Causes of Depression: Relational and Spiritual Perspectives
Depression is one of the most commonly occurring mental health issues. In fact, the World Health Organization reports that about 5% of men and 9% of women experience symptoms of depression in any given year. In this article, we will explore depression from a traditional medical point of view. We will also examine the relational, spiritual, and faith-related aspects and causes of depression consistent with biblical Scripture.
Presently, we are experiencing an unprecedented time of challenging circumstances. This pesky virus along with mandated social isolation and limitations placed upon individuals is upsetting to many. When we add into this situation an increase in responsibility with fewer resources available in terms of income and services, we have a hotbed for an increase in symptoms of depression and other serious mental health issues. Newport Beach Christian Counseling offers support during these times.
Sometimes depression occurs for the first time due to a hardship or situation. I would not be surprised to discover a much higher number of both males and females suffering with symptoms of depression and/or an increase in the level of negative symptoms in pre-existing cases.
Causes of Depression
There are a variety of causes of depression and reasons why people become depressed. A mixture of genetics, brain chemistry, and family history each play a role in developing depression. Certain individuals may have a biological predisposition for developing mood issues when faced with overwhelming stressors.
When ample distress has been added to a pre-existing vulnerability, a person is likely to become troubled in areas of mood regulation with symptoms ranging from anxiety to depression or a combination of both.
Underlying medical conditions (such as hormonal or thyroid issues), use of medications or substance abuse (prescription medication, alcohol, marijuana), a lack of adequate nutrition or physical activity, and any pre-existing addictions may all lead to or exacerbate symptoms of depression.
Family history also plays a part in developing depression. For example, research studies indicate that having a grandparent as well as a parent with depression doubles the likelihood of an onset of depression at some point in one’s lifetime.
Experiences of childhood neglect and abuse may also predispose a person to the development of depression at some point during the life span. Secrets and lies are contributors to depression even if you are the only one who knows what you are doing.
Symptoms of Depression
There is a wide range of assorted symptoms involved in each individual experience of depression. Each person will have a different combination of symptoms which fit one or more types or patterns of depressions.
A person may experience feelings of sadness, emptiness, or hopelessness, fearfulness, irritable mood, or loss of pleasure in all or most daily tasks. Others may experience a loss of interest in sexual intimacy, significant changes in weight, sleep disturbance, significant changes in eating patterns (either loss of appetite or overeating), feelings of agitation or restlessness, or a loss of energy.
Some may experience feelings of worthlessness, difficulty concentrating, recurrent thoughts of death. However, in addition to having several of the above symptoms, an actual diagnosis of depression requires noticeable impairment in one or more areas of life, such as employment problems or problems at home.
Types of Depression
Depression can occur in shorter term episodes or be long lasting. Sometimes depression is accompanied with sadness, anxiety, or extreme changes in mood. Depression can also alternate with manic episodes. In extreme cases, a major depression can be accompanied by psychosis. Depression with psychosis can be caused by substance abuse or arise from a particularly challenging and overwhelming set of circumstances.
Once the root causes of depression are identified, the therapeutic remedy follows the root. Solutions offered are often tied to the mental health professional’s understanding of the nature of depression. One’s professional paradigm or viewpoint often tends to determine the type of treatment prescribed.

For example, a psychiatrist is likely to prescribe medications to address and enhance neurotransmitter functioning. A fitness-oriented mental health professional may focus upon your lifestyle and nutrition as a possible culprit in ongoing depression. In my practice, I take into consideration many possibilities of origin and then match the treatment to the individual’s needs and desires.
Relational and Spiritual Aspects of the Causes of Depression
Relational risks
There are both interpersonal risks as well as intrapersonal risks which contribute to the development of depression. While the word “interpersonal” denotes interactions between two or more individuals, the word “intrapersonal” refers to our relationship within ourselves. Intrapersonal relationship dynamics are often misunderstood or overlooked but are clinically significant contributors to mental health problems.
The most common intrapersonal cause of depression is a pattern of saying “yes” when you genuinely feel inclined to say “no.” Such behavior is an example of self-betrayal, which is not something God asks of us. In fact, when we are following Scriptural guidance our choices will be made from a place of love and not a place of fearful control.
Overriding your intuitive sense of what is occurring or neglecting to determine whether something asked of you is in your best interest undermines and destroys intimacy. This is because a foundation of trust is necessary to establish and maintain healthy intimate relationships. A pattern of ongoing self-betrayal is a recipe for relational disaster. This is one of the first things I pay attention to when getting to know a new client.
Another relational risk contributing to depression occurs when you have a pattern of spending time in the company of people you genuinely dislike or who are unkind or unsafe for you.
Do you tend to over give without receiving in a reciprocal fashion over time? Do you find it difficult to speak up when something matters to you? Is it difficult for you to make your preferences, opinions, and needs a priority?
