Sin has affected all of us. Not one person has escaped it—even the Son of God, who took on the sin of those who would believe in Him. Jesus didn’t have sin, of course, but was made to be sin on our behalf (2 Cor. 5:21). Our minds, our bodies, our souls have been wholly effected by original sin. Let us not look past what it can do to any part of us, including our brains.

During my senior year of college, I was lying down on my bed one evening reading some tweets from a Christian theologian. As I continued scrolling, suddenly I began to feel extremely cold. As the coldness set in, my heart—from out of nowhere—started to pound like I had just run a mile. As it pounded harder and harder, I began experiencing heart palpitations (where your heart skips beats). Then my breathing got quicker and tighter. I finally set up and vividly remember thinking, “Am I having a heart attack? Am I dying?”

After about five minutes, I walked out of my room and told my roommate what had just happened. Unsure of what really happened, I described how I felt. His girlfriend was there and said, “That’s exactly how anxiety attacks feel.”

Up to that point in my life, I had never experienced something like that before. It was dark, fear-inducing, and left me feeling vulnerable. Let me put this in perspective from my vantage point. I absolutely hate vomiting—with every fiber of my being. When I get nauseous, I get so afraid that I’m getting sick. I do everything I can to not vomit. And yet, when the anxiety attacked ceased, I remember walking to my car thinking, “I would rather throw up a hundred times than do that again.”

Millions upon millions of people suffer from anxiety attacks, panic attacks, clinical anxiety, etc. just like my story above. Many much worse than what I went through—even Christians.

Anxiety and the Church

There is a stigma within the evangelical church around the topic of clinical anxiety. Many Christians—a lot of whom I respect and admire—simply do not believe it exists. They see no evidence for chemical imbalances. I know of many close to me who would have a totally different opinion on this. And that’s okay.

However, many Christians have done damage to other Christians who suffer in this way because they don’t believe chemical anxiety, depression, etc. are real. In turn, they say the problem is not the brain malfunctioning, but their own sin. They send Philippians 4:6 to suffering Christians and say, “Just believe this more.” But this isn’t a Philippians 4:6 issue, but an issue that has its roots in total depravity.

What Does Total Depravity Have to Do with This?

As one who believes in the doctrine of total depravity, I think it’s sensible to believe in clinical anxiety (or other mental health issues). I think it’s difficult not to because of total depravity.

At its foundation, total depravity explains that sin isn’t a mere hiccup in our spiritual makeup or that, deep down, we’re good people who do bad things. No, sin affects our whole being—mind, soul, body. Ephesians 2:1 says, “And you were dead in your trespasses and sins.” We weren’t sick people, but dead people. We didn’t need to “turn over a new leaf,” but become a new person altogether.

And that was the effect of original sin. Just as original sin made us spiritually dead—incapable of obtaining salvation on our own—it also affected our whole being—including our brain.

Furthermore, total depravity doesn’t mean we are as bad as we could be, but that sin has permeated our entire self.

RC Sproul explains:

…it means that the fall [of man] is so serious that it affects the whole person. Our fallenness captures and grips our human nature and affects our bodies—that’s why we become ill and die. It affects our minds and our thinking (brackets and italics mine).

It affects our mind and the way we think. It impacts every part of us. And because of that is why I believe the Bible gives room for clinical anxiety. Our brains have malfunctioned because of sin. The human mind is not what it ought to be. Sin came into the world (Gen. 3) and caused catastrophic damage—to say the very least.

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