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New global research confirms what faith communities have always known: a living connection to God is not a spiritual luxury — it is one of the strongest predictors of mental wellbeing on earth.

 

For years I thought what I was experiencing was only spiritual. I felt guilt and thought it was a lack of faith. Fresh Hope taught me that I am not broken, nor am I a bad Christian for needing help.

— Natalia, Colombia — living with bipolar disorder

I’m thankful every day because I wouldn’t be here without Jesus. Fresh Hope gives you insight into not only your diagnosis, but how to change your behaviors and your attitudes.

— Anonymous — United States

 

Two voices. Two countries. Two diagnoses. One shared conviction: faith was not incidental to their recovery — it was central to it.

And now, for the first time, a global research study measuring the minds of more than 2.5 million people across 85 countries is saying the same thing in data.

 

What the Research Found

The Sapien Labs Global Mind Health Report identified four root causes behind the decline in young adult mental wellbeing over the past two decades. Spirituality is one of them — and the data around it is striking.

 

30 pts The difference in average Mind Health Quotient scores between young adults who rate their spirituality above 7 out of 10 versus those who rate it below 4.

 

#1 Spirituality is the single factor most consistently associated with higher mind health scores across all 85 countries in the study.

 

Young adults with low spirituality scores are four times more likely to fall in the “Distressed” or “Struggling” ranges than those with high spirituality scores.

 

To be clear about what the researchers mean by spirituality: it is not church attendance or religious affiliation. It is the personal, internal sense of connection to something greater than oneself — to God, to meaning, to transcendent purpose. It is the lived experience of not being alone in the universe.

For those of us rooted in Christian faith, this is not surprising. Scripture has always pointed to this reality. What is remarkable is that a secular research institution, drawing on the largest dataset of its kind, is now measuring it and confirming it with numbers.

 

The Faith-and-Diagnosis Divide

One of the most painful things that happens in Christian communities around the world is the unspoken message that mental illness is a sign of weak faith. If you just prayed more, trusted more, believed more — you would be well.

This message, however well-intentioned, causes enormous damage. It isolates people at the moment they most need community. It adds the weight of spiritual shame to what is already a heavy burden. And it is simply not true.

For years I thought what I was experiencing was only spiritual. There were moments when exhaustion, lack of sleep, and emotional pain caused me to lose stability and need medical help. Accepting that was not easy. I felt guilt and thought it was a lack of faith.

— Natalia, Colombia

 

Natalia’s experience is not unique. Across Fresh Hope groups in 39+ countries, the same story surfaces again and again: people who have been suffering in silence, afraid that their diagnosis is evidence of spiritual failure. People who have been praying faithfully while quietly falling apart, convinced that asking for help would mean admitting that their faith was not enough.

The Sapien Labs research does not address theology — but its findings have a profound theological implication. The data shows that spirituality protects mental health. It does not cure every condition, and it was never promised to. But a living, personal faith is one of the most powerful buffers the human mind has against the storms of mental illness.

What this means is not that diagnosis equals spiritual failure. It means the opposite: that tending to your spiritual life — prayer, community, Scripture, honest relationship with God — is an act of caring for your mind, not a replacement for professional treatment.

 

What Fresh Hope Teaches

Fresh Hope’s Recovery Principles have always held both of these truths together. Principle V states directly that while medicine is a key component in recovery, it is not the only answer. People are encouraged to explore new ways of thinking, to take responsibility for their whole-person wellbeing, and to choose freedom over suffering through self-knowledge in action.

This is not either/or thinking. It is and/both. Medication and faith. Treatment and community. Clinical support and the transforming work of the Holy Spirit.

Fresh Hope taught me that God also works through treatment, companionship, and rest. Little by little I recovered my clarity. I learned to ask for help, to put down guilt that wasn’t mine to carry. Today I know that my diagnosis does not separate me from the love of God. On the contrary — it has taught me humility and compassion for others who are struggling in silence.

