The Stigma Around Therapy: Breaking the Silence

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By Jaslyn Bush | UAB Community Health & Human Services Program (Student)

Photo by Antoni Shkraba Studio on Pexels.com

In recent years, there has been a growing awareness of mental health issues and the importance of seeking therapy. However, despite progress in raising awareness, a significant stigma still surrounds mental health therapy, preventing many individuals from seeking the help they need.

The stigma around therapy often stems from societal misconceptions and stereotypes. Many people still believe that seeking mental health therapy is a sign of weakness or that it is only for those with severe mental illnesses (Corrigan, 2004). This perception is far from the truth. Therapy can be a valuable tool for anyone facing life’s challenges, whether they are dealing with stress, relationship issues, or personal growth.

The Impact of Stigma
Stigma can prevent individuals from seeking help, leading to untreated mental health issues that can worsen over time (Vogel, Wade, & Haake, 2006). Additionally, the fear of being judged or misunderstood can cause individuals to suffer in silence, further exacerbating their struggles. According to the American Psychiatric Association (APA), there are 3 kinds of stigma:

Public Stigma: This stigma can be described as negative and inaccurate attitudes about a mental illness from the public (Singhal, 2024). There is a fear that one may experience discrimination i employment, housing, health care, etc. due to one being diagnosed with a mental illness.

Self-Stigma: This includes negative attitudes, including internalized shame of their condition. Self-stigma can lead to lower self-esteem issues and reduce self-confidence.

Structural Stigma: Involves policies of government and private organizations that intentionally or unintentionally limit opportunities for people for people with mental illness (Singhal, 2024). If the federal government or state and local municipalities reduce funding for mental health services and programs, then individuals in need of care will not have less opportunity to receive the care and support they need.

Breaking the Silence
To combat the stigma around therapy, professionals in health and human services must promote open and honest conversations about mental health. Education is key; providing accurate information about the benefits of therapy and debunking common myths, in order to change societal attitudes (Corrigan & Watson, 2002). Additionally, sharing personal stories and experiences can help normalize therapy and encourage others to seek help.

The stigma around therapy is a significant barrier to mental health care. By understanding its roots, recognizing its impact, and taking steps to promote open conversations, we can work towards a society where seeking therapy is thought of as a sign of strength and self-care. If you or someone you know has experienced challenges with mental and emotional health, consider sharing your thoughts and perspectives in the comments below and engage with us on Facebook at the Wilkinson Wellness Lab.

References

Corrigan, P. W. (2004). How stigma interferes with mental health care. American Psychologist, 59(7), 614-625. 

Corrigan, P. W., & Watson, A. C. (2002). Understanding the impact of stigma on people with mental illness. World Psychiatry, 1(1), 16-20. [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1489832/](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1489832/)

Vogel, D. L., Wade, N. G., & Haake, S. (2006). Measuring the self-stigma associated with seeking psychological help. Journal of Counseling Psychology, 53(3), 325-337. [

Kalkbrenner, M. T., & Esparza, S. (2022). Barriers to seeking counseling among a national sample of U.S. physicians: The revised fit, stigma, and value scale. The Professional Counselor, 15(2), 123-137.

Melnyk, B. M., Kelly, S. A., & Jacobson, D. (2020). Reducing stigma and promoting mental health in healthcare professionals: An integrative review. Journal of Nursing Management, 28(5), 1020-1030.

Singhal, N. (2024, March). Stigma, Prejudice and Discrimination Against People with Mental Illness. American Psychiatric Association. https://www.psychiatry.org/patients-families/stigma-and-discrimination

Unseen but Unforgettable: The Lasting Effects of Emotional Abuse

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By Jaslyn Bush, UAB Community Health & Human Services Intern

Photo by Yan Krukau on Pexels.com

Emotional abuse is a form of mistreatment that can have profound and long-lasting effects on an individual’s mental health. Unlike physical abuse, emotional abuse can often go unnoticed, making it harder to detect and address. According to the American Psychological Association (APA) (2018), emotional abuse is defined as “a pattern of behavior in which one person deliberately and repeatedly subjects another to nonphysical acts that are detrimental to behavioral and affective functioning and overall mental well-being.”

