The Letters of Saint Ambrose of Optina.

I have received your letter dated 30  September. You write about yourself in this way: "For more than two  years I have been ill with an unknown illness which doctors can not  understand. The disease is such that I have more fear, especially  reciting the Divine Liturgy, and also the constant melancholy, and  pensiveness, and anguish. Though it is inconvenient to resolve this kind  of confusion and disease without seeing you, but considering melancholy  and fear you experience, I think that the beginning and the first cause  of your disease were your childhood sins that probably you could not  confess properly or were ashamed to do it; but you should had done it  especially before your deacon ordination. The second cause may be that  you haven’t always kept your conscience clear combining deacon ministry  with married life, because a person ordained into this service is  required a particular keeping of conscience, which is not infrequently  prevented by either excessive use of strong drinks or intemperance with  respect to irritation and anger. Each of these weaknesses alone has the  power to bring great harm to the soul, especially if they are combined  at the same time.
The same condition and state happens when a man despite his  weaknesses and failures does not humble himself, but becomes arrogant  and abases others. I think that in your sickness, first of all, you need  to strive for release from aggravating anguish and fear. And you can  achieve this, first, if you can find in your region such a confessor to  whom with full faith and perfect sincerity you could humbly confess  everything that lied heavy on your conscience from six years to this  day; and secondly - if you firmly decide not to return to such actions  that cause fear and anguish, as the Lord Himself said in the Gospel to  the sinner, “go, and sin no more” (Jn 8: 11). If you do so and from now  on you are determined to keep yourself and your conscience, then we can  hope that you will not only get rid of the grief and fear aggravating  you, but you can get such a relief in your bodily disease, with God’s  grace and help, that will be useful for you, by the will of Lord,  All-good, All-knowing, Almighty and having the providence of salvation  for everyone.
http://oprelesti.ru/index.php/concealment-of-sins-in-confession/304-fear-during-divine-service-because-of-unconfessed-sins
http://oprelesti.ru/index.php/concealment-of-sins-in-confession/304-fear-during-divine-service-because-of-unconfessed-sins
 
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