The Bible is full of examples of people struggling with their mental health. Elijah, after a great spiritual victory, became overwhelmed and wished for death (1 Kings 19:4). David often cried out to God in anguish, as seen in many Psalms, and some of his writings in Ecclesiastes carry a deep melancholy. Paul spoke of a “thorn in his flesh” that constantly disturbed him and described the inner battle of doing what he did not want to do (Romans 7:15). Yet, God never abandoned them—He met them with grace and strength.

Many who struggle with mental health challenges wrestle with feelings of guilt, shame, or unworthiness before God.

We may wonder if our anxiety, depression, or intrusive thoughts are a form of punishment, if they make us less faithful, or if God is disappointed in our struggles...

But the Bible paints a very different picture—one of grace, compassion, and unwavering love. Psalm 34:18 reminds us, “The Lord is close to the brokenhearted and saves those who are crushed in spirit.” God does not reject those who are struggling; instead, He draws near to them with love and care. Even when our struggles make it difficult to sense His presence, He remains with us.

It’s important to remember that mental health struggles are not sinful.

Illness—whether physical or mental—is a result of living in a fallen world, not a reflection of someones faithfulness or worth. However, our struggles with mental health can sometimes lead us into thoughts or actions that cause harm to ourselves and others.

Ephesians 4:26 says, “In your anger do not sin.” While emotions like worthlessness, shame, anguish, or despair can arise in the midst of mental health battles, we are still responsible for how we respond to them. Acknowledging our struggles and seeking support can help us make choices that promote stability and healing.

God’s forgiveness is not withheld from those struggling with their mental health. However, unforgiveness—whether towards ourselves, others, or even God—can create a barrier that makes it difficult to fully receive His grace and peace.

The Bible repeatedly emphasises the importance of forgiveness, not only as something we receive from God but also as something we must extend to ourselves and others. Mark 11:25 says, “When you stand praying, if you hold anything against anyone, forgive them, so that your Father in heaven may forgive you your sins.” Holding onto bitterness or guilt can weigh us down and hinder our spiritual and emotional healing and produce a state of stress in our mind and body.

As part of the healing process, it can be helpful to reflect on how mental health struggles have impacted our lives and relationships. Seeking forgiveness—for the times we have acted in ways that hurt ourselves or others—can be a significant step toward growth and restoration. This is not about condemning ourselves or apologising for having mental health struggles, but about recognising that we still have agency in our lives. Our struggles do not define us, nor do they diminish our capacity to walk in God’s grace and truth.