Health
Pastor based in Dallas shares depression journey, 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 Dallas, 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.
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.”
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.
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.”
“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.”
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.
“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.”
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.”
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.”
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.”
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.”
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.”
“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.
“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.”
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.”
Pastors and others can visit www.GuideStone.org/mentalhealth to see Dance’s video testimony and to get support from a pastoral counselor.
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Cases of gout are rising in younger individuals, according to a global study.
The condition, which is a type of inflammatory arthritis, steadily increased in people aged 15 to 39 between 1990 and 2021, researchers in China announced.
Although rates vary widely between countries, the total number of young people with the condition is expected to continue rising through 2035.
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The study, published in the journal Joint Bone Spine, investigated 2021 data from the Global Burden of Disease (GBD), spanning 204 countries within the 30-year timeframe.
The data measured gout prevalence, incidence and years lived with disability, tracking global trends over time. The results showed a global increase across all three outcomes.
Gout is expected to continue rising in young people through 2035. (iStock)
Prevalence and disability years increased by 66%, and incidence rose by 62%. In 2021, 15- to 39-year-olds accounted for nearly 14% of new gout cases globally, the study found.
Men from 35 to 39 years old and people in high-income regions had the highest burden, but high-income North America topped the list for highest rates.
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Men were also found to have lived more years with gout due to high BMI, while women tended to have the condition as a link to kidney dysfunction, the study noted.
The total number of cases is expected to increase globally due to population growth, but the study projected that rates per population would decrease.
The researchers noted that data quality, especially in low-income settings, could have posed a limitation to the broad GBD data.
What is gout?
Gout is a common form of arthritis involving sudden and severe attacks of pain, swelling, redness and tenderness in the joints, according to Mayo Clinic. It most often occurs in the big toe.
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The condition occurs when urate crystals accumulate in the joint. These form when there are high levels of uric acid in the blood, which the body produces when it breaks down a natural substance called purines.
A gout flare-up can happen at any time, often at night, causing the affected joint to feel hot, swollen, tender and sensitive to the touch.
Urate crystals, described as sharp and needle-like, build up in the joint, causing intense pain and swelling. (iStock)
Purines can also be found in certain foods, like red meat or organ meats like liver and some seafood, including anchovies, sardines, mussels, scallops, trout and tuna, according to the Mayo Clinic. Alcoholic drinks, especially beer, and drinks sweetened with fruit sugar can also lead to higher uric acid levels.
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Uric acid will typically dissolve in the blood and pass through the kidneys into urine, but when the body produces too much or too little uric acid, it can cause a build-up of urate crystals. These are described by the Mayo Clinic as sharp and needle-like, causing pain, inflammation and swelling in the joint or surrounding tissue.
Risk factors for gout include a diet rich in high-purine foods and being overweight, which causes the body to produce more uric acid and the kidneys to have trouble eliminating it.
Experts urge patients to seek medical attention for gout flare-ups. (iStock)
Certain conditions like untreated high blood pressure, diabetes, obesity, metabolic syndrome and heart and kidney diseases can increase the risk of gout, as well as certain medications.
A family history of gout can also increase risk. Men are more likely to develop the condition, as women tend to have lower uric acid levels, although symptoms generally develop after menopause.
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Untreated gout can cause worsening pain and joint damage, experts caution. It may also lead to more severe conditions, such as recurrent gout, advanced gout and kidney stones.
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The Mayo Clinic advises patients to seek immediate medical care if a fever occurs or if a joint becomes hot and inflamed, which is a sign of infection. Certain anti-inflammatory medications can help treat gout flares and complications.
Fox News Digital reached out to the researchers for comment.
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A new study suggests that annual mammograms may not be the only effective approach for preventing breast cancer.
The research, published in the Journal of the American Medical Association (JAMA), tested a risk-based breast cancer screening approach against standard annual mammography.
The WISDOM randomized clinical trial, led by study authors from universities and healthcare systems across the U.S., considered more than 28,000 women aged 40 to 74 years old, splitting them into a risk-based screening group and an annual mammography group.
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Researchers calculated each woman’s individual risk based on genetics (sequencing of nine breast cancer genes) and other health factors.
A new study suggests that annual mammograms may not be the only effective approach for preventing breast cancer. (iStock)
Those who were at the highest risk were advised to alternate between a mammogram and an MRI scan every six months. Patients with elevated risk were told to get an annual mammography and counseling.
Average-risk women were guided to get mammograms every two years, while low-risk individuals were advised to have no screening until they became higher risk or reached age 50.
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The researchers found that risk-based screening did not lead to more advanced cancer diagnoses (stage 2B or higher) compared with annual screening, indicating that it is just as safe as traditional methods. The risk-based approach, however, did not reduce the number of biopsies overall, as researchers had hoped.
Among the risk-based group of women, those with higher risk had more screening, biopsies and detected cancers. Women at lower risk had fewer procedures.
The research, published in the Journal of the American Medical Association (JAMA), tested a risk-based breast cancer screening approach against standard annual mammography. (iStock)
“[The] findings suggest that risk-based breast cancer screening is a safe alternative to annual screening for women aged 40 to 74 years,” the researchers noted in the research summary. “Screening intensity matched individual risk, potentially reducing unnecessary imaging.”
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Fox News medical contributor Dr. Nicole Saphier, associate professor of radiology at Memorial Sloan Kettering Cancer Center in New Jersey, commented that while these findings are important, the study “completely sidelines” what screenings are designed to do — detect cancer early.
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“If you don’t measure stage 0, stage 1 or stage 2A cancers, you can’t tell whether personalized screening delays diagnosis in a way that matters for survival and treatment intensity,” Saphier, who was not involved in the study, told Fox News Digital in an interview.
Those who were at the highest risk were advised to alternate between a mammogram and an MRI scan every six months. (iStock)
More than 60% of breast cancers in the U.S. are diagnosed at stage 1 or 2A, where cure rates exceed 90%, the doctor noted.
The trial doesn’t “fully evaluate” whether risk-based screening changes detection at the earliest and most treatable stages, where screening “delivers its greatest benefit,” according to Saphier.
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“Mammography is not without risk — radiation exposure, false positives, anxiety and potential over-diagnosis are real and should be acknowledged,” she said. “But it remains the most effective, evidence-based tool for detecting breast cancer early, when treatment is most successful.”
The expert added that labeling women under 50 as “low risk” is “outdated,” as breast cancer diagnoses are on the rise in younger females.
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“Until long-term mortality data support alternative approaches, annual screening beginning at 40 for average risk women should continue,” Saphier added. “Women should be assessed for breast cancer risk by 25 years old to determine if screening should begin earlier.”
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