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HomeWord Family Guide · Mental Health Pillar: Compassionate Presence & Wise Counsel

Walking with Your Child Through Anxiety, Depression & Emotional Overwhelm

Common Parent Question
“How can Christian parents support a teen or young adult battling clinical anxiety or depression without trying to 'fix' them?”
Drawing from Dr. Jim Burns' books and interviews with Christian counselors and neurobiologists (Dr. Curt Thompson, Dr. Mark Mayfield, Sissy Goff): combining spiritual hope with wise clinical care.

1. Core Principles from Dr. Jim Burns’ HomeWord Library

📖 When Your Adult Child Strays (Jim Burns) · When Your Relationship Is Toxic and Complicated — Healing a Toxic Family › 3. Seek Help, Support, and Wisdom · Get the book ↗
I talked with a couple after one of my Doing Life with Your Adult Children seminars. The relationship with their two adult children was complicated and intense. The woman told me she was experiencing anxiety and depression and having a difficult time coping with her life, her marriage, and her work, along with physical symptoms like headaches and insomnia. After listening to their story about the toxicity of their relationship with their adult children and her emotional and physical ailments, I asked a simple question. “Have you ever sought help for all that is going on in your life?” The wife’s answer surprised me: “I don’t think there is anyone who could help or understand.” Her husband said, “She is a bit emotionally paralyzed from everything.” And I’m sure he was right. My response went something like this: “If you were walking down the street in your city and someone came up to you and hit you with a two-by-four, my guess is someone would assess the situation and get you immediate medical attention.” She nodded. “I perceive that your trauma is on the inside. People around you can’t see it, but the damage is just as bad or worse. It has taken a toll on your health, your mind, and your emotions, and it is impacting all areas of your life. Experts in trauma may help you with your many complicated issues.” Her husband wanted to get help for her, but she seemed hesitant, only semi-w illing to seek help. I referred her to a trauma therapist I knew and trusted. This woman (and couple) was going to need a mindset shift and the counsel, support, and wisdom of others to have a breakthrough in her life. Counseling, therapy, coaching, talking with a wise friend, and sitting down with your pastor are all good ideas. This woman needed more intense therapy. She needed support from friends and time with her pastor for spiritual care, but her situation needed a licensed, trained therapist who could help unravel the complicated problems with her adult children and some of her other issues. A professional counselor would possess the skills to help her feel more comfortable in talking through her issues to find peace. A counselor could also assess if some of the complications in the relationship with her adult children might have been caused by addictive behaviors or mental illness or some form of abuse from the past. A counselor doesn’t do all the work for the client and tell the client what to do. A good counselor helps to diagnose the situation and looks at ways to resolve the problems.
📖 Creating an Intimate Marriage (Jim Burns) · Questions and Answers — Creating an Intimate Marriage · Get the book ↗
As for you, the Bible says, “Where there is no counsel a people fall, but in the multitude of counselors there is safety.” Seek the safety of wise counsel and since it is your desire to forgive, then walk very slowly toward reconciliation. If you are going to reconcile then you will need to forgive him or the relationship won’t work. You can’t keep holding his offence over his head for the rest of your life and expect much connection. I can’t speak for you, but for me, if Cathy was unfaithful I would still want to reconcile. To be perfectly honest for the first few years of our marriage I might have just closed the door to reconciliation. After 30 plus years, I believe I would move toward reconciliation first. Above all else, seek help, don’t suffer in silence. *3. I was sexually abused as a child and haven’t told anyone about it. Now I think it might be affecting my relationship with my husband.