Faith, Fear, and Mental Health: Navigating Religious Psychosis in Charismatic Churches

I n every Charismatic or Pentecostal congregation I’ve attended, worship was thunderous, prophecy flowed freely, and spiritual experiences were the proof of a “vibrant faith.” These practices were presented as evidence of the ultimate truth. But for some believers, the same practices became fertile ground for religious psychosis—more accurately, psychosis with religious content—where hallucinations and delusions were shaped by faith itself. Psychosis is a medical condition involving a break from reality: hallucinations (such as voices), delusions (fixed false beliefs), and loss of insight. Religion doesn’t directly cause psychosis, but emotionally charged preaching and environments that encourage believers to hear God’s voice or fight unseen demons can worsen vulnerability and delay treatment ( Lloyd, Reid & Kotera, 2021 ). Psychosis with religious themes is not rare. Studies across cultures and diagnoses show that anywhere from 20-60% of deluded patients report religious content ...