Treatment FAQ

why do people refuse to get mental health treatment

by Lily McLaughlin Published 2 years ago Updated 2 years ago
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6 Reasons Why People Refuse Mental Health Treatments

  • Lack of Awareness. Most of the time, people are not aware of their thoughts and feelings and what is going on.
  • Societal Stigma. One of the most common reasons for not seeking help is the stigma attached to mental illness. Mental...
  • Financial Limitations. A major issue for many people who are willing to take help is...

While there are multiple reasons why, one is the fact that people avoid or forego mental health treatment, due to judgment, doubt, pride, fear, misinformation. Individuals fear judgment, change, the unknown, and what they might discover in therapy; additionally, they're too prideful to admit they need help.May 8, 2019

Full Answer

Why don’t people seek mental health treatment?

If someone truly believes they aren’t sick, they feel no need to seek or accept treatment. A person may acknowledge some mental health concerns but can lack full awareness of their significance or really don’t understand they have an actual illness.

What to do if your loved one refuses mental health treatment?

If your loved one refuses to move forward, it’s useful to try to understand what is behind his reasons for refusing treatment and then address those issues. A person may refuse to accept mental health treatment for many reasons, including: He may believe it indicates he is a failure. It may make him feel more vulnerable.

What happens when a family member refuses to get treatment?

When someone you love refuses to get professional treatment for their mental health disorder—such as depression, bipolar disorder, or substance abuse—this can put you, as a family member, in a very uncomfortable and difficult position. You care for the person and can see that he or she needs help, but feel powerless and unable to just stand by.

What percentage of people with mental health concerns never receive treatment?

Between 30 and 80 percent of people with mental health concerns never receive treatment. From this analysis, the average non-treatment rates for specific disorders were: schizophrenia (32%), bipolar disorder (50%), panic disorder (55%), major depression (56%),...

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What is the primary reason for people not seeking mental health treatment?

Desire to handle the problem on one's own was the most common reason among respondents with perceived need both for not seeking treatment (72.6%) and for dropping out of treatment (42.2%).

Can you refuse treatment for mental illness?

But the right to refuse treatment is also fundamental to the legal requirements for psychiatric treatment. Someone who enters a hospital voluntarily and shows no imminent risk of danger to self or others may express the right to refuse treatment by stating he or she wants to leave the hospital.

Why do people refuse treatment for depression?

A person may refuse to accept mental health treatment for many reasons, including: He may believe it indicates he is a failure. It may make him feel more vulnerable. He may be concerned about paying for treatment.

Can mentally ill be forced into treatment?

Overview. People with mental illnesses have the right to choose the care they receive. Forced treatment–including forced hospitalization, forced medication, restraint and seclusion, and stripping–is only appropriate in the rare circumstance when there is a serious and immediate safety threat.

Can you be forced to go to a mental hospital?

The Mental Health Act is the law which sets out when you can be admitted, detained and treated in hospital against your wishes. It is also known as being 'sectioned'. For this to happen, certain people must agree that you have a mental disorder that requires a stay in hospital.

Do patients have the right to refuse treatment?

To the extent permitted by law, participation shall include the right to refuse treatment." Under federal law, the Patient Self-Determination Act (PSDA) guarantees the right to refuse life sustaining treatment at the end of life.

Do patients with severe mental illness have the mental capacity to refuse or consent to treatment?

Patients can benefit from treatment of psychiatric disorders which may adversely affect their capacity to understand and reach a rational decision about treatment. However, it is important to remember that a person who is mentally ill may not necessarily be incompetent to consent to treatment.

Can a suicidal patient refuse treatment?

In all but extraordinary circumstances, a patient who refuses treatment after a suicide attempt can and should be given life-saving treatment, under either mental health legislation or the common law concept of necessity.

What happens when someone you love refuses to get treatment?

When someone you love refuses to get professional treatment for their mental health disorder—such as depression, bipolar disorder, or substance abuse —this can put you, as a family member, in a very uncomfortable and difficult position. You care for the person and can see that he or she needs help, but feel powerless and unable to just stand by.

Why does my loved one refuse to move forward?

If your loved one refuses to move forward, it’s useful to try to understand what is behind his reasons for refusing treatment and then address those issues. A person may refuse to accept mental health treatment for many reasons, including: He may believe it indicates he is a failure.

What does it mean to distancing yourself from a sick family member?

That, a lot of times, means distancing yourself from the sick family member who refused treatment. Everyone has limits, and when said mentally sick family member has a long history of repeated abusive behavior I say family members have a right to protect themselves from harm.

What are the areas of concern?

Common areas of concern are: alterations in overall appearance. decreased level of energy. fatigue. lack of interest in previously enjoyed people or activities. changes in sleep, appetite, or weight.

How old do you have to be to get a psychotic treatment?

You care for the person and can see that he or she needs help, but feel powerless and unable to just stand by. You cannot force anyone over the age of 18 into treatment, unless they pose a danger to themselves or others or show signs of psychotic thinking (which is not very common).

Can elderly people not participate in treatment?

Other's won't participate, and, if they aren' t a danger to themselves or others, have a right to not participate in treatment. The author mentioned elderly people. Elderly people (probably over the age of 75 or so) didn't grow up with treatment options, and thus, many won' t participate in them.

Can an elderly parent be left alone?

If your family member who has depression is an elderly parent, you may have to arrange for someone to be with her so that she’s not left alone during the day when others in the family are away at work or school. Caring for someone is a full time job that is not easy. Good luck!

Why do people not seek treatment for mental illness?

While there are multiple reasons why, one is the fact that people avoid or forego mental health treatment, due to judgment, doubt, pride, fear, misinformation.

Why do people avoid therapy?

