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Facing the challenge of a mental health disorder is difficult enough. But another layer of pain comes with mental health conditions: dealing with other’s reactions to them.

Mental health stigma describes the negative attitudes held by individuals and society toward those with trauma, depression, anxiety, substance use disorder, and other mental health challenges. Hence, mental health stigma is an obstacle to increasing awareness and ensuring people get the help they need.

Moreover, access to treatment is needed now more than ever, as 70 percent of teens are experiencing an increase in mental health–related symptoms as a result of the pandemic. Interestingly, however, the fact that so many people are suffering may have the unexpected effect of reducing mental health stigma.
The Unexpected Effect of the Pandemic on Mental Health Stigma

New surveys show that teens are driving the movement to reduce stigma. Earlier this year, the National 4‑H Council commissioned a survey with the Harris Poll, exploring teens’ perceptions and experiences related to mental health. More than 1,500 US teenagers between the ages of 13 and 19 participated. They came from diverse backgrounds and geographic areas across the country.

The results showed that young people have a keen understanding of the mental health challenges their generation faces. Here are some of the findings of the survey related to this age group’s perceptions around mental health struggles and treatment.

81 percent of teens believe that mental health is a significant issue for youth in this country.
64 percent believe that living through the pandemic will have a lasting impact on their generation’s mental health.
82 percent of those surveyed urged Americans to talk more openly and honestly about mental health issues
83 percent agreed with the statement “It is important for people to take action with their mental health.”
79 percent wished that their schools would provide a safe, inclusive space where students could come together to talk about mental health.

Moreover, the vast majority of teens surveyed agreed that “as a culture, we should embrace both the ups and downs of mental health; it’s okay to feel bad sometimes.”
History of Mental Health Stigma

The word “stigma” originally referred to a tattoo or mark used for decorative or religious purposes, sometimes used to brand criminals or slaves so that they could be identified. Hence, beginning in the late 16th and early 17th centuries, the word became a negative term.

However, stigma around mental health disorders is traceable back to ancient Greece. In addition, it also traces back to the medieval and Renaissance periods in Europe. During these times, people often believed that mental illness was caused by demonic possession.

Negative attitudes towards mental illness persisted into the 18th century in the United States—leading to the stigmatization of mental illness and resulting in mentally ill people being treated inhumanely. It took decades for greater awareness around mental health issues to filter into both the treatment industry and into society at large. And even today, stigma around mental health is common. In fact, one study measuring attitudes toward mental illness found that only 25 percent surveyed were sympathetic to mental health challenges.
Defining Stigma

Stigma is defined as “a cluster of negative attitudes and beliefs that motivate the general public to fear, avoid, and discriminate against people with mental illnesses,” according to a report by the President’s New Freedom Commission on Mental Health. There is stigma associated with drug addiction and stigma associated with mental illness.

Erving Goffman, a noted sociologist, studied stigma in the 1970s. He describes stigma as “the phenomenon whereby an individual with an attribute which is deeply discredited by his/her society is rejected as a result of the attribute.”

Stigma around mental health or other conditions leads to

Social exclusion and isolation
Decreased self-esteem
Discrimination
Lack of a supportive community
Difficulty finding education or employment opportunities
Limited access to quality health care.

Newport Academy Mental Health Resources Mental Health Stigma Facts

The Consequences of Stigma on Teenage Mental Illness

The most significant consequence of stigma is that people don’t get the treatment they need. Hence, fewer than half of those with a mental health condition get treatment, according to Mental Health America. People are afraid to disclose that they have mental health problems. They fear they will be treated differently.

When those with mental health conditions don’t get help, they self-medicate. They use drugs, alcohol, or cigarettes. In addition, they engage in self-destructive behaviors such as binge-eating or other eating disorders. Therefore, stigma can lead to teenage substance abuse and eating disorders. Additionally, it can increase risky behavior, social media addiction, and teen cell phone addiction. Adolescents often look for distraction as they try to escape both the pain of a mental health issue and the pain of the resulting stigma.
Mental Health Stigma Impacts Overall Health

Over time, these behaviors can increase the risk of chronic diseases and poor health. Therefore, studies find an increased risk of death at younger ages for people with mental illness.

Moreover, stigma results in less public funds being put toward mental health services. In addition, those with mental health conditions may receive a poorer quality of care.
Newport Academy Mental Health Resources Mental Health Social Stigma Statistics
The Two Types of Stigma

Mental health stigma can be divided into two distinct types.

