🧠 Faith or Therapy? Navigating the Mental Health Crisis in the Church

April 13, 2026
00:00 50:48
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Are we living in a "paid friend" culture? 🛋️ As mental health awareness skyrockets, the Church is at a crossroads. We’re seeing more counseling centers, more pastoral care roles, and more conversations about anxiety than ever before—but are we missing the spiritual heart of the matter?

In this episode of Thinking Christian, Dr. James Spencer and Ashish Varma are joined by Dr. Michael Milco, a seasoned counselor and former professor at Moody Bible Institute. Together, they pull back the curtain on the "convergence" of psychology and theology. ⛪✨

In this episode, we explore:

  • The "Paid Friend" Phenomenon: Why are people turning to therapists for things that used to be handled by community and friendship? 🤝

  • The Complexity of the Soul: Moving beyond "just pray about it" while avoiding the trap of over-secularizing our struggles.

  • The Power of Presence: Lessons from the global church (including a powerful story from Angola 🇦🇴) on what true, "intertwined" community looks like.

  • Eclectic Faith: How the Church can be a place where the "unique" and "eclectic" find belonging without being compartmentalized. 🧩

If you’ve struggled to bridge the gap between your mental health journey and your walk with Christ, this conversation offers a refreshing, holistic perspective on what it means to be human and holy.

Guest Bio: Dr. Michael Milco is a former professor of counseling at Moody Bible Institute and a current practitioner in private practice. He specializes in the intersection of religion and psychotherapy, helping believers navigate mental health through a biblical lens.

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To read James's article on this topic, check out his author page on Christianity.com.

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Meet Your Host
James Spencer earned his Ph.D. in Theological Studies from Trinity Evangelical Divinity School. He believes discipleship will open up opportunities beyond anything God’s people could accomplish through their own wit and wisdom. As such, James seeks to help believers think Christianly about social, cultural, and political assumptions. His desire is to see Christians test God by trusting God so that they conform ever more closely to the image of Christ.

In addition to being a regular contributor to Christianity.com and Washingtontimes.com, James has published multiple works, including Christian Resistance: Learnign to Defy the World and Follow Christ, Useful to God: Eight Lessons from the Life of D.L. Moody, Thinking Christian: Essays on Testimony, Accountability, and the Christian Mind, and Trajectories: A Gospel-Centered Introduction to Old Testament Theology.

James currently serves as president of the D. L. Moody Center, an adjunct instructor at Wheaton College Graduate School, and faculty member at Right On Mission.

You can find out more about James at his personal website www.jamesspencer.com.
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