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Alabama pastor shares journey of depression, urges others to seek help: ‘Don’t hesitate’

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Alabama pastor shares journey of depression, urges others to seek help: ‘Don’t hesitate’

Pastors and other clergy members often serve as pillars of support in times of crisis. Yet what happens when they’re the ones who need to be lifted up?

Mark Dance, a former pastor who lives in Alabama, knows firsthand that mental health struggles can impact those in church leadership.

During his three decades of leading various churches, Dance, now 59, experienced a three-year bout of clinical depression — and now, as a pastor advocate for GuideStone, he helps support other pastors who are struggling.

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He revealed the details of his story to Fox News Digital. 

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The ‘three-year fog’

Dance’s mental health challenge began about 15 years ago, when he was in his third pastoral position, he said. 

Mark Dance, pictured with his wife, Janet Dance, said he suffered through a three-year period of depression while serving as a pastor. (Dr. Mark Dance)

He and his wife, Janet Dance, were busy navigating life in ministry while raising teenagers — and they were also in the middle of a major move from one church campus to another.

“I noticed that I had become different,” he told Fox News Digital. “I was avoiding people, where I used to love being with people. And it became difficult to sleep, eat and make decisions.”

“I was working way too much, and using ‘the God card’ as an excuse.”

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Dance also noticed that he’d lost a significant amount of weight. It was a period that he now refers to as a “three-year fog.”

“I was working way too much, and using ‘the God card’ as an excuse,” he said. 

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“I was a ‘churchaholic’ who refused to receive the gift of a day off and did not honor the Sabbath. I was neglecting myself, and it just all caught up with me.”

Dance had been down before, he said, but usually he was able to shake it off within a week or two. “But this time, I was stuck for a long time,” he said.

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Dr. Mark Dance

Mark Dance is pictured with his family in 2002. He and his wife, Janet Dance, were busy navigating a life in the ministry while raising their teenagers when his depression journey began, he said. (Dr. Mark Dance)

Although it was “out of character” for him to ask for help, Dance reached out to his family physician — who diagnosed him with clinical depression, prescribed medication and told him to “throttle down.”

By slowing down and focusing on his own needs, Dance was eventually able to “get healthy again.” 

A few years later, he transitioned into a new role of helping other pastors overcome their own mental health struggles.

Those in church leadership are just as vulnerable to mental health struggles as the people they serve, Dance said.

“My clinical depression was equivalent to a common cold compared to some other types,” he told Fox News Digital. 

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“Depression is kind of like cancer in that regard — there are different levels. In my case, it was diagnosed early and was treatable.”

Learning to practice self-compassion

While it might seem that those in church leadership are perpetually strong, they are just as vulnerable to mental health struggles as the people they serve, Dance said.

“We deal with the same issues — health problems, marriage challenges, problems with kids or money,” he said. “But it is more difficult for us to ask for help because it’s counterintuitive for us as caregivers.”

Dr. Mark Dance

“My wife is my biggest fan and advocate,” Dance said. “Janet stepped up and became the leader of our home and our marriage for about three years, when I couldn’t lead anything.” (Dr. Mark Dance)

A pastor feels compelled to succeed both at work and at home, Dance noted — “because our spouse and kids are in our job description in the Bible.”

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That can lead to unrealistic expectations and added pressure, he said.

“About one out of four pastors will experience a mental health challenge,” he told Fox News Digital. “And I just happened to be one of those.”

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Dr. Norman Blumenthal, director of the Ohel Zachter Family National Trauma Center in New York, noted that members of the clergy are often “benevolent and idealistic individuals” who extend themselves to others, even at the expense of their own well-being

“It’s essential to remember that charity and care entail giving generously, but not excessively,” Blumenthal, who is not associated with GuideStone, told Fox News Digital. 

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“We can give a piece of ourselves, but not ourselves in entirety. When setting limits and triaging those we help, clergy often provide more effectively and abundantly than less.”

Dr. Mark Dance

While it might seem that those in church leadership are perpetually strong, they are just as vulnerable to mental health struggles as the people they serve, Dance pointed out. (Dr. Mark Dance)

While pastoring requires compassion for others, exercising self-compassion is just as important, according to Yale University’s Dr. Emma Seppälä, author of “Sovereign: Reclaim your Freedom, Energy and Power in a Time of Distraction, Uncertainty, and Chaos.”

“Often, people in service-oriented professions give a lot to others without taking into account that they need to give to themselves as well,” Connecticut-based Seppälä, who is also not associated with GuideStone, told Fox News Digital.  

“As I tell pastors, the only thing between you and help is your pride.”

