Mental Health and the Church, with Mark Eastburg

Mental, emotional, and spiritual healing requires more than clinical technique—it demands sacrificial empathy, institutional trust, and a profound affirmation of the image of God in every human being. In this episode, clinical psychologist and Pine Rest CEO Mark Eastburg joins Mark Labberton to discuss the rising need for mental health care—especially for children, adolescents, and those recovering from severe trauma.

Eastburg offers insights about the post-pandemic mental health landscape; psychological and emotional resilience; trauma-informed therapy; deep listening; and the theological, moral, and social commitments that drive Eastburg’s approach to mental and spiritual health. They also discuss the systemic injustice underlying many mental health disparities, inviting us to see mental health care as a vital form of justice work rooted in compassion, dignity, and Christian witness.

Episode Highlights

1. “We’re in the healing moments business. That’s what we do … and I think those healing moments are the building blocks of the kingdom of God—just like atoms are the building blocks of the material world.”
2. “We’re in the healing moments business. … Those healing moments are the building blocks of the kingdom of God.”
3. “Mental health work is justice work … especially when we’re helping people who’ve been victims of injustice get back into community.”
4. “If you just react to people’s symptoms, you’ll get more symptoms. But if you can see the beautiful human being underneath, you’ll see more of that.”
5. “A Christian approach to therapy starts with the belief that every person is made in the image of God—and they are someone’s favourite brother or sister.”
6. “Jesus’s care for the outsider, for the downtrodden, the excluded—that has to define what we mean when we say we express the healing ministry of Christ.”

About Mark Eastburg

Mark Eastburg, PhD, is president and chief executive officer of Pine Rest Christian Mental Health Services, one of the five largest free-standing behavioural health organizations in the United States. With a doctorate in clinical psychology from Fuller Theological Seminary, Eastburg has served in both clinical and leadership roles at Pine Rest for over three decades. He is a passionate advocate for trauma-informed care, access to mental health services, and a faith-integrated approach to healing grounded in human dignity and Christian compassion.

Helpful Links and Resources

• Pine Rest Christian Mental Health Services
• American Rescue Plan

Show Notes

• Mental Health Landscape post-Covid
• Surge in mental health needs for children and adolescents, especially after pandemic lockdowns
• Dramatic increase in psychiatric crises among youth: anxiety, self-harm, aggression
• Tele-therapy rose during Covid, but adolescents strongly prefer in-person care
• “The post-Covid world—everything seems to have become more intense.”
• The symptoms of the adolescent mental health crisis
• Rise in social media use and marijuana legalization amplifying symptoms
• Anxiety, substance abuse
• “We are really shaped and developed by practices.”
• The experience of children in foster care
• Trauma-informed care essential for children with abuse and neglect histories
• Empathy requires the therapist to engage in “sacrificial vulnerability”
• Human mutual vulnerability—”The therapist, to express such empathy, has to themselves be prepared to manifest their own vulnerability to the person who has their own underlying vulnerabilities.”
• Sage advice for therapists: “If you just react to people symptoms, you’re going to get more symptoms. But if you could look past the symptoms and see what he liked to call ‘the beautiful human being underneath everybody,’ anyone that you interact with, you'll see more of that.”
• Sacrificial empathy
• Working toward healing moments—the building blocks for the kingdom of God
• Christian psychotherapy: “the ability to look at people as made in God’s image.”
• Mental illness is another form of marginalization and exclusion
• “People are more than a set of symptoms to be treated.”
• Managing a crisis versus seeing a person
• How Pine Rest approaches mental health care
• Pine Rest’s new $100 million pediatric behavioural health center in Michigan
• “Instead of waiting months for care, kids can just walk in and we’ll sort it out.”
• New specialty clinics for autism, depression, eating disorders, and anxiety
• The universality of how mental health touches our lives
• Who sustains mental health care financially?
• What stokes a readiness for empathy?
• Deeper friendships and safe relationships of belonging as the foundation for mental health
• Stories of youth overcoming institutionalization and abuse through care
• “When a therapist sees the image of God, not just the behaviour, healing begins.”
• Cyprian of Carthage: “Let us be philosophers not in words, but in deeds.”
• “We often misperceive one another and then we misname one another and then we act in relationship to that person with the wrong name and the wrong perception.”
• Empathy, trauma, and Christian therapy
• “Our actions, our words can re-traumatize if we’re not approaching with care.”
• Connection between sacred empathy and human flourishing
• “You can’t manage people like machines—you have to wish for their flourishing.”
• The church, community, and mental health
• The role of church and community institutions in fostering resilience
• “You can’t train enough therapists to solve the crisis—we have to go upstream.”
• Stories of church communities embracing those with mental illness
• “Belonging precedes healing. If someone feels cared for, they’re more likely to show empathy.”
• Global suffering, Western understanding of “avoiding suffering,” and the search for meaning
• Contrast between global Christians and Western assumptions about suffering
• “While I think our work here at Pine Rest Mental Health—we're here to relieve suffering—there is suffering that is full of meaning and full of lessons to teach.”
• Christian healing values clashing with other predominant Western medical approaches
• “Suffering doesn’t equal God’s abandonment—it’s often where God meets us.”
• Concerns about over-medicalizing suffering and ignoring its spiritual richness
• Lessons from early Christian health-care pioneers—“the reckless ones” who ran toward the sick
• “There is suffering full of meaning and lessons that Western models tend to miss.”
• Justice, dignity, and the Christian vocation to empathic care
• “Mental health care is justice work—especially for those traumatized or left out.”
• “People suffering, struggling with mental illness are often the victims of injustices.”
• The practice of psychotherapy and mental health care as pursuing social justice
• Connections between structural injustice and mental illness
• Biblical vision of justice includes care for those seen as defective or excluded

Production Credits

Conversing is produced and distributed in partnership with Comment magazine and Fuller Seminary.