It's Not the End

To all the mental health champions—the brave warriors who continue to fight every single day—this letter is for you.

I originally wrote these words for a dear friend who was navigating a tough time. But as I poured my heart into it, I felt a strong conviction that these words needed to reach beyond just one person. There are many of you, courageous mental health warriors, who need to hear this reminder:

That diagnosis may have come as a shock, completely unexpected. “What? I have generalized anxiety disorder. Wow. I missed the warning signs, ignored them until they worsened, and now I need treatment. I must be so stupid.” Stop right there. You are not stupid. You are not ignorant. You simply didn’t have the right environment to express what you were going through, and at the time, it didn’t seem like a big deal. You are not to blame. Yes, circumstances may have affected your mental health, but they do not define you. This diagnosis is not the end of your story; it’s the beginning of a new chapter. This is your moment to reclaim your power, one step at a time.

I know it’s painful when those closest to you—your parents and your friends—don’t understand your diagnosis. when they dismiss your experience or tell you to get over it, regardless, their lack of understanding doesn’t diminish the truth of what you’re going through. You don’t need to live for their approval. What matters most is your health and well-being. Only you truly know what you feel, and you deserve to take care of yourself without guilt or shame.

God’s love might feel distant right now, especially amid your pain and confusion, but I want to assure you that it’s always there. His love isn’t something that wavers with our emotions; it’s rooted in the unchanging truth of Christ’s sacrifice. The love that led Jesus to the cross is the same love that will sustain you through treatment. You are not alone in your struggles; God is with you every step of the way, even when His presence is hard to “feel”.

Remember, acknowledging that you need help is not a sign of weakness—it’s a profound act of strength. It takes immense courage to face the battles within, to confront the thoughts that try to pull you down. You are a warrior, navigating the complexities of your mind with resilience and grace. And walking in faith doesn’t mean neglecting treatment; in fact, it’s quite the opposite. Faith and treatment work together, hand in hand, as you journey toward healing. Trust that God can work through the doctors, the therapy, and the support you receive.

It’s okay to have moments where you feel overwhelmed, lost, or even defeated. These feelings don’t diminish your worth or your progress. Healing isn’t a straight path; it’s a journey filled with peaks and valleys, triumphs and setbacks. But remember, every step you take is progress, even when it feels like you’re standing still.

You are not alone in this fight. Others understand, who have walked through the fire and come out stronger. You are part of a community of warriors who stand beside you, ready to lift you when you stumble and to cheer you on when you rise. Lean on them when the weight of the world feels too heavy to bear alone.

You are not defined by a label, a diagnosis, or the struggles you face. You are defined by your spirit (which is made new in Christ), your strength, and your ability to keep going, even when it feels impossible. The road ahead may be challenging, but you have the heart of a champion, and nothing can take that away from you.

So, take a deep breath, and remind yourself: this is not the end. This is the beginning of a new chapter in your story—one filled with courage, hope, and undeniable strength. Keep fighting from victory, keep believing, and most importantly, keep living. Your best days are still ahead.

If you’ve made it this far and someone comes to mind who might need to hear these words, please don’t hesitate to share this letter with them. Thank you.
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From Misconception to Understanding 2: Shattering More Myths

 


Introduction

Two weeks ago, we focused on raising awareness about stigma as a significant barrier to mental health care. Key points highlighted how stigma, often fueled by media misrepresentation, leads to misinformation and the rejection of necessary help. According to the American Psychological Association, stigma involves negative attitudes that result in discrimination and isolation, preventing many from seeking treatment. Nearly two-thirds of people with known mental disorders do not seek professional help due to this stigma. We debunked common myths, such as the rarity of mental health problems and the misconception that people with mental health conditions are inherently violent. We emphasized the importance of using positive language to foster understanding and support. Actionable steps to combat stigma included educating ourselves and others, supporting struggling people, advocating for respectful language, and challenging inaccurate media portrayals. By addressing these issues collectively, we can create a more understanding and supportive society for those affected by mental health conditions. Today, we will be delving into more myths and the truths behind them to enlighten us further:

Common Myths and Truths about Mental Health

PTSD and ADHD

  1. Myth: Only soldiers get Post-Traumatic Stress Disorder (PTSD) Truth: PTSD can affect anyone who has experienced or witnessed a traumatic event, not just soldiers. It involves symptoms like flashbacks, nightmares, and severe anxiety.

