Internalized Stigma’s Influence on Mental Health

In addition to personal and societal efforts, it is crucial for mental health professionals and organizations to actively combat internalized stigma. By addressing internalized stigma at all levels – individual, community, and institutional – we can work towards creating a more compassionate and understanding society for those affected by mental health conditions.

Internalized stigma, also known as self-stigma, occurs when people with mental illness accept and internalize the negative stereotypes and beliefs about their condition. This phenomenon leads to self-doubt, shame, and a diminished sense of self-worth. It is an obstacle to seeking help and fully engaging in life, perpetuating a cycle of negativity that exacerbates the symptoms of mental illness. However, with specific strategies and shared experiences, we can work on minimizing the impact of the negative stories we tell ourselves.

Internalized Stigma

Understanding the Different Aspects of Self-Stigma

Internalized stigma can be broken down into key aspects:

  • Cognitive Aspects: Negative beliefs and thoughts individuals hold about themselves due to their mental illness. For instance, someone with depression may believe they are weak or unworthy.
  • Emotional Aspects: Feelings of shame, guilt, and embarrassment that arise from internalizing societal stereotypes. As a result, individuals with anxiety might feel ashamed of their inability to control their anxiety.
  • Behavioural Aspects: Actions taken such as avoiding social interactions, not pursuing job opportunities, or neglecting to seek treatment. For instance, a person with schizophrenia may isolate themselves to avoid judgment.
  • Social Aspects: The impact on one’s relationships and social life. Internalized stigma can lead to withdrawal from friends and family, resulting in loneliness and social isolation.
Internalized Stigma

Media/Social Media Amplification

Media and social media amplify internalized stigma. Mainstream media reinforces harmful stereotypes by portraying mental illness in a negative or sensationalized manner, fostering fear and misunderstanding.. For example, movie and television characters with mental illness are frequently depicted as violent or unpredictable. 

Social media, while a platform for connection, can also deepen and perpetuate stigma by spreading misinformation and negative commentary. Hashtags and trending topics can trivialize mental health issues, leading individuals to downplay their struggles or feel invalidated. Additionally, the comparison culture fostered by social media can exacerbate feelings of inadequacy and shame among those with mental health conditions.

Internalized Stigma

Awareness About Internalized Stigma Is Important

Raising awareness is crucial for several reasons: 

  • Breaking the Cycle: Awareness can challenge and change societal beliefs about mental illness. This, in turn, reduces the internalization of these beliefs.
  • Encouraging Seeking Help: When people understand that their feelings of shame and self-doubt are a result of stigma, they may be more likely to seek help and support. Awareness campaigns can normalize the facts and perceptions around mental health and encourage individuals to reach out.
  • Promoting Self-Esteem: Awareness efforts can empower individuals to challenge their negative self-beliefs and build self-esteem. Understanding that these beliefs are unfounded can be liberating and foster a sense of self-worth.
Internalized Stigma

Impact on People With Mental Illness

The following are some examples of how Internalized stigma can profoundly impact  individuals with mental illness: 

  • Depression: Jane, a young professional, struggles with depression. She believes it is a sign of weakness, leading her to hide her condition from her employer and colleagues. Jane’s productivity suffers, and she isolates herself from her support network, worsening her symptoms.
  • Anxiety: Mark experiences severe anxiety but believes that asking for help is a sign of failure. This internalized stigma prevents him from seeking therapy or medication, causing his anxiety to escalate. Mark’s quality of life deteriorates as he avoids social situations and misses out on opportunities for personal and professional growth.
  • Bipolar Disorder: Sarah is ashamed that she has bipolar disorder. She avoids discussing her illness with friends and family, fearing judgment. This secrecy leads to a lack of understanding and support from her loved ones, making her feel isolated and misunderstood. 
Internalized Stigma

Strategies for Overcoming Internalized Stigma

Overcoming internalized stigma is a multifaceted process that requires individual effort and societal support. Here are some strategies:

  • Education: Learning about mental illness and challenging stereotypes can help dispel myths and reduce stigma. Knowledge empowers individuals to see their condition as a medical issue rather than a personal failing.
  • Therapy: Professional therapy, such as cognitive-behavioural therapy (CBT), can help individuals reframe negative beliefs and develop healthier thought patterns. Therapy provides a safe space to explore and address internalized stigma.
  • Support Groups: Connecting with others who have similar experiences can be incredibly validating. Support groups offer a sense of community and shared understanding, reducing feelings of isolation and shame.
  • Advocacy: Encouraging individuals to share their stories and advocate for mental health awareness can be empowering. Advocacy helps to humanize mental illness and challenge societal stereotypes.
Internalized Stigma

The Value to Society in Sharing Stories

Sharing stories of living with mental illness has immense value for society:

  • Humanizing Mental Illness: Personal stories help others see beyond the diagnosis and recognize the individual. This humanization reduces fear and misconceptions about mental illness.
  • Building Empathy: Hearing firsthand accounts fosters empathy and understanding. It encourages people to support those with mental illness and advocate for mental health resources and policies.
  • Creating a Culture of Acceptance: Storytelling promotes a culture of acceptance and inclusivity. When people share their experiences, it normalizes mental health struggles and encourages others to speak up.
  • Inspiring Change: Stories can inspire others to seek help, challenge stigma, and engage in mental health advocacy. They serve as powerful tools for change, both at the individual and societal levels.

By understanding this widespread issue, its different aspects, recognizing the role of media, and raising awareness, we can begin to dismantle the barriers it creates. 

Together, we can create an environment where mental health is understood, accepted, and supported.


Eli’s Place will be a rural, residential treatment program for young adults with serious mental illness. To learn more about our mission and our proven-effective model click here.

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