The word ‘stigma’ is generally associated with feelings of shame, and describes what happens when negative stereotypes or beliefs about others are imposed on a particular person or group of people.
In relation to mental health concerns and mental illness, stigma can be very serious. It can prevent a person from reaching out for help when they need it most, for fear of what others may think about them.
It's important to know that mental health is brain health. Going to a therapist or psychiatrist should be treated the same as going to a doctor for other medical issues. Mental health is brain health.
1. Talk openly about mental health.
When people discuss their mental health conditions openly, it helps to break down barriers and start positive conversations. One in five Iowans will experience a mental health condition each year, which means almost everyone knows and loves someone who is struggling. The more we talk about mental health in an open and honest way, the more normalized it becomes. It’s important to remember that everyone has the right to decide how and when to share their personal story.
2. Educate yourself and others.
Learn more about mental health conditions, including symptoms, warning signs, and treatments. If you know the facts, you can better understand what someone is going through and when to help. Remember that many individuals who experience mental health conditions live well and happily in recovery.
3. Be conscious of language.
Do use person-first language. A person is not defined by a condition. For example: “He experiences bipolar disorder,” NOT “He is bipolar.”
Don’t use the words “crazy,” “psychotic,” or “insane.”
Don’t call someone “mentally ill.”
Don’t use mental health conditions as adjectives. For example, don’t say “The weather is schizophrenic today,” or “She’s so OCD about her organized closet.”
Do use caution when discussing suicide. It’s appropriate to say, “Died by suicide,” not “committed suicide or chose to kill him/her/ themselves.”
Do be kind and accepting, and do not spread toxic positivity. For example, say, “Your feelings are valid. I’m here to listen,” not “Good vibes only! Why don’t you focus on the positive?”
4. Show compassion.
If someone trusts you with their story or their experience, practice active listening and don’t judge their experience.
According to “Psychology Today”:
"Anxiety is both a mental and physical state of negative expectation. Mentally it is characterized by increased arousal and apprehension tortured into distressing worry, and physically by unpleasant activation of multiple body systems—all to facilitate response to an unknown danger, whether real or imagined. The cognitive feelings of dread in anticipation of some bad outcome, and physical sensations such as jitteriness and a racing heart are designed for discomfort. Anxiety is meant to capture attention and stimulate you to make necessary changes to protect what you care about. Occasional bouts of anxiety are natural and can even be productive. Anxiety can be considered the price we humans pay for having the ability to imagine the future.
When anxiety becomes a disorder: But persistent, pervasive, or outsize anxiety can disrupt daily life, whether at school, work, or with friends—the mark of an anxiety disorder. Nearly one-third of adults in the U.S. will grapple with out-of-control anxiety at some point in their life. Anxiety is often accompanied by depression, and the two share many symptoms and involve many of the same brain pathways. Biology can contribute to vulnerability to anxiety, as can childhood experiences such as early trauma and parenting practices such as overprotection. It is neither possible nor desirable to eliminate anxiety entirely, as it plays a crucial role in keeping us alert and alive. Treatment is geared to keeping anxiety at manageable levels. Anxiety can be treated successfully using therapy, medication, or both. Lifestyle measures, such as regular exercise and deep-breathing, are also extremely important in controlling anxiety."
Learn more: What is anxiety
According to “Psychology Today”:
"Depression is a mood disorder that may descend seemingly out of the blue, or it may come on the heels of a defeat or personal loss, producing persistent feelings of sadness, worthlessness, hopelessness, helplessness, pessimism, or guilt. Depression also interferes with concentration, motivation, and other aspects of everyday functioning.
According to the World Health Organization, depression is the leading cause of disability worldwide. Globally, more than 300 million people of all ages suffer from the disorder. And the incidence of the disorder is increasing everywhere. Americans are highly concerned with happiness, yet they are increasingly depressed: Some 15 million Americans battle the disorder, and increasing numbers of them are young people.
Depression comes in forms ranging from major depression to dysthymia and seasonal affective disorder. Depressive episodes are also a feature of bipolar disorder.
Depression is a complex condition, involving many systems of the body, including the immune system, either as cause or effect. It disrupts sleep and it interferes with appetite; in some cases, it causes weight loss; in others, it contributes to weight gain. Depression is also often accompanied by anxiety. Research indicates that not only do the two conditions co-occur but that they overlap in vulnerability patterns.
Even in the most severe cases, depression is highly treatable. The condition is often cyclical, and early treatment may prevent or forestall recurrent episodes. Many studies show that the most effective treatment is cognitive behavioral therapy, which addresses problematic thought patterns, with or without the use of antidepressant drugs. In addition, evidence is quickly accumulating that regular mindfulness meditation, on its own or combined with cognitive therapy, can stop depression before it starts by diminishing reactivity to distressing experiences, effectively enabling disengagement of attention from the repetitive negative thoughts that often set the downward spiral of mood in motion."
Learn more: What is depression
According to “Psychology Today”:
"Eating disorders are psychological conditions characterized by unhealthy, obsessive, or disordered eating habits.
