and do I now need to know what is going on in the lives of all my FaceBook friends, etc.? As a result, have I developed a screen dependency in the process? As well: have you experienced the other side of the digital platform coin, JOMO? Have you ever participated in a fast from digital media, and discovered the Joy Of Missing Out (on unnecessary information, trivia, tales, gossip)? Is there anything else you want to share with our readers on this topic? HS: I believe that there is much to say in support of the notion that “the hand that rocks the cradle rules the world.” Parents are more crucial in this regard that teachers, pastors, elders. When anxiety related interventions need to be initiated by teachers or church leaders, it is typically “too little, too late.” Generally, children must have two questions answered. The first one is: “Mom, dad – do you love me?” The answer, in a multitude of different ways must be a resounding “Yes, child! You are loved, you are unique, you have gifts, you are safe and you are valuable!” The second question is: ‘Can I get, and do, what I want?” And the answer has to be a transparent “NO! We love you, and because we do, we will train you to become an individual, a character with a sturdy spine and a soft heart, because – life is difficult, and you are not in the driver’s seat of your life, and contrary to today’s society’s insistent mantra, you are not the center of the universe, you will die one day, and your life is not just about you.” This sobering and limiting boundary-setting template, surprisingly, reduces a multitude of anxieties and number of questions that begin with “what if…?” RV: One topic that is under-conversed is the reality of post- partum anxiety some women can experience. Women have de- scribed feeling “crazy” and scared because of intrusive thoughts that involve thinking and even visualizing acts of harm towards themselves or their children. Women have been paralyzed by obsessively checking on their children while sleeping. Women have described a paralyzing fear of leaving the home after a child and being unable to sometimes get out of a vehicle if they have managed to drive somewhere. You’re not alone and you’re not crazy if you can resonate with the above examples. Postpartum anxiety (and depression!) is real. It involves hormones so it is a biological struggle that is interacting with heart desires, past experiences, and worldview. Both counseling, being monitored by a general practitioner, and visiting a naturopath doctor are all recommendations that are available and that I would recommend. Illustration by Stephanie Vanderpol. ...

