Over the past few decades, we’ve come a long way in how we view and talk about mental health.
And that should come as no surprise, because 1 in 5 adults in the United States lives with a mental health condition. Many people are also becoming more open to the idea of sharing their personal experiences.
But there’s still a stigma surrounding mental health. It’s a stigma, in fact, that affects millions of people around the world who live with mental health conditions. It affects everything from their social relationships and professional opportunities to the way they view themselves.
We’ll explore more about what mental health stigma is, and how we can all work to address this and improve the lives of people living with mental health conditions.
What is meant by the stigma of mental illness?
According to the American Psychological Association (APA), stigma happens when people are negatively viewed for having a specific characteristic — whether that’s mental, physical, or otherwise.
“Mental health stigma” or “mental illness stigma” refers to the stigma attached to mental health conditions and the discrimination that can happen to people who are living with them.
Mental health is often stigmatized because of a lack of understanding about what mental health conditions are and what it’s like to live with a mental health condition. Stigma can also arise from personal thoughts or religious beliefs about people who have mental health conditions.
Generally, the lack of understanding about mental health — as well as the harmful assumptions about people living with mental health conditions — is at the heart of a bias or stigma. This can result in avoidance, rejection, infantilization, and other discriminations against people who are neurodivergent or have a mental health condition.
We often use the word “stigma” to describe the overarching experience that people have. However, there are actually three types of stigma: public stigma, self-stigma, and institutional stigma.
- Public stigma: This refers to the negative attitudes around mental health from people in society.
- Self-stigma: This describes the internalized stigma that people with mental health conditions feel about themselves.
- Institutional stigma: This is a type of systemic stigma that arises from corporations, governments, and other institutions.
While there are many examples of mental health stigma in society, here are some of the more common instances you might notice:
- When people are viewed as attention-seeking or weak when they try to reach out and get professional help.
- When others use harmful language, such as “crazy” or “insane”, to judge or trivialize people who have mental health conditions.
- When people make jokes about mental health or certain conditions.
- When people avoid others with certain mental health conditions, like schizophrenia, because of fear or misunderstanding.
- When family or friends tell someone with depression that they can get better if they just “work out and get more sun,” or make other unhelpful judgments.
- When someone living with a mental health condition views themselves as worthless or talks down to themselves because of their condition.
- When companies refuse to hire someone or provide them with adequate accommodations because of their mental health.
- When people view examples of neurodivergence as illnesses or something to be cured.
According to the study results, from roughly 1996 to 2006, people became more knowledgeable about mental health — including acknowledging differences between daily experiences and symptoms of diagnosable conditions.
And from around 2006 to 2018, there was a significant decrease in social stigma against depression — specifically, less desire to be socially distanced from people with depression. However, when it came to schizophrenia and alcohol dependence, not only did social stigma increase but so did negative perceptions of these conditions.
Another earlier study from 2018 took a slightly different approach in analyzing the social perception of mental and physical health conditions. In this study, researchers used automated software to track over a million tweets related to mental health and physical health over a 50-day period.
According to the results of the study, mental health conditions were more likely to be stigmatized and trivialized than physical health conditions. And the results varied by condition — with schizophrenia being the most stigmatized, and obsessive-compulsive disorder (OCD) being the most trivialized.
Intersectionality refers to how someone’s intersecting identities — such as race, gender, sexuality, or class — contribute to their own unique experience with discrimination and oppression.
When it comes to mental health, intersectionality can play a huge role not only in someone’s overall mental health, but also in how mental health stigma affects them.
According to the researchers, less than 20% of the men who were referred to mental healthcare from the clinic continued to receive the recommended care — often as a result of increased social and professional stigma for men to go without mental healthcare of any kind.
What groups are most at risk for discrimination when receiving mental healthcare?
Although healthcare discrimination can affect people of all backgrounds, some people are more at risk for experiencing discrimination when receiving healthcare or mental healthcare.
- uninsured people
- people with a diagnosis of any mental health condition
And according to the study results, this discrimination was profound: Latinos and people living with mental health conditions were twice as likely to experience discrimination, while uninsured people were seven times more likely to be discriminated against.
Mental health stigma can have a hugely negative impact on the lives of people living with mental health conditions. In fact, stigma can often lead to mental, social, or even professional consequences for the people who are stigmatized.
People living with mental health conditions are more likely to experience low self-esteem and lower self-confidence if they’re stigmatized.
Stigma may lead to difficulty seeking treatment or even following through with treatment. And some people may experience increased symptoms of their condition, or even develop new ones — like anxiety or depression — because of experiencing stigma.
Self-stigma may even hinder someone’s ability to recover from a mental health condition. In one smaller
Social mental health stigma may lead to isolation from friends or family. People with mental health conditions may experience bullying or harassment from others — or possibly even physical violence.
And when others have a judgmental view of mental health, it can be difficult for people living with these conditions to build relationships with them.
Stigma in the professional world can lead to fewer opportunities to excel at school and fewer opportunities to advance at work. People living with mental health conditions may have difficulty fulfilling school or work obligations — especially if they have trouble with classmates, teachers, coworkers, or bosses.
It’s not just classmates or colleagues who contribute to mental health stigma in a professional setting, either.
Stigma comes from everywhere — institutions, society, and even ourselves. But we can all take steps to address and reduce the stigma of mental health:
- Learn about mental health: One of the most important steps toward reducing mental health stigma is to learn more about it. Learning what mental health conditions look like and who they can affect can help reduce some of the fear, misunderstanding, and judgment around them.
- Use words carefully: When we use words with negative associations, like “insane” or “crazy”, we contribute to the judgment and stigmatization of others. It may take some effort to change the way we speak, but it can help reduce the stigma that people with mental health conditions face.
- Take part in campaigns: Many mental health organizations, like NAMI, create fundraising campaigns to help bring awareness and provide funding for mental healthcare. Even if you can’t get directly involved, these campaigns are a great way to learn more about people living with mental health conditions.
- Share your story: If you’re someone living with a mental health condition, one of the most powerful tools for reducing stigma is to share your story. By educating people on what it’s like to live with a mental health condition, we can help reduce the misunderstanding and judgment that people feel.
If you’re one of the hundreds of millions of people living with mental conditions around the world, you aren’t alone — and resources exist to help provide education, awareness, and support:
- The National Alliance on Mental Illness (NAMI) has a full resource page on mental health inequities (plus a helpline for more resources).
- The Equal Employment Opportunity Commission has information about how you can report mental health discrimination in the workplace.
Centers for Disease Control and Prevention (CDC)has a page dedicated to steps you can take to reduce mental health stigma.
- The American Psychological Association (APA) has a resource dedicated to learning about and addressing racism in mental healthcare.
- The National Center for Transgender Equality helps connect trans people to support and information about their rights in healthcare.
Mental health stigma plays a significant role in the lives of people with mental health conditions — from the way that they’re treated to the way they feel about themselves. But we can take steps to reduce this stigma.
By being more mindful about how we speak to others, learning more about what it’s like to live with a mental health condition, and sharing our stories when we’re living with these conditions, we can help reduce the stigma surrounding mental health.