An indiscriminate, dogmatic approach to life-sustaining interventions threatens to inflict harm upon the very people we seek to protect. We must be so careful. As we endeavor to preserve life that God himself created, we must acknowledge when our efforts prolong not life but rather a painful death.
– Kathryn Butler, M.D.
About the Episode
In this episode of The Hope + Help Project, Christine Chappell interviews author/writer Kathryn Butler. They discuss Kathryn's book, Between Life and Death: A Gospel-Centered Guide to End-of-Life Medical Care to help Christians become better equipped to handle medical decisions for incapacitated loved ones. Taking an honest look at how common critical care procedures affect the body, Kathryn discusses what it feels like to wake up as a patient in the ICU, unpacks common misconceptions about what it means to protect the sanctity of life, and shares how the gospel of Jesus Christ gives family members wisdom in the midst of overwhelming medical situations. Kathryn also talks about biblical perspectives on physical health, comforts to cling to when death is imminent, and offers words of support and encouragement for those presently tasked with making medical decisions for a loved one.
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About the Podcast
The Hope + Help Project podcast offers compassionate biblical conversations about life's challenging problems. The purpose of the podcast is to share Christ-centered comfort and clarity for those seeking biblical solutions for the struggles they face. The podcast accomplishes this by offering a mix of interviews with seasoned biblical counseling professionals and ministry leaders on a variety of topics. Listeners can expect to receive biblical wisdom as well as practical steps for facing suffering, struggling and sin with courage and grace. Hosted by author/writer Christine M. Chappell.
About the Guest
Kathryn Butler (MD, Columbia University College of Physicians and Surgeons) is a trauma surgeon who is board certified in surgical critical care and served on the faculty at Massachusetts General Hospital and Harvard Medical School. After a decade of experience in surgery, she left clinical practice in 2016 to homeschool her children. She now writes for Desiring God, Christianity Today, and The Gospel Coalition on topics intersecting faith and medicine.
About the Book
Between Life and Death • Modern medical advances save countless lives. But for all their merits, sophisticated technologies have created a daunting new challenge, namely a blurring of the expanse between life and death. The dying process is often hidden behind a complex web of medical terminology, statistics, and ethical decisions, making it difficult for patients and loved ones to know how to approach the end of life in a dignity-affirming, God-honoring, faith-filled way.

This book offers a distinctly Christian guide to end-of-life care. It equips you by explaining common medical jargon, exploring biblical principles that connect to common medical situations, and offering guidance for making critical decisions. In these pages, you will find the medical knowledge and scriptural wisdom you need to navigate this painful and confusing process with clarity, peace, and discernment.
Helpful Articles from Kathryn
If God Doesn't Heal You
If we set our eyes only on a cure, rather than on the reality of our physical mortality, we may chase after treatments that not only fail to save us, but which also rob us of our capacities to think, communicate, and pray in our final days. We forget that if our healing is not within God’s will, we will need fortitude, peace, and discernment to endure.
The Doctor May Ask You: Making Urgent Medical Decisions for Loved Ones
Making life-or-death decisions for loved ones cripples many with feelings of guilt and doubt that persist for years, and which can progress to depression, complicated grief, chronic anxiety, and even post-traumatic stress disorder. So how do we make compassionate, Christ-honoring decisions about our loved ones’ care when the unthinkable happens?
Verses to Memorize for the Hospital
Those of us struggling in the hospital need assurance of God’s goodness and steadfast love more than ever. But a hospital stay, or any ordeal with debilitating illness, doesn’t permit elaborate exegesis. We need verses to which we can cling when the waves of pain seize us and hope shrinks away.
*Disclosure: Bear in mind that some of the links in this post are affiliate links and if you go through them to make a purchase I will earn a small commission. Keep in mind that I link to these resources because of their quality and not because of the commission I receive from your purchases. This does not affect the cost of the resource, and the decision is yours whether you choose to purchase them from my link or not. Thanks for your support!
About Your Host
Christine M. Chappell
Author/Writer/Speaker
Christine Chappell is the author of Clean Home, Messy Heart and the host of The Hope + Help Project podcast. Her writing has been featured at Desiring God, Risen Motherhood, Thrive Moms, Servants of GraceDevotable, and For Every Mom. She writes frequently about suffering, struggling, and sorrowing at her blog, has completed biblical counseling certificates with the Institute for Biblical Counseling & Discipleship, and is currently pursuing certification with the Association of Certified Biblical Counselors.
Recently on The Hope + Help Project Podcast

Hope + Help for Dads and Sons with Joel Fitzpatrick

In this episode of The Hope + Help Project, Christine Chappell interviews author Joel Fitzpatrick about his book Between Us Guys: Life-Changing Conversations for Dads & Sons to discuss how both parent and child can lean in to important conversations with the grace and knowledge of Jesus Christ. During the interview, Joel talks about what biblical manhood is meant to look like and the importance of teaching our sons to embrace a gospel-centered view of women. He also addresses biblical wisdom for helping dads and sons navigate friendship problems, performance pressures, identity traps, as well as some helpful ways to practice generosity and financial stewardship.

