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Focusing on Strengths.
Finding Solutions.®


Greg Henderson, MSSW

IS IT STIGMA, DISCRIMINATION, OR JUST
NOT ENOUGH INFORMATION?
The Stigma of Mental Health

By Greg Henderson, MSSW

April 2007


Labels lead to stigma – a word that means branding & shame. And, stigma leads to discrimination. Most people would agree that it is wrong to discriminate against people because of their race, religion, culture, sexual orientation or appearance. Yet we are less aware of how people with mental illness are discriminated against.

The stigma of mental illness prevents people from getting the treatment & support they need in order to live healthy lives. Stigma is not just a matter of using a wrong word or action. Stigma is about disrespect. It is the use of negative labels to identify a person living with mental illness.

Words like “crazy”, “cuckoo”, “nutso”, “psycho”, & “wacko” are a few examples of words that perpetuate the stigma of mental illness. These words belittle & offend people with mental health problems. It is usually not said intending to harm anyone. Yet we wouldn’t make fun of or mock someone for having a physical illness like diabetes, heart disease or cancer. Whether intended or not, it is cruel to make fun of someone with a mental illness.

THE FACTS
Mental illness (e.g. depression, anxiety, bipolar disorder, schizophrenia) is more widespread than people realize. According to a 2005 survey by the U.S. Department of Health & Human Services, an estimated 24.6 million adults age 18 or older experience serious psychological distress which is highly correlated with serious mental illness. Mental illness can happen to anyone regardless of race, ethnicity, gender, age or background.

Nearly 1 out of 5 persons ages 18 to 24 report having a mental illness. Major depression & anxiety disorders are the most prevalent mental health problems experienced by young adults. Even though an estimated 22 to 23 percent of the U.S. population experiences a mental disorder in any given year, almost half of these individuals do not seek treatment.

Stigma discourages people from getting help. Many people don’t seek treatment because they don’t want to be labeled as “mentally ill” or “crazy”. Yet early professional services are the best way to prevent an illness from getting worse.

Stigma leads to fear, mistrust & violence. Even though the vast majority of people who have mental illnesses are no more violent than anyone else, television often portrays the mentally ill as violent. These inaccurate portrayals lead people to fear those who have mental illness.

Stigma results in prejudice & discrimination. Some employers are reluctant to hire people who have mental illnesses. Some try to prevent people with mental illnesses from living in their neighborhoods.

Stigma results in inadequate insurance coverage. Many insurance plans do not cover mental health services to the same degree as other illnesses. When mental illnesses are covered, coverage is often limited, inappropriate or inadequate.

ONE INDIVIDUAL’S PERSPECTIVE
To better understand the thought process of an individual seeking mental health services, one individual has shared her thoughts. She notes the following:

Diagnosis is Vital. Having suffered from depression & anxiety most of my adult life, I would have to say that no one wants this diagnosis or mush less, even wants to share—ever—this knowledge to the outside world for fear of someone’s adverse reaction. For people suffering from these disorders, you basically know something about you is different. Your symptoms throughout life can range from mild to severe, depending on a variety of factors.

To best describe these variances, let’s use the following analogy. Pretend for a moment that you are a musician in an orchestra comprising the population of your community. Depending on your personality traits, you play a certain instrument. The music your instrument plays symbolizes your communication skills & your life skills to interact with the world. Depression & anxiety can range from subtle, meaning your instrument may be slightly out tune & no one really notices, but you, to severe, meaning one or more strings on the violin are broken & need to be repaired.

Getting Beyond the Social Stigmas. Indeed the very words “mental illness” are couched in such difficult & shaming stereotypes that people tend to postpone getting help or even discussing these problems with family members. “Toughing” it out on your own becomes a way of life. Would we ask a heart patient to tough it out & not have life saving angioplasty if it improved the quality of life? Or, would we ask a diabetic patient to only take one shot of insulin per day instead of the prescribed four shots because it’s just too shameful to have diabetes?

Like anyone dealing with chronic illness, patients suffering from depression &
anxiety need treatment, compassion, support, encouragement, understanding, acceptance, & education. Their families need it too. Just as heart disease & diabetes runs in families, depression & anxiety also have a genetic component.

Formula for Health. Lastly, the individual has shared her self-developed formula for health which includes:

  1. Seeking regular treatment with a trained therapist and sticking with it.
  2. Taking medications consistently that reduce/relieve symptoms.
  3. Educating yourself about depression and anxiety.
  4. Educating family members & talking openly & honestly about depression & anxiety.
  5. Eating three meals a day.
  6. Sleeping 8 hours a night at regular times.
  7. Exercising consistently throughout the week.
  8. Acknowledging your self worth in the grand scheme of life even though you have depression & anxiety.

In summary, mental illness is not caused by a personal weakness or a flaw in someone’s character. It is an illness that has nothing to do with being weak or lacking willpower. Although people with mental illness do play a big part in their recovery, they did not choose to become ill, & they are not lazy because they cannot just “snap out of it.” Mental illness has a variety of causes including social, psychological, biochemical, genetic or other factors such as infection or head trauma.

For further information contact:
SAMHSA’s National Mental Health Information Center
P.O. Box 42557
Washington, D.C. 20015
800-789-CMHS (2647)
http://mentalhealth.samhsa.gov
email:info@mentalhealth.samhsa.gov

The Anti-Stigma Project
1521 South Edgewood Street, Suite C
Baltimore, MD 21227
Phone 410-646-0262 or 800-704-0262

National Alliance for the Mentally Ill
www.nami.org
Colonial Place Three
2107 Wilson Boulevard

Suite 300
Arlington, VA 22201-3042

Consider the following steps to help end mental health stigma:

  1. Treat people with dignity and respect.
  2. Think about the person behind the label.
  3. Emphasize abilities, not limitations.
  4. Use accurate and sensitive words when talking about people with mental illness.
  5. Influence people in your life constructively. Teach others what you know. Guide others by your example.
  6. Learn more. Many organizations sponsor programs about mental health and mental illness. (See above.)