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A pastor on anxiety

Rev. Dirk Poppe is serving as the pastor of the Southern River Free Reformed Church, in Western Australia. Prior to this he served as pastor of churches in BC & Alberta. Dirk is married to Amanda, and the LORD has blessed them with six children. Shortly after I was married, my wife and I moved to Southern Alberta where we had the privilege of being shepherded by Rev. Poppe. His care for the hearts and well-being of the flock was very evident, and he was also one of the first to speak to me about the value of biblical counseling. Knowing the critical connection between spiritual health and anxiety, I wanted to go beyond professional counselors and also ask a pastor for insight into anxiety. Pastor Poppe was at the top of my list, and I’m grateful for his insights. What follow is an abridged edit of our interview. – MP Have you seen any changes when it comes to the prevalence of anxiety in the church community and how we are dealing with it? Probably the biggest change that has led to an increase in the incidence of anxiety among the youth in the past 25 years is the introduction of phones and social media. It seems that there are several dynamics here. Some children are bullied on line. Some children, especially girls, tend to compare themselves to others more which leads to certain insecurities and increased anxiety. But underneath of that I wonder if there is a more foundational issue. Some people who have spent time on the mission field have told me that the incidence of depression and anxiety is much lower on the mission field than in our culture. Some people in these cultures live much closer to family and friends and their lives are much more integrated together. I have to wonder that with our wealth and increasing adoption of technology we are more isolated from others now than before. While social media, email and other forms of electronic communication gives the semblance of relationship, it is a poor substitute from sitting around making memories with your friends or brothers and sisters in Christ. I also wonder if the algorithms in our social media lead us to a lot of distressing stories that lead to an increase in anxiety and depression. Have we changed in the way that we are dealing with it? Yes and no. As more of members and office bearers in our churches become aware of issues like trauma and its effects and various mental health issues, there is an increasing sensitivity to those who genuinely struggle with these matters. I am very thankful for that. I have witnessed numerous times where people in leadership positions have been able to provide good counsel in these situations. At the same time, I have also witnessed some who lack awareness about these issues take an approach that is quite damaging to those who struggle with anxiety. On the whole I think that I have seen more awareness and sensitivity to these issues now than earlier. At the same time, as our culture has moved away from the acknowledgement of God in the past years, this has undermined a recognition of sin. You will rarely read a newspaper that acknowledges that a person is evil or has committed sin. Instead, our culture has adopted a therapeutic mindset. And so the problem is often identified as the mental health issues the person is struggling with. This trend has also impacted our members. It seems that some of our members are quicker to seek counseling or medical help for depression and anxiety now than in the past. I wonder if that is always justified. Could it be for some of our people that in some situations the problem is sin and the solution is not medication, but repentance? What is the role of the church in response to those who struggle with anxiety? How does this intersect with professional help from counsellors? I think that the church can play a wonderful role to help some people who struggle with anxiety. One of the most healing things for someone who has experienced trauma, who has mental health issues or who is stressed out by life is to be surrounded by a community of people who love them. A counsellor can be enormously helpful as they take the time to assist a person to understand what is going on in their mind or to deal with past traumas or specific marriage problems. A doctor or psychiatrist can be very helpful in prescribing certain medications to get them through a tough time. But at the same time, in order to heal, it’s also very important for someone who is anxious to have some close friends and a community of people who love and support them. Those who heal from anxiety, distressing events and past traumas are often those who are surrounded by a number of people who love them deeply, care for them well and who offer them wise counsel. The Bible calls some forms of anxiety a sin that need to be repented of. I have heard it described as a mild form of atheism (not trusting God or going about things as if we are the one who has to figure it out on our own). How would you explain the difference between healthy care/concern, and the type of anxiety that Jesus warns us against? Good question. It’s beautiful to have a deep level of concern about those things that God has called us to care about. We can be deeply concerned about the future of our business, the wellbeing of our children or the direction of our church. And yet at times we can become anxious in our hearts about these things. One of the ways in which I have dealt with this over the years is to understand that I am responsible for my contribution to a situation, but I am not responsible for the outcomes. The times we get stressed out is when we put ourselves in the place of God and we try to determine outcomes. We are not God. We do not have the power to determine outcomes. The LORD does. So instead of becoming stressed when things don’t go the way that we think is best, it’s important to humble ourselves before the LORD, do what we can to help, and then in faith rely on Him to work things out. From a spiritual perspective, what would you say may be contributing to increased anxiety in the world and in the church? At core the single biggest factor that leads to increased anxiety is a rejection of God. The LORD is the source of life and love. Those who know God and who walk intimately with him learn what it looks like to be gracious and compassionate, slow to anger and abounding in steadfast love. As we know God, we learn what justice and righteousness looks like. We learn to love others from the heart as we have been loved. We learn to treat others rightly as we have been treated by God. If we know of God’s faithfulness, then we learn to trust Him and to be faithful to our promises. As Christ lives in our hearts, the fruit of the Spirit is manifest within us. Our lives are characterized by love, joy, peace, patience, kindness, goodness, faithfulness, gentleness and self-control. In 1 John 4:18 we are told, “There is no fear in love, but perfect love casts out fear.” As we experience the love of God and live out of that love, we are set free from all fear and anxiety. Those who reject God do not have the Spirit. They don’t know of God’s love and grace, his kindness and help, his justice and righteousness. As they live in sin and get caught under the grip of sin, they come into profound distress which often leads to anxiety. In Romans 1:18-32 and 2 Timothy 2:1-5, Paul spells out the sin that comes into the lives of those people who reject God. It’s a brutal life that leads to much distress and anxiety. If we become apathetic and drift away from the LORD, it should be no surprise that we experience more deceit, slander, injustice, oppression, violence and evil. These things not only steal your joy. They also lead to much anxiety. So, I would say that one of the most important things is to know the LORD well, understand how rich you are in Christ and to walk closely with him. Are there any specific things that you would encourage God's children to do to help them and their children not be trapped in anxiety? Love each other deeply. If you love your husband or wife deeply, if your marriage is characterized by kindness, gentleness, compassion and honesty, that creates a context of peace, safety and stability for you and your family. If mom loves and nurtures the little ones, if dinnertime with your teenagers drags out because you are having a great time sharing and laughing together, then most of the time anxiety kind of fades into the background. If you open your heart and home to each other and have an abundance of love your brothers and sisters in the communion of the saints, then people thrive and anxiety disappears. The most important thing to grow in love and empathy is to know the LORD. It’s as you know how much God loves you and as you understand how rich you are in Christ, that you have a deep-down peace in your heart and anxiety melts away. Get out into creation and get to know your LORD as He has revealed himself in this world. Find the trails in your area and hike all of them. Go camping. Take along a canoe and spend some time on the water. Study some part of God’s creation and become an expert in it. There are few things more delightful and invigorating than regularly spending time in God’s beautiful creation and marveling at the glory and wisdom of the God who created it. Also, take steps to limit the influence of those things that tend to isolate you from others. Ask Christ to help you have self-control over your use of media and technology. Get everyone in the family to monitor their screen time and write it on a chart on the fridge. And then pray over it. I would encourage parents to limit the time they and their children spend on social media, watching TV or playing video games. These things often suck the life out of us and steal our joy. Find a sport you love. Take up running. Make it a habit to go for a walk with a friend. Make sure that you get a good night of rest. Ask Christ to help you use the time and the gifts that you have to help and bless others. God often rescues us from anxiety as we focus our attention on Christ and all he has done for us and then seek to live a life of gratitude and service before him. Illustration by Stephanie Vanderpol....