Emotional abuse can be just as damaging as physical abuse, affecting self-esteem, mental well-being, and overall quality of life. Emotional abuse involves behaviors that manipulate, degrade, or control another person through tactics such as belittling, humiliation, intimidation, and constant criticism (Graham-Kevan & Archer, 2008). It can occur in various relationships, including romantic partnerships, family dynamics, and workplaces. While emotional abuse does not leave visible scars like physical abuse, its effects are deeply ingrained and can often result in long-term psychological harm (Graham-Kevan & Archer, 2008).

One of the primary characteristics of emotional abuse is the erosion of the victim’s self-esteem. Abusers often use tactics like gaslighting—making the victim question their sense of reality—leading to confusion, self-doubt, and insecurity. Over time, the individual may begin to internalize negative messages, believing they are unworthy, inadequate, or incapable of achieving happiness or success (Swan & Snow, 2002).

Psychological Effects of Emotional Abuse

Victims of psychological abuse may often experience heightened levels of anxiety and depression because of ongoing stress and manipulation. A study by Lawrence et al. (2020) found that individuals who experienced emotional abuse were more likely to report higher levels of depression, anxiety, and self-harm behaviors compared to those who had not been abused. The lack of visible scars from emotional abuse can make it harder for others to recognize the trauma a person is undergoing, leaving individuals feeling isolated and unsupported.

Emotional abuse also disrupts an individual’s ability to form healthy relationships. Victims may struggle with trust issues, low self-worth, and an inability to set boundaries, which can affect their social interactions and lead to further isolation. This cycle of isolation and emotional turmoil perpetuates the abuse, making it even harder to escape from unhealthy dynamics (Graham-Kevan & Archer, 2008).

Emotional abuse is a silent yet devastating form of mistreatment that can have severe effects on mental health. Its impact is often long-lasting, affecting self-esteem, causing anxiety and depression, and hindering the ability to form healthy relationships. It’s important to realize that emotional abuse can happen within any type of relationship, not just romantic ones. Have you experienced emotional abuse? If so, are you willing to share your stories to support others who are living with emotional abuse? Feel free to share your thoughts below or interact with us on Facebook at the WilkinsonWellnessLab.

References

American Psychological Association. “APA Dictionary of Psychology.” Dictionary.apa.org, 19 Apr. 2018, dictionary.apa.org/emotional-abuse.

Graham-Kevan, N., & Archer, J. (2008). Emotional abuse in relationships: A study of its prevalence and impact. Journal of Family Violence, 23(8), 561-570. 

Lawrence, E., Yoon, M., & Langer, A. (2020). The psychological impact of emotional abuse: A review. Psychology of Violence, 10(4), 423-432. 

Swan, S. C., & Snow, D. L. (2002). A typology of women’s responses to abusive relationships. Psychology of Women Quarterly, 26(2), 128-138. 

The City of Birmingham 2nd Annual Mental Health Day

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By Wilkinson Wellness Lab Team

Join the Wilkinson Wellness Lab and PHAME-US.com team at this community event sponsored by Nuture, LLC, the City of Birmingham, AL and Birmingham City Schools. The event is free and open to the public.

Nurture of Alabama believes Birmingham can thrive, especially if communities address the mental health crisis experienced in our neighborhoods. Through the event Friday, May 19th, Nurture’s goals are to: 1) remove the stigma of mental health support, 2) improve mental health services accessibility, and 3) provide community education on mental health & wellness.

The event will have chair massages, a licensed professional counselor providing depression screenings, speakers,  free resources, giveaways, local food trucks,  yoga sessions, line dancing, blood pressure checks and more. So come out, have a good time, and let’s engage in mental wellness!