Some Key Understandings

Friends not Therapists

Used with permission: Mental Illness Ministries (Chicago)

First – We are accompanying people and are not counselors. We are not mental health professionals who treat the symptoms of mental illness just as we are not oncologists who discuss remedies for a person with cancer. We are spiritual friends and companions who journey in faith with those who are in need or suffering and often isolated by their illness. Praying with and for people with mental illnesses and their families is very important. How do we know God loves us? In a very tangible way it is when we show our love for one another.

Second – When interacting with people with a mental illness we need to recognize that each person has dignity, each person has gifts, each person has a unique relationship with God. Sometimes we are helping the person discover or bring to light the gifts they have. People experiencing mental health challenges live in a society that often looks down on them, or make them feel inadequate, yet I have discovered what people with mental illness can teach us about life and what gifts they have is amazing.

Third – We need to recognize in ourselves any preconceived negative images or prejudices that we may have toward people with mental illnesses. Acknowledging these and learning more about mental illnesses will improve the ability to communicate with the person with the mental illness.

Fourth – It is natural to want to problem solve, but listening is not problem solving. Holy listening should be supportive and affirming. Many people have poor images of themselves again due to stigma. We have an opportunity to reaffirm their goodness and their dignity.

Fifth – People with mental illness should not be defined by the disease they have but by the person they are. When we start labeling people as a disease, we see them as problems rather than a person. It is important to separate the illness and symptoms from the person.

Sixth – Each illness carries with it symptoms that may affect how people interact with us and we with them. The intensity and severity of the illness impacts one’s ability to communicate. Mental illness can affect a person’s ability to think sequentially, to manage emotions or mood swings, and to be in relationship with others. Medications can present the same communication hurdles.

Understanding the symptoms of the particular mental illness of the person will help us to better communicate, minister, advocate, and pray with people with mental illness. For example, someone with depression may seem uninterested or distant. That is a symptom to be recognized but not indicative of the person they are outside the illness. A person with schizophrenia may hear voices or experience hallucinations, which are very real to them and is their reality. It is important not to deny that they are experiencing those symptoms and that you are willing to learn more about what they are going through. A person who has a panic disorder may be uncomfortable in Church or at meetings so it is important to be sensitive to the person’s need for space or need to get up and move around.

Seventh – Boundaries are an important part of listening. Setting limits on how often and how long one can meet will lead to more productive meetings. As family and friends we need to care for ourselves if we are to be effective caregivers for one anther. We need to care for ourselves in order to be caregivers.

As we listen to a person’s story, an individual may begin to name specific needs – shelter, medical help, food, transportation, counseling, clothing, financial assistance. A companion could become quickly exhausted and overwhelmed trying to meet all of a person’s needs. But we are companions not providers of services. Our role as companions is to support a person in finding resources in the community and building an ongoing circle of care.

Eighth – Journaling is important tool both for the person who has the mental illness and the person who is companioning that person. Journaling gives us a sense of where we have been and where we are going. That way we can build on what has been discussed.

Ninth – Understand that Holy Listening is a process that takes time. We have to be committed for the long haul as mental illnesses are often chronic and persistent.

Tenth – Always have a sense of Hope that is rooted in Christ message to us all. The joy of life is knowing we are loved by God and one another. We are a people of the resurrection, the joyful expression of the outcome of Christ’s suffering. Rather than being imprisoned by suffering we can know true joy when we use our suffering to help others. The experience we have helping others can lighten the load others are experiencing.   

Source: Mental Illness Ministries (Chicago)