“You can’t easily give from an empty cup. Self-compassion is the ability to treat oneself as one would treat a loved one — with kindness, consideration, respect and nurturing.”

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This might include the ability to set boundaries so that there is enough time in the day to get exercise or proper nutrition, Seppälä added.

“Ideally, pastors should include themselves in their ministry.”

Having the courage to ask for help

Clergy members who experience depression or other mental health conditions need just as much help as the general population, Dance said.

While counseling others dealing with depression, he often hears the common sentiment that depression “sneaks up on you.”

Dr. Mark Dance

Mark Dance (far right) is pictured in a recent photo with his wife, Janet Dance, and the couple’s children, Brad and Holly. (Dr. Mark Dance)

“It’s usually not a big freight train that runs you over,” he said. “It can start with lack of sleep, or a dramatically increased or decreased appetite. It can be very subtle.”

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Reaching out for help takes courage and humility, Dance pointed out.

“As I tell pastors, the only thing between you and help is your pride,” he said.

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In his role, Dance often tells preachers, “Don’t self-diagnose and don’t hesitate to ask for help.”

“God has not called us to be competent in everybody else’s profession — if you’re a pastor, it’s OK not to be a mental, physical or financial health professional. Just be a pastor and let other people help you.”

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Dr. Mark Dance

Dance’s wife, Janet, encouraged him to seek help during his struggles. Clergy members who experience depression or other mental health conditions need just as much help as the general population, Dance said. (Dr. Mark Dance)

At GuideStone, Dance said, the focus is on helping pastors and ministers to “stay well and finish well.” 

“I help people think about what a strong finish would look like at the end of their ministry, and it’s very fulfilling.”

Supported by faith

During Dance’s depression journey, he relied on his church and his faith to get him through.

“Church is a place where you can grow in all areas — not just one,” he said. “For me, church became a place where I could receive help from my own members.”

“And that’s the experience I’ve had for the last 36 years of industry — if the pastors ask for help, the church members will reciprocate.”

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“I learned to become more physically, mentally and spiritually healthy, through the process of my mind being renewed by the Lord and His people.”

The pastor also drew strength from the Bible — particularly his favorite verse, below.

“Do not conform to the pattern of this world, but be transformed by the renewing of your mind. Then you will be able to test and approve what God’s will is — his good, pleasing and perfect will” (Romans 12:2).

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Listening to God is an important part of self-care, according to Dance.

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“He’s the one who designed us — He knows how to help us stay well,” he said. “I learned to become more physically, mentally and spiritually healthy, through the process of my mind being renewed by the Lord and His people.”

Dr. Mark Dance split

Pastors and others can visit www.GuideStone.org/mentalhealth to see Dance’s video testimony and to get support from a pastoral counselor, Dance told Fox News Digital.  (Dr. Mark Dance)

Dance also draws support from his wife of 36 years and their two children.

“My wife is my biggest fan and advocate,” he said. “Janet stepped up and became the leader of our home and our marriage for about three years, when I couldn’t lead anything.”

“She’s a big part of how I got healthy and how I’m staying healthy.”

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Pastors and others can visit www.GuideStone.org/mentalhealth to see Dance’s video testimony and to get support from a pastoral counselor.

For more Health articles, visit www.foxnews.com/health.

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How an Iron Deficiency Can Result in Hair Loss, Plus the Easy Ways To Fix It Including a Real-Life Success Story

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Experts laud injection that reportedly offers 100% protection against HIV/AIDS

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Experts laud injection that reportedly offers 100% protection against HIV/AIDS
  • Twice-yearly shots used to treat AIDS were 100% effective in preventing new infections in women, according to a new study.
  • There were no infections among the young women and girls who received the shots in a study of about 5,000 participants in South Africa and Uganda.
  • The shots, made by U.S. drugmaker Gilead and sold as Sunlenca, are currently approved as a treatment for HIV in several regions.

Twice-yearly shots used to treat AIDS were 100% effective in preventing new infections in women, according to study results published Wednesday.

There were no infections in the young women and girls that got the shots in a study of about 5,000 in South Africa and Uganda, researchers reported. In a group given daily prevention pills, roughly 2% ended up catching HIV from infected sex partners.

“To see this level of protection is stunning,” said Salim Abdool Karim of the injections. He is director of an AIDS research center in Durban, South Africa, who was not part of the research.

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The shots made by U.S. drugmaker Gilead and sold as Sunlenca are approved in the U.S., Canada, Europe and elsewhere, but only as a treatment for HIV. The company said it is waiting for results of testing in men before seeking permission to use it to protect against infection.