— Natalia, Colombia

 

This is the theology of Fresh Hope in lived form: a diagnosis is not a spiritual verdict. It is a condition. And conditions can be managed, treated, and walked through with hope — because the God who made the human mind has not abandoned the people whose minds are struggling.

 

The Numbers the World Cannot Explain

There is something remarkable about the geographic distribution of the Sapien Labs spirituality findings. The regions of the world with the highest young adult mind health scores — Sub-Saharan Africa, parts of Latin America — are also the regions with the highest reported spirituality. The regions with the lowest scores — Western Europe, the English-speaking world, East Asia — are the regions where spirituality has declined the most rapidly over the past generation.

This is not coincidence. And it is not a simple correlation. The researchers controlled for income, education, and access to healthcare. Even after those variables are accounted for, spirituality remains one of the strongest independent predictors of mental flourishing.

The world’s wealthiest countries, with the most sophisticated mental health systems, the most advanced treatments, and the most readily available therapy — are losing the mental health battle among their young adults. Meanwhile, communities that maintain deep spiritual rootedness are doing something that no clinical protocol has yet been able to replicate.

Fresh Hope, from its very beginning, was built on this foundation. Not as a spiritual substitute for professional care, but as the recognition that human beings are not just biological organisms. We are spiritual beings, made by God, designed for relationship with Him — and when that relationship is alive and active, something in us flourishes that nothing else can produce.

 

A Word to Anyone Carrying Spiritual Shame

If you have ever been told — directly or indirectly — that your mental health struggle means your faith is weak, we want to speak directly to that lie.

You are not broken. You are not a bad Christian. You are a person living with a real condition that affects the brain — one of the most complex organs in the known universe — and you deserve both excellent medical care and a community of faith that walks alongside you without judgment.

I’m thankful every day because I wouldn’t be here without Jesus.

— Anonymous, United States

 

That simple statement from our anonymous friend in the United States carries more data than a research report ever could. A person is alive today — present, grateful, purposeful — because of their faith. The research is measuring what this person has lived.

Spirituality is not optional. It never was. And Fresh Hope exists, in part, to create the space where faith and mental health are no longer in tension — where the church becomes the community of healing it was always meant to be.

 

NEXT IN THIS SERIES  |  BLOG 3 OF 10

Why Family Changes Everything  The Sapien Labs data shows that people without close family bonds are four times more likely to be in distress. Fresh Hope is one of the only peer support models in the world that includes both the person with a diagnosis and their loved ones. Two mothers — one from El Salvador, one from Ecuador — share what that has meant for their families.

 

ABOUT FRESH HOPE

Fresh Hope is an international network of Christian peer-support groups for those living with a mental health diagnosis and their loved ones. With 250+ weekly participants across 39+ countries, Fresh Hope integrates evidence-based recovery principles with faith-centered community. Find a group near you at freshhope.us

 

RESEARCH REFERENCE

Sapien Labs. Global Mind Health in 2025. February 2026. sapienlabs.org

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Spirituality Is Not Optional — It Is Essential

By Samantha Karraa
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What the world’s largest mind health study reveals — and why Fresh Hope has been on the right path all along.

I kept working, kept smiling, kept meeting my responsibilities. But inside I felt exhausted, empty, and afraid.

— Sergio, Guatemala/Mexico — living with depression and anxiety

Sergio is 49 years old. He is a sales advisor, a son, a friend, and a man who loves God. From the outside, no one could have guessed that anything was wrong. He was showing up every day — professionally, relationally, spiritually. But inside, something was quietly breaking.

His story is not unusual. In fact, according to the most comprehensive study of global mind health ever conducted, Sergio’s experience represents a growing crisis that is hiding in plain sight — not just in Latin America, not just in the United States, but in every corner of the Internet-connected world.

 

The Numbers Behind the Crisis

In February 2026, Sapien Labs — an independent nonprofit research organization — released its Global Mind Health Report, drawing on data from over 2.5 million people across 85 countries. The findings paint a sobering picture of the state of human mental wellbeing, particularly among young adults.

