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A mental health diagnosis can quietly rewrite a person’s identity — shrinking them down to their condition and cutting off their sense of future. Fresh Hope teaches something the research confirms: choosing to overcome is not denial. It is the most powerful decision a person can make.

My diagnosis does not define me. I choose hope.

— Natalia, Colombia — living with bipolar disorder

Depression and anxiety do not live in my life. Today I know that recovery is slow — but it is possible. And every small step forward counts.

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

 

Between them, Natalia and Sergio have accumulated years of suffering, misdiagnosis, silence, and shame. Natalia spent years convinced that what she was experiencing was a spiritual failing. Sergio spent years showing up — working, smiling, fulfilling his obligations — while quietly falling apart inside. Both of them reached a point where they genuinely did not know if things could get better.

And both of them made a choice that changed the trajectory of everything. Not a single dramatic moment — but a decision, renewed day by day, to overcome. To not be defined by what they were living through. To choose hope when nothing in their circumstances required it.

This is what Recovery Principle VI is about. And it is also, according to the research, one of the most clinically significant decisions a person with a mental health challenge can make.

 

The Victim Identity and Why It Happens

Before exploring what Fresh Hope offers, it is worth being honest about why the victim identity is so easy to fall into — because it is not a character flaw. It is a completely understandable response to genuine suffering.

When a person receives a serious mental health diagnosis, their world often reorganizes itself around that diagnosis. Relationships change. Opportunities narrow. Plans are revised. Over time, it becomes natural to explain everything through the lens of the condition: why things went wrong, why opportunities were missed, why relationships broke down. The disorder becomes the story.

This is especially true in cultures — including many Christian communities in Latin America — where mental illness still carries significant stigma. When a person absorbs the message that their condition makes them lesser, damaged, or spiritually deficient, the victim identity is not just a coping mechanism. It is a survival response to a hostile environment.

 

FRESH HOPE RECOVERY PRINCIPLE VI

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.  At times, I have viewed myself as a victim of my loved one’s behavior and disorder, living in resentment, anger, unforgiveness, or self-pity. 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.  Together, we share in each other’s victories and celebrate the whole person.  “For God has not given us a spirit of fear, but of power and love and a sound mind.” — 2 Timothy 1:7

 

Notice what this principle does not do: it does not minimize the suffering. It does not tell people to pretend the disorder isn’t real, or to perform positivity they don’t feel. It says: at times I have allowed myself to become a victim. It acknowledges the pull toward that identity — and then, gently but firmly, invites a different choice.

 

The Research on Identity and Recovery

The connection between identity and recovery outcomes is one of the most robust findings in mental health research. Studies consistently show that how a person defines themselves in relation to their diagnosis is one of the strongest predictors of long-term functioning.

 

87.5% Of Fresh Hope participants who previously considered their disorder a defining feature of their identity report a significant shift in self-perception after consistent group participation.

 

0% Of Fresh Hope participants in the suicidality outcomes study reported the same or worse ideation after participation — the entire cohort either improved or fully resolved.

 

2 Tim 1:7 The scriptural anchor of Principle VI — not a spirit of fear, but of power, love, and a sound mind — speaks directly to the identity question at the heart of recovery.

 

People who identify primarily as a patient, a sufferer, or a victim of their condition tend to have more passive relationships with their treatment, lower rates of treatment adherence, and poorer long-term outcomes. People who identify primarily as a person who happens to have a condition — and who see themselves as active agents in their own recovery — consistently do better across every measurable dimension.

This is not a blame-the-patient argument. It is a recognition that identity is malleable, that it can be reshaped by community and by the stories we tell ourselves — and that peer communities like Fresh Hope are uniquely positioned to do that reshaping.

 

Natalia’s Choice

Natalia’s journey from diagnosis to purposeful living did not follow a straight line. She lived for years in a place of deep confusion — experiencing the real symptoms of bipolar disorder while being told by the culture around her that what she was living was a spiritual problem. The guilt she carried was not just about her condition. It was about who she believed she was.

