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Lord, have mercy…

Tag Archives: faith

Lent Day 13: repentance

04 Thursday Mar 2021

Posted by Janean Tinsley in My Story. My Faith.

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faith, God, Jesus Christ, Lent

1 Blessed is the one
whose transgressions are forgiven,
whose sins are covered.
2 Blessed is the one
whose sin the Lord does not count against them
and in whose spirit is no deceit.

3 When I kept silent,
my bones wasted away
through my groaning all day long.
4 For day and night
your hand was heavy on me;
my strength was sapped
as in the heat of summer.

5 Then I acknowledged my sin to you
and did not cover up my iniquity.
I said, “I will confess
my transgressions to the Lord.”
And you forgave
the guilt of my sin. –
Psalm 32

Lent is a season of repentance. We don’t like to think about repentance because that means we must look at our sinfulness. And yet, that is exactly what we are called to do. Repent.

Today’s psalm highlights the blessings in this way of life that searches for those deeds, words, thoughts, even motives, displeasing to God—and owns them mournfully before him.

The first blessing is forgiveness. The repentant are the forgiven (vv. 1–5). In the psalm, this forgiveness is confirmed by David’s deliverance (vv. 6–7). Let’s be honest, David struggled in life. Troubles had surrounded him like mighty waters. It seems then that David doesn’t just look for his circumstances to change; he offers himself to be changed through his repentance. And the deliverance he receives confirms the forgiveness of the guilt of his sin. Would that we all approach our troubles with such priorities! The repentant are the forgiven—and in that forgiveness is our deliverance.

Another blessing in repentance is who David is becoming through it. This is alluded to in verse 8 of our psalm. He is becoming someone intimate with the teaching and counsel of the Lord, growing in his will.. Our repentance now has everything to do with who we are becoming for tomorrow. The seeds of your future self are in your repentance today.

This tomorrow that we repent toward includes the age to come, the new earth. The season of Lent comes to its end on Easter Sunday. In the resurrection of Jesus, we are promised our own future resurrection! Who will we be on that day? We learn from Jesus’s resurrection that there is an organic unity between our present and future selves. Just like the crucifixion marks of his resurrected body (John 20:20), the wisdom Jesus gained in learning obedience became part of his future self, a wisdom by which he leads us into salvation (Hebrews 5:8–9), enthroned on high.

Therefore, learning obedience through repentance today, we are being shaped for our future life. Who you are today affects who you will become in the day of Christ’s tomorrow. Every confession of deceit today promises a truer you tomorrow, or certainly a deeper enjoyment of your true you!

So let us journey on in the blessed life of repentance. It brings us the assurance of forgiveness and the promise of who we become through it!

Today’s devotional was written by Rev. Heino Blaauw.

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Lent Day 12: Separate No More

03 Wednesday Mar 2021

Posted by Janean Tinsley in Lent

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faith, God, Jesus Christ, Lent

My God, my God, why have you forsaken me?
Why are you so far from helping me, from the words of my groaning?
O my God, I cry by day, but you do not answer;
and by night, but find no rest.

Yet you are holy,
enthroned on the praises of Israel.
In you our ancestors trusted;
they trusted, and you delivered them.
To you they cried, and were saved;
in you they trusted, and were not put to shame.
— Psalm 22

Separation sucks! It doesn’t matter if you are an introvert or extrovert, long term separation sucks. This week, in Texas, all mandates were lifted, paving the way for people to do what people naturally do — fellowship. We were not created to be isolated. We need human contact: hugs, touch, holding hands. The longer we go without it, the deeper we fall into a pit of hopelessness.

Just like human beings are created to be together, we are also created to be joined with God. Psalm 22 is about a heart that feels separated from God. It reflects a time when God doesn’t feel close. He doesn’t seem to care. How we feel often conflicts with the truth we know about God. The lyrics of a Lauren Daigle song (“You Say”) share this struggle:

You say I am loved when I can’t feel a thing
You say I am strong when I think I am weak
You say I am held when I am falling short
When I don’t belong, oh, you say that I am yours
And I believe.