Social stigma: negative attitudes and discriminating behavior directed towards those with mental health problems
Perceived stigma or self-stigma: feelings of shame and self-blame internalized by those with mental health challenges. Self-stigma can undermine self-esteem.

However, not everyone with mental health challenges experiences self-stigma.

“Internalizing prejudice and discrimination is not a necessary consequence of stigma. Many people recognize stigma as unjust and, rather than being swept by it, take it on as a personal goal to change.”

—Patrick W. Corrigan and Deepa Rao, On the Self-Stigma of Mental Illness: Stages, Disclosure, and Strategies for Change

Newport Academy Mental Health Resources Truth About Mental Health Stigma
Myths and Truths About Mental Health

Stigma and negative attitudes about mental health create stereotypes and myths.

Here are a few myths and truths about mental health.

The myth: Mental illness is rare, and most people are not affected by it.

The truth: Most families in America are affected by mental illness. Prior to 2020, about 43 million American adults (18 percent of adults in the US) suffered from mental illness and 1 in 5 teens (20 percent) suffered from a mental health disorder, according to the National Institute of Mental Health. Those numbers have significantly increased as a result of the pandemic.

The myth: People with mental illness don’t get better. A report by the US Department of Health and Human Services (DHHS) found that only one-quarter of young adults (ages 18–24) believed that a person with mental illness can recover.

The truth: Most people with mental health conditions can and do recover. Studies show that most get better, and many recover completely.

The myth: People with mental health disorders or substance abuse disorder should take the blame for their illness.

The truth: Individuals who suffer from mental health and substance abuse disorders are not to blame for their conditions. Moreover, the roots of these conditions are complex. In addition, they often include genetic and neurobiological factors. Also included are environmental causes such as trauma, societal pressures, and family dysfunction.

The myth: People with mental illness are not good at their jobs. The DHHS report found that just 42 percent of Americans believe that a person with mental illness can be as successful as others in the workplace.

The truth: People with mental illnesses are good employees. Studies by the National Institute of Mental Health (NIMH) and the National Alliance to the Mentally Ill (NAMI) confirm this. There are no differences in productivity.

The myth: Treatment doesn’t help. The DHHS report found that only about half (54 percent) of young adults who knew someone with a mental illness believed treatment would help them.

The truth: Treatment can and does help. Consequently, there are now more treatment approaches than ever. These include integrated treatment in residential and outpatient programs. In addition, treatment includes group and individual therapy, experiential modalities, mindfulness practices, and other approaches.

Read about Newport Academy’s approach to teen mental health treatment.
Newport Academy Mental Health Resources How to Fight Mental Health Stigma
How to Fight Mental Health Stigma
To reduce mental health stigma, action must be taken at all levels of society.
Hence, individuals and organizations can make a difference.

The media can avoid sensational stories about mental illness and portray more stories of recovery by people with mental health challenges.

Political leaders can support policies that help people access mental health treatment more easily. Also, they should work toward increasing funding for mental health awareness campaigns.

Researchers can continue to study and monitor attitudes toward mental illness.

Mental health organizations can provide education and resources in their communities.

Everyone can change the way they refer to those with mental health conditions by avoiding labels. Instead of saying, “she’s anorexic,” for example, say “she has anorexia.”

Individuals can learn how to offer reassurance and acceptance. This extends to friends, family members, neighbors, or others with mental health challenges. Therefore, this means we need to express concern and let go of preconceptions.

In conclusion, when we all work together we can create change. When we can change our attitudes toward those with mental health challenges, stigma will be reduced. As a result, more people will get the help they need to recover and live full, healthy lives.

The Healing We All Need

One year into the Covid-19 pandemic, the question of how we can offer care to those who suffer – without becoming overwhelmed and burning out ourselves – is fiercely relevant to us all. Lion’s Roar & the New York Zen Center for Contemplative Care are honored to invite you to a free five-day online event: Love & Resilience: The Contemplative Care Summit.

Whether facing conflict in our relationships, working as health professionals, caring for an ill or dying family member, or we’re end-of-life care partners, how do we balance the enormous task of caring for another human being with our own wellbeing? How do we work with the fear that arises when we confront conflict, suffering, or death?

Contemplative care practices offer practical, grounding techniques for anyone facing the universal truths of suffering and impermanence, so we can offer the best of our love, foster connectedness and resilience, and transform the act of caring into a path of personal healing.

