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Open Handed

By Peggy Rice, Hope Coach Trainer for Fresh Hope

My mom, who turns 88 this summer, used to talk about holding onto things “loosely.” It took me a long time to figure out what she meant. And then, two weeks ago, I got it.

As I’ve mentioned before, I’ve been dealing with chronic pain for several months now, and it’s been quite a journey with the Lord. He has been reorienting my thinking – teaching me to pause and rest instead of pushing through the pain. Even though I’m wired to write To-Do Lists, checking things off is no longer as important as listening to my body, caring for it, and resting in Him in the process.

In mid-February, I met with a physician’s assistant, to discuss a procedure I’d previously tried that didn’t work. After talking it through, she suggested we try again, but in a slightly different location, and she was very confident that it would address the source of pain. So I scheduled the appointment for a Monday, several weeks out.

Two weeks ago, a light-bulb clicked on over my head, just like in the cartoons. I realized that I had placed all of my hope for pain relief into that upcoming procedure. It was going to mean the end of my pain! I was counting down the days – even the hours. But it was as if the Holy Spirit spoke quietly to my heart, “You’re putting your hope in this procedure. But your hope is meant to be in the Lord.”

Ouch. (Every pun intended.)

  • “Put your hope in God, for I will yet praise him, my Savior and my God.” Psalm 42:11b
  • “…but those who hope in the Lord will renew their strength. They will soar on wings like eagles; they will run and not grow weary, they will walk and not be faint.” Isaiah 40:31
  • “The Lord is good to those whose hope is in him, to the one who seeks him;” Lamentations 3:25

It was a wake-up call. I had misplaced my hope, and God gently redirected me – because He is kind. As the Holy Spirit brought those verses to mind, there was no condemnation, just a quiet nudge. And I listened.

My mom’s phrase came back to me…hold things loosely. Hold this medical procedure loosely. 

I picture it this way – my hands open and this medical treatment resting in the center of my palms. I’m not grasping it, clinging to it, or closing my fists around it. It simply rests there – where God can take it at any time.  Where I’m offering it to Him. Where I’ve surrendered it.

This does not mean that I’m giving up on relief. It doesn’t mean I don’t care. It doesn’t mean I’ve become passive. I still want the procedure to work! I want to walk without pain. I want to live fully in my body.

What I am doing is holding this desire without making it my foundation. I want this deeply, but I don’t require it in order for me to be okay. I’m allowing hope to exist, but I’m no longer anchoring my soul to the outcome. I’m anchored to the Lord.

I was reminded of 2 Corinthians 4:16b: “Though outwardly, we are wasting away, yet inwardly we are being renewed day by day.”

This applies not only to our physical bodies and their limitations, but also to our mental health journeys, whether we are the ones struggling or the ones walking alongside someone who is.

Here are a couple of reminders from the Fresh Hope Recovery Principles that we read at each meeting (find a group here):

Tenet I: 

All of Us read: … We remind each other of the Lord’s love, and that He alone can do all things. He is the source of our hope, and in Him we can overcome all things. 

Tenet IV: 

Those with a diagnosis read: My disorder can lead me to feel hopeless. Therefore, I choose to believe, regardless of my feelings, that there is help and hope for my physical, emotional, psychological and spiritual well-being. 

All of Us read: Together we remind each other that our hope and joy come from the Lord. He alone is able to fulfill our needs in every aspect of our lives. 

Living open-handed with a mental health diagnosis is not easy. The pain, the chaos, the negative thinking, the unfairness – it can be all-consuming. But when we rely on the Holy Spirit’s strength instead of our own, we can begin to release it to God. We can trust His timing and His outcomes. He will take all of the difficult things we are going through, or have gone through, or will go though, and weave them into something that brings Him glory and works for our good (see Romans 8:28).

I am learning to live open-handed – with my pain, my hope, and my life – releasing my grip and trusting God to hold what I cannot control.

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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The gut-brain connection is no longer just a wellness trend — it is a measurable contributor to the global mental health crisis. And what we eat is something we can actually do something about.

I have learned to speak. I have learned to ask for support, to take my treatment without shame, and to trust that God has never let go of my hand. 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

Sergio’s recovery did not happen all at once. It happened in layers — each one requiring him to look at a different dimension of his life and ask: what here needs to change? Medication was part of it. Community was part of it. Faith was part of it. And slowly, he began to understand that caring for his whole self — including his body — was not vanity or self-indulgence. It was stewardship.

The Sapien Labs Global Mind Health Report identifies ultra-processed food consumption as one of the four root causes of declining young adult mind health. This finding surprised many people who read the report — including mental health professionals who had not been tracking the nutritional research. But for those familiar with the growing science of the gut-brain connection, it was a confirmation of what the data had been quietly building toward for years.