Feelings tell us God has forgotten us; faith reminds us of his powerful love. Feelings fool us into thinking God has hidden his face from us; faith convicts our hearts that he will never leave or forsake us. Feelings are fickle and often crush the spirit; faith gives hope.

Jesus deliberately quotes Psalm 22 from the cross, beginning with feelings of separation, but as he suffers, the entire psalm runs through his mind until his heart hears, “He has not hidden his face from him, but answered him when he called” (v. 24). Jesus clings to faith, not feelings, in his trials.

If you are feeling separated from God, now is the perfect time to reach out and say yes to God!

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Lent Day 11: Soul-Lifting!

02 Tuesday Mar 2021

Posted by Janean Tinsley in Lent

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faith, God, Jesus Christ, Lent

To you, O Lord, I lift up my soul. …
Make me to know your ways, O Lord;
teach me your paths. …
Be mindful of your mercy, O Lord, and of your steadfast love,
for they have been from of old.
Do not remember the sins of my youth or my transgressions;
according to your steadfast love remember me,
for your goodness’ sake, O Lord! —
Psalm 25

I am beginning week two of a new eating program. It’s really tough. No processed sugars. Very few calories. And none of my goto comfort foods. But really this is a perfect time to do such a change for, you see, Lent is a time for a soul lift. Psalm 25 begins with a declaration of trust in God before going on to name several issues with which we can identify.

“To you, O Lord, I lift up my soul. … in you I trust” (vv. 1–2). The Hebrew word for soul is nephesh, which represents the whole self, not just the soul. My body and soul have both been troubled for many days. So it’s time for surrender. As we journey through Lent, it is good to affirm the foundation of our faith, to praise our God who guides us along life’s paths that are not always straight and well groomed. And let’s be honest, nothing about the past year has been straight and well groomed.

Psalm 25 is an acrostic poem with the first letter in most lines beginning with succeeding letters of the Hebrew alphabet. There are 22 letters in the Hebrew alphabet and 22 verses to this psalm. The use of the acrostic helps the psalmist paint a broad landscape with pathways that are detoured and overgrown with shame, malicious acts, a troubled heart, entrapment, loneliness, and affliction. Within these paths is written an instructional “ABC’s” of God’s teachings, forgiveness, and salvation. For every trouble or obstacle, there is an affirmation of God’s grace!

It is much too easy to be focused on the difficulties we face. But God’s endless grace can carry us through each situation, emotion, or misstep.

So, lift up your soul! Give thanks and praise for God’s steadfast love and trustworthiness. He beckons you to leave your burdens in His hands.

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Lent Day 10

01 Monday Mar 2021

Posted by Janean Tinsley in Lent

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faith, God, Jesus Christ, Lent, pain

How long, Lord? Will you forget me forever?
How long will you hide your face from me?
How long must I wrestle with my thoughts
and day after day have sorrow in my heart?
How long will my enemy triumph over me?

Look on me and answer, Lord my God.
Give light to my eyes, or I will sleep in death,
and my enemy will say, “I have overcome him,”
and my foes will rejoice when I fall.

But I trust in your unfailing love;
my heart rejoices in your salvation.
I will sing the Lord’s praise,
for he has been good to me. —
Psalm 13

In the Book of Psalms, 67 are psalms of lament—songs that cry out to God in burden or complaint. In fact, these songs of angst make up the majority of Psalms. Although there are words of address, confession, trustworthiness, petition, and hints foreshadowing salvation within these songs, it was suffering, not praise, that inspired these songs of the heart.

As a trauma therapist, I have seen a lot of suffering. The human condition is fraught with illness, decline, anxiety, isolation, fear, confusion, and ultimately, death. It is in these moments that we, like the psalmist, seek God’s face. Even those who have strayed from God secretly cry out in hopes of seeing God’s face to bring about healing. As we enter into the one year anniversary of this pandemic, I have heard from many clients a form of lament. They are enveloped in pain. Add to that the trials of human life – including death, and it can seem a true path of despair.

In these dark times, though the soul still retains its capacity for faith, hope, and meaningful encounter, there is still an urgent need within us to cry out to God in complaint. The hefty inclusion of psalms of lament in the biblical canon assures us that God not only welcomes our complaints, but also that these are music to his ears. Imagine that: a God who does not feel defensive when we shout at him in honest agony! Rather, ours is a God who wrestles with us through pressing anxiety to urgent prayer and, ultimately, to expectant rejoicing.