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Articles, Book Reviews

Recommended books on fear and anxiety

While our website has a growing number of articles on anxiety, space allows an article to say only so much. To help readers dig deeper, we've got a lot of recommended books here, and also links to excerpts from 17 of them. Recommendations First up, three biblical counselors offered up the book recommendations that follow. Two of these are devotionals, quite a few of them are by Ed Welch, and a couple were recommended by more than one counselor. Heres Snijder Prescription Without Pills – Susan Heitler When People are Big and God is Small – Edward T. Welch A Small Book for the Anxious Heart (devotional) – Edward T. Welch - see the excerpt from Westminster down below Caring For the Souls of Children (Chapter 7 specifically) – Amy Baker Generation Z Unfiltered – Tim Elmore & Andrew McPeak Rhonda Wiersma-Vandeburgt For children: Buster Tries to Bail – David & Nan Powlison Zoe's Hiding Place – David Powlison For adults: Laughing at the Days to Come – Tessa Thompson Anxiety: Knowing God's Peace (devotional) – Paul Tautges Created to Care: God's Truth for Anxious Moms – Sara Wallace Reset – David Murray Refresh – Shona and David Murray Mini booklets Helping Your Anxious Child – Julie Lowe Teens and Anxiety – Eliza Huie Living in a Dangerous World – William P. Smith John Siebenga Resilient: Restoring Your Weary Soul in These Turbulent Times – John Eldredge Heres Snijder and Rhonda Wiersma-Vandeburgt Running Scared – Edward T. Welch When I Am Afraid: A Step-By-Step Guide Away from Fear and Anxiety – Edward T. Welch Excerpts David Murray's Why Am I Feeling Like This?: A Teen’s Guide to Freedom from Anxiety & Depression David Murray wrote a pair of books, one for parents called, Why is my Teenager Feeling like This? A Guide for Helping Teens Through Anxiety & Depression, and a second, for their children to read called Why Am I Feeling Like This?: A Teen’s Guide to Freedom from Anxiety & Depression. I think these will prove to be incredibly helpful for families facing this struggle. Read a chapter from the teen book, titled "Beautiful Brianna." Westminster Bookstore's free "sampler" of 15 theologians tackling anxiety and fear The folks at the Westminster Bookstore have done something special, collecting key chapters from 15 Christian authors addressing the topic of anxiety and fear, and they then distributed those collected chapters for free. The thought is, you can sample them, find out which might be the most helpful, and then order that book (preferably from Westminster Bookstore, at least if you live in the US). In order, the chapters taken come from: A small book for the anxious heart – Edward T. Welch (4 daily readings from it) Anxiety – Knowing God’s Peace – Paul Tautges (4 readings) Created to Care: God’s Truth for Anxious Moms – Sara Wallace (Chap 8) Dark Clouds, Deep Mercy – Mark Vroegop (Intro/Chap 1) Everyday prayer – John Calvin (Ps 130, 143) God’s Grace in your Suffering – David Powlison (Intro) In the Presence of my Enemies – Dale Ralph Davis (Ps 29 – Chap 6) Living Life Backwards – David Gibon (Chap 1) O Death, Where is Thy Sting – John Murray (Chap 13) Piercing prayers – Puritans Pray Big – Alistair Begg (Chap 2) The Promises of God – Charles Spurgeon (5 daily readings) Suffering – Paul David Tripp (Chapter 11) The Whole Armor of God – Iain M. Duguid (Chap 1) Untangling Emotions – J. Alasdair Groves + Winston T. Smith (Chap 13) Walking with God through Pain and Suffering – Timothy Keller (Intro) Click here to download the PDF (4 mb) or read it in your browser by clicking here....