Today, having a diagnosis does not separate me from the love of God. On the contrary — it has taught me humility and compassion for others who struggle in silence. Today I know I can live with purpose even in the middle of my struggle.

— Natalia, Colombia

 

The movement in Natalia’s testimony is remarkable. She does not say the bipolar disorder went away. She says it taught her something — humility, compassion, the capacity to see others who are struggling in silence. Her diagnosis became a teacher rather than a jailer. Her suffering became a resource rather than a verdict.

This is the shift that Fresh Hope facilitates: from a diagnosis that defines and diminishes, to a story that has been redeemed and now has purpose. It is not instant. It is not without pain. But it is real, and it is measurable, and Natalia is living proof.

 

Sergio’s Declaration

Sergio’s testimony contains one of the most striking lines in the entire collection — a declaration so clear and confident that it is worth reading slowly.

Depression and anxiety do not live in my life. Today I know that recovery is slow, but it is possible. And every small step forward counts. I live with depression, I live with generalized anxiety — but depression and anxiety do not live in me.

— Sergio, Guatemala/Mexico

 

Read that again: I live with depression, I live with generalized anxiety — but depression and anxiety do not live in me. This is not denial. Sergio is not pretending his conditions do not exist. He is asserting that they do not own the house. They are present — but they are not in charge.

This distinction — between having a condition and being defined by it — is precisely what the recovery research identifies as the tipping point. The moment a person stops saying “I am depressed” and starts saying “I have depression, and I am also a father, a friend, a man who loves God, a person with something to offer” — that reorientation is correlated with significantly better treatment engagement, social functioning, and long-term outcomes.

 

DEFINED BY THE DISORDER

I am my diagnosis

My condition defines my future

I have nothing to offer others

LIVING WITH PURPOSE

I choose hope

My diagnosis does not define me

My pain has purpose for others

 

This shift does not happen in isolation. It happens in community — in the presence of people who already hold that larger identity for you while you are still finding your way to it. It happens when Norcángel tells a newly diagnosed person: there is hope, recovery is possible. It happens when Cintia says: you are not your diagnosis, you are a child of God. It happens when Sergio, at 49, records a video testimony to tell someone he has never met: I made it through. And so can you.

 

For the Loved One: The Parallel Journey

Principle VI addresses not just the person with the diagnosis, but their loved ones — and it names something that caregiver communities rarely talk about openly: the victim identity that caregivers can develop alongside the person they love.

Resentment, anger, unforgiveness, self-pity — these are not signs of bad character in a caregiver. They are signs of a person who has been carrying an enormous weight without adequate support, framework, or community. Fresh Hope’s inclusion of loved ones in the same groups where the person with the diagnosis is finding freedom is not an accident. It is a recognition that both people need to make the journey from victim to purposeful survivor.

Beatriz and Marta, whose testimonies we heard in Blog 3, are both on this journey. The mother who prayed for years and found Fresh Hope as God’s answer. The mother who chose to walk alongside her son without being consumed by the struggle. Both of them choosing, in Principle VI’s language, to be contributors to successful recovery rather than collateral damage from the disorder.

 

A Word to Anyone Who Feels Defined by Their Diagnosis

If you have been living inside the story that your condition tells about you — if you have let the diagnosis shrink your sense of who you are and what is possible — we want to speak directly into that.

You are not your depression. You are not your bipolar disorder. You are not your anxiety. These are conditions you live with. They are real, they are hard, and they deserve serious treatment and support. But they are not the sum of your identity, and they do not get to write the ending of your story.

My diagnosis does not define me. I choose hope.

— Natalia, Colombia

Four words. The most concise summary of everything Recovery Principle VI, the peer support research, and the testimony of hundreds of Fresh Hope participants point toward. Not an absence of struggle. Not a denial of diagnosis. A choice — made in full awareness of what the condition is and what it costs — to be more than it.

