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The Stigma of Mental Illness Is Making Us Sicker

An estimated 450 million people world wide suffer from mental illnesses, and a majority of them do not receive care. One of the major barriers to care is social stigma associated with mental illness. To ensure the lasting health and overall well-being of those who suffer from mental illness, we need to overcome our biases as a society. Read More


There are many ways to express mental illness.

Sometimes aggression and violence is a part of it.

Suggesting otherwise is a lie.

I'll be happy to continue this discussion.

Its a connundrum

Its truly tragic that serious mental illnesses exist, but they do. I wish that everyone could be at least reasonably mentally healthy, happy, well-rounded, and able to function adequately.

But the fact is that when a person frequently and intensely engages in behaviors that are unpredictable and impulsive (leaving your small children alone in the car on a hot day because you ran into friends who invited you to come smoke some choice weed); when a person engages in behaviors that harm themselves and/or harm others (such as rage driving or drunk driving), in behaviors designed to con or trick others into giving him or her their love, their money, their power (serial bigamists; check out "LoveFraud Blog"); when a person engages in behaviors that are frightening, dangerous or even lethal because the person has lost touch with reality (Andrea Yates) or because they want revenge (Jodi Arias), when a person engages in behaviors that are physically aggressive and predatory (child rapists like Jerry Sandusky at Penn State etc.,) then, unfortunately, yes, that IS alarming to the general population because that person has "broken the social contract", so to speak. These behaviors destroy our ability to trust that person, perhaps ever again.

We as human beings can form friendships, form cultures and civilizations when there is mutual trust, so when a person is having cognitive breaks with reality or intense, frequent mood swings which causes them to behave erratically, or when a person is a chronic liar and con-artist whose "word" means nothing, then unfortunately relatively mentally healthy people find that alarming or otherwise negative and tend not to seek a relationship with such persons.

So, I don't see a way out of this because behaviors that harm other people (particularly behaviors that harm kids) should carry stigma.

I personally can't see incest perpetrators or child predators like Miramonte teacher Mark Berndt ever being cheerfully welcomed back to the old teaching job at the neighborhood elementary school.

Would you want an "angel of death" nurse (a type of serial killer) to be taking care of you at the hospital after your apendectomy? So, OK, she's killed a half-dozen patients, but she's done her time and she's gone through therapy, so let's give her her old job back so she won't feel stigmatized.

Would you give spree killer James Holmes a job in your store, after he does his time? Would you let him babysit your children?

Behaviors that are self-harming should be pitied, but in any case (self-harming, other-harming or both) those who engage in harming behaviors need to be in some form of supervised care, either in a psychiatric hospital or in prison, if they can't stop themselves from doing harmful things and can only function adequately when on serious psychotrophic meds. (How can you trust someone who is psychotic, or someone who is a heroin addict, or someone who has extreme mood swings, or someone who is a serial child molester to actually take his or her meds ON THEIR OWN at the right dose and at the right time, consistently?)

Its a connundrum, truly.

Annie, what you write assumes

Annie, what you write assumes that all people with mental illness are violent, or harmful to themselves or others. You probably know many people with mental illness that you are not aware of, who suffer in silence, because they know you and others will assume the worst about them. You assume that they will commit the horrible atrocities that you list in your post, and that is exactly the problem with stigmatizing mental illness. People making assumptions and generalizing about a group, based on fear false information, which you clearly have. A very small percentage of the mentally ill commit the atrocities you list, but what you have said reveals your fear of the mentally ill based on false information.

Also, not stigmatizing a population does not mean that the small percentage that does cause harm to others should be released to avoid stigmatizing them. It means recognizing that most are regular people who want to live their regular lives like everyone else, and not be subjected to social distancing. Your ignorance is exactly why educating the general public is so important.

If someone you worked with who was competent at their job and an average, decent person told you they are bipolar, what would your reaction be? Would you continue to treat them as you always have? Or would you suddenly view them and treat them differently, or treat them as you would one of the people you have described above?