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Book excerpts, Book Reviews

Beautiful Brianna

An excerpt from David Murray’s Why Am I Feeling Like This?: A Teen's Guide to Freedom from Anxiety and Depression  **** Dr. David Murray is a professor at the Puritan Reformed Theological Seminary, and also a counselor. He has authored a set of books for parents to use along with their struggling son or daughter. The first, Why Am I Feeling Like This?: A Teen's Guide to Freedom from Anxiety & Depression is for teens to read on their own. It has 18 chapters, each one detailing a particular struggle with anxiety. All but one of these accounts is fictional – the author’s despairing doubt is the exception – but all are relatable. “Circular Sarah” in chapter 1 is overwhelmed by her schoolwork and extra-curriculars, and starts having sleep problems, which leaves her even more exhausted, and even more overwhelmed. Chapter 4’s “Imaginative Imogen” has a vivid imagination that might be a blessing in many circumstances, but has Imogen putting herself in the shoes of every victim she reads about in her social media feed. Whether it’s a school shooting, or some other tragedy, she feels it, and it’s leaving her fearful and depressed. In chapter 9 we meet “Negative Nicole” who can’t help but see the bad side of everything. Even when she’s having fun with her friends, she feels guilty about not working harder on her school work. These are personalities we’ve all met, and to some extent been, and Dr. Murray doesn’t simply capture what’s going wrong, but gives solid steps for how teens can redirect their thinking, learn to know God better, and otherwise start really addressing and contending with their anxiety. The parallel text for parents, Why is my Teenager Feeling like This? A Guide for Helping Teens Through Anxiety & Depression, covers the same personalities chapter by chapter, but offers more depth, and is written to equip parents to talk to and help their anxious teens. There’s some repeat from one book to the next, but not that much, so parents may even want to read both. It is an amazing set, with counseling that takes the best secular insights and filters them through the lens of Scripture to keep what is true and dispose of the bunk – this is thoroughly grounded in Scripture. It is also immediately applicable, and I can imagine parents being so very encouraged. Battling anxiety might be a battle indeed, but in crafting this set, Dr. David Murray has given parents and teens an amazing tool they can both use together as a team. To give you a taste of what’s inside, the publisher has given us permission to share Chapter 11, about “Beautiful Brianna” from the teen book. – Jon Dykstra BEAUTIFUL BRIANNA I spend a lot of time on my appearance. It’s the first thing I think about when I wake up. I have a part-time job, but I’m struggling to save up for a car because I spend all my money on new clothes and makeup. I’m always fighting with my mom because she says my jeans are too tight, my tops are too low, my shorts are too short, and so on. It’s so stressful. My friends say I’m gorgeous, and I get a lot of attention from the boys, but I’m not happy with myself. I can put on a smile when I’m with people and act confidently, but deep down I don’t think I’ll ever be pretty enough. —Brianna The Key of Identity What’s the first word that comes to mind when you think about yourself? What do you answer when you ask yourself, “Who am I?” This can be difficult to answer in our teen years because these are often times of great change and confusion as we transition from childhood to adulthood. Like Brianna, we can end up adopting a false and harmful identity. Here are some common examples: I am my body. Do you define yourself by your body, like Brianna did? Nine out of ten girls are unhappy with their body. “I’m fat... skinny... tall... small... ugly... beautiful...” I am my grades. Do you get your sense of worth from your performance at school? If you get good grades, you feel good about yourself and look down on others. If you get bad grades, you are a failure, and are jealous of others. I am my friends. Do you build your identity around having friends – online or real life? The more friends you have, the better you feel. Or is your life worthless unless you have a boyfriend or girlfriend? I am my sin. Is there a sin in your life that dominates your thinking? You cannot think about yourself without thinking of that sin, that habit, that incident. I am my sport. If you win, or your team wins, you feel great. If not, life’s not worth living. Your mood depends on medals and trophies. I am my anxiety/depression. Have you let your anxiety or depression define you? When you look at yourself, all you see is depression or anxiety. I am my past. Maybe you’ve been the victim of abuse. I’m so sorry. It was not your fault. It should not have happened to you. It was wrong. But are you allowing that abuse to ruin the rest of your life by letting it dominate your thoughts and define who you are? I am my sexual desires. God created us so that sexual desire, intimacy, and