KOSHIN PALEY ELLISON, MFA, LMSW, DMIN

Co-Founder & Guiding Teacher, New York Zen Center for Contemplative Care

TRUDY GOODMAN, Ph.D

Founding Teacher at InsightLA and Cofounder of the Institute for Meditation and Psychotherapy

MICHAEL HEBB

Founder of Death Over Dinner and EOL.community

SETH GODIN

Bestselling author and teacher

ALI SMITH

Co-founder, Holistic Life Foundation, Inc.

ANUSHKA FERNANDOPULLE

Dharma teacher, Insight Meditation tradition

CELESTE LECESNE

Actor, Writer, Co-Founder of The Trevor Project and The Future Perfect Project

V (FORMERLY EVE ENSLER)

Playwright and Founder of V-Day, One Billion Rising and Co-Founder City of Joy

SHOSHANA UNGERLEIDER, MD

Board Certified Internal Medicine Physician and Founder, endwellproject.org

ROSS GAY

Author of Be Holding, The Book of Delights, and Catalog of Unabashed Gratitude

SEBENE SELASSIE

Teacher and author

JACK KORNFIELD, Ph.D

Founding Teacher of Insight Meditation Society and Spirit Rock Meditation Center

JASMINE HILL

Scholar on Racial Inequality, Stanford University

CYNTHIA CARTER PERRILLIAT, MPA

Co-founder / Executive Director, Alameda County Care Alliance

Over five days, you’ll engage with the wisdom and experience of 30+ experts: renowned meditation teachers, care professionals, and others with hard-won personal insights into love and resilience.

CHODO ROBERT CAMPBELL

Co-Founder & Guiding Teacher, New York Zen Center for Contemplative Care

Co-hosted by Koshin Paley Ellison and Chodo Robert Campbell, founders of New York Zen Center for Contemplative Care.

Summit Co-host

Summit Co-host
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The Healing We All Need

Trudy Goodman

What the world needs is a revolution of tenderness.

Learn how the contemplative care approach to life – and death – can help us love fully, act wisely, and transform our hearts.

Your free registration includes a gift:

“Love & Loss in the Time of Covid-19”, an audio talk and guided practice with Koshin Paley Ellison and Chodo Robert Campbell.

The Contemplative Care Summit offers participants a precious opportunity to:

PHOTO CREDITS: (V) Troy Montenieri; (Ross Gay) Natasha Komodo; (Celeste Lecesne) Shervin Lainez

The New York Zen Center for Contemplative Care (NYZC) offers guidance for people interested in beginning meditation or continuing in their existing practice; we train people from all walks of life— including medical professionals, parents, lawyers, artists and bankers—in compassionate caregiving; we support people and their loved ones through serious illness and death, and assist family and friends during their grieving process. We also celebrate and honor many of life’s meaningful moments.

Since opening in 2007, our center has been a trailblazer in researching, testing and developing contemplative care methodologies. Today, New York Zen Center’s techniques are internationally recognized—and have touched the lives of tens of thousands of individuals.

Certain content copyright © New York Zen Center for Contemplative Care. All rights reserved.

JUDY LIEF

Buddhist teacher; author, Making Friends With Death

JERRY COLONNA

CEO and co-founder, Reboot.io; author, Reboot: Leadership and the Art of Growing Up

JAMES CREWS

Poet and editor

IRA BYOCK, MD

Palliative care physician, professor, author and public advocate

PAMELA AYO YETUNDE, Th.D

Co-founder, Center of the Heart

ANDRES GONZALEZ

Co-founder, Holistic Life Foundation

CAROLYN JACOBS, MSW, PHD

Dean Emerita Smith College School for Social Work and Spiritual Director

DAN HARRIS

ABC News; author, 10% Happier

BIANCA HARRIS, MD, MSc

Pulmonary & Critical Care Medicine
Memorial Sloan Kettering Cancer Center

DAWA TARCHIN PHILLIPS

Lama, Founder/CEO of Empowerment Holdings, President of the International Mindfulness Teachers Association

YOGETSU AKASAKA

Zen Buddhist monk and meditation-music creator

TIERAONA LOW DOG, MD

Founder and Director, Medicine Lodge Academy

NAOMI SHIHAB NYE

Poet and editor

FREDERIC FASANO

Cinematographer & filmmaker

ATMAN SMITH

Co-founder & Director of Development, Holistic Life Foundation Inc.