That choice is available to you. And if you cannot quite make it yet on your own, Fresh Hope exists to be the community that holds it for you until you can — and then celebrates with you when you do.

 

NEXT IN THIS SERIES  |  BLOG 9 OF 10

Latin America Has Something the World Needs  The world’s largest mind health study identifies the very things that Latin American culture has always practiced — family, faith, community, shared meals — as the most powerful protectors of mental wellbeing. Four women from four countries share what that looks like from the inside.

 

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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On July 26, 2025, tragedy struck our beautiful town of Traverse City, MI. A stabbing happened at a local Walmart, making national headlines. In a random attack, eleven people, aged 29 to 84, were injured. But thanks to brave bystanders, including two Marine veterans, no one died, not even the assailant, despite the traumatic injuries and suffering.

Walmart shoppers sprang into action during this unimaginable crisis, calmly assisting one another. First responders arrived quickly to find people helping people amid the frightening ordeal. The two Marine veterans, whom some now refer to as saviors, heroes, or “supermen,” used their keen wits and nimble skills to disarm the attacker and safely deliver him into the hands of the authorities.

The local hospital promptly and professionally treated each victim. What could have been? We shudder to think. We are blessed that the outcome was not more tragic.The first assumption was that the attacker must have a mental health challenge, and in this case, that proved true.

His story is a devastating one. His family had been trying to get him dependable management for his condition for twenty-eight years. He was ruled incompetent to stand trial.

It may seem incredible that twenty-eight years can go by without someone getting the consistent help they need, but it happens often. I knew I was “different” when I was just seventeen, yet I didn’t receive a diagnosis and treatment until I was thirty-four.

As a result, my young adulthood was more stressful and chaotic than it needed to be. Still, I was able to perform successfully as a musician in our local symphony orchestra and enjoy a long career as a professional educator. Thankfully, sometimes, I had the understanding and support of loving family, friends, bosses, and co-workers who made my journey easier.

But sometimes not.

The story of the Walmart tragedy is becoming all too familiar and all too common in our nation’s headlines, and the causes are many: a shortage of mental health providers in many communities; a lack of crisis stabilization beds; difficulties in obtaining appropriate treatment due to shame or stigma; sharp political divisions that can be triggering; increasing homelessness among those with mental health challenges and a shortage of services that allow them to live safely.

There are also other reasons, many of which stem from a common source: fear.

Fear silences our voices. It’s hard to find solutions to problems when we can’t even talk about them. Of course, overcoming our fears is difficult. We fear what we don’t understand, so the key question is: How can we gain understanding of mental health issues when it often seems easier—and safer—just to let someone else handle it?

But what if we did it together?

It’s easier to show courage when we stand side by side and work as one, and it shouldn’t take another mass shooting, another stabbing, another 48,000 suicides each year in the U.S. before we lock arms and unite. Christian missionary, author, and speaker Elisabeth Elliot said, “Sometimes fear does not subside and you must do it afraid.”

Scripture tells us to fear not; we are not to live in fear. That’s easy to say, but hard to do. In what ways are we showing courage in facing mental health challenges—our own or someone else’s? We appreciate the heroic Walmart shoppers, first responders, and emergency department staff on July 26 who did everything in their power to save every life—and succeeded—just as Jesus does . . . the original superman.

 

About the Author: Amy Zabel is a retired educator who spends her time volunteering for Fresh Hope and NAMI among many other endeavors. She is a resident of Traverse City, MI, and just published her first book, Outcast.

To obtain a free copy, simply email helptheoutcasts1@gmail.com with your name and address and type Fresh Hope in the subject line.

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"If you are patient when you suffer for doing what is good, this is a grace before God. For to this you have been called, because Christ also suffered for you, leaving you an example that you should follow in his footsteps.” (I Peter 2:21)

And yet patience, also referred in the Bible as endurance, is never easy. When a nonbeliever questions how a good God could allow suffering, I like to respond, “If Jesus had  to suffer an agonizing death on a cross so you could be saved, why should we think that we won’t have to endure hardships, let alone one that awful?”

