Understanding the Overlap

How do you know what’s going on when you face emotional struggles? Are you dealing with a mental health issue, or are you experiencing a spiritual attack? This question—Mental Health or Spiritual Warfare—has become more important than ever as we navigate the complexity of life, faith, and healing.

Let’s explore how these dimensions overlap and how God provides hope in every circumstance.

Two Incomplete Approaches to Emotional Struggles

Many believers fall into one of two camps when navigating emotional and psychological struggles:

  1. The Mental Health-Only View:
    This approach separates mental health from spiritual issues. It says therapy or medication should treat mental health problems, while prayer and religious disciplines should handle spiritual ones.
  2. The Sin-Only View:
    On the other extreme, some claim mental health issues don’t truly exist, asserting they are simply the result of unconfessed sin or lack of faith.

In my experience as a biblical counselor, both of these extremes miss the bigger picture. Neither view tells the whole story.

Mental Health or Spiritual Warfare? Often, It’s Both

Life doesn’t split neatly into spiritual or psychological. Many people recover from addictions or other emotional struggles through a mix of counseling, prayer, community, and Scripture.

This overlap shows why we can’t isolate psychology from spiritual life. Sin may open the door to spiritual attack, while trauma may create strongholds in thinking that give the enemy a foothold.

The real question isn’t whether something is Mental Health or Spiritual Warfare, but how both may work together, and what God says about restoring wholeness.

When Therapy Aligns with Scripture

Many mental health tools support spiritual growth when filtered through a biblical lens. For example, Cognitive Behavioral Therapy (CBT) teaches people to identify distorted thoughts and replace them with truth, just like Scripture calls us to renew our minds (Romans 12:2).

CBT helps people separate thoughts from emotions and identify beliefs that need to be challenged. As Christians, we can take this further by using Scripture to replace falsehood with truth, bringing mental clarity and spiritual transformation.

Medication Isn’t Faithlessness—It’s a Tool

Sometimes, the brain needs help. If someone suffers from severe anxiety or depression, medication may allow them to engage in prayer, Bible reading, and godly counsel. Using medication doesn’t mean you’re not trusting God—it means you’re using tools He provides.

Medication might stabilize the brain in long-term emotional struggles while prayer and Scripture renew the spirit.

emotional fear - darkness reaching out - Spiritual Warfare? or Mental Health? or Both?

Is Spiritual Warfare Real Today?

Yes, Spiritual Warfare Happens Today

Some dismiss spiritual warfare as outdated or culturally limited to specific regions. However, spiritual battles aren’t confined to geography, like in Africa.

I’ve personally witnessed what appears to be manifestations of demonic activity in counseling sessions – out of nowhere, they began to shake, scream, only to then experience peace after prayer. These moments weren’t dramatic for show; they revealed real spiritual battles.

When emotional reactions seem disproportionate to the situation, or problems persist despite counseling, it may be time to ask, “Lord, how should I pray about this?”

How to Pray When You Suspect a Spiritual Problem

Instead of rushing to confront a spirit, pray for the fruit of the Spirit: peace, joy, freedom, healing, and strength. These prayers invite God to work without overstepping His authority.

Jesus warned in Acts 19:13-16 that careless confrontations with evil can backfire. Demons don’t flee because we speak loudly—they leave because Christ lives within us.

God often drives out darkness by filling the person with His light.

Suicidal Thoughts Reveal the Deepest Overlap of Mental and Spiritual Warefare

One of the clearest examples of the Mental Health or Spiritual Warfare connection is suicide. In my experience, suicidal ideation often includes both severe psychological pain and clear spiritual attack.

If you struggle with suicidal thoughts, seek help right away. Don’t wait. Turn to both trusted mental health professionals and mature believers. Read Scripture that speaks of God’s love, mercy, and purpose. Let truth drown out the lies.

God wants to heal both your mind and spirit. Focus on Scriptures that speak of:

  • His love (Romans 8:38-39)

  • His forgiveness (1 John 1:9)

  • His plans for you (Jeremiah 29:11)

  • His power to tear down strongholds (2 Corinthians 10:4-5)


Let God Lead the Healing

You don’t have to choose between therapy and faith. God can work through both. Let biblical truth guide your healing, and don’t hesitate to use the tools He’s given—counselors, pastors, medications, or spiritual mentors.

Whether you face anxiety, trauma, depression, grief, or spiritual bondage, know this:

God sees you. He loves you. And He can heal every part of you.

If you need support, Are You Ready Counseling can walk with you through this season.

Recommended Scripture for Further Study:
  • Ephesians 6:10-18 – The Armor of God
  • Romans 12:2 – Renewing the Mind
  • 2 Corinthians 10:3-5 – Taking Thoughts Captive
  • Luke 11:14-28 – Guarding Against Spiritual Reentry
  • Acts 19:13-16 – The Dangers of Unauthorized Spiritual Confrontation
  • Psalm 34:18 – God’s Nearness in Brokenness

🗨️ Ready to Take the Next Step?

Let’s talk. Visit Are You Ready Counseling to schedule a consultation and start your journey toward freedom, healing, and wholeness in Christ.

Are You Ready Counseling offers Online Biblical Therapy from an experienced licensed counselor recognized by most insurance companies. It also provides affordable self-pay rates. Experience the difference when you let God counsel you through life’s most challenging moments. Contact Jane Perkins, a Licensed Clinical Professional Counselor who integrates Biblical Faith and Counseling to address your mental health needs.

Free 20-Minute Consultation


Read More Blog Articles About Spiritual Warfare:

“What Does Spiritual Warfare Mean?”

“Understanding Spiritual Warfare: A Christian Counselor’s Perspective”

“Are You Spiritually Stuck?”

“Onward Christian Soldiers”

“Spiritual Warfare and the Science of Thought”

I Feel Like the Devil is Attacking Me!

Read More Blog Articles Biblical Counseling:

Calling Out to God: “God Help Me Please!”

Christian Cognitive Behavioral Therapy: Is There Such a Thing?

Christian Affirmations for Self-Esteem