41%

of adults aged 18–34 are experiencing mental health challenges of clinical significance — meaning their struggles substantially impact their ability to function in daily life.

 

Young adults ages 18–34 are four times more likely to be in distress than adults 55 and older.

 

36

The average Mind Health Quotient (MHQ) score for young adults globally — placing them in the “Enduring” range, simply getting through each day rather than truly living.

The Mind Health Quotient is not simply a measure of happiness or a checklist for depression. It measures 47 aspects of cognitive, emotional, social, and physical function — our actual capacity to navigate life’s challenges and contribute productively to the world around us. A score of 36 means that on average, young adults today are barely enduring life.

And the most startling finding? The wealthier the country, the worse the mind health of its young adults. Countries in Sub-Saharan Africa actually lead the world in young adult mind health, while nations in Western Europe, the English-speaking world, and East Asia fall to the bottom of the rankings.

 

The Hidden Face of Suffering

One of the most important things this research confirms is something that those of us in mental health ministry have always known: suffering is rarely visible from the outside.

Sergio described it this way: for a long time, he kept going. He smiled. He worked. He fulfilled his obligations. But internally, his mind was exhausted and his peace had been stolen. The anxiety whispered that he wasn’t enough. The depression was quiet but constant.

The hardest part was accepting the need for help. It cost me to recognize that it wasn’t weakness — it was a real condition.

— Sergio

 

This is the hidden face of the global crisis. The Sapien Labs data captures it precisely: people in the “Enduring” and “Struggling” ranges are not necessarily visibly falling apart. Many are functioning — going to work, raising children, attending church — while quietly losing the capacity to truly live.

The research also confirms something else: this crisis is not evenly distributed across age groups. Adults over 55 maintain average mind health scores of around 101 — right where a healthy population should be. But each younger generation scores lower than the one before. Young adults in the early 2000s reported the greatest wellbeing of any age group. Today’s young adults are reporting the worst.

 

This Is What Fresh Hope Was Built For

Fresh Hope was founded on a simple but radical conviction: that it is possible to live well despite a mental health diagnosis, because of the hope found in Christ. That conviction has always been countercultural. It has always said that the answer to mental suffering is not found only in a prescription or a clinical protocol — it is found in community, in faith, in honest conversation, and in the lived wisdom of people who have walked the same road.

The Sapien Labs research, drawing on over a million responses in 2024 and 2025 alone, is now confirming what Fresh Hope has practiced for years. The four strongest predictors of healthy minds in young adults are: strong family bonds, active spirituality, delayed smartphone use, and lower consumption of ultra-processed food. These are not medical interventions. They are dimensions of life — relational, spiritual, physical — that our culture has been quietly eroding for two decades.

In the coming blogs in this series, we will look at each of these factors in depth — what the research says, what the Fresh Hope model addresses, and what real people in our community have experienced. Because data without story is just numbers. And story without data is just anecdote. Together, they make a compelling case.

 

A Word to Anyone Who Is “Just Getting Through”

If you are reading this and you recognize yourself in Sergio’s words — if you are showing up on the outside while struggling on the inside — we want you to know something directly: you are not alone, you are not broken, and you are not failing at faith.

The global mind health crisis is real. It is measured. It affects hundreds of millions of people. And it is not the result of personal weakness or spiritual failure. It is the result of a world that has been quietly stripping away the very things the human mind and soul need most.

Fresh Hope taught me to live and to feel that I am not alone — that my diagnosis does not define me as a person, that I can live with purpose even in the middle of the process.

— Sergio

That is the promise of Fresh Hope. Not that the struggle disappears. Not that every day is easy. But that you do not have to walk it alone — and that the God who created your mind has not let go of your hand.

NEXT IN THIS SERIES

Blog 2: Spirituality Is Not Optional — It Is Essential

The world’s largest mind health study now confirms what Scripture has always declared: connection to God is not a spiritual luxury — it is a measurable factor in human flourishing.