enjoyment would be part of human experience. Sin, however, has distorted this good gift, with the result that what God designed to be a part of us can become the whole of us. We’re especially vulnerable to this in our teen years when we experience the awakening of sexual desire. This can become so powerful that we allow it to define us at times. However, it’s a big mistake to let extreme, confusing, and temporary emotions define us for the rest of our lives. What’s so bad about all these identities? Some are simply false; they just aren’t true. Others are based on factors that are constantly changing. Some of them give power to other people to define us. Others are given first place when they don’t deserve even tenth place. And all of this creates a lot of mental and emotional distress. So we’re going to replace these false and shaky identities with a true and strong identity, one given to us by the God who made us and knows us best. We do this in four steps. STEP ONE: I AM AN IMAGE BEARER OF GOD God made you to bear his image (Gen. 1:27), to show who he is to the rest of the world. That’s your fundamental identity and purpose. Therefore, before you even answer “Who am I?,” you need to find out who God is. Often we go wrong on the “Who am I?” question because we’ve got the wrong answer to the “Who is God?” question. STEP TWO: I AM A SINNER Although God originally made us to carry and show his image to the world, we are now sinners and our sin has distorted that image. That’s why we need the Bible. It shows us who God is and who we are. STEP THREE: I AM A CHRISTIAN To fully recover your God-given identity and replace all false identities, you need to become a Christian through faith in Christ. Faith in Christ gives you a new identity in Christ. Think of all that becomes true of you when you can truly say, “I am a Christian.” I am loved by God. God has loved me from eternity past and will love me forever (Jeremiah 31:3). Therefore, whoever else loves me or doesn’t love me matters much less. I am a child of God. It doesn’t matter who my natural family is if I am a child of God. As part of God’s family, I need never be lonely because I have brothers and sisters all over the world (Romans 8:14–17). I am accepted by God. Others may be cast out and reject me, but God accepts me 100 percent (Romans 15:7). I am forgiven by God. Yes, I am a sinner, and I have committed terrible sins, but Christ’s blood washes and cleanses me from all sin and makes me clean in his sight. I am white as snow (Isaiah 1:18). I am the body of Christ. If my body is a member of Christ’s body, what more can I ask for? It may not be the most attractive or desirable body to others, but Christ has shed his blood to make my body part of his body (1 Corinthians 6:15). I am a joy to God. God doesn’t just tolerate me; he enjoys me and sings songs over me and about me (Zephaniah 3:17). None of these things ever change if you are a Christian. They don’t depend on your feelings or on other people. You are not defined by your body, your grades, your friends, your enemies, your sin, your sports, your successes, your failures, or your sexuality. You are defined by God, and with this God-given identity in hand you can defy every other attempt to define or identify you. Let God’s voice silence all the other voices. If you are not a Christian yet, I hope you will read about this incredible identity and say, “I want that for myself.” STEP FOUR: I AM UNIQUE Steps one through three are equally true of all God’s children. However, that doesn’t mean that God just turns out Christian clones, look-alikes in every respect. No, God has made each of us different with unique personalities, characters, gifts, graces, and callings. We make a big mistake if we make our uniqueness the most important thing about us. However, we also err if we ignore or downplay our God-given uniqueness. That’s why we come to God and ask him—not our parents, our culture, or our friends— “Who do you want me to be?” If we answer this right, so much else will be right. Update from Brianna I was definitely defining myself by my looks. My identity was tied up with my body. Through counseling, I came to see that this was causing me to be depressed. I could never be beautiful enough. There were always going to be lots of girls prettier than me. Once my counselor introduced me to the four steps, I had a plan to recover my stolen identity and replace my false identity. I thought this would work quicker than it did, but it’s taking time because I had embraced a false identity for so long. I do have more good days than bad days though, especially when I consciously work through the four steps. The key thing has been to get my identity from God, not from my body, not from my looks, and not from other people. I don’t think so much about how I look now, and I’m happier. I spend a lot less money on clothes and makeup. I might even save up enough money for a car by next summer. Content taken from “Why Am I Feeling Like This?”  by David Murray, ©2020. Used by permission of Crossway, a publishing ministry of Good News Publishers....

