Biblical Counseling with Chronic and Complicated Cases (Internet Simulcast)

Biblical Counseling with Complicated and Chronic Cases – This course provides the student experience in working with chronic and severe cases requiring specialized care and expanded resources. Situations such as severe depression, suicidal threat, addiction, psychosis, eating disorders, etc. are explored with emphasis on case study, and supervision of actual cases. This course will also … Read More

Biblical Counseling with Individuals-Biblical University of Lublin Poland

Biblical Counseling with Individuals expands upon the basic principles offered in the introductory class. With a focus on individual spiritual, emotional, relational, and behavioral concerns, the student is trained in specific techniques of care in a one-to-one relationship of discipleship, education, and counseling. Common issues of depression, anxiety, relationship difficulties, grief, anger, and addiction are … Read More

Be Anxious For Nothing…

Dr. Ab Abercrombie

Anxiety can be a confounding and debilitating force in one’s life…and believers are not immune to its affect. Consequently, anxiety is often referenced as the reason for entering counseling. Most who become overwhelmed by this issue have tried numerous approaches before contacting a counselor including prayer, Bible study, and other Christian disciplines. Yet they enter biblical counseling discouraged, fearful, and filled with self-condemnation centered upon what many refer to as a lack of faith.

Other believers have taken a secular approach to anxiety, seeking relief through psychotherapy, medication, hypnosis, and other stress management approaches. Worldly approaches often focus upon external factors and circumstances rather than the fearful heart of an individual. And, there is a growing attitude that excessive anxiety is biochemical, and can only be the managed medically. And while these approaches can yield temporal relief, they offer nothing that is spiritually curative.

The biblical counselor must not be overtaken by the horizontal clutter surrounding this matter. Rather, we must receive the counselee in whatever state they arrive for this divine assignment. It is not our role to rebuke the counselee for a worldly orientation or for the use of secular remedies. At the same time, we must be very careful not to endorse or promote anything but a spiritual/biblical plan of care and counsel.

The frustration sufferers feel concerning anxiety is real, and very likely, lengthy in its history. To intervene biblically will require much perseverance, holding always to the sufficiency of Scripture as our foundation and guide. Transformation and not relief, is our objective…looking for the natural byproduct of God’s Word changing the nature of an individual, rather than providing a temporal respite that does not endure. As Jesus taught the Samaritan woman at Jacob’s well:

“Everyone who drinks of this water will thirst again; but whoever drinks of the water that I will give him shall never thirst; but the water that I will give him will become in him a well of water springing up to eternal life” (Jn 4:13b-14).

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The Language of Scripture…

Dr. Ab Abercrombie

Thanks to the proliferation of television, self-help books, and the Internet, many counselees have researched their individual conditions and concerns before making an appointment for biblical counseling. As a result, many will enter counseling using secular, psychological, and even medical terms to describe their complaints. Often this terminology is applied to others instead of self, as the individual counselee seeks to describe his/her circumstance.

Some examples I have heard within my counseling room include:

  • “I have been reading on the Internet about adult ADHD (Attention Deficit Hyperactivity Disorder) and I think it describes me perfectly.”
  • “I saw a TV special on depression and now I understand that I have a chemical imbalance that causes me to be depressed. Do you think I should start medication?”
  • “My wife has a borderline personality disorder…”
  • “My husband has a narcissistic personality disorder…”
  • “My son has an oppositional defiant disorder…”

In each situation, the counselee had spiritual, behavioral, and emotional issues that were indeed painful and chronic. Each were seeking an explanation for their struggle. However, their use of secular language and humanistic diagnostic terms led them to pursue secular and humanistic relief. Each one had discovered a term or condition they believed absolved them of responsibility; both for the problem and the solution.

Scripture relates the following truth: “For as he thinks within himself, so he is…” (Prov 23:7a). Our meditations matter greatly and so do our sources of study and research. Whenever a believer consults and relies upon worldly versions of “truth,” he/she becomes vulnerable to the intoxicating influence of humanism.