* Sexual abuse is a trauma that will affect most aspects of your life and your childhood sexual assault definitely will affect your relationship with your husband. I urge you to get the help you need to move toward healing. When I am doing any kind of pre-marriage counseling I always ask the couple if there has been any kind of sexual, physical, or emotional abuse in their life. I want them to understand that they must begin dealing with their pain of abuse before they marry. This is not a secret to hide from your spouse. It is also not a secret to keep inside you. Here is what I tell people who have been victims of sexual abuse. > • *It’s not your fault; it is always the fault of the abuser*. Far too many people feel so much shame that they actually blame themselves for what happened. You were a victim. You can’t keep blaming yourself. > > • *Seek help, do not suffer in silence*. It sounds like you have harbored this traumatic experience alone for far too long. If you were my friend and I had cancer, you would beg me to get the help I need to fight the cancer or eventually it would kill me. I say the same thing to you. Sexual Abuse affects almost all areas of our life and if you don’t get the help you need, your pain will move into the emotional, spiritual, and relational areas of your life and affect you in a negative way. From your question, you can see that it has already affected your relationship with your husband. Seek the help you need to deal with this trauma. I suggest a qualified counselor. Also talk with your spouse about this painful part of your life. > > • *There is hope*. You are not alone. Hundreds of thousands of people have been sexually abused. (Today’s statistics tell us about 1 out of 3 young women and 1 out of 6 young men by age 19 will be sexually abused). People who seek help do find hope and healing. The pain of the trauma doesn’t magically go away, but with the right assistance you can live a very productive life and have an excellent relationship with your spouse. > > • *God cares deeply for your pain*. When a person has experienced any kind of abuse but especially sexual abuse, it is very difficult to believe that God cares for you. After all, most likely you prayed for his help and you were still abused. There are no easy answers. We live in a sinful and fallen world. However, over and over again in scripture we see times of deep empathy from God. For example, the shortest verse in the entire Bible is, “Jesus wept.” He wept at the death of a friend. If Jesus could weep over his friend’s death, then He weeps for you in the midst of your pain and agony. The Bible is clear God says, “I will never leave you nor forsake you.” He didn’t promise to take away our problems and suffering. He did promise to be there for us in the midst of our hurt.
📖 When Your Adult Child Strays (Jim Burns) · When Your Relationship Is Toxic and Complicated — Healing a Toxic Family › 3. Seek Help, Support, and Wisdom · Get the book ↗
A toxic or dysfunctional family dynamic is different from normal family struggles. The feelings are tense, unstable, and charged with emotion. That is when we need an expert to help us. Some people say, “I can’t afford therapy.” That is not an excuse. Free counseling or low-cost counseling on a sliding scale is available, as well as medical care. Some people say their church doesn’t believe in counseling. Okay, but that might be just a certain type of counseling. So go with what feels right for you. Seek help. A battle for your mind, relationships, and heart is taking place, and the Bible speaks clearly about gaining wisdom for battles: “Where there is no counsel, the people fall; but in the multitude of counselors there is safety” (Prov. 11:14 NKJV). Just as there are many reasons we go to a medical doctor, there are many good reasons to seek counsel and wisdom from a trained counselor. Here are just a few: • For support and insight in life transitions and life complications (including dealing with an adult child issue) • To help with an addiction (alcohol, drugs, sex, gambling, to name a few) • To resolve problems in your marriage or with a family member • To understand identity issues, whether in general or sexual Everyone can benefit from a counselor to provide wisdom, insight, and support. One day over breakfast, I was sitting with my friend Dr. Henry Cloud on his boat, eating a breakfast burrito and catching up on life. Henry is one of America’s most insightful counselors, a prolific writer and thinker. I asked him, “As a counselor, how do you view your work with people?” I thought his answer was profound. He said, “I don’t just view myself as a counselor. I disciple people to be more of what God created them to be.” I remember thinking that morning that that’s the kind of people I want around me. Seek out people who have a similar philosophy of life and mission as Henry. Those people are in your community; you just have to search for them. If you are willing to do the hard work of walking through your life circumstances with a counselor, then do the hard work it takes to find a good counselor.