Do you get why people might feel ashamed and try to hide the fact that they have a mental illness? Or that they, themselves, would be in denial, and avoid treatment and help? Because they don't want to face the stigma and social distancing you and others would subject them to.

Sorry, but I have to respectfully disagree

What I wrote is that there are *behaviors* that should be stigmatized, chiefly behaviors by adults that harm kids (and I'll extend that to kids who bully and traumatize other kids as well.)

However, these behaviors I wrote about are unfortunately usually due to mental illness.

I have known and worked with people who are bipolar and I have no problem with any of those people, because they seem normal and competent at their jobs.

However I would have a great deal of difficulty IF someone I worked with told me that they'd incested their own child, or if they were into child pornography, or they admitted they'd triggered into a rage and beaten up their spouse or their child and put them in the hospital, or shared that they'd killed someone while driving drunk, or any such horrific things. I don't think I could work with someone who'd done such things.

Harming behaviors that hurt other people and especially hurt kids should carry stigma.

Show me a pedophile/child rapist, a violent batterer, a serial bigamist, a con artist, a negligent or abusive parent, or a drunk driver who *isn't* mentally ill.

We can both agree, it seems, with the statement that not everyone who is mentally ill does real harm to other people, BUT the equally true corollary is: everyone who DOES do real harm to other people is mentally ill.

My .02 worth

We are talking about addressing stigma and this is turned into a behavior discussion. As long as people act and appear 'normal' then you are alright with them? News flash: there is NO normal. The behaviors are what causes people to freak out. Is that all you see of an individual? People need treatment to avoid having behaviors that are harmful. Treatment will not occur because stigma keeps people hiding, embarrassed and silent. Stigma will continue as long as people see the behaviors first. There are situations everyday, some are those not wanting to accept responsibility for their actions.

"I don't think I could work with someone who'd done such things." I can understand your thinking, that shows a lack of compassion and a putting large groups of people into irrational, violent behaviors. A person may lose control, may throw objects or break items. Another will withdraw and be unable to leave their home. They may never hurt others. I honestly am scared because your views are of the majority. Stigma exists about disabilites, about marriage, about health issues, about things new, unknown. Educate and learn about it. I am hoping things will improve in my lifetime. I am tired of this always being seen in the wrong way. I'm tired of being ashamed.

Mmental issue is the cause. The behaviors are the occurance. You are seeing the end results. Please don't label all of us as violent, abusive, we are all NOT bad as you may think. There are many good, sweet, hurting individuals that never get help because they are scared of being lumped into behavior groups like is done in your post.

"There are many good, sweet,

"There are many good, sweet, hurting individuals that never get help because they are scared of being lumped into behavior groups like is done in your post." Exactly!

You are correct

You are correct in that I cannot assess what someone else is actually thinking or feeling, because I am not psychic. I can only assess another person, assess what kind of character he or she has, and whether they are potentially dangerous to me or my family by what they physically say and do, or have done or said.

You are incorrect in saying that I have put everyone who is mentally ill into one category, though.

I am trying to make it clear that I make judgements about whether I want someone as a friend, or as an employee, or employer, or neighbor, and whether I can trust them, based on what they have said and what they have done.

I'll repeat what I stated earlier:

Not everyone who is mentally ill does harmful things to other people or to their own self.

But everyone who DOES do harmful things to other people and/or to their own self, is mentally ill in some way.

So, I will stand by my original comment and say that if it comes to my attention that say, for example, my neighbor has done time for having molested children, then I am NOT going to let my neighbor babysit my child.

People who are attracted to children as sexual objects are mentally ill; sadly. Its called "pedophilia", and its a serious mental disorder. The worst part of this disorder is the harm it does to others; being incested by your own father or brother or sexually molested or raped by a trusted adult, or by a stranger, or by an older child/teen when you are a small child does incredibly devastating, long-term harm to the child.