 

ABOUT FRESH HOPE

Fresh Hope is an international network of Christian peer-support groups for those living with a mental health diagnosis and their loved ones. With 250+ weekly participants across 39+ countries, Fresh Hope integrates evidence-based recovery principles with faith-centered community. Find a group near you at freshhope.us

 

RESEARCH REFERENCE

Sapien Labs. Global Mind Health in 2025. February 2026. sapienlabs.org

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A Global Crisis No One Can Ignore

By Samantha Karraa
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What is Resiliency?

By Peggy Rice, Hope Coach Trainer for Fresh Hope

I used to think that resiliency meant bouncing back after experiencing something difficult. But I’m starting to wonder if it’s less about bouncing and more about staying, or even moving forward, however slowly. 

“Bouncing back” implies returning to who I was before the difficult thing. I picture an old inflatable punching clown, that pops right back up after I hit it.  But what if it’s more about becoming someone new because of the hard thing? The baseline has shifted – the person I was is not the person I am now, on this side of difficulty. What if it’s bouncing forward, becoming someone wiser, and more compassionate because of what I’ve walked through?

One definition of resiliency is “the ability to adapt, recover, even grow after difficulty, loss, stress or trauma.” It’s not about avoiding pain, but about learning how to live well in the presence of pain.

Doesn’t that sound like the tag line for Fresh Hope? “Learning to live well in spite of a mental health diagnosis.” Hmm. Fresh Hope – its support groups, its printed materials, its ministries (like Hope Coaching and Refocusing Widows) – is about learning to live in resiliency!

For many of us, either with a mental health challenge (I had a 10+ year journey through depression), or as someone who loves another who has struggles with their mental health, learning to live in a new reality is very important. Whether that mental health journey is just starting, has been a slog for years, or is in the rearview mirror, the person I was is no longer the person I am. I am changed by that mental health difficulty. I was changed in that difficulty.

  1. Resilience means acceptance without resignation.
    1. Accepting that this difficulty is part of my story.
    2. Refusing to let it be the whole story.
    3. Examples: depression may recur; anxiety may flare; bipolar may cycle – but I am still: a spouse, a parent, a leader, a friend, a child of God.
  2. Resilience means differentiation.
    1. “I love myself/you deeply, but my/your illness is not my/your identity.” 
    2. I see this in the Fresh Hope Recovery Principles, Tenet 6 
      1. (Person with the diagnosis) “At times I have allowed myself to become a victim, “defined” by my disorder. Therefore, I choose to overcome and live in hope and joy, in spite of my disorder.” 
      2. (Loved Ones) “Therefore, I choose to separate the disorder from the person I love, forgive and let go of the past, and live as a contributor to successful recovery.”
  3. Resilience means emotional flexibility in the face of unpredictability. I may have good days, hard days, setbacks, growth, confusion.
    1. I will enjoy the good without clinging.
    2. I will endure the hard without despair.
  4. Resilience is holding hope without control.
    1. I can’t make another person heal.
    2. I can’t force insight.
    3. I can’t guarantee stability.
    4. But I can: love, pray, encourage, invite, demonstrate my own resilience.
  5. Resilience is post-traumatic growth!
    1. I came out of my depression experience with greater empathy, spiritual depth, compassion and wisdom. 
    2. Again, the Fresh Hope Recovery Principles, Tenet 7 – it’s all about taking my circumstances and what I’ve learned, and using that to give back to others, to be a comfort to others, because God has comforted me. (2 Corinthians 1:4)

Let’s look at this topic of resilience through the lens of God’s Word.

