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Depression, Obesity, Sleep Apnea, Osteoporosis, and Poor Work Performance in Clergy
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Director

Rev. John Marshall Crowe, B.A., M.Div., D.Min., APC

 

Updated 7/25/09

 

This modified article by the author is use with permission from Sharing The Practice: The International Quarterly Journal of the Academy of Parish Clergy.  Autumn 2005. pg. 16.

 

The problem of depression and obesity among clergy is frightening. Some clergy and denominations (United Methodist, Evangelical Lutheran Church in America, and Southern Baptists) are openly addressing this problem and some addressed these matters long ago. My recent research into hormones and mental illness Led me to an important discovery related to depression, obesity, poor work performance, loss of height, being grumpy, and other health problems in men.

My research has dug into testosterone and mental illness in men. According to the Harvard Gazette 1/9/03, we have known that major depression in men with low T-score can be relieved. However, the treatment never caught on due to the painful injections and the development of new drugs to fight depression.

Better means of testosterone treatment were developed in recent years with the gel being the latest and best method approved since 2000. Studies have been done in men with depression and low T-scores who did not find antidepressants very helpful. The findings were amazing!

The “Jan. 1, 2003, issue of the American Journal of Psychiatry’, states that in any given year 8 percent of American men over 30 years old will experience an episode of major depression. A substantial minority of these men will get only partial help, or none at all, from popular antidepressants. . . Given the size of this population, together with the increased availability and convenience of testosterone gels, it would seem important to assess carefully the benefits and risks of adding hormone replacement to antidepressant drugs.”

Quote from the  Harvard Gazette.  “A recent study estimates that as many as 13 million men in the United States over age 45 may have Low T.”

Beyond the obvious importance of this hormone in men, a lower than normal level of it does contribute to muscle loss and fat gain, tiredness, fatigue, or loss of energy, depressed mood or moodiness. Similarly, the symptoms of sleep apnea include weight gain, tiredness, and depression. Contrary to the general perspective of many people, a majority of those with obstructive sleep apnea are not overweight.

It is not only related to “Obesity, but also to Diabetes, Hypertension (high blood pressure), 1-lyperlipidemia (high cholesterol), Asthma/COPD.” Having Low T can also increase your chance of having osteoporosis. It has also been reported that 30% to 50% of men with HIV/AIDS may have low testosterone.”

Other symptoms of a low T-score also include “a recent deterioration in your ability to play sports. falling asleep after dinner, and a recent deterioration in your work performance.” Studies have shown that increasing the T-score of a depressed man with low T has a positive impact on both the physical and psychological aspects of depression. More study still needs to be done.

This knowledge also shows how inadequate books like Dr: Phil Weight Loss are because there is more to weight loss than poor knowledge, and emotional issues. Despite the obvious subject people think about when they hear the name of this hormone, these additional medical facts are important for the health of our clergy.

Additionally, when a below normal testosterone level in men is not detected early, it leads to osteoporosis. This hormone is crucial to making a solid backbone. Very often there is an additional problem of not enough vitamin D. When this is the case, the doctor will prescribe Ergocalciferol a very high dose of vitamin D. A lack of this vitamin hinders the body’s absorption of vitamin C. Vitamin D deficiency also has symptoms such as increased risk of getting sick, depression, bone pain, weak bones, muscle weakness, insomnia, low energy/fatigue, and irritability or mood swings.

Likewise, when a below normal estrogen level is not discovered soon, it leads to osteoporosis as well. While primary doctor’s test for these hormone levels, it is unfair to expect them to know endocrinology more deeply. A good endocrinologist will order a bone density scan, blood work and possibly other tests to investigate the whole situation. Very often several medications are added to the hormone supplements.

So along with the testosterone treatment is added the following meds. Taking FOSAMAX 70mg for 15 weeks does make a significant impact within 6 weeks. Also, two Calcium Citrate with D tablets a day does help with this. However, it may take from 2 - 3 years for a person to regain a healthy bone density.

                                                                          

For more on Depression see:

  1. A collaboration for clergy health and wellness by Bethann Witcher Cottrell, PhD

The physical and mental health of Clergy in North America has reached a crisis point.

  1. Caring for clergy

Experience with depression and anxiety opened former Presbyterian pastor George Jacobs' eyes to the needs of "exhausted and burned-out" clergy.

  1. Coming Out of the Dark: Two Pastors’ Journey Out of Depression.

Longevity and success in ministry does not guarantee that pastors will not suffer from clinical depression. Two successful pastors share their  journey and how, with the help of family and medical professionals, they came out of the dark and survived.

D.    Coming Out of the Dark: Two Pastors’ Wives Share In Their

Husbands’ Journey Out Of Depression  

 

A pastor does not experience clinical depression alone; it also affects his family. Two ministry wives share their thoughts and experiences  as they walked alongside their husbands and their battles with depression.

E.    Coping with a loved one's depression

F.    Crossing a Deep River — Biblical and Practical Advice for Dealing With Depression by George O. Wood

G.   DEAR CHURCH! WE QUIT! Marriage and Ministry Depression by Dr. Paddy Ducklow

H.   Depression, Obesity, Sleep Apnea, Osteoporosis, and Poor Work Performance in Clergy”  by John M. Crowe

I.      Depressed, Stressed, And Burned Out: What’s Going On In My Life?  By Archibald D. Hart

One of the leading experts on stress, depression, and burnout gives insight into the nature of this compassion fatigue and how a pastor can turn this traumatic and life-threatening experience into discovering what God wants to do in his life.

J.     Disabilities and Clergy Mental Illness is the leading cause of clergy going on disability. by John M. Crowe

  1. Lutherans ask. How Healthy Are Our Pastors?
  2. The "Ministerial Health and Wellness 2002" study, conducted by the Division for Ministry and Board of Pensions, found that during a one-year period, 16 percent of male clergy and 24 percent of female clergy suffered from depression  compared to 6 percent of U.S. men and 12 percent of U.S. women.
  3. Luther and Depression by Tony Headley
  4. Many Pastors Carry Secret Burden Of Depression October 30, 2000 from Charisma Online News Service. (no longer online)
  5. Southern Baptists address depression in Clergy  " Wounded Heroes "
  6. STRESS AND BURNOUT IN MINISTRY by Rowland

Q.   The Face of Depression.” by Rev. Susan Gregg-Schroeder

R.    The nondenominational Davidson [N.C.] Clergy Center for help with depression.

S.     The Pastor’s Wife: Beating The Ministry Blahs By Gabrielle Rienas

Whether she has a personal call to ministry or not,  the minister’s wife is called to support her husband. But what should she do when the expectations of ministry seem overwhelming and her husband isn’t  coping?  Find out how to navigate the storms of ministry    and bring healing and hope to the parsonage.

  1. Wesley and Depression by Tony Headley

 

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