Experts say clergy suicide is a rare outcome to a common problem. But Baptists in the Carolinas are soul-searching after a spate of suicides and suicide attempts by pastors. In addition to the September suicide of David Treadway, two others in North Carolina attempted suicide, and three in South Carolina succeeded, all in the last four years.
Being a pastor—a high-profile, high-stress job with nearly impossible expectations for success—can send one down the road to depression, according to pastoral counselors. "We set the bar so high that most pastors can't achieve that," said H.B. London, vice president for pastoral ministries at Focus on the Family, based in Colorado Springs, Colo. "And because most pastors are people-pleasers, they get frustrated and feel they can't live up to that." When pastors fail to live up to demands imposed by themselves or others they often "turn their frustration back on themselves," leading to self-doubt and to feelings of failure and hopelessness, said Fred Smoot, executive director of Emory Clergy Care in Duluth, Georgia.
Most counselors and psychologists interviewed for this article agreed depression among clergy is at least as prevalent as in the general population. As many as 12% of men and 26% of women will experience major depression during their lifetime, according to the American Medical Association. "The likelihood is that one out of every four pastors is depressed," said Matthew Stanford, a professor of psychology and neuroscience at Baylor University in Waco, Texas. But anxiety and depression in the pulpit are "markedly higher" in the last five years, said Smoot. "The current economic crisis has caused many of our pastors to go into depression." Besides the recession's strain on church budgets, depressed pastors increasingly report frustration over their congregations' resistance to cultural change.
Nearly two out of three depressed people don't seek treatment, according to studies by the Depression and Bipolar Support Alliance. Counselors say even fewer depressed ministers get treated because of career fears, social stigma and spiritual taboo. "Clergy do not talk about it because it violates their understanding of their faith," said Scoggin. "They believe they are not supposed to have those kinds of thoughts." Stanford, who studies how the Christian community deals with mental illness, said depression in Christian culture carries "a double stigmatization." Society still places a stigma on mental illness, but Christians make it worse, he said, by "over-spiritualizing" depression and other disorders—dismissing them as a lack of faith or a sign of weakness. Polite Southern culture adds its own taboo against "talking about something as personal as your mental health," noted Scoggin. The result is a culture of avoidance. "You can't talk about it before it happens and you can't talk about it after it happens," said Monty Hale, director of pastoral ministries for the South Carolina Baptist Convention.
For pastors, treatment can come at a high price. In some settings, however, it is becoming more acceptable for clergy to get treatment. "Depression is part of the human condition," added Scoggin. "Some people simply find ways to gracefully live with it. Like other chronic illnesses, you may not get over it."
Experts at Gordon-Conwell Theological Seminary suggest that pastors can help prevent depression by engaging in intentional replenishment weekly or monthly, confiding in their spouse and seeking spiritual direction with another pastor who ministers to them. They should also establish boundaries and set realistic expectations. "Jesus did not heal everyone, even though it was within His power to do so. No one is capable of successfully ministering to every person in need," said Drs. Sidney Bradley and Kelly Boyce with GCTS. "Pastors can also normalize the problem of depression by teaching about it. This can help people understand it, and dispel the idea that Christians are immune from depression. Research has shown that when therapy is combined with medication, there is a 90 percent successful treatment rate. Depression is very, very treatable."
USA Today 10/29/09