The case of "Muffin" (depression)

Casebook of Biblical Psychiatry © Version 7

Based upon:

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Real Cases
Real People
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Real Solutions

Casebook of Biblical Psychiatry© brings the principles of Biblical Psychiatry to life based upon real-world cases and familiarizes Christians with different types of situations. This practical companion volume to Biblical Psychiatry© includes not only diagnosis, but also in-depth discussions by experienced Christians for Biblical approaches to treatment. This meticulously detailed volume of dynamic real-life case studies is simply a "must read" for all clinical Psychiatrists, mental health care professionals and Christians interested in expert opinion on today's treatment approaches. Psychiatric students, educators, and practitionersóas well as social workers, nurses, medical physicians, and interested laypersonsówill find this unique volume of inestimable value in their day-to-day work.



The case of



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The case of "Muffin"


Biopsychiatric labels DSM-5



Checklist Behaviours DSM-7

deviant sex practitioner sex, Deception, lying


Insights MMPI-7



Quick Pick EDS-7.1

Vices: sexual lust: fornication,


Self-disablement EDS-7.2


Chemical imbalance EDS-7.3

No. Never prescribed psychiatric drugs.


Benefits EDS-7.4

Escape duty or life situation: EDS-7.4.4

Sympathy: EDS-7.4.5

Smokescreen for secret sin that is soon to be discovered: EDS-7.4.10

Avoid deserved rebuke, criticism, shame: EDS-7.4.11

Self-punishment for personal failures or to ease a guilty conscience: EDS-7.4.12


Monetary EDS-7.5



Annoyance Scale EDS-7.6



Diagnostic Laws EDS-7.7

Law of Narcissistic Behaviour Choice (NBC) EDS-7.7.1.NBC

Law of Derivative Personal Benefit (DPB) EDS-7.7.2.DPB

Law of Habitual Smokescreen Decoy (HSD) EDS-7.7.10.HSD

Law of Pediatric Multifarious Obfuscation (PMO) EDS-7.7.12.PMO

Law of Anticipatory Warthog Psychosis (AWP) EDS-7.7.13.AWP


Determine the Problem

Secret sin of deviant sex practitioner relationship that bothered conscience


Ask a Child

He is sad for some reason. EDS-7.7.12.PMO


5 years later EDS-7.7.LPT

Repented, restored




The case of "Muffin"

A 24 year old Christian named Brian, sought counseling for depression. He had dropped out of school and was therefore only able to get minimum wage employment in a coffee and donut store. He was getting warnings from his boss for spending too much time in the bathroom crying. This went on for several months. Brian told his boss that he was convinced he was a terrible person. The boss, trying to help Brian, asked why he felt this way? Brian replied that earlier in the shift that day, he had dropped a tray of muffins on the floor and had thrown them into the garbage without telling him. The boss gave him a hug and sent him home for the day with pay. He told Brian he was doing fine in his job and to return the next morning for work.

That night Brian went to Wednesday evening Bible study and several of the members became concerned when Brain cried in the bathroom the entire hour. They asked Brian what was wrong and Brian replied that he was a bad person because he had dropped the muffins that day at work.

A Christian named James was told the story and asked to meet with Brian the following day for coffee to discuss the depression. James told Brian that it was foolish and illogical for him to feel he was a bad person for dropping a pan of muffins. James said, "Something is bothering you. What are you doing that God is not pleased about?" After a bit of discussion, Brian was hard pressed to come up with a more reasonable explanation of why he thought he was so bad. Then he said, Ok you are right, "Well my feet really smell." James replied that this was absurd and foolish to feel bad about yourself for that reason. When Doug had finally exhausted his desperate effort to cover his sin with smokescreens, with great difficulty, he acknowledged an ongoing deviant sex practitioner relationship with a man.

Brian terminated the sinful relationship, made public confession and asking forgiveness of God.

With some counseling from the elders of the church and a thorough restructuring of his life, Brian had a complete and lasting "recovery" from his depression.


This is also a typical example of avoidance, denial and smoke screen. Several times Brian was asked to confess his sin of deviant sex practitioner sex. First he denied, then offered confession to a "lesser sin" in an attempt to hid the real "big sin". This went on until it was clear that James was not buying any of the absurd confessions. Full discussion of reactions of the person being counseled to your advice and deny, get angry then confess sin.

deviant sex and lesbianism are learned behaviours that can be unlearned. While genetics may predispose of an individual to be the characteristic "gentle, intuitive and artistic", this is only one of the 8 commonalities most deviant sex practitioner's share.

Benefits from behaviour: This illustrates the Law of Narcissistic Behaviour Choice (NBC) EDS-7.7.1.NBC

  1. Escape duty or life situation: EDS-7.4.4. Rather than repent of his deviant sex practitioner encounters he chose to violate his conscience. His depression was his escape from the reality he was in rebellion to God.
  2. Smokescreen for secret sin that is soon to be discovered: EDS-7.4.10. He knew that sooner or later, he would be exposed for his sinful behaviour as a lesbian. His depression would appear to other Christians to be a larger problem than his immorality. His anger when confronted is another example of behavioral smokescreen.
  3. Avoid deserved rebuke, criticism, shame: EDS-7.4.11. His depression was a way to lessen any rebuke. The preacher might say: "He's already so depressed, perhaps we should wait till he is better before we confront him about his sin."
  4. Sympathy: EDS-7.4.5. Doug viewed shame and sympathy as the two choices set before his. His depression garnered the much needed sympathy that he really didn't deserve. It gave him positive praise to make him feel better about the secret sin.
  5. Self-punishment for personal failures or to ease a guilty conscience: EDS-7.4.12. His depression was also a way of punishing himself. In the eyes of God a lesbian fling is one thing, but being depressed for the rest of the time may show God he was not happy with himself.


Diagnostic laws that are seen illustrated in the case of "Muffin":

  1. Doug calculated that the costs of acting depressed were less than the benefits he derived from hiding his sin. This illustrates the Law of Derivative Personal Benefit (DPB) EDS-7.7.2.DPB
  2. His depression deflected attention away from his fornication. This illustrates the Law of Habitual Smokescreen Decoy (HSD) EDS-7.7.10.HSD
  3. His depression was a behaviour in advance of his coming out of the closet as a fornicator. This illustrates the Law of Anticipatory Warthog Psychosis (AWP) EDS-7.7.13.AWP

Note: Although these are based upon real case stories, the names and details have been changed to hide the identities of the people. This practice follows the standards of medical case history publication.


By Steve Rudd: Contact the author for comments, input or corrections.

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