A pharmacist holds a vial of lenacapavir, the new HIV prevention injectable drug, at the Desmond Tutu Health Foundation’s Masiphumelele Research Site in Cape Town, South Africa, on July 23, 2024. The twice-yearly shots used to treat AIDS were 100% effective in preventing new infections in women, according to study results published on Wednesday. (AP Photo/Nardus Engelbrecht)

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The results in women were published Wednesday in the New England Journal of Medicine and discussed at an AIDS conference in Munich. Gilead paid for the study and some of the researchers are company employees. Because of the surprisingly encouraging results, the study was stopped early and all participants were offered the shots, also known as lenacapavir.

While there are other ways to prevent HIV infection, like condoms or daily pills, consistent use has been a problem in Africa. In the new study, only about 30% of participants given Gilead’s Truvada or Descovy prevention pills actually took them — and that figure dropped over time.

The prospect of a twice-a-year shot is “quite revolutionary news” for our patients, said Thandeka Nkosi, who helped run the Gilead research at the Desmond Tutu Health Foundation in Masiphumelele, South Africa. “It gives participants a choice and it just eliminates the whole stigma around taking pills” to prevent HIV.

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Experts working to stop the spread of AIDS are excited about the Sunlenca shots but are concerned Gilead hasn’t yet agreed on an affordable price for those who need them the most. The company said it would pursue a “voluntary licensing program,” suggesting that only a select number of generic producers would be allowed to make them.

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“Gilead has a tool that could change the trajectory of the HIV epidemic,” said Winnie Byanyima, executive director of the Geneva-based U.N. AIDS agency.

HIV shot

A pharmacist holds a vial of lenacapavir at the Desmond Tutu Health Foundation’s Masiphumelele Research Site in Cape Town, South Africa, on July 23, 2024. (AP Photo/Nardus Engelbrecht)

She said her organization urged Gilead to share Sunlenca’s patent with a U.N.-backed program that negotiates broad contracts allowing generic drugmakers to make cheap versions of drugs for poorer countries worldwide. As an HIV treatment, the drug costs more than $40,000 a year in the U.S., although what individuals pay varies.

Dr. Helen Bygrave of Doctors Without Borders said in a statement that the injections could “reverse the epidemic if it is made available in the countries with the highest rate of new infections.” She urged Gilead to publish a price for Sunlenca that would be affordable for all countries.

In a statement last month, Gilead said it was too early to say how much Sunlenca would cost for prevention in poorer countries. Dr. Jared Baeten, Gilead’s senior vice president of clinical development, said the company was already talking to generics manufacturers and understood how “deeply important it is that we move at speed.”

Another HIV prevention shot, Apretude, which is given every two months, is approved in some countries, including in Africa. It sells for about $180 per patient per year, which is still too pricey for most developing countries.

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HIV shot

A lab technician works with vials of lenacapavir at the Desmond Tutu Health Foundation’s Masiphumelele Research Site in Cape Town, South Africa, on July 23, 2024. (AP Photo/Nardus Engelbrecht)

Byanyima said the people who need long-lasting protection the most include women and girls who are victims of domestic violence and gay men in countries where same-sex relationships are criminalized. According to UNAIDS, 46% of new HIV infections globally in 2022 were in women and girls, who were three times more likely to get HIV than males in Africa.

Byanyima compared the news about Sunlenca to the discovery decades ago of AIDS drugs that could turn HIV infection from a death sentence into a chronic illness. Back then, South African President Nelson Mandela suspended patents to allow wider access to the drugs; the price later dropped from about $10,000 per patient per year to about $50.

Olwethu Kemele, a health worker at the Desmond Tutu Health Foundation, predicted the shots could boost the number of people coming in for HIV prevention and slow the virus’ spread. She said young women often hide the pills to avoid questions from boyfriends and family members. “It makes it hard for the girls to continue,” she said.

In a report on the state of the global epidemic released this week, UNAIDS said that fewer people were infected with HIV in 2023 than at any point since the late 1980s. Globally, HIV infects about 1.3 million people every year and kills more than 600,000, mainly in Africa. While significant progress has been made in Africa, HIV infections are rising in Eastern Europe, Latin America and the Middle East.

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In other research presented at the AIDS conference, Andrew Hill of the University of Liverpool and colleagues estimated that once production of Sunlenca is expanded to treat 10 million people, the price should fall to about $40 per treatment. He said it was critical that health authorities get access to Sunlenca as soon as possible.

“This is about as close as you can get to an HIV vaccine,” he said.

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What Happens If You Eat Eggs Every Day? Nutritionists Share the Benefits

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