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Often, we ignore the fact that our spiritual condition and psychological state of mind are highly affected by what is happening to us physically. Sometimes depression is simply the result of exhaustion.

I'm not denying that depression can be spiritually induced. Guilt from having wronged and hurt others can bring it on. A sense of having failed to live out the will of God can give rise to depression. Certainly the fear of death and what might follow can sap the joy out of life.

Depression can kill you. It can also be a spiritually enriching experience. It's really an important part of my theology now and my spirituality that life is not perfect, and I grew up wanting it to be and thinking that if it wasn't, I could make it that way, and I had to acknowledge that I had all kinds of flaws and sadnesses and problems.

As we consider the causes of depression, those of us in the church must face the ways we might be responsible for creating it.

Depression is something that doesn't just go away. It's just... there and you deal with it. It's like... malaria or something. Maybe it won't be cured, but you've got to take the medication you're prescribed, and you stay out of situations that are going to trigger it.

Exercise, prayer, and meditation are examples of calming rituals. They have been shown to induce a happier mood and provide a positive pathway through life's daily frustrations.

Depression is an illness and not a necessary part of healthy living.

In my mind, depression is, like all non-communicable diseases, a physiologically expressed condition which is profoundly influenced by our social and cultural environments. Depression is a global crisis not only because it is common and universal, but because the vast majority of affected people suffer in silence or receive inappropriate care.

I think it is a luxury and privilege to be sane and well and pessimistic. Because with depression, you have no other option. You don't want that pessimism, because it is crushing you and keeping you down at the bottom of the well.