  2. Myth: Attention-Deficit/Hyperactivity Disorder (ADHD) is just an excuse for bad behavior Truth: ADHD is a neurodevelopmental disorder that affects attention, impulsivity, and hyperactivity. It is not an excuse for behavior but a legitimate medical condition that can be managed with treatment.

Eating Disorders and Depression

  1. Myth: Eating disorders are a choice and can be overcome by just eating more or less Truth: Eating disorders, such as anorexia nervosa and bulimia nervosa, are serious mental health conditions that involve unhealthy eating behaviors and can have severe physical and emotional consequences. They require professional treatment.

  2. Myth: Eating disorders can only affect women Truth: Eating disorders can affect people of any gender. While they are more commonly diagnosed in women, men and non-binary individuals can also suffer from these conditions.

  3. Myth: Depression is a sign of spiritual weakness or lack of faith Truth: Depression is a medical condition that can affect anyone, regardless of their spiritual beliefs. It is not a sign of weak faith and requires appropriate medical treatment.

Anxiety and Young People

  1. Myth: Anxiety disorders are just a result of overthinking and can be controlled by willpower Truth: Anxiety disorders are medical conditions that involve excessive fear or worry. They often require professional treatment, including therapy and medication.

  2. Myth: Young people today are just more sensitive and overreact to normal stress Truth: The current generation faces unique stressors, such as social media pressures, economic instability, and parental and societal expectations. These factors can significantly impact mental health. Increased awareness and willingness to discuss mental health issues do not mean that these issues are exaggerated.

  3. Myth: Mental health problems are just a trend among young people Truth: Mental health conditions are not trends; they are serious medical issues. The increased visibility of mental health discussions among younger generations is a positive step towards reducing stigma and encouraging people to seek help.

Generational Misconceptions and Social Media

  1. Myth: Previous generations didn't have mental health issues because they were tougher Truth: Mental health issues have always existed, but previous generations often lacked the language, understanding, and resources to address them. The current generation benefits from better awareness and more accessible mental health care.

  2. Myth: Social media is the main cause of mental health problems in young people Truth: While social media can contribute to mental health issues, it is not the sole cause. Mental health conditions are influenced by a complex interplay of genetic, biological, environmental, and social factors.

Mental Health Diagnoses and Treatment

  1. Myth: Increased mental health diagnoses mean that more people are mentally ill now than before Truth: The rise in mental health diagnoses reflects better awareness, improved diagnostic criteria, and more people seeking help. It does not necessarily mean that mental health conditions are more prevalent than in the past.

  2. Myth: Therapy and medication are overused by the current generation Truth: Therapy and medication are essential treatments for many mental health conditions. Their increased use reflects better access to mental health care and a greater willingness to seek help, not overuse.

Diverse Mental Health Conditions

  1. Myth: All mental health issues are the same and indicate madness Truth: Mental health conditions are diverse and vary widely in their symptoms and severity. Conditions like anxiety, depression, bipolar disorder, and schizophrenia each have distinct characteristics and require different treatments. They do not equal madness. With the right treatment and support, those who are seen roaming the streets in some parts of the world like Nigeria that are considered to be "mad" can lead normal lives.

  2. Myth: Seeking help for mental health issues means you are "crazy" Truth: Seeking help is a sign of strength and self-awareness. It shows a commitment to improving one's well-being. Mental health treatment is a positive step towards recovery.

Living with Mental Health Conditions

  1. Myth: People with mental health conditions cannot lead normal lives Truth: Many people with mental health conditions lead fulfilling, productive lives. With appropriate treatment and support, individuals can manage their symptoms and achieve their goals.

  2. Myth: Mental health issues are always visible Truth: Many mental health conditions are "invisible" and do not have obvious physical symptoms. Just because someone looks fine does not mean they are not struggling. Be good and kind to everyone.

