You work, reply to messages, buy groceries and, somewhere in the background, something has changed. It is not necessarily because you have failed to notice. For many people, naming an experience as a mental health problem can feel harder than continuing to carry it.
Research describes this threshold. A 2017 study of 207 people with untreated mental health difficulties examined how personal stigma may reduce the likelihood of recognising oneself as having a psychological problem. It is not always an absence of distress that keeps people from help, but the absence of the moment when they can say: what I am experiencing is real and deserves attention.
A later prospective study followed 188 untreated people, predominantly experiencing depressive symptoms, for six months. Self-identification was associated with a perceived need for help, which in turn was linked to the intention to contact a general practitioner or mental health professional.
Stigma can work against this first step in two directions. It may diminish self-esteem and create fear of social costs involving relationships, opportunities or belonging. In these circumstances, silence can temporarily feel easier.
You do not need to bring a diagnosis to a first conversation. Bringing what you feel is enough.
Scientific references
- Corrigan, P. W. (2004). How stigma interferes with mental health care. American Psychologist, 59(7), 614–625. DOI ↗
- Schomerus, G., Stolzenburg, S., Freitag, S., et al. (2019). Stigma as a barrier to recognizing personal mental illness and seeking help. European Archives of Psychiatry and Clinical Neuroscience, 269, 469–479. DOI ↗
- Stolzenburg, S., Freitag, S., Evans-Lacko, S., et al. (2017). The stigma of mental illness as a barrier to self-labeling as having a mental illness. Journal of Nervous and Mental Disease, 205(12), 903–909. DOI ↗
