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The Stigma Of Mental Illness

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As a physician specializing in psychiatry, I know that many emotional conditions such as depression and anxiety disorders are true medical illnesses with a biologic (physical) origin. Psychiatry has become more and more "biological" in its diagnosis and treatment approaches during recent years, but a very significant stigma still exists against those who are seeing a therapist. This has become increasingly difficult to understand, but it is a social stigma that is so very important to eliminate.



Why does an embarrassment or stigma still exist associated with those who are seeking psychiatric treatment? Why do people wait so long before come for help - to the point of becoming nearly non-functional with their families, children and work environment?

First, many people have a picture in their mind of movies in which psychiatrists are ineffective listeners of problems of patients who are lying on psychoanalytic couches. It is important to remember that psychoanalysis preceded our modern treatment approaches which now have a much higher success rate. We currently have many safe and effective medications, which when used with or without psychotherapy, help many people fully recover.

Another reason for the stigma is in the use of the term "mental illness". The field of psychiatry has undergone many changes in the past twenty years. Research into the functioning of the brain and nervous system has led to the concept of a "chemical imbalance" as the cause of illnesses such as Major Depression and Panic Attacks. In addition, Obsessive Compulsive Disorder, a condition portrayed so well by Jack Nicholson in the 1997 movie "As Good As It Gets," is also caused by a chemical imbalance. Medications were used to help treat the "Obsessive Compulsive" character being played by Nicholson. Many psychiatric illnesses are not "mental" or "emotional," but are now understood to be "neurochemical illnesses".

Many people are told, "You can do this on your own, be strong," as if a person can easily will themselves out of depression or anxiety. Can someone "Be Strong" and make their diabetes or bronchitis just go away? These types of suggestions only result in a delay in seeking treatment or feelings of failure in the individual who finally does seek help. The stigma of psychiatric treatment also leads many people to seek help at the health food store, or other types of self-diagnosis and self-medications.

Men in particular have to overcome an additional obstacle. It may seem "Un-Macho Like" to seek professional psychiatric help when one fails to understand or see their condition as an illness, and instead view it as a weakness in their character. Thus, injury to a man's ego often contributes to their long delays in seeking treatment.

My hope is that the shame and secrecy associated with obtaining professional psychiatric help will gradually diminish and eventually cease to exist. If we understand how the social stigma was established in the first place - the media lack of medical knowledge, societies' understanding or ignorance, etc., then we should realize there is no need to "stay in the closet." Let's wipe out the term "mental illness" and view many of these conditions as "neurochemical illness," with the same non-prejudicial attitude as we do toward diseases such as diabetes or hypertension.
The Stigma Of Mental Illness
Or perhaps you have a brother who seems in the grips of full-blown paranoia. No matter how much you try, you just cannot reach him. He's convinced that the FBI is watching his every move, and no one can convince him otherwise. You want him to seek professional help, but he is reluctant to do so.

The illness can create tremendous stress for a family. Because it is so misunderstood, there is the problem of the stigma attached to it. You might be ashamed or embarrassed, either by your own condition or that of a close family member or friend. You may feel as if you are all alone, that no one else could possibly understand what you are going through.

The illness routinely creates financial stress for families. Sometimes, overspending is a sign of manic-depressive disorder. A depressed person might invest too much of the family income on a collection of guns or hunting knives. Disputes over finances can create great tensions for families, making it difficult for them to cope.

In addition,the illness creates tensions within interpersonal relationships. You might be angry with a partner's mood swings not understanding that it is a situation beyond his or her control. You may be frustrated with a brother who doesn't seem able to hold down a job. You may simply not understand a sister whose promiscuous lifestyle you consider to be dangerous.

The important thing to realize is that, while the stress of the illness can seem unbearable at times, it is entirely manageable. If you are the individual suffering from it, make an appointment to see a reputable therapist. He or she can help you sort out your problems and can recommend a psychiatrist who can find the medication that is right for you.

Part of the stress of mental illness can be the difficulty involved in finding a medication that works. You may find the side-effects of a particular drug difficult to deal with at first. Psychiatrists say it is best if you follow the doctor's recommendation and try to manage the side-effects as best you can. Going off your medication can have disastrous consequences and can lead to a great deal more stress.

At times, you might find that your condition requires you to go into the hospital for a time. Such hospitalizations can increase your stress level. However, if you think of the hospital stays as just steps on the road to recovery, you will be able to handle the stress much more effectively.

Coping with another's mental illness can be even more stressful. The condition can be quite unpredictable, so it can drain your emotional reserves. It can be highly difficult dealing with a situation that changes so abruptly from one minute to the next.

One of the best things you can do for yourself is to join a support group for family members of the mentally ill. This can be tremendously cathartic. You will be able to talk to other people who are going through the same things that you are going through. You can draw comfort and strength from this network of individuals. Some members of your support group may even allow you to call them at home to discuss your problems further. There is no substitute for a listening ear, especially in the rough times.

You may also want to consider family counseling. In this way, the entire family can be involved in a loved one's recovery from the illness. You'll be able to learn healthy coping strategies for dealing with another's illness, and you will be able to communicate in an open, supportive atmosphere.

There is little doubt that mental illness can lead to life-long stress. However, with a little bit of effort, you can learn to manage this stress effectively. And you will find that you and your family are better off as a result.
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