  3. Myth: People with mental health conditions are incapable of making decisions for themselves Truth: Many individuals with mental health conditions are fully capable of making informed decisions about their lives. While some may need support during severe episodes, they can often manage their own affairs and make important decisions with appropriate treatment and support. Please respect their autonomy and don't always brood over them.

Addiction, Eating Disorders, and Helping Others

  1. Myth: Addiction is a lack of willpower Truth: Addiction is a complex brain disease that affects behavior and decision-making. It is not simply a matter of willpower, and effective treatment often involves medical and psychological support.

  2. Myth: I can’t do anything for a person with a mental health issue Truth: You can offer support by listening, encouraging them to seek professional help, and being understanding. Your support can make a significant difference.

Prevention, Intelligence, and Mental Health Care

  1. Myth: It is impossible to prevent a mental health condition Truth: While not all mental health conditions can be prevented, many can be managed or mitigated through early intervention, healthy lifestyle choices, and stress management.

  2. Myth: If a person has a mental health condition, it means the person has low intelligence Truth: Mental health conditions can affect anyone, regardless of their intelligence. Many highly intelligent and successful people live with mental health conditions.

  3. Myth: You only need to take care of your mental health if you have a mental health condition Truth: Everyone should take care of their mental health, just as they do their physical health. Regular self-care, stress management, and seeking help when needed are important for everyone.

Conclusion

Stigma remains a significant barrier to mental health care. By understanding and debunking common myths, we can foster a more supportive and compassionate environment for those affected by mental health conditions. Education, support, and positive language are key in breaking down the barriers of stigma and promoting a culture where seeking help is encouraged and mental health is treated with the same importance as physical health. Let’s continue to educate ourselves, support each other, and challenge misconceptions to create a more inclusive and understanding society.


References

Ahad, A. A., Sanchez-Gonzalez, M., & Junquera, P. (2023). Understanding and Addressing Mental Health Stigma across Cultures for Improving Psychiatric Care: a Narrative Review. Cureus, 15(5). https://doi.org/10.7759/cureus.39549

Cultural Context and Misconceptions About Mental Health in Nigeria. (2024). Nigerian Bulletin. https://nigerianbulletin.com/ams/cultural-context-and-misconceptions-about-mental-health-in-nigeria.2232/

Gillison, D. (2022). Early Intervention Can Save Lives. NAMI. https://www.nami.org/from-the-ceo/early-intervention-can-save-lives/

Jamison, K. R. (2006). The many stigmas of mental illness. The Lancet, 367(9509), 533–534. https://doi.org/10.1016/s0140-6736(06)68187-7

Kumar, R. (2024). Only people without friends need therapists. Medanta - the Medicity. https://www.medanta.org/patient-education-blog/only-people-without-friends-need-therapists

Labinjo, T., Serrant, L., Ashmore, R., & Turner, J. (2020). Perceptions, attitudes and cultural understandings of mental health in Nigeria: a scoping review of published literature. Mental Health, Religion and Culture, 23(7), 606–624. https://eprints.whiterose.ac.uk/187620/

Mental_Health_Myths_Resource_2023.pdf (mentalhealth.org.uk) Mental Health America. (2024). Is mental illness curable? MHA Screening. https://screening.mhanational.org/content/mental-illness-curable/

Naija, C. (2023). Psychiatry and the Stigma of Mental Illness in Nigeria. Professions in Nigeria. https://professions.ng/stigma-of-mental-illness-in-nigeria/

Newman, T. (2020). 11 myths about mental health. Www.medicalnewstoday.com. https://www.medicalnewstoday.com/articles/medical-myths-mental-health-misconceptions#7.-Addiction-is-a-lack-of-willpower

SAMHSA. (2023). Mental Health Myths and Facts. Www.samhsa.gov; SAMHSA. https://www.samhsa.gov/mental-health/myths-and-facts

Sartorius, N. (2007). Stigma and mental health. The Lancet, 370(9590), 810–811. https://doi.org/10.1016/s0140-6736(07)61245-8