2. Timestamped Video Conversations from the HomeWord Archive

▶️ Timestamped Clip · 12:17–14:58

It’s OK to Not be OK: Facing our Trauma as Adults with Producer Mike Segovia

Producer Mike Segovia · 12:17–14:58 · Themes: Anxiety, Depression & Mental Health, Grandparenting & Faith Legacy
Watch at 12:17–14:58 on YouTube ↗
[12:17] um impact on people with trauma and just like a quick overview is that god's designed us with two sides of our brains we have an emotional and analytical side we get stuck in emotional side of our brain when we see something that is threatening to ourselves or others or when we have a very scary situation it floods us when we get stuck in our emotions then we can't process we can't heal and we can't move on our brain is over and over and over again this is where ptsd comes from and so with the emdr they use um [12:52] Well, it's like your fingers go back and forth. We do this actually with walking naturally. Again, our God is so good, by the way. So if you ever have a lot of struggles and you don't know how to process, go on a walk with a friend. [13:04] because it uses both sides of your brain in that pro at that point but so she used both her hands walking back and forth um or moving back and forth and as that happens as you're visualizing the traumatic experience your brain is naturally taking the flooding and putting into the analytical so your brain now has um re-categorized your experience and it decompresses and desensitizes that experience so that you can actually tolerate [13:33] remembering the experience again so it's so amazing and for me as a clinician i had a hard time um staying present in the actual like emdr because at the same time i just wanted to be like so tell me what you're doing now and tell me why you asked that question like i was so curious but um i did feel instantaneously like as i was reviewing that image of my son going down and him standing up with his arm [13:59] I could actually visualize it. I mean, it's like, yeah, I stopped crying, even in the minute that it took to do this is that even my my amount of grief was dissipating. And that was powerful for me. And so I think for people out there, they have to understand that the trauma is is real, and that we can keep it in our bodies, but we have to get it out. And might I add to Mike, what was brought to my attention that [14:28] um i tend to forget because it's an annual thing and your daughter's probably going to go through this as well is that our bodies always remember yes they always remember the season they always remember our our smell is related to our memory and so there's going to be smells that are going to flare up for her that's going to remind her of that circumstance and that trauma well 10 years ago in 2015 the same child same hospital we had to bring him in when he was unresponsive
▶️ Timestamped Clip · 10:41–13:32

Healing Is Possible!

Dr. Jim Burns · 10:41–13:32 · Themes: Anxiety, Depression & Mental Health
Watch at 10:41–13:32 on YouTube ↗
[10:41] What we know about the development of borderline personality disorder is that it is multivariate. There is a very strong genetic component, which for many, many years, nobody believed that that was the case. But if you have what is typically more of like a borderline mother. [10:59] there is a greater likelihood that you will have a borderline child. And so there is a genetic predisposition, and what they think that genetic predisposition is about is a high emotional reactivity and sensitivity, and that a lot of times there will be children that are often just seen as having a difficult... [11:26] temperament. They're maybe a little bit harder to soothe. They have bigger tantrums. They're just temperamentally out of the gate, a little bit more difficult. They tend to often later be classified as someone with borderline personality disorder. But that's not the whole story. So we know that there is this genetic predisposition. And Marsha Linehan wrote... [11:51] book and has created a whole treatment protocol called dialectical behavior therapy and she actually came out and said that she was herself diagnosed as borderline and created this treatment protocol right? Yes created this treatment protocol to help individuals with this diagnosis heal and she was really the first one that came out and said look these individuals have a temperamental hypersensitivity [12:21] And in addition to that, they are raised in an invalidating environment. And so the term now that we're all talking about is gaslighting. That's right. Basically, these children get gaslighted, gaslit, gaslighted. I never know which it is. in childhood for their experiences. And so because they are highly sensitive, if you don't have parents that are attuned to that sensitivity, and they're actually misattuning and kind of gaslighting their child's internal perspective, that is really the big crux in terms of developing the diagnosis. Now, in addition to that, we know that a number, most, [13:07] individuals with borderline personality disorder also have a history of trauma, and most particularly history of sexual trauma or physical abuse growing up, verbal abuse, sexual abuse. And so I think what has happened, because sadly, individuals and often the ones that I think tend to get the worst rap are the women. Most people think most women.
▶️ Timestamped Clip · 37:43–40:02

Intimate Deception: Healing the Wounds of Sexual Betrayal with Dr. Sheri Denham Keffer

