I resonated with you comment about “how a person’s spirituality is experienced in the context of mental illness is doing more harm than good.” I had an acquaintance who lived with a low grade of depression most of her life. After a a suicide by drowning, her mother shared that her daughter was scrupulous most of her life. It was not apparent to most of us as she kept it and her depression under control, until it ruled her. Outwardly she was a serious but happy person. But rules were important to her and change most difficult. It was so sad to see her die in this manner.