Whether it’s the sudden death of a loved one, the loss of a job or home or something else, chances are we have all been through hardship at one time or another. It’s just a matter of the circumstances. In my case, it was often about unemployment. I was out of work for nearly a year more than 20 years ago, but I still remember this period like it was yesterday. My faith was weak at the time, so I worried more than I prayed.

Sick to death of the uncertainty and pit in my stomach  that came with it, I finally got smart and started reading my Bible. Proverbs 3: 5-6 and Jeremiah 29:11 proved extremely helpful and still do today. (I quoted them in my book Climbing out of Darkness: A Personal Journey into Mental Wellness, so I won’t do so here.)

Suffice it to say, I memorized both passages and pondered on them often. Whether I was alone at home, driving, or in a store, I would keep thinking about these verses and the more I did, the more I believed them. Before I knew it, I felt an incredible peace come over me even  though I was still out of work and with no job prospects in sight!

(This was also when I realized why God was making me wait for a new job – because being diagnosed with depression and anxiety made my realize it was my disorders that were causing the problems more than the jobs themselves).

I wanted “a job,” God showed me much more, how to come to grips with, and then how to overcome a mental health challenge (thanks in large part to Fresh Hope). I can look back on this period and know that, whatever the circumstances are now, God indeed is in control, and it’s just a matter of waiting on His timing to reveal the answer. Oh, and eight months’ unemployment was a piece of cake compared  to the 14 years I spent with my next employer! Talk about answered prayers!

If you’re fortunate enough to not have a vexing problem in your life, there are still things in life that test our patience. One of them is the different seasons. December is already a difficult time of year for those of us who live in the Upper Midwest with its snow, frigid cold, and fewer daylight hours. Getting laid off when I did, in the middle of winter made a bad situation worse.

While patience has always been a virtue, I dare say advice on this topic is more crucial than ever in today’s rush-rush, nonstop world. It wasn’t always like that. When I was young, you had to wait for the afternoon newspaper or evening news to learn what was going on in the world. Today, news is 24/7, even with our phones, when we are out and about.

But today’s hectic society doesn’t just involve news and scrolling constantly on our phones. Shopping in a brick-and-mortar store is becoming a thing of the past. We order nearly everything online and then expect next-day delivery. Even drive-thru restaurants don’t even seem fast enough, as many people will order ahead of time on an app. It seems no one can wait for anything anymore! And don’t be surprised if the driver behind you honks his horn if it takes more than five seconds for you to proceed on a green light.

I don’t understand self-checkouts either. I am almost never in such a hurry that I’ll choose to check myself out. Isn’t that what the employees are supposed to do? Waiting in line isn’t often as bad as it looks, but we think it is because we’re always in a rushed state of mind.

In other words, the worldly way of responding to impatience involves stress, anger, and frustation. Since God did not intend for us to live our lives at a breakneck pace, the result is the detrimental effect that anxiety and worry is having on our society’s mental health.

Patience on the other hand, teaches self-control, empathy, and maintaining a positive attitude. This is also discussed in the fruits of the spirit in Galatians. Even better, we know that as Christians, we don’t have to do this on our own. We have the Lord’s strength to respond with complete trust in the Father’s purpose and power.

Maybe Romans 8:28 says it best. It states that “all things God work together for the good of those who love him, who have been called according to his purpose.”

The “all things” in this instance, include the things that try our patience.  So the next time regardless if it’s being caught in a traffic jam, ridiculed in public, or my particular vice, computer problems – remember Romans doesn’t say that it’s just the “good things” that work together for our benefit but all things. I need to read and then reread, this paragraph the next time my PC locks up!

In conclusion, while patience takes time, it is always worth the effort.

Mike Jacquart belongs to a Fresh Hope support group in Wisconsin. A retired magazine editor, Mike enjoys sharing his story of “pushing through” on his book, blog posts, podcasts, and other presentations. For more information, contact him at michaeljacquart56@gmail.com.

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