ISSHO FUJITA

Director, Soto Zen International Center

MARIE HOWE

NY State Poet Laureate, writer, mother, teacher

Now, I would say more than ever, is a time for us to be befriending illness.

Pamela Ayo Yetunde

Learn to recognize feelings of disconnection, distrust, and fear–and instead foster strength, intimacy, and tenderness in your relationships

Discover the rich sources of support you have within yourself and your communities to sustain and inspire you in the work of caring

Discover the compassion and gratitude that grief can awaken in your heart

Be present to your human mortality and fear with tenderness, love, and equanimity

Invite a sense of beauty and belonging into the universal experiences of illness and aging

Feel reinvigorated and refreshed with new energy, commitment, and compassion in your work

We all know the golden rule, whatever you put out comes back ten-fold. So always lead with love.

Atman Smith

30+ Presenters

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MARCH 25-29
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5 days of transformative insights and practices 

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37 talks, meditations, and reflections 
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“Love & Loss in the Time of Covid-19”

An audio talk and guided practice with Koshin Paley Ellison and Chodo Robert Campbell.

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Koshin Paley Ellison

Koshin Paley Ellison, co-founder of the New York Zen Center for Contemplative Care, shines a light on the importance of care and connection in a series of conversations with leading meditation teachers, healthcare practitioners, and partners who have incorporated contemplative care into all facets of their lives including Trudy Goodman & Jack Kornfield, Dan & Bianca Harris, Sebene Selassie & Frederic Fasano, V (formerly Eve Ensler) & Celeste Lescene – as well as his own partner in both life and work: Chodo Robert Campbell.

Death Over Dinner founder Michael Hebb offers advice and helpful prompts for having frank discussions about death and dying. Plus, gain practical insights into grief, uncertainty, and palliative care from Carolyn Jacobs, Judy Lief, Issho Fujita, and Shoshana Ungerleider.

How can the contemplative care approach improve our work lives? Explore perspectives on communication and conflict, resilience and boundaries, finding meaning and purpose, and handling failure, with presenters including Andres Gonzales, Ali Smith, and Atman Smith of Holistic Life Foundation, Jerry Colonna, Seth Godin, Anushka Fernandopulle, and Dawa Tarchin Phillips.

The Summit at a Glance

Contemplative care is really about learning to trust that …you just need to show up with your whole body and mind.

Ira Byock, Pamela Ayo Yetunde and Cynthia and Jasmine Hill discuss topics such as how to befriend aging and illness, and look at the cumulative trauma of Black and Brown communities. Plus, author and physician Tieraona Low Dog shares how love and resilience have seen her through her own personal experience of loss and grief in 2020.

Ira Byock, Pamela Ayo Yetunde and Cynthia and Jasmine Hill discuss topics such as how to befriend aging and illness, and look at the cumulative trauma of Black and Brown communities. Author and physician Tieraona Low Dog shares how love and resilience have seen her through her own experiences of loss and grief in 2020. Plus: Koshin Paley Ellison and Chodo Robert Campbell talk about their fourteen years as chaplains and care partners offering bereavement and spiritual support grounded by Buddhist teachings and practice.

A joyous call to open your arms to experience and feel a sense of belonging. Poets and writers such as Ross Gay, Naomi Shihab Nye, James Crews, Marie Howe offer poems and reflections on themes of love, loss, friendship, hope, and spirituality. Plus: a unique Zen musical performance by monk and YouTube sensation Yogetsu Akasaka.

Dr. Tieraona Low Dog

All life grieves. All life loves. All life wants connection.

In fear we isolate. In love we connect.

Dr. Ira Byock

Each and every day can be used to bring our work life onto the path of contemplation.

Dawa Tarchin Philllips

Illness and aging each loudly call us and our attention to impermanence.

Dr. Ira Byock

Even in dying we can redeem this world.

Jack Kornfield

We cannot direct the wind, but we can adjust the sails.
– Bertha Calloway (attributed)

As we work to create light for others,
we naturally light our own way.
– Mary Anne Radmacher

He who is contented is rich.
– Lao Tzu

Be assertive

Try to ask for what you want or state your opinion in a confident tone. Being assertive means standing up for your rights with-out violating the rights of any one else . If other people believe that you truly respect and understand them, they will be more likely to meet your deemands. To develop your assertiveness, plan in advance what you want, to say and why you want to say it. Speak in clear, simple language and express empathy for the other person while stating your case. Always take responsibility for your own behavior, including what ever you choose to feel about any given situation.

Know when and how to end conflicts.