Hope + Help for Enduring Faith with Trillia Newbell

In this episode of The Hope + Help Project, Christine Chappell interviews author Trillia Newbell to discuss her new book, Sacred Endurance: Finding Grace and Strength for a Lasting Faith. During the interview, Trillia shares her story of coming to Christ as an adult. She also takes on the "fake it 'till you make it" mentality, warns against the toxic effects of the prosperity gospel, and explains how the Scriptures invite us to engage God in the midst of our suffering. Encouraging listeners with gospel-centered reminders, Trillia also helps us to understand how to keep our hearts from growing cynical in the midst of tumultuous political/cultural climates.

Hope + Help for Self-Focus with Lydia Brownback

In this episode of The Hope + Help Project, Christine Chappell interviews author Lydia Brownback. They discuss Lydia's book, "Flourish: How the Love of Christ Frees Us from Self-Focus" to help us discern the worldly influences that threaten to warp our understanding of what it really means to be a Christian. We’ll explore topics such as self-consciousness, self-care, self-improvement, and self-condemnation, and discover how the gospel of Jesus Christ equips us to enjoy true freedom in these areas.

Hope + Help for Raising Young Children with Sam Crabtree

In this episode of The Hope + Help Project, Christine Chappell interviews author Sam Crabtree. They discuss his newest book, "Parenting with Loving Correction: Practical Help for Raising Young Children" to discover how the gospel of Jesus Christ helps parents pursue consistent, faithful discipline that mirrors the grace-giving, truth-speaking God of the Bible. Sam explains what corrective discipline looks like from a biblical perspective, outlines why establishing an atmosphere of affirmation and correction is important in a Christian home, and highlights the difference between destructive fear and healthy regard for parental authority. He also addresses the issue of corporal punishment, lays out three core imperatives for wise correction, and speaks powerful words of encouragement to parents who are struggling to implement consistent disciplinary standards for the children in their care.

Hope + Help for Abuse Victims with Joy Forrest

In this episode of The Hope + Help Project, Christine Chappell interviews counselor, speaker, and author Joy Forrest. They discuss Joy's book, Called to Peace: A Survivor's Guide to Finding Healing and Peace After Domestic Abuse to discover how the gospel of Jesus Christ offers the resources necessary to turn victims into victors. During the conversation, Joy shares her own testimony of overcoming abuse, shedding light on the twisted thinking process that kept her in harm's way for more than two decades. She also explains why victims cannot change the behaviors of their abuser, how she overcame the guilt that resulted from watching her marriage fail, and the importance of rooting our identity in Christ when walking through domestic violence recovery.

Hope + Help for Young Women with Chelsea Hurst

In this episode of The Hope + Help Project, Christine Chappell interviews author and social media influencer Chelsea Hurst. They discuss Chelsea's brand new book, Above All Else to explore the common challenges facing young Christian women today. Chelsea highlights the various performance pressures that "20-somethings" grapple with, and explains how the temptation to conform to worldly standards leads followers of Christ into self-inflicted pain and disappointment. She also recounts a monumental story of forgiveness after murder, warns listeners about the danger of using God's grace as a cop-out for intentionally sinful lifestyle choices, and encourages young women to pursue spiritual growth and maturity in the context of authentic Christian community.

Hope + Help for Anxious Hearts with Paul Tautges

In this episode of The Hope + Help Project, Christine Chappell interviews Pastor and author Paul Tautges. They discuss Paul's brand new book, Anxiety: Knowing God’s Peace to explore how the gospel of Jesus Christ offers meaningful resources for the fight against crippling worries and fears. Paul addresses the spiritual and physical components of our anxiety, explains how it can help us reorient our hearts toward God, and offers listeners biblically-based comforts and wisdom for fighting anxiety on the spiritual battlefield. He also suggest passages of Scripture which help us to engage our anxiety, gently inviting listeners into a deeper understanding of and reliance upon God's peace.