Lent is a time for wrestling within as we wander through our wildernesses. It is a time of lamenting the felt separation from our Creator. It is also a time of coming to a deeper experience of the One who has called us to himself. In the world today, we are encouraged to bury any suffering within, ignoring the necessary wrestling we must do with the deep woes of our soul. God says, “No!” God encourages the wilderness because that’s where we learn to rely upon his strength.

My hope for all of us during this season is that we are able to live honestly before God and find within us the boldness to struggle with God so deeply that at times, only a well-crafted poem of complaint will suffice.

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Lent Day 9: Beside Still Waters

27 Saturday Feb 2021

Posted by Janean Tinsley in Lent

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faith, God, Jesus Christ, Lent

The Lord is my shepherd, I shall not want.
He makes me lie down in green pastures;
he leads me beside still waters; he restores my soul.
He leads me in right paths for his name’s sake. Even though I walk through the darkest valley,
I fear no evil; for you are with me; your rod and your staff—they comfort me.
— Psalm 23

Do you ever feel like the world is too noisy? Too demanding of every moment? There are meetings to be at, functions to attend, demands to be met, and if we’re not careful, our calendars and busyness can separate us from God.

Psalm 23 invites us to take a step or two away from the demands of the world. The psalmist’s words invoke an image of peace, rest, and tranquility taken next to a stream of quiet beauty—an image that has resonated with souls over millennia.

I find soul rejuvenation when I’m near a large body of water like a lake or the ocean. And though I don’t always have the means of picking up and physically traveling to a body of water, I do have the ability of becoming lost in Psalm 23. Scripture can do that for us. It can take us into a place of complete safety if we only allow His word to enter into our soul.

I encourage you to take a moment and ask our Good Shepherd to lead your spirit next to a place of green pastures and quiet waters—so that he may restore your soul. In this time of pandemics and quarantines and riots and divisions, we NEED restoration more than ever. God has invited you. Are you ready to say, “Yes?”

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Lent 8: Worship Freely

25 Thursday Feb 2021

Posted by Janean Tinsley in Lent

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faith, God, Jesus Christ, Lent


We are hungry, so we eat. We are tired, so we sleep. We answer when our name is called. There are emails and phone calls requesting a reply. There are schedules to be readjusted in light of unexpected events. There is so much to respond to that we often have to prioritize what is worthy of a response.

When the magi in the gospel of Matthew saw an unusual star that aligned with an Old Testament prophecy about the coming of the king, they prioritized their response (Num. 24:17). They cleared their schedules, packed their bags, and set out to find the child. It is unclear how much the magi really knew about who this baby was that they found in Bethlehem, but when they saw him, they bowed down and worshiped him. Their action tells us that they believed this child was one worthy of their praise. Their worship was a reaction for beholding God’s perfect self-revelation, Jesus Christ. He was worthy of their worship.

We hear the word “worship” and probably think of church. But worship is much more than a place on the church bulletin. When we worship God, we are responding to who he is and what he has done for each of us. Worship is like writing a thank you card. We acknowledge the gift that has been received and respond in gratitude to the giver. God has given the ultimate gift, one we could not possibly purchase for ourselves. Through the death and resurrection of Jesus, God provided a way for us to be restored into relationship with him. God did this because of his love (John 3:16), and we are able to love in response (1 John 4:19). Through Jesus’ faithfulness in completing the work on the cross, we are enabled to live by faith, trusting that he has truly reconciled us with God. He is worthy of our responsive worship. And our worship should be authentic and free.

So think of how you worship God. Do you worship without inhibition or are you reserved? Giving of yourself to God means you give all you are. It’s time for worship to reflect the joy we have in our identity. Would people see your joy in the way you worship?