Dr. Sheri Denham Keffer · 37:43–40:02 · Themes: Prodigals & Violating Values, Marriage Intimacy & Unity, Anxiety, Depression & Mental Health
Watch at 37:43–40:02 on YouTube ↗
[37:43] people end up getting healing and changing and staying. Now, why is that? Are you saying the 90%? 90%? Because I misspoke then, because I just assumed it's over 50% would get a divorce. But you're saying... That's people that aren't doing anything. That aren't doing the work. Got it, got it. We're talking about you just are out there. You're hoping for the best. You're wishing things continue to go on. The sexual acting out porn may be the gateway drug that they found when they were 9, 13. [38:13] 15 years old that's been there you just didn't know it was there i know that because of therapeutic full disclosures now oftentimes they bring it into the marriage it's just you didn't know about it but that just doesn't stay stagnant it just continues often to grow and i'm not saying this to scare everybody please this is not about that this is a conversation about intervention and about somebody coming out of that muck and mire when they get on a healthy path [38:42] There's even research by a group of professionals on disclosures, therapeutic full disclosures, that even though half of them said, I don't want to do that, you know, and both on both sides, both the one who's acting out and the significant other, then after they did it, 93% and 95% of them were glad that they did it because they're out of that. [39:09] They are now in a place of freedom and they've gotten into the right types of groups and counseling and they're dealing with the trauma that's underneath all this sludge and so they're free, they're actually free men. Yeah, isn't that interesting? That's such an interesting sight. Well, and even I was just thinking of a Bible verse that says, confess your sins to one another and be healed. And we don't tend to think that that's what... [39:36] You could go to somebody else to confess. I mean, you go to God to confess the sins. But when it says one another, so when you're confessing some of that, that makes a lot of sense. I am shocked because we're past time. There's so much more I want to talk to you about. I've got to bring you back sometime if you don't mind. I would love that. So, so, so good. And I'm already prepped because I have way more questions than I have time to do that. But I do want to ask you, because we've only touched the surface today.
▶️ Timestamped Clip · 7:56–10:03

Life Coaching: Moving Into Your Purpose with guest Johnathan Baldwin

Dr. Jim Burns · 7:56–10:03 · Themes: Marriage Intimacy & Unity, Anxiety, Depression & Mental Health
Watch at 7:56–10:03 on YouTube ↗
[7:56] preference you know like who god is we all believe lies that then shapes how we live day to day right but i love really focusing on how can we move you out of those identities those lies and basically the past and into the future so i feel like i'm actually more of a coach than i am necessarily what most people think of psychotherapists so i do love i do have a preference and i'm sure that you guys [8:20] you talk about how can you implement new steps into your day-to-day? How can you achieve goals and go from there? And so I see so much value in even just combining those two things, dealing with the trauma of the past, but also focusing on the future. Because if we stay in the past, we just get stuck in that. And then we stay stuck in that area of... [8:40] of lack of healing. And so, yeah, I just, I love the idea that coaching could just be a part of just even wellness journey for people now. Even, yeah, even like working some of the, I've had interns a lot over the years and, you know, we do a weekly meetup where we have conversations and there's been times where it has felt like a counseling session and we're talking about their family of origin and the dysfunction that exists there and how has that played into. [9:05] how they're operating now. And I get done with it and I go home. I'm like, how do you do this all day? Like that's exhausting to do it for an hour. And, um, so I have a lot of respect for counselors and like, cause they're going into the trenches of the, the hurt and the trauma and the dysfunction of the family and whatever else that their client is dealing with. And it takes a, an emotional and a mental toll on them as well. Yeah. Yeah. And you know, I kind of see it, not that people's [9:33] lives are games to me, but I do see it as chess and that I'm trying to anticipate how their next step has been influenced by the past step. And then how can we get them to move along in this, their journey into a place of health? So my brain is constantly thinking along those lines. Whereas I think, and please correct me if I'm wrong with coaching, it's like, it's a partnership, right? Like you were saying, what is your goals? And then how can I help you get there as well? Is there some of that in the coaching aspects? Yeah, for sure. Like,
▶️ Timestamped Clip · 27:22–29:41