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Children’s picture books, Parenting

3 picture books that tackle anxiety, anger, and failure

Children get anxious. And angry. And they can get frustrated when they fail. As adults, we often struggle with these same emotions, and sometimes we don't do all that well with handling them. Which makes it that much the harder for us to teach our children what to do. That's why this series of pictures books, from the Christian Counseling and Educational Fund (CCEF) are a welcome resource. Not only are they a tool for parents to help children, they can help us adults too. There is good advice in these pages, pointing us straight to the One who can really help. Zoe's Hiding Place: When you are anxious edited by David Powlison illustrated by Joe Hox 32 pages / 2018 The story is about a little mouse named Zoe who's worried about a school trip to the art museum. The last time the class went, she became so fascinated by one painting that she lost track of where the rest of the group went. Then, when she looked up, no one was around, and "It felt like I was alone forever!" She's scared it will happen again. So now she's retreated to her hiding place – under the covers in her bed. How can Zoe deal with her fear and worry? Her mom begins by listening. That's a good start. Then she explains to Zoe that what she is feeling is understandable. But when worry makes us feel like we're all alone, that's not true – God is always with us, and will never forsake us. Mom tells Zoe she can "turn each fear into a prayer" because God will help her. Her mom also helps Zoe think through ways she can stay with the group and not get separated. In the back of the book, the moral of the story is developed further with a two-page message to parents on "helping your child with anxiety." There the editor of this book, David Powlison – a very well-respected biblical counselor – has included a list of 10 "things to remember that will bring comfort to you and your child." Thoughts include: Recognizing that in this world "We have good reason to be anxious and worried." The most frequent command in the Bible is 'Don't be afraid.' Reminding your child that the Lord has listening ears. This is a wonderful book, meant for kids, but helpful for adults too. And the absolutely stunning pictures make this a pretty special morality tale. Yes, this is more an educational tool than an entertaining read. But it is a pretty entertaining read too. And the pictures are so fun to look at, a couple of my daughters have been paging through it regularly. I'd recommend Zoe's Hiding Place to any parents trying to help a child through worry or fear. With its firm grounding in Scripture, this will be a real help to both the child and the parent. For a 10-page preview of the book, you can check out this link here. Two others There are two other books in the CCEF's "Good News for Little Hearts" series, on failure and anger. Buster's Ears Trip Him Up is about dealing with failure. Buster is a speedy rabbit who thinks that winning is everything, so when his long ears trip him up and he loses the big race, he doesn't know how to deal with it. Fortunately, he has a big sister, and a wise father, who both know how to help him deal with failure. They remind him that God loved us before we had ever done anything so it really isn't about our accomplishments, but rather what Jesus accomplished on the cross. You can read a 6-page sample here. Jax's Tail Twitches is about when we are angry. Jax is a squirrel whose big brother is pestering him and that makes him mad. What's worse, the neighbors next door are taking their nuts without asking, and that makes his dad mad. But even when there is good reason to be angry, our anger is, most often, the wrong response to this wrong situation. This is a lesson that mom and dad can certainly benefit from, even as we share it with our children. You can read an 8-page excerpt here. I'd recommend all three of these book as wonderful tools for parents to read with and discuss with their children. The stories are solid, the artwork incredible, and what it teaches is biblical, helpful, and accessible. Jon Dykstra and his siblings blog on books at ReallyGoodReads.com....

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Adult non-fiction, Book Reviews

BOOK REVIEW: Ed Welch's "Blame it on the Brain?"