  1. There may not be escape from suffering, but God is present in it. 
    1. Psalm 34:18 “The Lord is close to the brokenhearted and saves those who are crushed in spirit.” God moves toward pain, not away from it.
    2. Isaiah 43:2 “When you pass through the waters, I will be with you…When you walk through the fire, you will not be burned.” Notice when, not if. Resilience in Scripture assumes hardships are part of life.
  2. Hardships bring endurance and growth, and both are part of resiliency.
    1. Romans 5:3-5 “Suffering produces perseverance; perseverance, character; and character, hope.” This is not saying that suffering is good, but that it can produce something good.
    2. James 1:2-4 “Consider it pure joy…whenever you face trials…because you know that the testing of your faith produces perseverance.” This is about growth and maturity – not about emotional denial.
  3. Resiliency often includes lament, which says: this is not how things are supposed to be, but I will choose to trust the Lord anyway.
    1. Psalm 13:1-2 “How long, Lord? Will you forget me forever?”
    2. Psalm 42:11 “Why, my soul, are you downcast? …Put your hope in God.”
  4. Strength comes from outside of ourselves.
    1. 2 Corinthians 12:9-10 “My grace is sufficient for you, for My power is made perfect in weakness.” Weakness is a place where God works!
    2. Isaiah 40:29-31 “He gives strength to the weary and increases the power of the weak…Those who hope in the Lord will renew their strength.”
  5. There is hope in the middle, not just at the end.
    1. Lamentations 3:21-23 “Yet this I call to mind and therefore I have hope: Because of the Lord’s great love we are not consumed…” My journal is full of one day of crying out to God, with the next day starting in praise and thanks to Him for getting me through.
    2. Hebrews 10:23 “Let us hold unswervingly to the hope we profess, for He who promised is faithful.”
  6. Resilience can be a shared journey…we do this in our Fresh Hope Support Groups.
    1. Galatians 6:2 “Carry each other’s burdens, and in this way you will fulfill the law of Christ.”
    2. Ecclesiastes 4:9-12 “Two are better than one…If either of them falls down, one can help the other up.”

The science behind resiliency points to several things we can do to help us become more resilient. It can be learned!

  1. Finding meaning and purpose. 
    1. Oh, I found this one so hard! I kept asking God, “Why? Why am I going through this? When will this stop?” This became my ongoing lament. Until the Holy Spirit prompted me to change the question. Instead of “Why?” it became, “What do You want to teach me in this, Lord?” 
    2. Changing the question then opened the door to meaning…my suffering tied into something God was allowing in my life, for His purpose. I didn’t get to know what the purpose was, not right away, but because I trust Him, I could reframe my question and seek His direction. And in the process, I rested in Him. 
  2. Support and Connection.
    1. We are created for relationship. With God. With one another. And resilience can grow in a safe, loving connection. It does not grow in isolation.
  3. Emotional flexibility.
    1. We can hold multiple emotions at the same time:
      1. Grief and Hope
      2. Anger and Compassion
      3. Fear and Courage
  4. Self-compassion.
    1. Instead of all that negative self-talk that I say to myself, resilient words are things like: 
      1. This is hard.
      2. I’m allowed to struggle.
      3. I’m still worthy.
  5. Realistic Hope.
    1. This is not denial.
    2. This is not toxic positivity.
    3. This is the belief that this moment, this season, is not my whole story.
  6. There are small daily habits I can practice that help me.
    1. Journaling – my entries are full of laments – prayers to God where I cry out, complain, and then remind myself of His goodness and sovereignty.
    2. Prayer and reflection – these can be breath prayers. This is not about something I do for God, but something I receive from Him.
      1. Jesus, You are here.
      2. Lord, have mercy.
      3. You are my refuge.
    3. Practicing Gratitude.
    4. Naming emotions instead of denying or suppressing them. I often write them in my journal, just to get them out of my head and onto paper!
    5. Telling my story.
    6. Allowing support – letting safe people in, even if it’s imperfect. 

Resiliency can be learned. It can be practiced. And it grows in community. And that’s what Fresh Hope for Mental Health is all about. Fresh Hope’s Mission Statement: To empower individuals to live a full and rich faith-filled life in spite of a mental health diagnosis. That’s resiliency.

Peggy has been involved with Fresh Hope as a Group Facilitator for over 8 years and as the Hope Coach Trainer for over 6 years. She can be reached at peggy@freshhope.us.

 

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What is Resiliency?

By Peggy Rice, Hope Coach Trainer for Fresh Hope

What is Resiliency?

By Peggy Rice, Hope Coach Trainer for Fresh Hope
Share this Post:

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