 

What the Research Found

The Sapien Labs researchers found that across all 85 countries studied, higher consumption of ultra-processed foods — items manufactured with industrial ingredients, additives, and preservatives largely absent from traditional diets — was consistently associated with worse mind health outcomes in young adults.

15–30% The estimated contribution of ultra-processed food consumption to the mental health burden in high-consumption countries, according to the Sapien Labs analysis.

 

58% The percentage of daily caloric intake from ultra-processed foods in the average diet in the United States — the country with some of the worst young adult mind health scores globally.

 

Young adults who report frequent ultra-processed food consumption show approximately double the rates of depression and anxiety compared to those eating primarily whole, traditional foods.

The mechanism behind this connection is increasingly well understood. The human gut contains roughly 100 million neurons and produces approximately 95% of the body’s serotonin — the neurotransmitter most commonly targeted by antidepressant medications. The gut and the brain communicate constantly through the vagus nerve, in what researchers call the gut-brain axis.

When we eat food that nourishes the gut microbiome — the trillions of bacteria that live in our digestive system — we support the production of serotonin, dopamine, and other neurochemicals essential for emotional stability. When we eat food that disrupts the microbiome — through artificial additives, preservatives, excess sugar, and industrial seed oils — we undermine the very biological foundation of mental wellbeing.

In short: what we put into our bodies is not separate from what happens in our minds. They are part of the same system.

 

A Spiritual Perspective on the Body

For Christians, this connection between physical and mental health is not new theology — it is a recovery of something the church has sometimes lost. Scripture speaks consistently of the body as the temple of the Holy Spirit, as something worthy of care and dignity. The Luke 2:52 framework that shapes the Fresh Hope approach describes Jesus growing in wisdom, stature, and favor with God and people — a holistic picture of flourishing that includes the physical dimension.

The Sapien Labs finding on food is a scientific confirmation of a theological reality: we are not disembodied souls. We are whole persons — spiritual, mental, relational, and physical — and what we do with our bodies has consequences for our minds and spirits. Neglecting the physical dimension of health is not humility. It is an incomplete stewardship of the self God made.

We demolish arguments and every pretension that sets itself up against the knowledge of God, and we take captive every thought to make it obedient to Christ.

— 2 Corinthians 10:5 — Fresh Hope Recovery Principle V

This verse, embedded in Recovery Principle V, is often read in purely cognitive terms — as being about thought patterns and mindset. But its context is broader: the transformation of the whole person. Taking every thought captive requires a brain that is capable of the work. And the brain is biological. It runs on what we feed it.

 

The Traditional Diet Advantage

One of the most striking aspects of the Sapien Labs food data is the regional dimension. The countries that score highest for young adult mind health — in Sub-Saharan Africa and parts of Latin America — are also countries where traditional, whole-food diets remain more prevalent. The countries that score lowest are those where ultra-processed food has most thoroughly displaced traditional eating patterns.

Ultra-Processed Diet Patterns

Packaged snacks and fast food as dietary staples • Industrial seed oils and artificial additives • High sugar drinks replacing water • Loss of traditional food preparation • Eating alone or while on screens • Meals as fuel rather than community

Traditional Diet Patterns

Whole grains, legumes, and vegetables • Animal proteins and fermented foods • Cooking from primary ingredients • Shared mealtimes as family ritual • Food grown or sourced locally • Eating as an act of gratitude and care

Notice that the traditional diet column is not just about ingredients. It is about the culture of eating — the practice of preparing food with care, sharing it with family, and receiving it as a gift. The gut-brain connection is also a family-table connection. The very act of shared meals — which the smartphone data in Blog 4 identified as something screens are eroding — is part of how food protects mental health.

Latin American cuisine, with its emphasis on fresh ingredients, legumes, fermented foods like curtido and chicha, and the cultural centrality of the family meal, is not just a food tradition. According to the emerging science, it is a mental health practice.

 

Recovery Is Whole-Person Work

One of the most important things Fresh Hope teaches is that recovery is not a single-track process. It is not only medication. It is not only therapy. It is not only prayer. It is the patient, intentional cultivation of every dimension of wellbeing — spiritual, mental, relational, and physical.

FRESH HOPE RECOVERY PRINCIPLE V

While medicine is a key component in my recovery, it is not the only answer. Therefore, I choose to explore new ways of thinking and acting in my relationships and daily living.  I too have been part of the cycle of dysfunctional living, either thinking I had all the answers or thinking the problem didn’t belong to me. Therefore, I choose to submit myself to learning new behaviors and taking responsibility for my own healthy, balanced living.  Together we choose freedom over suffering, and joy in living through self-knowledge in action.