Blame it on the Brain?: Distinguishing chemical imbalances, brain disorders, and disobedience by Edward T. Welch 1998, 208 pages A boy won’t sit still so the doctor wants to put him on Ritalin. An aging grandfather, suffering from Alzheimer’s Disease, is starting to make inappropriate comments to his grandchildren. A mother is depressed and asks her minister what he thinks about anti-depressants. These days we’re regular confronted with “brain issues” but few of us feel equipped as to what God thinks on these matters. Author Ed Welch notes that while going to the Bible would be the natural thing for us to do with most other matters, it might strike Christians as an odd approach in this case. After all, what does the Bible have to say about our brains? Welch answers that question by noting that God made us, so He knows what we are really like. And what God reveals about us – about how our body and spirit are both distinct and yet impact each other – is foundational to a good understanding of our brain. Blame it on the Brain is divided in two parts. In Part One Welch offers up the theological resources Christians will need to be able to “dialogue with the brain sciences.” These are the biblically-derived principles by which we can interpret and understand the (mostly secular) brain research being done. Once we are outfitted with the proper theology and taught how to apply it, Part Two then explores some “modern diagnoses and experiences, all attributed to the brain, and considers them from a biblical perspective. Then, in Part Two, Welch applies these principles to specific problems including Alzheimer’s Disease, dementia, head injuries, depression, bipolar disorder, anorexia, Attention Deficit Disorder, homosexuality, alcoholism and more. He groups them under three headings: The Brain Did It Maybe The Brain Did It The Brain Didn’t Do It Where Welch places different conditions will strike some readers as controversial. Doesn’t the world say all of these conditions should fall under the “The Brain Did It” umbrella? It does indeed, because the world think if the brain did it, then our sinful hearts can be excused. “Born this way” is supposed to clear us from any responsibility for our conduct. But Welch’s three-fold division is less controversial when we understand that even conditions with clear physical causes, like dementia, will have a spiritual dimension as well – responsibility persists, even if it is to a far different degree. For example, if a dementia patient’s confusion leads him to believe he has been waiting for his daughter all day long (even though she arrived right on time) she should try not to be bothered if he expresses some frustration. However, if the same patient starts making crude comments to the nurses, then that should not be dismissed as simply the disease talking. As Welch writes, Does the disease create the sinful behavior? Definitely not…. Sexual thoughts, jealousy, private profanity, and anger can be neatly covered when our minds are intact. But when we are intellectually less competent, some of the private events begin to slip out. Dementia isn’t the cause of this sin; it simply reveals what was always in the heart. In a situation such as this repentance should still be be sought. Even when our brain is damaged, we remain both physical and spiritual beings, and as in need of accountability, correction, and forgiveness as the rest of humanity. Cautions The only caution I have is not with what Ed Welch wrote, but with how a couple of passages might be misunderstood. In the first, Welch states that with psychiatric problems there “are always spiritual problems and sometimes physical problems.” I’m afraid that some will understand him as saying psychiatric problems are always the result of sin. That is not what Welch is saying. Sin will sometimes be the cause of spiritual problem, but other times the spiritual problems will be better understood as spiritual needs. Welch notes counselors have to be aware that psychiatric problems almost always involve suffering so the diagnosed person and their family will need to hear from the Scriptures about the hope and compassion that God offers in the midst of suffering. A second matter that might be misunderstood is how Welch designates homosexuality as something “the brain didn’t do.” If he denies the brain dictates someone’s sexual preferences, is Welch saying everyone chooses to be homosexual? No. Welch is only arguing that while the brain may have an influence it cannot be credited as the sole determiner of their sexual orientation – other factors have to be involved. Conclusion This isn’t a large book, but there sure is a lot to love! I must have highlighted half of the pages and I really can’t say enough good things about. Educational, thoroughly biblical, helpful, applicable, and it still manages to be enjoyably readable. This would be a valuable resource for minsters and elders, and a highly recommended read for everyone. We all need to learn how to think biblically about mental illness and matters of the brain and I can’t imagine a better introductory book for this topic. Jon Dykstra and his siblings blog on books at ReallyGoodReads.com, where this first appeared....

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Parenting

Just how bad is the teen anxiety epidemic?