Hope + Help for Fighting Discontent with Megan Hill

In this episode of The Hope + Help Project, Christine Chappell interviews author/writer Megan Hill to talk about her devotional, Contentment: Seeing God's Goodness. During the conversation, Megan explains what biblical contentment looks like, the differences between "righteous" and "unrighteous" discontent, and how the gospel of Jesus Christ invites believers to put off bitterness and grumbling when they aren't getting what they want out of life. She also illumines the detrimental effects pride has on our ability to find contentment in Christ, and gives practical helps for stepping away from self-sufficiency mindsets.

Hope + Help for Hurting Marriages with Dr. Jim Newheiser

In this episode of The Hope + Help Project, Christine Chappell interviews Dr. Jim Newheiser to talk about his book, Marriage, Divorce, and Remarriage: Critical Questions and Answers. The conversation focuses specifically on discovering gospel hope and help for the hurting marriage, using wisdom from the Scriptures to address some of the common challenges that couples face. Jim lays a foundation for God's good design for marriage and explains why divorce is such a hotly debated issue in the church. He also helps us think biblically about working through marital issues such as bitterness, communication breakdowns, indifference, and offers listeners considerations for deciding when to seek marriage counseling.

Hope + Help for Mysterious Depression with Erick Cobb

In this episode of The Hope + Help Project, Christine Chappell interviews Pastor Erick Cobb about the Christian's experience of seemingly causeless depression. Erick shares about his personal encounters with despondency, describing some of its mysterious components, and how the Scriptures normalize our seasons of dread and darkness. He also talks about the redemptive benefits that can result from walking through depression, highlights the importance of biblical metaphor in comforting the despondent Christian, and suggests practical physical and spiritual sustaining graces for enduring the dark.

Hope + Help for Valuing Singleness with Sam Allberry

In this episode of The Hope + Help Project, Christine Chappell interviews author/speaker Sam Allberry. They’re talking about his book, 7 Myths About Singleness, in order to help Christians—married and unmarried alike—value singleness as a gift from God. Sam explains frequently misunderstood aspects of singleness, why celibacy and intimacy are not mutually exclusive, and how the gospel of Jesus Christ helps singles take hold of the unique opportunities their singleness affords. He also encourages singles in the various ways they can contribute to the creation mandate without having kids themselves, highlights ways marrieds and singles can strive to better support one another in friendship, and exposes some of the tender feelings singles experience when they feel like they're missing out in life and love.

Hope + Help for Overwhelming Emotions with Alasdair Groves

In this episode of The Hope + Help Project, Christine Chappell interviews author/biblical counselor Alasdair Groves. They talk about his book, Untangling Emotions, to learn more about a biblical approach to addressing our overwhelming feelings, to discover how negative emotions can actually serve redemptive purposes, and finally, to understand how the gospel of Jesus Christ frees believers to engage our emotions in fruitful ways. Alasdair also offers insights into unhelpful views on the importance of our emotions, helps listeners to understand a biblical view of the mind-body connection, and gives words of encouragement to those who feel frequently overcome by their emotional state.

Hope + Help for Sudden Tragedy with Cameron Cole

In this episode of The Hope + Help Project, Christine Chappell interviews author Cameron Cole about living through your worst nightmare and his book, Therefore I Have Hope: 12 Truths that Comfort, Sustain, and Redeem in Tragedy. Cameron shares about the sudden death of his 3-year-old son, some of the raw emotions and thoughts that arise when facing unexpected bereavement, and how the gospel of Jesus Christ comforts and sustains in times of excruciating grief. He also addresses the harmful mentalities Christians can mistakenly adopt during the grieving process and encourages mourners to cling to God's provisional grace to make it through impossible days.

Hope + Help for Anxious Teens with Jessica Thompson

In this episode of The Hope + Help Project, Christine Chappell interviews author/speaker Jessica Thompson on the topic of her new book, How to Help Your Anxious Teen. During the conversation, Jessica unpacks some of the commonly overlooked factors that can contribute to our teen's anxiety, the harmful ways parents sometimes approach helping their child, and how the gospel of Jesus Christ offers teens and parents alike the assurance and hope needed to walk through anxiety recovery. She also explains the dangerous effects of "helicopter parenting," why today's culture has a disdain for normalcy, and the importance of fostering an environment of grace and age-appropriate transparency in our homes.

Hope + Help for Anxious Moms with Sara Wallace

In this episode of The Hope + Help Project, Christine Chappell interviews author/writer Sara Wallace on the topic anxiety in motherhood and her new book, Created to Care: God's Truth for Anxious Moms. Sara discusses God’s good design for our “mother bear” instincts, the heart struggles that take place when fear dominates our parenting, how to approach concerns over our children’s salvation, and how the gospel of Jesus Christ offers anxious moms the necessary resources to learn how to trust God with their children’s lives. She also highlights some of the ways moms can fall into guilt-ridden performance traps and control idolatry, offering anxious mothers words of encouragement and comfort for the weary—but priceless—privilege of raising children.