What to do when your child is self-injuring with Dr. Mark Mayfield

Dr. Mark Mayfield · 27:22–29:41 · Themes: Anxiety, Depression & Mental Health
Watch at 27:22–29:41 on YouTube ↗
[27:22] Counseling is fun, but I like the coaching because it's taking people where they want to go sometimes and not healing, always healing and staying in the past. Yeah. Well, thank you so much for this conversation. I know it's been equipping, and I know that the listeners are going to gain so much information. And thanks for what you do. Oh, thanks. Truly. So appreciative of all the things that you do and helping this world and the families in it. So thanks for joining me. Thanks. [27:45] Hey friends, I hope that you enjoyed my conversation with Dr. Mark Mayfield. He is filled with knowledge and has such a passion for helping, especially adolescents who've gone through trauma. So some of the takeaways that I have today, you may have picked up on during the conversation. I think the first one is talking about the purpose, or rather the lack of purpose. [28:07] many adolescents have in today's society. And I love that he pointed out that they've lost sight of whose they are. In fact, I had a family that I was living life with a couple of years ago that every time that their kids got out of the car to go into the school that they attended, the mom would always say, remember who you are and whose. [28:27] you are i love that dichotomy so it talks about the identity that our kids are certainly born with we as parents get to help pour into them figuring out what are your giftings what are your strengths but also what are your limitations and recognizing that as actual strength and identity development instead of seeing it as a hindrance or something like a liability in them [28:50] I also love the idea that they realize that they have been created and loved by the creator of the universe because they belong to God, that they are a friend of Jesus. So helping them remind themselves of that identity, of that truth can be life-giving for them. It also helps remind them that they have been made on purpose and for a purpose. Another takeaway I have is talking through the behavioral [29:20] attitudes of our kids. We as parents get the opportunity when we can put aside our emotional reaction when our kids act out, of course, but we get the opportunity to ask ourselves, why is my child acting this way? So just being curious, when our kid acts out, it's usually because it's rooted in something. Usually it's an emotion of disappointment.
▶️ Timestamped Clip · 12:56–15:45

Healing is a Choice with guest Dr. Stephen Arterburn

Dr. Jim Burns · 12:56–15:45 · Themes: Marriage Intimacy & Unity, Anxiety, Depression & Mental Health, Grandparenting & Faith Legacy
Watch at 12:56–15:45 on YouTube ↗
[12:56] You know, anybody that thinks deception is a good strategy for life is headed for major, major trouble. There's just no benefit to dishonesty. Oh, so key. I actually remember, you know, we've done life together many, and back in those days when you're in that small group, I remember you telling me that and you said, hey, I'm not sure I can go into another small group and trust anybody. I'm glad you have. But yeah, in that kind of case. Now, the second choice. [13:26] is to feel your life. And the big lie that you talked about is real Christians should have a real peace in all circumstances. Now, what on earth does that mean? Well, you know, Jesus didn't have peace in all circumstances. He got pretty upset with the money changers. He had times where you would say, that's not... [13:50] Peace. There's times when we need to feel anything but peace. If you go out and have an affair, I'm not hoping that you have real peace about that. I'm hoping that you feel guilt, shame, remorse, godly sorrow, and you're never going to do that again. But a lot of people think that peace is the ultimate goal. And what we see in marriages and in parenting is you become a peacekeeper. [14:19] You keep the peace. Well, there's no honor in keeping the peace, especially when something horrible is happening. You know, a woman might be married to an alcoholic and he's drinking and he's abusing. The kids don't hate him. They hate her because she didn't do anything. She kept the peace. You know, God honors the peacemaker. And sometimes you have to disturb the peace to make peace. If you don't. [14:49] You enable, you actually perpetuate the problem, and nobody benefits from that. No, I totally agree with you on that. Now, you're big on counseling. We've already talked about it. I go every week. Yes. I go every week. Yeah, which I respect you so much for that. Why do you see counseling as part of the critical side to healing? [15:15] And I know you go every week, so you use that. And the Bible says where there's no counsel, the people fall. The multitude of counselors, there is safety. You've surrounded yourself with wise counsel. Yeah. Sometimes I go, and because I'm married to an imperfect person who brought her own things to our relationship, I need some encouragement. I just need, yeah, you know, that's the best you could do or whatever. But more than that,

3. Questions for Personal Reflection, Spouses & Small Groups

  1. Looking at your own family rhythm, what is one small change you could make this week regarding walking with your child through anxiety, depression & emotional overwhelm?
  2. Where do you and your spouse currently feel most united on this topic, and where do you need a calm 20-minute conversation?
  3. Which of the timestamped video clips above resonated most with your current season of parenting or marriage?