Over the past year or so, I’ve noticed a significant increase in the number of people asking me for help with anxiety issues. While it seems to be affecting people of all ages, the most common problem is teens with anxiety, as the following stats underline: Anxiety is the most common mental-health disorder in the United States, affecting nearly one-third of both adolescents and adults, according to the National Institute of Mental Health. Nearly a third of all adolescents ages 13 to 18 will experience an anxiety disorder during their lifetime, according to the National Institutes of Health, with the incidence among girls (38.0 percent) far outpacing that among boys (26.1 percent). More than 6 million American teens are grappling with an anxiety disorder of some kind. Anxiety is now the most common issue for which people of all ages seek counseling. Over the last decade, anxiety has overtaken depression as the most common reason college students seek counseling services. Since 1985, the Higher Education Research Institute at UCLA has been asking incoming college freshmen if they “felt overwhelmed” by all they had to do. The first year, 18 percent replied yes. By 2000, that climbed to 28 percent. By 2016, to nearly 41 percent. The American College Health Association has been recording about a 10% annual increase in anxiety rates over a number of years. Recent studies have declared millennials, especially women, the most anxious generation in history. Among 10- to 24-year-old females, seven to 14 per cent will experience an anxiety condition in any given year. There’s been a doubling of hospital admissions for suicidal teenagers over the last 10 years, with the highest rates occurring soon after they return to school each fall. A 2015 report from the Child Mind Institute found that only about 20% of young people with a diagnosable anxiety disorder get treatment. Based on data collected from the National Survey of Children’s Health for ages 6 to 17, researchers found a 20 percent increase in diagnoses of anxiety between 2007 and 2012. One Christian counselor said, “When I first started counseling twenty-four years ago, probably one out of every twenty kids coming in were dealing with anxiety,” she says. “Now, out of my new appointments, I would say at least sixteen of every twenty families are here for that reason, if not more.” So just how bad is the teen anxiety epidemic? It’s really bad, isn’t it? I list these statistics, not to make everyone even more anxious, but to try to re-assure anxious teens and their parents that anxiety is a very normal abnormality. Due to the stigma that still surrounds anxiety and depression, especially in the church, many people suffer in silence and secrecy. They think, “I’m totally weird….There’s no one else like me.” Nothing could be further from the truth. The statistics say otherwise. We are surrounded by kids who are suffering like this but most are afraid to admit it, and so are many of their parents. The kids therefore often continue to suffer without help or support.  Many different causes So, if teen anxiety is so widespread, what’s causing it? On the basis of personal experience, counseling, and research, here are what I believe are the most common causes of teen anxiety. Unresolved guilt: Teen years are often sin-filled years, especially in the area of sex, both virtual and real-life. This causes fear of being found out, fear of God, fear of consequences, and fear of judgment. Unbelief: Related to the above, many kids are not saved, they have no peace with God, because they have never believed in Christ for salvation. But even teens who are believers suffer from anxiety through unbelief, just simply not believing God’s promises. Physical problem: Oftentimes it’s not a sin or faith issue but a biological issue, where the “fight-or-flight” mechanism is disordered, constantly or periodically flooding the body and brain with “anxious chemicals” such as adrenaline, cortisol, etc. This is far more common than most people think and I’ll have more to say about it in another post. Impossible expectations: Teens can impose on themselves perfectionistic targets in school, sport, work, and other areas of life, causing huge anxiety when they fail to live up to them. Although young, there’s often a sense that bad decisions already taken, or bad exam results, will ruin the rest of life, and that there’s no way back. Parental pressure: Parents sometimes add their own unrealistic expectations, often with a view to getting scholarships, or of maintaining their social standing with other parents. Related to this is the problem of over-protective parents. Many kids are so spoiled or protected by their parents that they are totally unprepared for what the world throws at them as soon as they venture outside of the cocoon. Over-busy parents: And the opposite of the above. Some kids just need quality and quantity time with Dad and Mom. Broken homes: One of the most under-reported causes of teen anxiety. Sleep deprivation: Teens need 8-9 hours of regular sleep to thrive, but many are getting less than six causing significant physical, emotional, and intellectual damage. Technology addiction: The teen brain is being fried by the constant sizzle of social media and gaming, giving the brain no opportunity for calm and repair. Social media: Regardless of the impact of how long and how often teens are on social media, there’s the constant performance anxiety that flows from seeing other teens “perfect” lives online. Physical immobility: Teen bodies were not made to sit down all day. Lack of exercise reduces healthy brain and body chemicals and increases damaging ones. Friends and enemies: There’s constant pressure to please and keep up with friends, and especially for girls, these relationships are often complex and fragile. Then add frequent bullying from enemies, sometimes in real life, but today more often online. Neglect of Sabbath: God made the Sabbath for our good, but very few teens take a day off a week from studies, work, sports, shopping, etc., and are suffering the consequences of going against our Maker’s instructions. Bad news: Our teens are exposed to a constant diet of negative news from the media, feeding anxiety and fear. Unhealthy diet: Sugar, carbs, soda, and caffeine drinks make up a large part of many teen diets, a lethal cocktail for mental health. Bad time management: Bad organization, wrong prioritizing, doing the wrong things at the wrong times, procrastinating, taking on too much, all combine to create a constant background hum of stress and tension. Money worries: Poor planning, indisciplined spending, taking on debt, impulsive shopping, all stretch the budget and the nerves. Practical godlessness: Without God as the foundation and framework of life, everything depends on us. Teens, yes even Christian teens, often go days and even weeks without praying and reading God’s Word. This results in a lack of a sense of God’s presence, plan, and power in their lives. Faulty thinking: Teens can fall into a range of faulty thinking. Trauma: Abuse, unexpected bereavement, exposure to violence, accidents, etc. can result in degrees of PTSD. Conclusion As you can see, parents, there are multiple cause of teen anxiety. I hope this list helps you to think and talk to your teens as you try to explore what factors may be contributing to your teen’s worries — it’s usually more than one. Unless we find out the causes, it’s unlikely we’ll discover any cures. I’ll pick out some of these in future posts for further explanation. Dr. David Murray blogs at HeadHeartHand.org where this first appeared as a pair of posts. In the coming weeks he hopes to share more of his thoughts on the teen anxiety epidemic in the hopes of helping concerned parents understand what’s going in with their anxious kids, offering guidance on how they can help them, and giving practical and biblical advice on how they can contribute to their healing. And we hope to share his thoughts on our website too, and in upcoming issues of the print magazine....