Principle V invites something that is countercultural in both clinical and church settings: honest self-examination of how we are living. Not self-condemnation. Not perfectionism. But a willingness to look at our patterns — including what we eat — and ask whether they are serving our wellbeing or undermining it.

For Sergio, this kind of examination was part of his journey. Learning to take his treatment without shame was one layer. Learning to ask for support was another. And alongside those things, learning to care for his body — to see physical stewardship not as vanity but as faithfulness — became part of what it meant to choose life over suffering.

 

Practical Wisdom for the Journey

This blog is not a diet plan. It is not a prescription for what to eat or a list of foods to avoid. The goal is not to add another source of guilt to people who are already carrying a great deal. The goal is to broaden the frame — to help people living with mental health challenges, and those who love them, understand that the body is part of the recovery conversation.

Some simple starting points that align with both the research and the Fresh Hope wholeness framework:

Prioritize whole foods when possible. Traditional diets rich in vegetables, legumes, whole grains, and minimally processed proteins support the gut-brain axis in ways that ultra-processed foods do not.

Reclaim the shared meal. Eating together — without devices, with conversation and presence — is not just a nice tradition. It combines the nutritional, relational, and spiritual dimensions of wellbeing in a single practice.

Reduce sugar and ultra-processed snacks gradually. Not through shame or rigid restriction, but through informed, compassionate choices. Small changes compound over time.

Talk to your treatment team. Nutrition is increasingly part of integrative mental health care. If your provider is not discussing it, you are welcome to bring it up.

And above all: approach your body with the same grace and patience you would offer a dear friend. Recovery is not a performance. It is a direction. Every small step forward counts — and Sergio would be the first to tell you so.

NEXT IN THIS SERIES  |  BLOG 6 OF 10

Why Mental Health Spending Isn’t Working  The United States spends over a trillion dollars annually on mental health — yet young adult outcomes are among the worst in the world. How does a peer support model operating on faith and community outperform billion-dollar systems? Norcángel, from Venezuela living in Argentina, offers three words that no clinical budget can buy.

 

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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I could talk about my medications for days. It was one of the first slaps in the face that accompanied my diagnosis, and it was a big one. Being expected to navigate a litany of psychiatric medications seemed like a joke. I wasn’t a doctor. I was simply an ill person fighting to make it through my day. Everything was a mess: side effects galore, landing on the right medication in the midst of seemingly twenty different problems, the frustration of not sleeping enough vs sleeping too much, endless blood work to be done, and constantly trying to figure out the dosages of nine medications that wouldn’t stay put. As quoted in my book: “I felt like my meds bullied me.”

Over time, amazingly, my resolve turned my bully into one of my closest friends. Thankfully, my childlike frustrations gave way to maturity as I partnered with my doctor to overcome my illness, one medication at a time.

I am purely blessed by God to be where I stand today in relation to my medications. There are few people who ever reach this level of maturity. It’s the nature of bipolar disorder. The enemy deceives us at our weakest point.

I remember being there myself, for fifteen years. Garbage piled into my brain as I was convinced that I would lose everything if I took any medications. At that point, my creativity blew people’s socks off. I was deemed a genius when I was in school. I had so much energy. I felt superhuman. I knew that medications would suppress all of that. I didn’t want to take them. For fifteen years, I fought the medication battle. Every day when I woke up, I debated taking them. However, it was in 2019 that God came into my life and that is when He started to teach me spiritual obedience.

You must understand that a system was established in my life since the time that I was diagnosed. Its foundation is my doctor and medication regimen. I remember that my mother taught me to take my medications at all costs, regardless of whether I wanted them or not. I was learning obedience.

Everything worth having in life has a cost. It reminds me of all that I gave up in seeking God for the first time. After meeting God, my next priority was gaining a sound mind. I learned that it takes surrender to God to find true healing. In gaining a sound mind, I made a choice to take my medications faithfully, and it came with a cost: giving up my mania, my big dreams,  an obscene amount of creativity and everything that made me feel important. But what mattered was that I was learning how to push back on the enemy.

I will always remember one of my appointments with my doctor when he said to me, “See? Your personality is starting to come out.” He was only able to point that out after we had worked hard for nine years to perfect the medications that I took. People with bipolar disorder believe a lie that medications take away their personality. Mania isn’t their personality. It’s their illness. I am much more subdued at this point in my life and there are many things that I have lost in taking my meds, not to mention how sedated I feel all day long, every day. But, through this spiritual maturity of submitting to the system, God uses it for good.

I would urge you to do the same. I promise that you will certainly find so many treasures from God inside of this leap of faith.

Sincerely, Ruby

Please check out my website: iwillflyrubylucas.com

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