Hope + Help for Facing Infertility with Glenna Marshall

In this episode of The Hope + Help Project, Christine Chappell interviews author/writer Glenna Marshall on the topic of infertility, suffering, and her new book, The Promise is His Presence: Why God is Always Enough. During the conversation, Glenna shares about her personal experiences with infertility, church hurt, and chronic illness, unpacking the devastating heartbreak of deferred hope and the dangers of basing our beliefs about God's goodness on whether or not he will give us "good" things. Glenna shares how her struggle with infertility negatively impacted church fellowship and personal friendships, gives suggestions on how to respond to seasons of spiritual dryness, and soothes sufferers with words of comfort for when the grief of barrenness feels all-consuming.

Hope + Help for Living with Cancer with Marissa Henley

In this episode of The Hope + Help Project, Christine Chappell interviews author/speaker/writer Marissa Henley on the topic of living with cancer, exposing some of the raw emotions that go along with facing a life-threatening illness, the honest fears about death that believers with cancer wrestle with, and how the gospel of Jesus Christ strengthens sufferers to face an unknown future with courage and hope. Marissa shares about her own battle with a rare form of cancer, describes what it's like to sit in the "chemo chair," and gives concerned friends and family members practical tips on how to best support their suffering loved one during a season of uncertainty and medical overwhelm.

Hope + Help for Post-Abortion Trauma with Camille Cates

In this episode of The Hope + Help Project, Christine Chappell interviews author/speaker/biblical counselor Camille Cates on the topic of post-abortion trauma, unpacking some of the difficult emotional and spiritual battles that manifest in abortion’s wake, and sharing how the gospel of Jesus Christ offers real hope and help for those who seek to heal. During our conversation, Camille shares her personal testimony of horrifying tragedy and loss, recounting the path that lead her to choose to abort her unborn baby. We talk about the lie of "self-forgiveness," why coping mechanisms ultimately fall short in alleviating the grief and guilt of post-abortion trauma, and the various impacts friends, family, and church community members can have in the healing process. Camille also addresses the frequently asked question, "Will I see my aborted baby in Heaven?" and suggests practical ways to lean into God's Word for meaningful healing and spiritual peace through forgiveness in Christ.

Hope + Help for the Broken-Hearted with Mark Vroegop

In this episode of The Hope + Help Project, Christine Chappell interviews author/pastor Mark Vroegop on the topic of his new book, "Dark Clouds, Deep Mercy", learning how the God-given language of lament offers the broken-hearted hope and help for life’s sorrowful seasons. During the conversation, Pastor Mark shares his family's personal story of tragic loss, and how lament provided them—and ultimately, his church community—an outlet for their pains to be voiced while placing their trust in God. We talk about the key components of lament, heart-attitude cautions (what lament isn't), and why today's culture has such a hard time walking alongside broken-hearted people. Pastor Mark also offers practical steps for traveling by faith through grief and sorrow, as well as encouragements on how to cling to biblical hope, even when we've lost all sense of it.

Hope + Help for Teen Girls with Lindsey Carlson

In this episode of The Hope + Help Project, Christine Chappell interviews author/writer Lindsey Carlson on the topic of growing in godliness as a teenage girl. Lindsey shares why she was compelled to write her new book, Growing in Godliness: A Teen Girl's Guide to Maturing in Christ and unpacks what the path of spiritual maturity looks like for a young Christian. She talks about the struggles today's teens have with finding purpose and identity, as well as the challenges that arise when it comes to managing moodiness, struggling with sin, and finding motivation for attending worship services. Lindsey also helps listeners understand why learning to trust God's plan for their lives is a difficult, but necessary part of growing up in Christ. This conversation is geared toward the teen girl, so if you know a Christian young woman in your life, invite her to take a listen!

Hope + Help for the Depressed Ministry Leader with Terry Powell

In this episode of The Hope + Help Project, Christine Chappell interviews author/teacher Terry Powell on the subject of handling depression in ministry. Terry shares pieces of his life-long battle against depression with vulnerable humility, giving us a picture of God's sustaining grace for those involved in leadership positions. He offers thoughts about combatting negative self-talk, and answers the question, "Is depression a hinderance or a help to fruitful ministry?" The episode also explores the issue of suicide in pastoral ministry, and whether or not the concept of victorious Christian living can be reconciled with the believer's experience of depression.