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Lent 6: Scripture as our story

22 Monday Feb 2021

Posted by Janean Tinsley in Lent

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faith, God, Jesus, Lent


“Now faith is the confidence in what we hope for and assurance about what we do not see. This is
what the ancients were commended for.” —Hebrews 11:1-2


Have you ever done one of those DNA kits? The explosive growth of sites like Ancestry, LivingDNA and 23andMe is indicative of our desire as people to know our story. I have been working on my family tree for some time. We want to know where we came from, what trials our ancestors faced and their stories of endurance. We derive encouragement from the stories, both the good and the bad, as we strive to live up to their example or do better.


The author of Hebrews understood the power of remembering where you came from. Hebrews 11 seems like a hall of fame for people who lived by faith. The list goes on and on and it is quite the list? Abel, Enoch, Noah, Abraham. The names on the list would have been well-known by the original audience, as well as the stories of each person the author names. For those unfamiliar with the names, the author of Hebrews makes it clear that the people listed here did not have easy lives. They all encountered struggle and hardship. In the midst of their various difficulties though, they had faith, trusting that God was good and faithful to fulfill his promises. I encourage you to read it!


Like people drawing encouragement from the successes of their ancestors,m, so also the author of Hebrews intended this review to motivate the audience in their faith. Hebrews 12 begins, “Therefore, since we are surrounded by such a great cloud of witnesses, let us throw off everything that hinders and the sin that so easily entangles. And let us run with perseverance the race marked out for us” (Heb. 12:1).

While the stories in Hebrews 11 are encouraging, the author turns our focus toward Jesus Christ, who “For the joy set before him he endured the cross, scorning its shame, and sat down at the right hand of the throne of God” (Heb. 12:2). Eugene Peterson translates the next verse in the following way, “When you find yourselves flagging in your faith, go over that story again, item by item, that long litany of hostility he plowed through. That will shoot adrenaline into your souls!” (Heb. 12:3, The Message).

I don’t know about you but that’s exactly what I have needed this past year. 2020 was a hard year for everyone. And for some this year hasn’t been any better. “When you find yourself flagging in your faith, go over that story again, Adam by Adam, that long litany of hostility he plowed through. That was shoot adrenaline into your souls!”

What an exclamation! If you look at the list in Hebrews 11 you will see that each person struggled, faced opposition, was persecuted in someway, or was isolated. If there are times that you believe the people in the Bible are not relatable, it’s likely you have spent time in scripture. God used ordinary people with ordinary circumstances to teach us how to be extraordinary in our faith. Isn’t it time that each of us live into our identity as disciple?

Are you ready to take a bold step?

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The Journey to the Cross

17 Wednesday Feb 2021

Posted by Janean Tinsley in Lent

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faith, God, Jesus Christ

Therefore, if anyone is in Christ, the new creation has come: The old has gone, the new is here! — 2 Corinthians 5:17

Lent. Many Christians recognize Lent as the mark of Easter’s beginning. But truly it is that season where we are invited to both mourn and hope. It is a season of mourning as we wrestle with the cost and pain of our sin and brokenness. We hope as we see Christ victorious in his suffering and death. We mourn as we think of Jesus on the cross, bearing the weight of our sentences. We hope as we recall the empty tomb and our freedom from death. In reflecting back on the cross and looking forward to resurrection, we recognize that abiding in Christ shapes our lives in all things. As the apostle Paul writes in 2 Corinthians, “if anyone is in Christ, the new creation has come.”


Faith, hope and love are the defining realities of this life as a new creation. That’s not to say that once we become followers of Christ, we live into the full expression of those virtues. Oh no. We fall short. We sin. But, those defining realities are given to us by the Holy Spirit. And it is through the Spirit that we grow as authentic disciples. As we look to Christ and seek to live in active response to him, we open ourselves up for the Spirit to work within us, nurturing our faith, hope and love.

In the midst of the pandemic and now this ice/snow storm, many may feel more mournful than hopeful. It’s easy to settle into those darker places, cocooning ourselves in the worldliness of despair. But Lent says, “No!” Lent says, “ hope is all around you because Christ has come and Christ is coming again!”


Spiritual practices can help to focus on the hope given to us through Jesus Christ. There is nothing magical about the spiritual practices themselves. On their own, they are powerless to provide meaningful transformation. But with God, He will use them to transform us into people of greater faith, hope and love. As we journey through Lent, reflecting on the cross and resurrection, let us be mindful of the hope found in the midst of the mourning.