Are you able to fairly, yet firmly, inform others when you have hit a personal limit or want to establish a boundary to protect your best interest? Difficulties in any of these areas may be fueling or feeding symptoms of depression.
Spiritual risks
Making fear and anxiety-based decisions from your head that do not take into consideration the wisdom and knowledge of your body can lead to anxiety and depression.
It is therefore of utmost importance to be involved in an ongoing process of being changed by the renewing of your mind through exposing yourself to truthful and accurate streams of information, such as reading your Bible on a regular basis and attending services wherein the Word of God is spoken. God tells us to be “transformed by the renewing of our minds,” which involves placing yourself in front of reliable sources of truth.
“Do not copy the behavior and customs of this world, but let God transform you into a new person by changing the way you think. Then you will learn to know God’s will for you, which is good and pleasing and perfect.” – Romans 12:2, NLT

Spiritual causes of mental health concerns often involve a kind of misalignment with truth and honor. When we tune into the fearful channel of deception or repeatedly behave in ways that violate our own sense of right and wrong, we become unable to see, hear, or discern truth. Then we tend resort to ill-advised attempts at controlling others, becoming even more small-minded in the process of manipulation.
Maybe during times of disagreement, we tend to resort to sarcastic puts downs of self and others. Or perhaps we engage in name calling, use exaggeration, portray a sense of entitlement, or are generally unsafe people in relationship with others. The antidote to this kind of depression is to root out deception and tune into the faith channel made available to each of us by the grace and mercy of God.
Lifestyle Risks
Other often overlooked contributors to depression include what I refer to as lifestyle risks. As previously mentioned in this article, alcohol and substance abuse contribute to the likelihood of developing depression, as do addictions such as gambling, pornography, binge eating or substance abuse, and prescription medications. Behaving badly, dishonoring agreements, a lack of proper and adequate self-care, being involved in deception, and living a secret life are all ingredients in a recipe for mood disorders and especially symptoms of depression.
Christian Counseling for Depression
In summary, there can be many different causes of a depressed mood and sometimes it may not be preventable. Other causes of depression could be situational or related to loss.
In my clinical practice, we will first look for any biological basis for your pattern of symptoms. From there, we will also examine your lifestyle and nutritional habits. Then we will carefully examine your relationships with others, yourself, and God for areas of misalignment. Please come back next month to read a follow-up article addressing the treatment and resolution of depression from a faith-based perspective.
Feel free to contact me or one of the other practitioners at Newport Beach Christian Counseling to schedule an appointment today.
“Alone,” courtesy of Jude Beck, unsplash.com, CC0 License; “Solo beach walk,” courtesy of Saksham Gangwar, unsplash.com, CC0 License




Fortunately, behavioral changes can be made with the right help and if the individual desires to seek such changes. Cognitive Behavioral Therapy (CBT), for example, is one method that seeks to make incremental adjustments in how the person reacts to situations, aiming for more positivity than before.
The human brain is an amazing phenomenon. It is capable of so many incredible and complicated things, but it can also be a place of great struggle. Human beings fight battles in their minds daily. They battle cognitive distortions that can greatly impact emotions and behavior.
Control Fallacies: when someone believes the illusion of being in control of everything in their life (whether internally or externally).
Cognitive Behavioral Therapy is an evidence-based form of psychotherapy that focuses on thought patterns- what they are, how to evaluate them, and how to replace them with more accurate and helpful thoughts. The goal is for the altered thoughts to then positively affect one’s emotions and behaviors (as stated earlier about the Cognitive Triangle).
After evaluation, it is necessary to replace. This is how you can literally renew your mind. This is how to train your brain to think differently. For example, instead of allowing yourself to automatically think about getting in a car accident every time you get in your car (which leads to anxiety), you could think something like this, “Well, I do not know anything that will happen in the future. All I know is that right now, I am safe.”
Lisa began her day by announcing, “Good Morning!” in a groggy, insincere voice. She tossed and turned all night over her father’s unexpected diagnosis, not knowing how to stop worrying about what might happen. Her anxiety builds and sweat beads on her upper lip as she mentally reviews her to-do list.
The National Institute of Mental Health describes the symptoms of General Anxiety Disorder as:
Imagine Lisa sipping her chamomile tea before bed as she looks over a Bible verse that she is memorizing. She sets her alarm an hour early so that she can enjoy a healthy breakfast and spend quiet time alone with God.
Or, Lisa may have another anxiety disorder that can only be diagnosed by a psychiatrist or specialized counselor such as: Post Traumatic Stress Disorder, Social Anxiety Disorder, Panic Disorder, Phobias, or Obsessive Compulsive Disorder.
A commitment restricts your freedom. Isn’t that the root of your fear? When you keep your options open, you still feel free. But there’s a problem with this kind of freedom. When we always keep our options open, we never get to enjoy the rewards of commitment – a fulfilling marriage, for example, or a rewarding career.