UNICEF. (2024). Busted: 7 myths about mental health. Www.unicef.org; UNICEF. https://www.unicef.org/parenting/health/busted-7-myths-about-mental-health

Villines, Z. (2020). Can you die from a panic attack? Research and what to do. Www.medicalnewstoday.com. https://www.medicalnewstoday.com/articles/can-you-die-from-a-panic-attack#long-term-health

World Health Organization. (2001). The World Health Report 2001: Mental Disorders affect one in four people. Www.who.int; WHO. https://www.who.int/news/item/28-09-2001-the-world-health-report-2001-mental-disorders-affect-one-in-four-people
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From Misconceptions to Understanding: Addressing Mental Health Stigma

 


Understanding the Impact of Stigma on Mental Health


When I was little, I watched a movie that had a "bipolar patient". His disorder caused him to have a good and a bad side. The good side was the side everyone knew while the bad side was the side that was the killer. I then had a preformed notion that bipolar disorder was characterized by having two sides - a dangerous side and a good side. It was years later that I bothered to fact-check for myself. This was good because I learned that bipolar disorder really wasn't like that. What it meant was just that individuals were subject to uncontrollable mood changes (mania and depression), to put it simply.

I present this story to you because there is a problem with the way the media and society have presented mental health to us. This misinformation makes us unknowingly reject help when affected or refuse to help those who struggle.

What is Stigma?


A stigma is a negative attitude or idea about a mental, physical, or social feature of a person or group of people that implies social disapproval. The American Psychological Association defines stigma as a major concern because it can lead to poor treatment of groups of people, impaired mental and physical health of those groups, and other negative effects such as discrimination, shame, and isolation. Unfortunately, people with mental illness often stigmatize themselves, known as self-stigma. Other types of stigma include structural and social stigma. Stigma can hinder trust and effective relationships between healthcare providers and patients, essential for proper care. It also leads to underfunding and neglect of mental health services in society.

The Effects of Stigma


Stigma can prevent individuals from seeking the help they need. Here are some statistics that highlight the impact:

  • According to the World Health Organization (WHO), nearly two-thirds of people with a known mental disorder never seek help from a health professional.

  • The National Alliance on Mental Illness (NAMI) reports that the average delay between the onset of mental illness symptoms and treatment is 11 years. That means if someone begins experiencing major depression at 14, they are unlikely to receive help until age 25. This is too long considering that physical conditions get treated early because they are considered as a “normal thing” in society.

  • A study by Ahad et al. (2023) revealed that stigma causes delays in seeking treatment, worsens health outcomes, and reduces the quality of life for individuals with mental health issues.

How do you fit into the picture? What difference can you make to stop stigmatization? You can become aware and informed and educate those around you. Your increased awareness also makes you better equipped to help and support those around you or even help yourself if you are a mental health warrior right now. This is why I have highlighted 20 common myths below. More will be discussed in the next post.

Common Myths


Many mental health myths contribute to stigma and misunderstanding. Here are some common ones, along with the truth to help dispel these misconceptions:

  1. Myth: Mental health problems are rare. 

Truth: Mental health issues are quite common. According to the World Health Organization, 1 in 4 people will be affected by mental or neurological disorders at some point in their lives.

  1. Myth: People with mental health conditions are violent or dangerous. 

Truth: Most people with mental health conditions are not violent. In fact, they are more likely to be victims of violence than perpetrators.

  1. Myth: Mental health issues are a sign of weakness. 

Truth: Mental health conditions are not a result of personal weakness or lack of character. They are medical conditions that can affect anyone, regardless of their strength or resilience.

  1. Myth: Children don't experience mental health problems. 

Truth: Children can and do experience mental health issues. Conditions such as anxiety, depression, and ADHD can affect children and adolescents.

  1. Myth: People with mental health conditions cannot recover. 

Truth: With the right treatment and support, many people with mental health conditions can and do recover. Recovery is a process, and many individuals lead fulfilling lives.