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68 days… and counting

09 Saturday May 2020

Posted by Janean Tinsley in mental health, The Church

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apologetics, courage, faith, God, Jesus, mental health, sin, truth

glory to god book

Photo by Brett Sayles on Pexels.com

The past two days have been a bit of a valley. Like most people I know, I’m not a fan of disappointment and it seems that disappointment has been a reoccurring theme as of late. Let me explain.

It’s been 68 days since I stepped foot in a church building. That’s 1,632 hours since I kneeled before God in a sanctuary, asking Him one last time if He was absolutely sure this was His will. (He was, by the way). 68 days.

When I walked out with my last box that day, I really didn’t have a clue what was coming. I had no idea a government shutdown of the entire country would happen just two weeks later. I had no idea that church doors would become off-limits to us throughout many states, including my own. I had no idea that I would be left in this perpetual state of emptiness for an indefinite period of time. Nope. I only knew I needed some time away.

I understand that for a lot of people, worshipping from home with their home church is not a big deal. For some people (and if you read social media it’s more like “most” people), worshipping from home is not much different than worshipping in person. In fact, several have stated that they prefer worshipping at home because it’s easier. It never occurred to me that our worship was supposed to be easy. I always thought it was supposed to be a sacrificial part of our lives. But perhaps I have been wrong. Regardless, it appears that the concept of online worshipping has become the preferred method.

It’s not my preferred method because it’s not how we were created.

In the beginning, God created man. We know that Adam was made in the image of God to glorify God. But, as Genesis tells us, God saw that man needed a companion because there was a lacking completion with just man. So God created woman and upon seeing the two together, He was pleased.

Since the beginning of time, men and women have been in communion with one another. All through scripture we are shown the importance of community with one another. Even Jesus Christ required a community – at first choosing 12 disciples to live among, teach to, and talk with. Even more impressive is the fact that Jesus didn’t pick and choose who He communed with. He was (and continues to be) available to everyone.

But here we are in 2020 and we live in the United States of America, where our Constitution absolutely guarantees our freedoms and rights and yet we are not allowed to worship together in person. And many are okay with that.

Before I get accused of not caring about the vulnerable population during this pandemic, let me state quite clearly that I absolutely do care. I also happen to believe that we are a population of people with intelligence. Just because someone is medicare age doesn’t mean they no longer have an IQ. They are quite capable of making healthcare decisions for themselves in regards to going out in public. Those who are immunosuppressed are very educated in what is safe and what isn’t for their bodies. So, stop right there if you’re getting ready to slam me about being callous or uncaring.

For those of you who live outside of Kentucky (where I live), let me just give you some insight as to where my state stands as of mid-May. Kentucky didn’t just flatten the curve, we inverted the curve. Many of our hospitals in the state are laying off massive amounts of employees (doctors and nurses included) because their beds, outpatient clinics, and same-day surgical centers are empty. In a couple of higher population areas there has been a steady amount of COVID cases but not one single instance where there wasn’t a bed or ventilator available. We did exactly what the President of the United States asked of us – we kept the hospitals from being overrun with cases. Instead, they have trickled in at a rate that is manageable.

And yet… our governor will not allow people to live within their rights as guaranteed by the Constitution. We are not allowed to attend church in person.

Ok, so let me clarify here. The governor has said churches may open their doors May 20 (that’s not a Sunday, by the way so it’s actually May 24) but with stipulations and then more stipulations. These go WAY beyond the requirements for other businesses.

No singing! Seriously, no singing.

No hugging, standing next to each other, holding hands, shaking hands, fist bumps, etc.

All family units must be 6 feet apart from other family units.

33% capacity. (So, I guess it’s a lottery system to get into church now)

No wind instruments.

Only one person at a time in a restroom and then staff must disinfect before the next person can go in.

The clergy must preach with a mask.

No coffee (because obviously we all sit around sharing each other’s coffee cups) or donuts.

No clusters of groups in one space.

No nursery.

No Sunday School.

No youth group.

Did I say no singing? Oh, yes I did. But I mean really, no singing?