It’s crucial to listen to your intuition in every relationship, not just romantic ones, but especially before you make a lifetime commitment to someone. A fear of commitment and a sense that something is wrong or unhealthy are two different things.
Recognize that regret is part of life. None of us have perfect foresight and unrestricted freedom. Every choice we make to do one thing is a choice not to do something else. None of us will choose perfectly. Our realities will always be limited by our own decisions.
Words can be a funny thing. Over time, their meaning can change and new words come into our vernacular. One word you might be hearing more often is “Enneagram.” For those who don’t know what it is, it might sound like a diagram. Others think it’s a medical tool, like a sonogram. Often people hear it and think it’s something scientific that doesn’t apply to them.
The exact origins of the Enneagram personality test are a mystery. It’s an ancient method for understanding human personality. This tool has been used by Christians and other religions around the world for centuries.
It can be far too easy to take a personality test and never think about it again. We take the test everyone on Facebook is taking, think “hm, that’s interesting,” post our results, and never think about it again. Even with a tool this transformative, this still happens. There is an urge to find out our type without exploring it so we feel like we fit in is for all of us.
It seems to be especially difficult to find one’s type if someone has been through trauma, chronic stress, or other challenging situations recently. In those situations, we often lean towards a different type. It’s not at all uncommon for someone to type themselves then study more or come out a chaotic life situation to realize they were actually a different type.
We all go through times of feeling overwhelmed or overworked. Maybe you think being constantly stressed is normal. Or, maybe you feel like it’s a completely negative condition to have that sense of emotional stress.
So, if your body reacts to significant life events with specific responses, how can you know how much stress is too much? If you’re noticing signs of stress, or if you’re going through a long season of chronic stress, what can you do to cope? Coping with difficult experiences or life changes helps us build resiliency, the ability to emotionally navigate and withstand hard circumstances.
But, if we are exposed to these hormones consistently for long periods of time, we will start to notice negative health effects and signs of stress, such as digestive problems, sleep problems, headaches, flare-ups in chronic conditions, etc. Mental health issues are also common with long-term stress, including depression and anxiety.
Even if you can’t eliminate the causes of your stress, there is still hope for you. There are resources that can help you live your best life even in the midst of a situation you can’t change. There are measures you can take to care for yourself in the midst of toxic or tragic situations.
Friendships range from the casual acquaintance or former classmate you bump into or “friend” on social media, to the kinds of friendships where you would entrust your life and the lives of your loved ones into their hands.
We need the company and connection with other human beings. That’s why one of the worst punishments which can be inflicted upon a person is to place them in solitary confinement.
These two men pledged friendship to one another, so much so that when Jonathan’s father, King Saul, was hunting down and wanting to kill David out of jealousy, Jonathan went out of his way to warn his friend to keep him safe (1 Samuel 20). Some friends will go way out on a limb for us, much more than even our own siblings or parents. Such friends are precious.
A racing heart, gripping fear or a persistent worry cycle that keeps you up at night are just some of anxiety’s many symptoms. The Collins Dictionary defines anxiety as a feeling of nervousness or worry. Health websites explain that anxiety is your body’s natural response to stress: the approach of a predatory animal would have set off an alarm in early man’s body – a rush of adrenaline triggering a “fight-or-flight” response.
There are times in life when this command may feel impossible and not calming at all. God says we must stop feeling this way but how do we do that? We could easily end up feeling anxious about our anxiety, striving to be content but still feeling defeated. Reading the verse carefully, we see that the verse gives a better alternative. Instead of feeding fear, we should tell God what we think we need.
Of all the Bible verses about not worrying, this passage from Matthew is probably read most often. It speaks so directly to the physical needs that cause us concern. In John Piper’s post, “Do not be anxious about your life,” he mentions eight reasons why Jesus says his disciples should not be anxious from this passage.
If you struggle with anxiety, know that the Bible offers hope. The verses above, along with many others throughout the Scriptures, are good food for meditation and memorization. When anxiety strikes, bring these passages to mind and rest in the calming assurance that God is in control.
The Bible teaches us that ever since Adam and Eve ate from the forbidden tree, this world has been fundamentally dysfunctional. Sin and death and various kinds of pain and loss are grim realities that remind us that things are not the way they are supposed to be.
Here we see that happiness in the heart generally produces a happy countenance, but by contrast, grief in the heart can be soul-crushing. This teaches us the truth that a person’s outward behavior is profoundly affected by the state of their heart. Happy heart = happy face. Sad heart = sad face.
David, the “sweet psalmist of Israel” (2 Samuel 23:1) was no stranger to grief. Many of his Psalms deal with the subject in depth. In Psalm 23, possibly the most well-known of all of the Psalms, David describes the rest and peace that God provides.
The Apostle Paul wrote these words to the people of the church at Corinth who were apparently suffering from affliction of some kind. Paul tells them that God is the “Father of mercies and God of all comfort,” meaning that He is characterized by compassion and is the source of any comfort that they experience.