NEWS Mental Health News How Using the Right Language Can Destigmatize Mental Illness By Krystal Jagoo Krystal Jagoo Krystal Kavita Jagoo is a social worker, committed to anti-oppressive practice, who has worked for three academic institutions across Canada. Her essay, “Inclusive Reproductive Justice,” was in the Reproductive Justice Briefing Book. Learn about our editorial process Updated on July 30, 2021 Fact checked Verywell Mind content is rigorously reviewed by a team of qualified and experienced fact checkers. Fact checkers review articles for factual accuracy, relevance, and timeliness. We rely on the most current and reputable sources, which are cited in the text and listed at the bottom of each article. Content is fact checked after it has been edited and before publication. Learn more. by Nicholas Blackmer Fact checked by Nicholas Blackmer LinkedIn Nick Blackmer is a librarian, fact-checker, and researcher with more than 20 years’ experience in consumer-oriented health and wellness content. He keeps a DSM-5 on hand just in case. Learn about our editorial process Share Tweet Email Print SDI Productions / Getty Images. Key Takeaways The language used to describe mental illness and substance use can contribute to stigma, which can pose a barrier to treatment.Following repeated experiences of stigma, it can be internalized, which can exacerbate issues with mental health and substances.Shifts in language can reduce stigma and facilitate easier access to treatment for mental illness and substance issues. There can be many barriers to accessing treatment for mental illness and substance use. According to a recently published perspective in Neuropsychopharmacology, a team from the National Institutes of Health addressed the need for appropriate language to reduce stigma. Especially as emergency room visits for mental health increased during the pandemic, it is crucial to address barriers to treatment to ensure that programs and services can be easily accessed by all when needed. Even when treatment is available for mental illness and substance use, it can still be challenging to seek help due to stigma. With the use of more appropriate language, healthcare providers can facilitate better access. Perspective Leaders from the National Institutes of Health reviewed multiple studies on how language can contribute to stigma and impact the rates by which treatment for mental illness and substance use are accessed. These authors refer to stigma as "negative attitudes toward people based on distinguishing characteristics" and explain how language has the potential to increase or reduce stigma, which can impact access to treatment. Problematic language poses a barrier to access to services for mental illness and substance use so avoidance of stigmatizing language (such as “addict”) and use of person-centered language (like “a person with schizophrenia”) was recommended. The authors acknowledge that language evolves so the preferences of those with lived experience should take precedence. How Mental Health Issues Are Damaged by Mass Media Stigma Remains a Barrier to Treatment A faculty member for Walden University’s Master of Science in Nursing program, Dawn Straiton, DNP, MSN, APRN, says, “The takeaway message is that we, as a society, should be working to decrease stigma because it will help people feel more comfortable seeking care.” Due to the COVID-19 pandemic, Straiton explains that mental illness and suicide risks are on the rise as global economic downturns can increase stress for many individuals. "We need to be sure people know that COVID-19 itself carries a risk of neuropsychiatric illness, but all the psychosocial challenges of the past year and a half also put us at risk," she says. Straiton says, “In addition to my faculty role with Walden University, I work at the United Nations (UN) as a mental health staff counselor and see how stigma presents itself worldwide, not only hindering services but marginalizing people who suffer from mental illness.” In 2018, the UN’s Secretary-General committed to “creating a world where, by 2030, everyone, everywhere has someone to turn to in support of their mental health, in a world free of stigma and discrimination.” This is what we should strive for every day, but it takes effort and education. Dawn Straiton, DNP, MSN, APRN Think about the words you use and be mindful of how they may affect people around you who may be suffering from mental health problems. — Dawn Straiton, DNP, MSN, APRN Mental illness and substance abuse disorders affect one in five people and do not discriminate based on gender or socioeconomic status, and while it can happen at any point in life, Straiton highlights that it is treatable. “Medication and therapeutic treatment have come very far in the recent decade, but the stigma often makes people believe this is the end of their life. This thinking can lead to avoiding treatment and even suicide. Nonadherence to psychiatric medication also worsens outcomes for people who suffer serious mental illness,” she says. “Think about the words you use and be mindful of how they may affect people around you who may be suffering from mental health problems. This goes beyond the negative terminology such as using the word ‘crazy,’ but even overusing or misusing clinical terms,” Straiton says. “I recently heard someone used the term ‘schizophrenic’ to describe something that was complicated and disorganized. This is a prime example of someone misusing a clinical term in a way that is stigmatizing. As a clinician, I try to talk to clients as a partner to identify the barriers that would lead to treatment nonadherence, including stigma and how to manage it.” How Halloween Costumes and Films of Mental Illness Contribute to Stigma Person-Centered Language Helps Meghan Marcum, PsyD, chief psychologist at A Mission for Michael, says, “The takeaway message from this article is to provide readers with an understanding of how significant language and specific labels can impact a person struggling with mental health symptoms. The stigma can prevent people from seeking care and with thoughtful language that doesn’t label people with derogatory terms, like an addict or borderline person.” These labels come from the general public too, so Marcum explains that it takes more than just a shift in healthcare providers to help reduce the effects of the stigma associated with mental health. "This article supports what research has already shown in terms of the damaging effects of stigma and how it can prevent people from accessing the care they need," she says. Meghan Marcum, PsyD This article supports what research has already shown in terms of the damaging effects of stigma and how it can prevent people from accessing the care they need. — Meghan Marcum, PsyD Marcum says, "The public should understand how prevalent mental [illness] is across the United States and the globe. Depression is the leading cause of disability worldwide. Anxiety disorders are extremely prevalent affecting 40 million Americans every year. With the increases in mental health problems due to the pandemic, it is now more important than ever to understand the power of language and how we can all do our part to reduce the stigma." In her work, Marcus highlights how patients respond better when clinicians use person-centered language, as a client labeled by their mental health disorder may tend to feel defensive because they do not understand the diagnosis or because the implication is that they are defined by their diagnosis. "Person-centered language allows the diagnosis to be identified but provides space between the individual and the concern, such as addict vs. person struggling with substance use," she says. What This Means For You As this perspective from leaders from the National Institutes of Health recommends, appropriate language has the potential to reduce stigma and improve access to treatment for mental illness and substance use. Try to avoid stigmatizing language, while amplifying the needs of those with lived experience of mental illness and substance use. How to Cope With Stigma When You Have a Mental Illness 1 Source Verywell Mind uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy. Volkow ND, Gordon JA, Koob GF. Choosing appropriate language to reduce the stigma around mental illness and substance use disorders. Neuropsychopharmacol. Published online July 19, 2021. doi:10.1038/s41386-021-01069-4 By Krystal Jagoo Krystal Kavita Jagoo is a social worker, committed to anti-oppressive practice. See Our Editorial Process Meet Our Review Board Share Feedback Was this page helpful? Thanks for your feedback! What is your feedback? Other Helpful Report an Error Submit Speak to a Therapist Online Advertiser Disclosure × The offers that appear in this table are from partnerships from which Verywell Mind receives compensation.