Hope + Help for Anxiety Recovery with Laura Fleetwood

In this episode of The Hope + Help Project, Christine Chappell interviews author/speaker Laura Fleetwood on the topic of panic and anxiety recovery. Laura shares details about her personal struggle with anxiety, what recovery has looked like for her, as well as the various ways God has ministered to her as she has battled on-and-off seasons of disruptive anxiety in her life. She also explains how panic and anxiety manifests itself in her physical body, and gives listeners a practical acronym designed to help us turn more quickly to Christ and his body when panic strikes.

Hope + Help Bonus Episode: Heart Change in Motherhood with Christine Chappell

In this episode of The Hope + Help Project, Christine shares a bonus episode on the topic of heart change in motherhood based on stories from her book, Clean Home, Messy Heart: Promises of Renewal, Hope, and Change for Overwhelmed Moms. The episode is an edited version of a talk recorded in front of a live audience and unpacks the challenges of sacrificial love, comfort idolatry, repetitive sin habits, and self-reliance in motherhood, explaining how the gospel of Jesus Christ offers women hope and help for progressive, meaningful change.

Hope + Help for Weary Moms with Christina Fox

In this episode of The Hope + Help Project, Christine Chappell interviews author Christina Fox on the topic of weariness in motherhood and her new book with P&R Publishing, Sufficient Hope: Gospel Meditations and Prayers for Moms. Christina shares about her reluctant struggle with postpartum depression, the importance of having proper expectations in motherhood, and how to turn from helplessness to hope in Christ. She also addresses common heart issues that moms of all ages wrestle with, such as control idolatry, discontentment, and general discouragement with the motherhood experience.

Hope + Help for Self-Harm with Dave Dunham

In this episode of The Hope + Help Project, Christine Chappell interviews Pastor/author Dave Dunham on the topic of self-harm. Dave shares how he got started working in addiction ministry, why helping an injurer requires attention to both the body and soul, reasons it's important to uncover the struggler's motivations for injuring, the necessity of having a robust theology of sin in order to treat strugglers with compassion and grace, the helpfulness of practicing repentance, and words of encouragement for the person who feels enslaved to their addictive habit.

Hope + Help for Abusive Men with Chris Moles

In this episode of The Hope + Help Project, Christine Chappell and Reverend Chris Moles unpack the heart of domestic abuse. Chris shares why he believes there has been some push-back from the Christian community about pursuing violent men with the hope of the gospel, the problem with treating domestic abuse as an anger issue, reasons why focusing on abuse as spiritual rebellion is so important, realistic ways of measuring intervention "success," and words of admonishment (as well as hope) for the man who senses he is abusing his power and wonders what true change will require. He also shares a variety of reliable resources that the audience can explore to further educate themselves on the issue of domestic violence, or find guidance for next steps if they are in a abusive relationship.

Hope + Help for the Grieving Widow with Lisa Appelo

In this episode of The Hope + Help Project, Christine Chappell interviews author/writer Lisa Appelo on the topic of learning to live with grief as a widow. Lisa talks about the day her husband suddenly passed away, how she addressed the grieving process with her seven children, some of the unexpected emotional struggles she faced, and how the body of Christ rallied around her and her family as they learned how to live without the husband and father they loved. She also shares some practical spiritual and physical care suggestions for those walking through seasons of grief.

Hope + Help for Fighting Destructive Habits with Rush Witt

In this episode, Christine Chappell guides a powerful conversation with Pastor/author Rush Witt on the topic of fighting against diehard sins and destructive daily habits. Rush shares about his personal experience with biblical counseling, helps listeners unpack the undercurrents of our heart struggles, gives practical steps for attacking "acceptable" sins while avoiding the pitfall of destructive introspection, and ultimately offers courage and clarity for the Christian who is desperate for change but feels stuck in the struggle.

Hope + Help for Eating Disorders with Emma Scrivener

In this episode, Christine Chappell interviews author Emma Scrivener about the spiritual and physical struggles associated with eating disorders. Emma shares pieces of her personal battle against anorexia, detailing how the gospel of Jesus Christ enabled her to turn a new page in her recovery and the way she viewed her relationship with food. The episode also discusses some of the heart issues associated with disordered eating, practical spiritual and physical steps for seeking help, and words of encouragement for the sufferer who feels hopeless or helpless to find progressive life change.

Hope + Help for the Depressed Christian with Guest Zack Eswine

In the premiere episode, Christine interviews author/Pastor Zack Eswine on the topic of depression. During the conversation, Zack shares some of his personal experience with despondency, wise & unwise ways to approach loved ones who are suffering, the blessing of biblical metaphor in providing a language for our sorrows, as well as comfort and clarity from the Scriptures for those walking through the seasons of darkness.
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