Mental Illness, Theology, and Salvation
In the Cold War era, many Eastern European Baptists abandoned the concept of perseverance of the saints, popularly denoted as “once saved, always saved.” The reason for this was that under extreme communist persecution, people who has once firmly testified and demonstrated with their lives of being saved by Christ were renouncing Christ. Rather than claim that the fruits of these “renouncers” were bad because they were never saved to begin with, the churches accepted that the renouncers had once been saved but had “fallen from grace,” that is, had lost their salvation.
While I sit here in the air-conditioned comfort of my office, not worried about governmental persecution, financial or health-related collapse, or a myriad of other calamities, I say the Eastern European churches are wrong. I would support the view that, as 1 John says, “they went out from us because they were not of us.” While they appeared to be true believers, it was revealed by the pressure of the world that they were not. Probably. But…
A friend committed suicide last week. For nearly two decades, I saw him as a faithful follower of Christ, a leader of other men, a Sunday School teacher, and for a short time he pastored a small congregation while they needed someone like him. Our sons were best friends, and as married couples we were friends. A few years ago, in a battle to control his weight, he underwent a gastric surgery. Following that, he manifested severe bi-polar symptoms, so much so that the “old” friend might as well have been dead. Behaviors which had been totally foreign and anathema to him became commonplace as he vacillated from despondency (when he recognized his sinfulness) to cavalier (when he tried to justify that he was getting better). Eventually, he left our church, was divorced from his wife. He would occasionally attend other churches, but was irregular, and made little attempt to get stabilized on medication. He sought attention from his family, but did nothing toward reconciliation or repentence. He commented to others that demons had a hold on him and wouldn’t let him be.
In summary, this man encouraged and supported others in their pursuit of Christ and modeled that pursuit with his own life for many years. Then for the past 3 years, he lived without hope, most of the time acting like an unbeliever.
Someone very close to me commented, “At least he’s whole now, released from his diseased body, at peace with the Lord.” I really want to believe that’s true. And I really believe that as merciful and gracious as our Lord is, it’s abundantly probable. And because he was someone I knew, because he was my friend, I want to say he is with Christ now.
Yet, there is that niggling little bit of theology hanging around, that “perseverance of the saints.” If my friend was truly born-again, why would he act like he did for the past 3 years? Does mental illness abrogate his bad behavior, or does it reveal the true nature of the person, stripping away any façade that may have been built? Rather than bi-polar disorder, what about those with Alzheimer’s, Turret’s, or amnesia, who have faithfully followed Christ for decades, and end up behaving badly? I also want to believe that my theology doesn't have holes, that I understand what it means for one to persevere, and this event so close to home shows me that my understanding has gaps.
A friend told me of another situation in which a faithful pastor of many years was involved in an accident and lost his memory. All his experiences with church, all his theological education and thoughts....gone! Blessedly, his is now studying with another pastor to relearn all he has lost. But what if, after this brain trauma, the man rejected Christ? Which part of his life, the first being grace-filled and Christ-loving, or the hypothetical second, Christ-rejecting, would reflect his eternal soul?
I don’t have an answer. I do know one thing. While my theology tends to keep me confident in the wisdom and power of God, it must also keep me humble. I know not with certainty about my friend, but I do trust in the rightness of my heavenly Father. I'll be satisfied to continue encouraging the living.