As a Biblicist, I view the Bible as fully sufficient for the counseling task and superior to any explanations offered by the world. Most Christians however value and respect the Bible and might even see it as inerrant; but few have studied Scripture from the perspective of sufficiency. As a result, most of our counselees offer distorted renditions of life that strangely employ biblical language mixed with secular opinions and terminology. But when the counselee settles upon, and believes the secular explanation (as in the examples above), we know they are seeking the world’s remedy that may, or may not, find agreement with God’s Word.

This merger of Christian thought with secular reasoning, in time, defiles the purity of one’s relationship with Scripture. Humanism is diametrically opposed to biblical truth in most, if not all, circumstances. When attempting to find agreement between God and the world, one has already conceded that the Bible is insufficient for the problem at hand. In using secular and psychological terminology, the counselee demonstrates his/her urgency for relief, without regard to God’s intent and purpose. Paul wrote concerning the overtaking of the mind and conscience:

To the pure, all things are pure; but to those who are defiled and unbelieving, nothing is pure, but both their mind and their conscience are defiled (Titus 1:15).

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A Biblical Response to Dependency and Addiction

Dr. Ab AbercrombieWorried man

Dependency and Addiction

According to experts, alcohol and drug addiction are diseases; obesity and overeating are due to genetic predisposition; obsessive relationship attachments are labeled “codependent;” and excessive spending may be a symptom of bi-polar disorder. To refer to these matters as sin is considered taboo. After all, it isn’t our fault if we have a physical malady, genetic flaw, poor childhood, or biochemical imbalance.

Focusing on sin, some argue, is harsh and promotes guilty, shameful emotions. I argue that telling someone there is no remedy or cure for their behavioral prison is harsh. Without transformation, we can only teach someone to manage their illness rather than resolve their sin.

Addiction is indulgence of the flesh and the temporal pleasures that come with the element of attraction. For some substances, medical addiction can, and does, become a complicating factor making deception and entrapment still greater. Yet in its origin, it is the placement of something or someone above God.

Edward Welch (2001) calls addiction a worship disorder, pointing to idolatry as a central theme in our excessive consumptions. He writes:

Furthermore, the problem is not outside of us located in a liquor store or on the Internet; the problem is within us. Alcohol and drugs are essentially satisfiers of deeper idols. The problem is not the idolatrous substance; it is the false worship of the heart (p. 49).

Scripture states: “Now the works of the flesh are evident…” (Gal. 5:19). If the cravings and actions of our flesh are evident (obvious), then through them our heart is revealed. The heart conveys our affection; our devotion of time and energy; our longing; and our commitment.The heart invested fully in a person or substance will have little evidence of godly worship, service, or holy conduct, as these assets cannot be attained apart from godly adoration.

Many suggest that the Bible has little to say about addiction in general. For example, the Bible does not speak of pornography, drug addiction, or relationship dependence at all. The Bible also does not mention automobiles and rocket ships because they did not exist at the time God gave His revelation. But theologically and structurally, Scripture has volumes to say about idolatry (1 Cor. 10:14), worship (John 4:23), respect and maintenance of the body (1 Cor. 3:16-17), lust (1 John 2:16, sexual immorality (1 Thess. 4:3, self-control (Gal. 5:22-23), a sound mind (2 Tim. 1:7), temperance (1 Cor. 6:12), and pure meditations (Ps. 19:14). Perhaps Paul summed it up best:

All things are lawful for me, but all things are not helpful. All things are lawful for me, but I will not be brought under the power of any (1 Cor. 6:12).

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A Little (Psychological) Leaven…Leavens the Whole Lump of Dough

Dr. Ab AbercrombiePsychology text

The Southern Baptist Convention seems compelled to adopt annual resolutions designed to shape and direct its nearly 16 million members toward informed opinions and appropriate conduct. Their latest offering is a Resolution on Mental Health Concerns and the Heart of God. On the surface the proclamation appears compassionate, but in full context it contradicts scriptural truth while sanctioning psychological explanations and psychiatric treatment for “mental illness.”

The resolution speaks out against prejudice and stigmatization, and encourages ministry outreach to suffering individuals and their families. Few could find argument with this intent. But the document goes far beyond the needed expression of compassion, promoting questionable and potentially harmful positions that will forever alter the church’s view of human suffering. In the resolution, Southern Baptists declare and affirm that:

  • Mental illness, as defined by psychology and psychiatry, is a valid medical condition needing specialized medical care.
  • Conditions like “autism spectrum disorders, schizophrenia, clinical depression, anxiety disorders, bipolar disorders, and eating disorders” are medical illnesses present in our world as a consequence of “the Fall.”
  • The “wise use of medical intervention for mental health concerns” is an “appropriate” remedy for such problems.