  1. Myth: Therapy and self-help are a waste of time. 

Truth: Therapy and self-help strategies can be very effective for many people. They can provide tools and support to manage symptoms and improve quality of life.

  1. Myth: Mental health issues are not real medical conditions. 

Truth: Mental health conditions are real and can have a significant impact on a person's life. They are recognized by medical professionals and can be diagnosed and treated.

  1. Myth: You can just "snap out of" a mental health condition. 

Truth: Mental health conditions are not something people can simply "snap out of." They often require professional treatment and support, just like physical health conditions.

  1. Myth: People with mental health conditions can't work. 

Truth: Many people with mental health conditions are able to work and excel in their careers. With appropriate accommodations and support, they can be productive and successful.

  1. Myth: Mental health issues are caused by bad parenting. 

Truth: While family environment can influence mental health, mental health conditions are caused by a complex interplay of genetic, biological, environmental, and psychological factors.

  1. Myth: Mental illness is a punishment from God. 

Truth: James 1:17 says, "Every good gift and every perfect gift is from above, coming down from the Father of lights, with whom there is no variation or shadow due to change."

  1. Myth: Mental illness is contagious. 

Truth: Mental health conditions are not contagious. They cannot be spread from person to person through contact or proximity. While there is a genetic component to them, they are not contagious.

  1. Myth: Depression is just sadness and can be overcome by positive thinking. 

Truth: Depression is a serious medical condition involving persistent feelings of sadness, hopelessness, and a lack of interest in activities. It often requires professional treatment, including therapy and medication.

  1. Myth: Anxiety disorders are not real; they are just an excuse to avoid stressful situations. 

Truth: Anxiety disorders are real and can be debilitating. They involve excessive fear or worry and can interfere with daily activities. Treatment often includes therapy, medication, and lifestyle changes.

  1. Myth: People with schizophrenia have multiple personalities. 

Truth: Schizophrenia is a severe mental disorder characterized by distorted thinking, perceptions, and behaviors. It does not involve multiple personalities. Symptoms can include hallucinations, delusions, and disorganized thinking.

  1. Myth: Bipolar disorder is just mood swings and is not a serious condition. 

Truth: Bipolar disorder involves extreme mood swings, including manic (high) and depressive (low) episodes. It is a serious condition that can significantly impact a person's life and requires medical treatment.

  1. Myth: Obsessive-Compulsive Disorder (OCD) is just about being overly clean or organized. 

Truth: OCD involves unwanted, intrusive thoughts (obsessions) and repetitive behaviors (compulsions) that a person feels compelled to perform. It is not just about cleanliness or organization and can be very distressing.

  1. Myth: Panic attacks can be fatal. 

Truth: Panic attacks are extremely distressing and can cause symptoms like a racing heartbeat and shortness of breath, but they are not fatal. However, they can feel very intense and frightening.

  1. Myth: Only people without friends need therapists. 

Truth: Therapy provides professional support that friends and family may not be equipped to offer. It is beneficial for anyone needing help with mental health issues, regardless of their social support network.

  1. Myth: Mental health problems are permanent. 

Truth: Many people with mental health conditions can and do recover with appropriate treatment and support. Recovery is a process, and many individuals can manage their symptoms effectively. When someone is cured of an illness, it means it’s gone forever. However, some illnesses, like diabetes, can’t be cured and last a lifetime. With proper medication and lifestyle changes, people with diabetes can still live long, healthy lives. Similarly, mental illnesses have no cure, but effective treatments are available. With these treatments, individuals with mental illnesses can recover and lead long, healthy lives.

Positive Language Matters


The language we use when talking about mental health and people affected by it plays a significant role in either perpetuating stigma or fostering understanding and acceptance. Avoid negative or judgmental language, such as body-shaming comments like "you are fat" or labelings like "she is crazy." Instead, use positive and supportive language that respects and acknowledges the individual's experience.

How Can We Combat Stigma?

  1. Educate Yourself and Others: Learn about mental health conditions from reputable sources and share this information with others to dispel myths and stereotypes.

  2. Support and Encourage: Offer support to those who may be struggling with mental health issues. Encourage them to seek professional help and be there for them without judgment.