Eating disorders come with both emotional and physical symptoms and include anorexia nervosa (voluntary starvation), bulimia nervosa (binge-eating followed by purging), binge-eating disorder (binge-eating without purging), and other or unspecified eating disorders (disordered eating patterns that do not fit into another category).
Treatment is rarely simple. Eating disorders may create additional medical problems and can even be acutely life-threatening, requiring hospitalization and forced nourishment. It often takes multidisciplinary teams of health professionals—including psychotherapists, medical doctors, and specialized dietitians or nutritionists—to bring about full recovery."
Learn more: What are eating disorders
Mental Health First Aid Training – Learn how to support individuals who struggle with their mental health. Mental Health First Aid is an evidence-based, early-intervention course that teaches participants about mental health and substance use challenges.
Child Mind Institute – Provides resources and guides for how to support others.
Psychiatry Org - Learn about common mental disorders, including symptoms, risk factors and treatment options. Find answers to common questions written by leading psychiatrists and links to additional resources.
Helping a Loved One Cope with Mental Illness – Article (American Psychiatric Association)
ACES 360 Iowa - Healing Iowa: Overview of ACEs in Iowa and How to Respond. Learn about Iowa research on adverse childhood experiences (ACEs) and how trauma impacts health and well-being. Reflect on factors that contribute to childhood trauma and explore ways to promote healing and resilience in your work and life. Enroll for Free.
Classroom Mental Health – A Teachers Toolkit for Highschool - Making your classroom “mental health-friendly” takes a deliberate effort. However, you may be surprised to learn how simple and straightforward the building blocks of a healthy classroom can be. Learn More
I want to be a mental Health Advocate: This Toolkit includes information on fighting stigma, raising awareness, supporting others, and participating in mental health research.
What is your insurance, if you have any? What is your budget?
What do you need your therapist to help you with? What are your expectations? (see different types of therapy below)
Do you want online or in-person appointments?
Telehealth refers to medical and mental health services that are provided virtually, such as over video call, text messaging, phone call, etc. Telehealth opens up your access to providers, as you can receive services from providers licensed anywhere in Iowa right from your home. Due to COVID-19, the majority of mental health providers now offer these services. If you feel it is best to receive support through telehealth, talk to your provider about offering telehealth to see if it is right for you.
Cognitive Behavioral Therapy
Cognitive behavioral therapy (CBT) is a form of psychological treatment that has been demonstrated to be effective for a range of problems including depression, anxiety disorders, alcohol and drug use problems, marital problems, eating disorders, and severe mental illness. Numerous research studies suggest that CBT leads to significant improvement in functioning and quality of life. In many studies, CBT has been demonstrated to be as effective as, or more effective than, other forms of psychological therapy or psychiatric medications.
EDMR
EMDR is a psychotherapy technique designed to relieve the distress associated with disturbing memories. Short for Eye Movement Desensitization and Reprocessing, it involves recalling a specific troublesome experience while following a side-to-side visual stimulus delivered by the therapist. The resulting lateral eye movements are thought to help reduce the emotional charge of the memory so that the experience can be safely discussed, digested, and stripped of the power to trigger anxiety and avoidance.
Acceptance and Commitment Therapy
Acceptance and commitment therapy (ACT) is an action-oriented approach to psychotherapy that stems from traditional behavior therapy and cognitive behavioral therapy. Clients learn to stop avoiding, denying, and struggling with their inner emotions and, instead, accept that these deeper feelings are appropriate responses to certain situations that should not prevent them from moving forward in their lives. With this understanding, clients begin to accept their hardships and commit to making necessary changes in their behavior, regardless of what is going on in their lives and how they feel about it.
Dialectical Behavioral Therapy
Dialectical behavior therapy (DBT) is a structured program of psychotherapy with a strong educational component designed to provide skills for managing intense emotions and negotiating social relationships. Originally developed to curb the self-destructive impulses of chronic suicidal patients, it is also the treatment of choice for borderline personality disorder, emotion dysregulation, and a growing array of psychiatric conditions.
Psychodynamic Therapy
Psychodynamic therapy is derived from psychoanalytic therapy, and both are based on the work of Sigmund Freud. Psychodynamic therapy is an in-depth form of talk therapy based on the theories and principles of psychoanalysis. In effect, talking about problems in a therapeutic setting can be extremely valuable for the individual. Comparatively, psychodynamic therapy is less focused on the patient-therapist relationship and more focused on the patient’s relationship with their external world.
Our mental health guide is designed to empower community organizations without medical backgrounds to support individuals facing mental health challenges.
By providing easy-to-understand resources and practical
strategies, this toolkit aims to foster a compassionate and
knowledgeable community network who can help and promote mental wellness for all.
NAMI's fact sheets offer clear, concise information on mental health topics.
There are many types of mental health care professionals who can help you achieve your recovery goals. Finding the right one is easier when you know about their different treatment roles.
Psychotherapy, also known by some as “talk therapy,” is when a person speaks with a
trained therapist in a safe and confidential environment to explore and understand
feelings and behaviors and gain coping skills.
Anxiety
ADHD
Bipolar
Depression
Dissociative Disorders
Eating Disorders
OCD
PTSD
Psychosis
Self Harm