Down, Not Out

Depression, anxiety, and the difference Jesus makes

from 6 reviews

This book unpacks many aspects of depression and anxiety, and brings our gospel identity to bear on each one

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Depression can lead to self-condemnation—and yet the gospel tells us there is no condemnation in Christ.

Anxiety leads us to inner turmoil—but the gospel assures us of the love of God and the peace that comes with knowing him.

Whether you have experienced mental illness yourself, or want to understand depression and anxiety to care for somebody you love, this book provides a personal and theologically-thoughtful reflection on the challenges facing Christians in this area.

Written by a pastor from his own experience of depression and anxiety.

Short accessible chapters with reflection questions for each one.

Product details


  • 1. Thirty
    2. Brokenness
    3. Feelings
    4. Sin
    5. Hope
    6. Attack
    7. Meaning
    8. Idols
    9. Suicide
    10. Healing
    11. Discernment
    12. Prayer
    13. Guarantees
    14. Community
    15. Love
    16. Motivation

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Contributors Chris Cipollone
ISBN 9781784981419
Format Paperback
First published May 2018
Dimensions 129mm x 198mm x 9.8mm
Weight 0.16 kg
Language English
Pages 144
Publisher The Good Book Company

Gary Millar

Principal, Queensland Theological College, Australia; author of Saving Eutychus

This book is beautifully straightforward, deeply honest and consistently profound. Chris Cipollone not only gives us a gentle yet compelling insight into the world of depression and anxiety, but consistently and winsomely points us to the Lord Jesus Christ, in whom real and ultimate answers are to be found. It may not take long to read this book, but the time invested will change the way you think about and respond to mental-health issues, whether in your own life, your family or the church.

Keith Condie

Co-Director, Mental Health and Pastoral Care Institute, Anglican Deaconess Ministries, Sydney, Australia

Chris "gets" mental illness. He has been in the dark places and openly shares his personal experience. We hear of the help that can be gained from medical and psychological treatments and the difference that a supportive community can make. But with a pastor’s heart, Chris’ main aim is to speak biblical truth into this difficult context—to gently correct false patterns of thinking and feeling, and above all, to point the reader to the joy and refreshment that is found in knowing that our acceptance, security and hope depend upon God’s unchanging love, not the quality of our mental health.

Timothy Lane

author of How People Change; President of the Institute for Pastoral Care

Anxiety and depression are two of the most common struggles according to statistics. Some say 20% of the population for each. Given the amount of uncertainty and tragedy in our world, this is not surprising. But what are we to do with this reality? Do the Scriptures provide any hope for us? With compassion, clarity and humility, Chris walks the reader through a refreshing look at how God's grace in Christ is the most important antidote for anxiety and depression. As I read "Down, Not Out," I was personally encouraged. I found myself growing in compassion for so many people I know who struggle in significant ways. Chris is realistic as he captures the multi-dimensional aspects of anxiety and depression and cautions us against simplistic quick-fixes. Rather, he offers a personal, gracious God who walks with us, encourages us, and provides hope and comfort along the path. Each carefully written chapter exudes comfort and hope. I can't think of anyone who doesn't need that!

Customer reviews

3 Feb 2024

“Brilliant- beat biblically informed book on mental health I have ever read”

This book is not written by a theologian referencing scripture, but a pastor who has lived expert mental illness AS WELL as referencing scripture.

Well written, an easy read, re reading chapters of this book has helped me immensely by pointing me back to Jesus, my identity and hope in him. Highly recommended.

7 Jul 2018

“Gentle, encouraging and easy to read”

(Disclaimer: I'm not an expert!)
I found this book easy to read. The chapters are only a few pages long, and they don't end with a massive list of questions to think about, just a short reflection.
It's gentle and encouraging - running through it is a theme of "This is me - and God is there with me."
It's positive (but realistic) about the value of medical and psychological treatments. It offers hope for relief from depression, and also hope in God in the deepest pit.

9 Jun 2018

“Excellent for believers suffering depression.”

A very honest look at depression in believers and also helpful for carers, but I'd like someone to address the problem of dealing with a lapsed believer, who suffers from depression but is not ready for such a Bible-based approach. I think it's wonderful that Chris Cipollone stresses that the believer's worth is based on Christ and not on their own perceived sense of self-worth or worthlessness, but where does this leave the person who has lost their faith? I bought two copies, one for my son, but didn't give it to him as I felt it was inappropriate in his case.

6 Jun 2018

“Direct and accessible”

Very good tool for those beginning to grapple with depression and anxiety. Straightforward and easy to read. Very sensitive to the potential reactions of sufferers. Very balanced on the sources of help available. Bible focussed and God honouring.

4 Jun 2018


Brilliant! God honouring, reality respecting, personal and powerful. I bought two copies and gave them away before I even finished reading it. Will buy and give away more too!

10 May 2018

“Accessible and gritty”

Depression and anxiety are rampant. We know this because they disrupt family, friend, office, pew and pulpit. Here is finally an accessible and gritty Christian response that is honest and practical. Cipollone engages with the subject from his own experience, speaking into what many sufferers find inexpressible. But he also addresses the carer - which is imperative since sufferers just want to be understood by those close to them. And Cipollone handles Scripture beautifully and powerfully.

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Down, Not Out | Chris Cipollone |