  3. Advocate for Positive Language: Promote the use of respectful and non-judgmental language when discussing mental health. Correct others when you hear stigmatizing language.

  4. Challenge Media Misrepresentation: Speak out against inaccurate portrayals of mental health in media. Support media that provides accurate and compassionate representations. 

I recently watched a Nigerian movie that focused on Adverse Childhood Experiences and their aftermath, and it was clear that the creators had conducted thorough research and aimed to raise awareness. I also came across a Nigerian series that beautifully portrayed Post-Traumatic Stress Disorder in children, highlighting the importance of having counselors in primary and secondary schools. These examples show that Nigeria, along with the rest of the world, is making progress in mental health awareness due to the efforts of many. You too can contribute by applying what you've learned from this blog and sharing it with others.

Conclusion

Stigma is a significant barrier to mental health care that we must address collectively. By educating ourselves, supporting others, advocating for positive language, and challenging media misrepresentation, we can create a more understanding and supportive society for everyone affected by mental health conditions.

References

Ahad, A. A., Sanchez-Gonzalez, M., & Junquera, P. (2023). Understanding and Addressing Mental Health Stigma across Cultures for Improving Psychiatric Care: a Narrative Review. Cureus, 15(5). https://doi.org/10.7759/cureus.39549

Cultural Context and Misconceptions About Mental Health in Nigeria. (2024). Nigerian Bulletin. https://nigerianbulletin.com/ams/cultural-context-and-misconceptions-about-mental-health-in-nigeria.2232/

Gillison, D. (2022). Early Intervention Can Save Lives. NAMI. https://www.nami.org/from-the-ceo/early-intervention-can-save-lives/

Jamison, K. R. (2006). The many stigmas of mental illness. The Lancet, 367(9509), 533–534. https://doi.org/10.1016/s0140-6736(06)68187-7

Kumar, R. (2024). Only people without friends need therapists. Medanta - the Medicity. https://www.medanta.org/patient-education-blog/only-people-without-friends-need-therapists

Labinjo, T., Serrant, L., Ashmore, R., & Turner, J. (2020). Perceptions, attitudes and cultural understandings of mental health in Nigeria: a scoping review of published literature. Mental Health, Religion and Culture, 23(7), 606–624. https://eprints.whiterose.ac.uk/187620/

Mental_Health_Myths_Resource_2023.pdf (mentalhealth.org.uk) Mental Health America. (2024). Is mental illness curable? MHA Screening. https://screening.mhanational.org/content/mental-illness-curable/

Naija, C. (2023). Psychiatry and the Stigma of Mental Illness in Nigeria. Professions in Nigeria. https://professions.ng/stigma-of-mental-illness-in-nigeria/

Newman, T. (2020). 11 myths about mental health. Www.medicalnewstoday.com. https://www.medicalnewstoday.com/articles/medical-myths-mental-health-misconceptions#7.-Addiction-is-a-lack-of-willpower

SAMHSA. (2023). Mental Health Myths and Facts. Www.samhsa.gov; SAMHSA. https://www.samhsa.gov/mental-health/myths-and-facts

Sartorius, N. (2007). Stigma and mental health. The Lancet, 370(9590), 810–811. https://doi.org/10.1016/s0140-6736(07)61245-8

UNICEF. (2024). Busted: 7 myths about mental health. Www.unicef.org; UNICEF. https://www.unicef.org/parenting/health/busted-7-myths-about-mental-health

Villines, Z. (2020). Can you die from a panic attack? Research and what to do. Www.medicalnewstoday.com. https://www.medicalnewstoday.com/articles/can-you-die-from-a-panic-attack#long-term-health

World Health Organization. (2001). The World Health Report 2001: Mental Disorders affect one in four people. Www.who.int; WHO. https://www.who.int/news/item/28-09-2001-the-world-health-report-2001-mental-disorders-affect-one-in-four-people


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It's Not the End

To all the mental health champions—the brave warriors who continue to fight every single day—this letter is for you. I originally wrote thes...