This list is not complete but you get the drift. Our governor does not want us meeting in-person to worship. He is instead stomping all over our freedoms in order to show his muscle. And people are applauding his behavior, which is absolutely your right. But these “restrictions” are destroying me and many others.

Somewhere along the way, it became acceptable to trample mental health in the name of fear. It has become acceptable to watch people quickly sink in the quicksand of hopelessness and despair in the name of “protection.” It has become acceptable to watch people’s livelihoods implode in the name of health. It has become acceptable to justify suicide, violence, depression, addiction, and other mental diseases as okay as long this virus stays around. Does that make any sense? No! Having physically healthy people is useless if we become a society of mentally unhealthy people. And yet, mental disease is on the rise at a faster rate than I can fathom all because of despair.

There is only one cure for despair. Jesus Christ.

Church is more than a place to go on Sunday mornings. It SHOULD be a place to surrender all of your fears, your struggles, your doubts, and your pain. It SHOULD be a place that allows you to receive hope and encouragement while growing your appetite for a deeper relationship with Jesus Christ. It SHOULD be a place where you are challenged and made to be uncomfortable in your complacency. It SHOULD be a place where you acknowledge your sins and recommit your life to God as you repent. It SHOULD be a life-changing place each and every time you walk through the doors. That was the purpose of the original church and a true Bible-teaching church still believes in that purpose today. You cannot make disciples of Jesus Christ while living in sin, hopelessness, and complacency.

The church is more essential than any business I know. It offers life-sustaining, eternity-promising, redemption-giving information that no other place is equipped to do. Yes, you can read the Bible for yourself. You can sing hymns in your home. But if that’s all that is required, why did Jesus urge his followers to join together? Why did Jesus see the importance of touch? Why did Jesus see the importance of community? Jesus wasn’t afraid to touch the leper. He wasn’t afraid to be around the demon-possessed. And he never taught us to be afraid, either. Yet, here we are… cowering in our homes afraid.

Yes, I’m disappointed. I disappointed that I don’t have a church to attend because there are none open. I’m disappointed that so many Christians are ok being just ok. I’m disappointed that it’s been 68 days and likely much much longer.

I’m sitting on my deck as I write this and thinking that it could easily become a worship space, full of people gathering together in anticipation of encountering the Holy Spirit. Perhaps it’s just what I will do, invite over a dozen or so people who, like me are desperate to live as God intends for us to live – in community together worshipping Him. I think that it’s just what people need. I know it’s what I need. I’ve said before that I am church “homeless” right now. When God directed me to leave the pulpit I was serving, my denomination as a whole left me. The emails, texts and personal confrontations have been like one assault after another It’s been eye-opening, to say the least. “Friends” are now only names of what once was. “Colleagues” see me as the enemy. Silence is profound. And yet I hear the words given to Ester and it’s as if God Himself is speaking them loudly to me right now, “If you don’t speak up now, {they} will somehow get help, but you and your family will be {destroyed}. It could be that you were made for such a time as this!”

I may be on my own. I may be without a tribe to walk with. But I believe that these words ring true … truer than any words I can cling to at this moment … I was made for such a time as this. And I will glorify my Lord.

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Talking With Young People

25 Wednesday Mar 2020

Posted by Janean Tinsley in mental health

≈ Leave a comment

Tags

anxious, children, COVID-19, faith, hope, mental health, stress, youth

TIPS FOR CAREGIVERS, PARENTS, AND TEACHERS DURING INFECTIOUS DISEASE OUTBREAKS

alone black and white blur child

Photo by Kat Jayne on Pexels.com

What You Should Know

*Note: I am not a child therapist. My expertise is with those 16 years of age through adult. The following information is from SAMHSA.gov. 

How do you feel right now? For some of you, there may be a sense of anxiousness. For others, fear. Perhaps even sadness, guilt, anger, or numbness. If you have a news app on your phone, do you get updates? What is your initial reaction when you hear the alert tone from your news app? These and many more responses are normal within a time such as this when things are changing daily and there seems no certainty is coming.