I don't think either you or the other poster or the author of the article would knowingly place your own child in the care of a convicted-and-released child rapist or incest perpetrator; at least I sincerely hope you would not do such a thing.

I don't think you would knowingly leave your small child alone in the care of someone who has a history of suicide attempts, or a history of cutting herself when she's upset.

I don't think you'd knowingly leave your toddler with someone who has frequent explosive rage episodes due to a hair-trigger temper, or someone who slides in and out of reality due to a psychotic disorder.

So I think you are hypocrites to demand that other people should do this.

The individuals (only a few, I admit) I've met and worked with who had (at one time) alcohol addiction disorder, have had to summon up the personal courage to admit that they had this mental disorder and the humility to seek help for it. These alcoholics had to face very real stigma, but instead of whining that stigma is unfair (so unfair that they would not seek treatment because of it) they did the right thing and admitted they had a problem and sought help. I admire these individuals for their courage in seeking the outside help they needed to get better. They deserve admiration and respect for their courage, and I gave them my admiration and respect.

However, I was able to do that, give them my admiration and respect for admitting their alcoholism and seeking help, because they hadn't done anything to harm a child; in the cases I know personally, their addiction disorder only affected their own self.

And after time passed in which these individuals demonstrated healthy, responsible, sober behavior, they earned my trust as well.

When you do bad things to other people, you are accepting that there will be stigma and serious consequences attached.

Then what should be

Then what should be stigmatized is the behavior, not the mental illness. As for your statement that everyone who does to real harm to other people is mentally ill - where did you find that information? I'd love to find some actual data on that. Do you have any?


That is exactly the point I was trying to make: behaviors that actually do real harm other people should be stigmatized, such as: its NOT OK to think of and treat children as sexual objects. That behavior is wrong and bad because it harms children.

Doing harm to others (and/or to the self) is simply one of THE *defining characteristics of mental illness.*

I personally can't give you any examples of mentally healthy indivuals who have seriously or repeatedly harmed others (or harmed themselves.)

Mentally healthy, well-adjusted, relatively normal people don't think of children as sexual objects (pedophilia)

or break into their neighbor's homes to steal from them, and perhaps murder them (antisocial pd)

or kidnap women to keep as sex slaves (sexual paraphilia plus antisocial pd/psychopathy, probably)

or poison their neighbors' pets (antisocial pd)

or trigger into rage and beat up their spouse (intermittent explosive disorder, borderline pd, bipolar pd, PTSD, substance abuse)

or bankrupt their trusting stockholders (narcissitic pd, antisocial pd)

or marry a series of people with the sole intent of gaining access to their money (antisocial/sociopathic pd, narcissistic pd)

or drive drunk (substance abuse/substance dependent disorder)

or sell illegal drugs (antisocial pd)

or obsessively stalk other people (possibly obsessive-compulsive pd, antisocial pd, or narcissistic pd),

or go on a killing spree (sometimes its family members or neighbors who are targeted, sometimes its complete strangers, and sometimes its employers or coworkers) and then commit suicide (possibly a combination of a psychotic disorder plus a mood disorder plus a personality disorder.)

Relatively mentally healthy people don't kill themselves (or try to; borderline pd has the higest completed suicide rate if I remember correctly.)

or decide to first kill their children in order to "save their souls" and then kill their own self in a suicide/filicide attempt (postpartum psychosis or some other psychotic disorder, or a mood disorder, or perhaps PTSD.)

All of those horrific behaviors are due to some mental illness or another, or possibly due to "temporary psychosis" (like from an LSD trip or a bad prescription drug reaction or combining alcohol with prescription meds.)

People don't do things like that unless their brains are seriously messed up in really severe ways, aka mentally ill. Such tragically disturbed individuals who do such harmful things need intensive theraputic help so that their negative behaviors can't do further harm to others or to themselves, or both.

Its just sad, any way you look at it.

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Michael Friedman, Ph.D. is a clinical psychologist specializing in how social relationships influence mental and physical health

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