The Mental Health Stigma Awareness Approach

It is important that facilitators keep an open mind about mental health issues and the mental health stigma attached to people experiencing these issues. Rather than thinking of people as having a mental disorder, or being mentally ill, the Erasing the Stigma of Mental Health Issues through Awareness series is designed to help facilitators to diminish the mental health stigma that surrounds people suffering from all kinds of mental health issues. Stigmas occur when people are unduly labeled, which sets the stage for discrimination and humiliation. Facilitators are able to help to erase the mental health stigma through enhanced awareness of the factors that activate the issues, accentuate the depth of the problems, and accelerate awareness and understanding.

To assist you, each of our workbooks in this series includes a module entitled Erasing the Stigma of Mental Health Issues to provide activities for helping to erase the stigma associated with mental health issues.

In this workbook series, we've used a variety of umbrella terms and phrases to address mental health issues related to the following diagnoses, in order to help erase the stigma associated with mental illness:

Managing Intense Anxiety and Managing Anxiety for Teens

• Panic Disorders
• Generalized Anxiety Disorder
• Specific Phobias
• Social Anxiety Disorder
• Unspecified Anxiety Disorder
• Agoraphobia
• Obsessive-Compulsive Disorders

Managing Trauma & Managing Trauma for Teens

• Post-Traumatic Stress Disorder (PTSD)
• Trauma & Stressor-Related Disorders
• Acute Stress Disorder
• Adjustment Disorders
• Reactive Attachment Disorder
• Hypervigilance
• Exaggerated Startle response

Managing Moods and Managing Moods for Teens

• Bipolar Disorder (old Manic-Depressive Disorder)
• Major Depressive Disorder
• Mood Disorder, not Otherwise Specified
• Persist Depressive Disorder/Dysthymia
• Disruptive Mood & Dysregulation Disorder

Managing Unwanted Thoughts, Feelings, & Actions

• Schizophrenia
• Psychotic Disorder
• Personality Disorders
• Borderline Personality Disorder
• Brief Psychotic Disorder
• Schizoaffective Disorder

Managing Disruptive Behavior in Teens

• Conduct Disorder
• Oppositional Defiant Disorder
• Impulse Control Disorder
• Disruptive Behavior Disorder
• Intermittent Explosive Disorder
• Kleptomania
• Pyromania

A stigma is extreme social disapproval of some type of personal characteristic or a belief that is not considered socially “acceptable.” Therefore, stigmas occur when people who have a particular attribute that is considered unwanted by society, are rejected as a result of the attribute. For example, people who experience bouts of moodiness are often judged unfairly to be violent, unpredictable, moody, up and down, sad, explosive, aggressive and /or unstable. These judgments can cause people who experience moodiness to feel devalued as human beings, ostracized from activities, rejected in social situations, stereotyped, minimized in the workplace, and shunned by others. People experiencing this mental health stigma of moodiness often feel extreme physical and psychological distress.

People who stigmatize and /or stereotype others bring about unfair treatment rather than help. This unfair treatment can be very obvious. For example, people make negative comments or laugh. On the other hand, this unfair treatment can be very subtle. For example, people assume that a moody person is dangerous or violent.

Mental health stigmas affect a large percentage of people throughout the world. Some of the more common stigmas are associated with physical disabilities, mental health conditions, age, body type, gender, sexual orientation, nationality, family, ethnicity, race, religion, financial status, social sub-cultures and conduct. Stigmas set people apart from society and produce feelings in them of shame and isolation. People who are stigmatized are often considered socially unacceptable and they suffer prejudice, rejection, avoidance and discrimination.

What Can Be Done?

Continuing with the example of “moodiness”, fear of judgment and ridicule about moodiness often compels individuals and their families to hide away from society rather than face criticism, shunning, labeling and stereotyping. Instead of seeking treatment, they struggle in silence. Let’s discuss some ways you can combat the stereotypes and stigmas that are associated with moodiness.

• You and your loved ones have choices. You can decide who is to know about your moodiness and what to tell them. You need not feel ashamed or embarrassed.
• You are not alone. Remember that many other people are coping with a similar situation.
• Seek help and remember that the activities in this workbook and treatment from medical professionals can help you to have productive careers and live satisfying lives.
• Be proactive and surround yourself with supportive people – people you can trust. Social isolation is a negative side effect of the stigma linked to moodiness. Isolating yourself and discontinuing enjoyable activities will not help.

Thank You

We appreciate the work you are doing with your clients to erase each mental health stigma they experience.  We are always available to chat with you about your ideas and hear your suggestions for future workbooks in this series.