But what about the children and youth in your life? How are they feeling? What are they experiencing? When children and youth are exposed constantly about an infectious disease outbreak they can feel scared, confused, or anxious—as much as adults. This is true even if they live far from where the outbreak is taking place and are at little to no actual risk of getting sick. But when it seems to be in your own backyard, the resulting fear can be overwhelming for children and youth. Young people react to anxiety and stress differently than adults. Some may react right away; others may show signs that they are having a difficult time much later. As such, adults do not always know when a child needs help.

Possible Reactions to an Infectious Disease Outbreak

Many of the reactions noted below are normal when children and youth are handling stress. If any of these behaviors last for more than
2 to 4 weeks, or if they suddenly appear later on, then children may need more help coping.

PRESCHOOL CHILDREN, 0–5 YEARS OLD

The first thing to remember is that no one is exactly the same. But there are some more common responses in very young children to stress. These little ones do not have the ability to express themselves in the same way adults do. They have the words or even the understanding of what is happening within their minds. Because of this, very young children may express anxiety and stress by going back to thumb-sucking or wetting the bed at night. They may fear sickness, strangers, darkness, or monsters. It is fairly common for preschool children to become clingy with a parent, caregiver, or teacher or to want to stay in a place where they feel safe, even if they have never acted this way before. They may express their understanding of the outbreak repeatedly in their play or tell exaggerated stories about it. Some children’s eating and sleeping habits may change. They also may have aches and pains that cannot be explained. Other symptoms to watch for are aggressive or withdrawn behavior, hyperactivity, speech difficulties, and disobedience.

 Infants and Toddlers, 0–2 years old, cannot understand that something bad in the world is happening, but they know when their caregiver is upset. They may start to show the same emotions as their caregivers, or they may act differently, like crying for no reason or withdrawing from people and not playing with their toys.

 Children, 3–5 years old, may be able to understand the effects of an outbreak. If they are very upset by the news of the outbreak, they may have trouble adjusting to change and loss. They may depend on the adults around them to help them feel better.

EARLY CHILDHOOD TO ADOLESCENCE, 6–19 YEARS OLD

Children and youth in this age range may have some of the same reactions to anxiety and stress linked to infectious disease outbreaks as younger children. Often younger children within this age range want much more attention from parents or caregivers. They may stop doing their schoolwork or chores at home.

 Children, 6–10 years old, may fear going to school and stop spending time with friends. They may have trouble paying attention and do poorly in school overall. Some may become aggressive for no clear reason. Or they may act younger than their age by asking to be fed or dressed by their parent or caregiver.

 Youth and Adolescents, 11–19 years old, go through a lot of physical and emotional changes because of their developmental stage. So it may be even harder for them to cope with the anxiety that may be associated with hearing and reading news of an infectious disease outbreak. Older teens may deny their reactions to themselves and their caregivers. They may respond with a routine “I’m okay” or even silence when they are upset. Or they may complain about physical aches or pains because they cannot identify what is really bothering them emotionally. They may also experience some physical symptoms because of anxiety about the outbreak. Some may start arguments at home and/or at school, resisting any structure or authority. They also may engage in risky behaviors such as using alcohol or drugs.

How Parents, Caregivers, and Teachers Can Support Children in Managing Their Responses to Infectious Disease Outbreaks

With the right support from the adults around them, children and youth can manage their stress in response to infectious disease outbreaks and take steps to keep themselves emotionally and physically healthy. The most important ways to help are to make sure children feel connected, cared about, and loved.

 Pay attention and be a good listener. Parents, teachers, and other caregivers can help children express their emotions through conversation, writing, drawing, playing, and singing. Most children want to talk about things that make them anxious and cause them stress—so let them. Accept their feelings and tell them it is okay to feel sad, upset, or stressed. Do not make them feel that their feelings are unimportant. Crying is often a way to relieve stress and grief.

 Allow them to ask questions. Ask your teens what they know about the outbreak. What are they hearing in school or reading on social media? Try to watch news coverage on TV or the Internet with them. Also, limit access so they have time away from reminders about the outbreak. Don’t let talking about the outbreak take over the family or classroom discussion for long periods of time. Instead, discuss other things that are important in the world, in the community, and in the family.