Why are preachers and theologians making these proclamations and what is their source of authority on the issues of depression, instability, anxiety, fear, anger, suicide, and madness? Clearly they have sacrificed the Bible and scriptural sufficiency in favor of the Diagnostic and Statistical Manual of Mental Disorders and the unscientific reasoning of man. Point in fact, the original resolution had two amendments attached which stated:

  • Scripture is the “final authority” on all mental health issues, and
  • Scripture is “sufficient for counseling all phases of the human condition.”

Both amendments were “overwhelmingly defeated” by those attending the convention and therefore were removed from the final resolution (Steffan, 2014). It is a fearful day when Southern Baptists publicly proclaim that Scripture is insufficient and lacking in authority for matters of “life and godliness” (2 Pet 1:2-3).

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Suicide In The Church Part II: Why Do We Believe What We Believe…

Dr. Ab AbercrombieBible 10 Commandments

My first article on suicide in the Church entitled, “A Biblical Response To Mental Illness and Suicide In The Church: What Should We Conclude…” garnered a lot of attention and I am grateful for your response and comments. To say that this is a controversial issue is a great understatement, as readers have expressed very strong opinions on the matter.

Beth wrote:

I agree that lots of mental illness is the result of guilt, unconfessed sin, rebellion, bitterness, anger, etc. However, that doesn’t mean that there are not true physiological reasons behind mental illness. We must be careful not to blanket all mental illness in either one camp or the other. The very reason some Christians have not sought medical help is because of the belief that if they were ‘Christian’ enough, they shouldn’t really have these problems. That is just not true. As I said, there are many factors contributing to mental illness and unless you have personally suffered with it, you cannot understand.

DeDe countered:

We must FIRST seek our help in the Lord! The danger is “explaining away” sin. Again, not all depression is rooted in sin, but often times it is simply falling into discouragement – a heart and mind that has dropped its guard, fallen away from fixing on Truth.” That is a danger.

Denise commented:

I believe that some mental problems can and are Biblical. BUT there IS messed up Chemicals in the brain. I am a strong Christian who knows the Word. I KNOW sometimes I am depressed cause I have disobeyed, but then I repent and am better. BUT there are times when I am so depressed for NO GOOD REASON. AND I get suicidal at times. My medicines have helped me tremendously.

And finally, Brian had this to say:

Thank you for writing so clearly and concisely. I was deeply perturbed when I read the articles you are responding to. I am deeply grieved by the Warren’s devastating loss and then was angry over the ill informed articles I also read and to which you refer to. Men of such influence need to think more biblically before they put pen to paper and not be swayed by pop culture.

Many others answered the article with resounding support and others with harsh criticism. After reviewing the responses I was left with one burning question: Why do we (Christians) believe what we believe?

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Psychopathology or Sin?

By: Dr. W.P. “Ab” AbercrombieSnake and Apple

For decades, modern culture has struggled to define and categorize psychological and/or psychiatric conditions. Experts have created hundreds of diagnostic categories that attempt to isolate and classify specific conditions or illnesses so that they can be effectively treated. This has given rise to the term psychopathology, which refers to an illness or dysfunction in the psyche or mind of an individual.

Medical doctors tend to see the disturbance as organic; Behaviorists often describe the issue as a learned or conditioned dysfunction; Psychoanalysts believe psychological problems are due to parental failures, disappointments, and frustrated psychosexual development; Family Therapists view emotional disturbance as a consequence of unhealthy family structure.

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Psychotropic Medications: In Search of a Biblical Context

By: W.P. “Ab” Abercrombie, Ph.D.Long winding road

 In recent weeks, two articles appearing on the Internet have caused great stir in the biblical counseling community, and in the Body of Christ at large. There has been much debate through the years regarding psychology, psychiatry, and medication, as they relate to and interface with biblical truth. These latest additions are no different except they advance opinion and position without biblical consideration.

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