 Encourage positive activities. Adults can help children and youth see the good that can come out of an outbreak. Heroic actions, families, and friends who assist with the response to the outbreak, and people who take steps to prevent the spread of all types of illness, such as hand washing, are examples. Children may better cope with an outbreak by helping others. They can write caring letters to those who have been sick or lost family members to illness; they can organize a drive to collect needed medical supplies to send to affected areas. There are a number of ways they can be proactive which will encourage a sense of well-being.

 Model self-care, set routines, eat healthy meals, get enough sleep, exercise, and take deep breaths to handle stress. Adults can show children and youth how to take care of themselves. If you are in good physical and emotional health, you are more likely to be readily available to support the children you care about.

 Include faith. Children and youth need to understand that hope still exists in the midst of bad things. If you suddenly stop attending church or stop praying as a family, they are going to be confused and have doubts about the goodness of God. Set a time for prayer as a family every day. Give each person a chance to lift up prayer concerns, as well as something to be joyful about. Talk about God and the hope He has promised in your everyday conversations. Find a good family Bible study or devotional and make it a priority. Encourage your children to talk to God about their feelings and give them room to do so in their own way. And if they express and anger toward God, help them see that throughout scripture, God’s chosen people had moments of anger, too.

A NOTE OF CAUTION! Be careful not to pressure children to talk about an outbreak or join in expressive activities. While most children will easily talk about the outbreak, some may become frightened. Some may even feel more anxiety and stress if they talk about it, listen to others talk about it, or look at artwork related to the outbreak. Allow children to remove themselves from these activities, and monitor them for signs of distress.

PRESCHOOL CHILDREN, 0–5 YEARS OLD

Give these very young children a lot of emotional and verbal support.

Get down to their eye level and speak in a calm, gentle voice using words they can understand.

Tell them that you always care for them and will continue to take care of them so they feel safe.

Keep normal routines, such as eating dinner together, prayer and devotion time, and having a consistent bedtime.

EARLY CHILDHOOD TO ADOLESCENCE, 6– 19 YEARS OLD

Nurture children and youth in this age group:

Ask your child or the children in your care what worries them and what might help them cope.

Offer comfort with gentle words or just being present with them.

Spend more time with the children than usual, even for a short while.

If your child is very distressed, excuse him or her from chores for a day or two.

Encourage children to have quiet time or to express their feelings through writing or art.
Encourage children to participate in recreational activities so they can move around and play with others.

Address your own anxiety and stress in a healthy way.

Let children know that you care about them— spend time doing something special; make sure to check on them in a nonintrusive way.

Maintain consistent routines, such as completing homework and playing games together.

When To Get More Help

In some instances, children may have trouble getting past their responses to an outbreak, particularly if a loved one is living or helping with the response in an area where many people are sick. Consider arranging for the child to talk with a mental health professional to help identify the areas of difficulty. If a child has lost a loved one, consider working with someone who knows how to support children who are grieving.

Helpful Resources

Substance Abuse and Mental Health Services Administration (SAMHSA)
5600 Fishers Lane — Rockville, MD 20857
Toll-Free: 1-877-SAMHSA-7 (1-877-726-4727)

SAMHSA’s Disaster Distress Helpline

Toll-Free: -877-SAMHSA-7 (1-877-726-4727) (English and español)
SMS: Text TalkWithUs to 66746
SMS (español): “Hablanos” al 66746

TTY: 1-800-846-8517
Website (English):
https://www.disasterdistress.samhsa.gov
Website (español): https://www.samhsa.gov/find-help/disaster- distress-helpline/espanol

SAMHSA’s National Helpline

Toll-Free: 1-800-662-HELP (24/7/365 Treatment Referral Information Service in English and español)
Website: https://www.samhsa.gov/find-help/national-helpline

Child Welfare Information Gateway

Toll-Free: 1-800-4-A-CHILD (1–800–422–4453) Website: https://www.childwelfare.gov/topics/responding/reporting/how

National Suicide Prevention Lifeline

Toll-Free (English): 1-800-273-TALK (8255)
Toll-Free (español): 1-888-628-9454
TTY: 1-800-799-4TTY (4889)
Website (English): https://www.suicidepreventionlifeline.org (español): https://suicidepreventionlifeline.org/help-yourself/en- espanol

National Child Traumatic Stress Network

Website: https://www.nctsn.org

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