Another primary reason people avoid therapy is the fear they harbor : “Fear of change, fear of the unknown, fear that they may outgrow their friends, family, and loved ones,” as explained by Therapist Sarah Thacker. “People also seem to be very afraid of feeling their feelings and of being judged. Vulnerability is hard, and therapy by nature requires being open, honest, and vulnerable, which does not come naturally for so many. Once people find therapy to be an accepting, safe place where they can open up at their own pace, they find it to be the best thing that they have ever experienced. They feel as though the growth, comfort, and ease that therapy can create opens them up to truly being their best self.”

Why do people forego mental health treatment?

And, finally, people forego mental health treatment because they’re misinformed about what it involves and how they’ll be perceived by their therapist. “Having been a therapist for several years, I have come across many individuals who are hesitant to engage in treatment. More often than not, people are misinformed about what therapy actually is,” Robyn Gold, licensed clinical social worker, explains. “Many individuals have developed the belief that if they attend therapy, it means they’re crazy, which is simply just not true. I think this perspective is likely a result of how the media portrays mental health professionals.”

Is vulnerability a part of therapy?

Vulnerability is hard, and therapy by nature requires being open, honest, and vulnerable, which does not come naturally for so many. Once people find therapy to be an accepting, safe place where they can open up at their own pace, they find it to be the best thing that they have ever experienced.

Why are mental health issues stigmatized?

Mental health concerns are stigmatized in the United States. This means that many people view emotional difficulties more negatively than they would a medical condition, despite the lack of basis for this. These negative attitudes can lead to discrimination. They can also become internalized and thereby lead some to feel unduly embarrassed about their emotional difficulties. This creates an additional obstacle to seeking help.

What are the barriers to mental health?

The nature of these barriers is varied. Some involve people seeking but unable to obtain services. Others involve a failure to seek services. In combination, these obstacles result in a large proportion of those in need of mental healthcare not getting it.

Why does change happen in psychotherapy?

Ultimately, whatever change does happen in psychotherapy occurs because of changes made by the person themselves, regardless of any guidance from a therapist. Consider someone with a drinking problem — reducing drinking is something that no one else can do for you. Many problems are similar in that they require work to address. This work can only be done by you, and if you can do it, you should be proud of that accomplishment.

Is mental health help undesirable?

Sometimes we get in our own way. Many people believe that getting mental health help is undesirable. For example, the notion that you should be able to handle whatever life throws at you. Or that seeking help is like cheating. Seeking help is admitting defeat. These beliefs are damaging in that they prolong the person’s suffering, and for little reason. We don’t think of seeing a physical therapist for a knee problem as an opportunity to judge ourselves. Why do we think that way about emotional problems?

Is seeking medical care expensive?

Let’s be honest. Seeking healthcare in the United States can be expensive, whether it’s medical care or mental health care. For most people, whether they can get services is dependent on which insurance they have as well as their personal financial situation. This is an unfair and damaging system, as has been well documented in the national discourse. Unfortunately, it is one of the most prominent obstacles to people seeking help for mental health difficulties at present.

Is seeking mental health services a challenge?

Sometimes, the biggest barriers to mental health treatment have to do with our own attitudes about mental health. Other times, it’s about mental health stigma or who will find out. These obstacles are all real. This author’s hope is that over time, these obstacles will be problems for fewer and fewer people.

Why don't people seek help for mental illness?

Why Don’t People Seek Help for Mental Illness? January 15, 2019. Awareness of mental illness and the need for treatment has been growing in recent years. This is in large part due to campaigns designed to raise awareness of depression, addiction, bipolar disorder, and suicide, as well as more celebrities being open about their own mental health ...

What percentage of people with mental health issues don't seek treatment?

A study by the World Health Organization, or WHO, found that between 30 and 80 percent of people with mental health issues don’t seek treatment. This includes 50 percent of people with bipolar disorder, 55 percent of people with panic disorder, 56 percent of people with major depression, and a stunning 78 percent of people with alcohol use disorder.

What is the third way people can be unaware they need help?

The third way people can be unaware they need help is a condition called anosognosia. This typically occurs in about half of people with schizophrenia and other psychotic disorders. They are essentially so impaired by their illness that they are unaware there’s anything wrong.

Is it hard to admit mental illness?

Most people struggling with mental illness are in a less secure position. Already unsure about themselves and their position in life, it’s hard to risk precious social and professional capital to seek help. Admitting your problem to your doctor, spouse, or even yourself can be difficult.

Can you compare your mental state to someone else's?

You only really know what it’s like to be you. There’s really no way to compare your mental state to someone else’s. If you’ve had a certain disorder since you can remember, it might not occur to you to seek help.

Perceptions

In the initial study, 35.3% of all participants cited a concern that they might be perceived differently if anyone knew about their mental illness. Many were concerned about confidentiality and whether their neighbors or employer might find out that they were undergoing treatment.

Money

Given the nature of our current healthcare system, it is not surprising that 65.9% of participants were concerned about cost. Many worried that their health insurance might not cover care. Or that the cost of treatment may be too high even with insurance.

Understanding

The last category may seem somewhat generic, but 58.9% of respondents suggested a reason they didn’t seek help was due to misunderstanding the nature of their illness. Many initially thought they wouldn’t need help. Or they worried they might be forced to take medications against their will.

Finding Help When You Need It

Despite all of these misgivings, the truth is that mental illness is like any other serious health issue. You can’t solve it on your own. And a professional is best suited to helping you navigate your way through your illness.

Why do people choose psychotherapy as a career?

In general, people choose psychotherapy as a career because they care about other people and want to help. I don’t know anyone who became a therapist to get rich. 9.

What are some anti-therapy attitudes?

1. "I’d rather talk to my friends.". Of course you should talk to your friends and your family. It’s important to find support when times are hard. Therapy doesn’t supplant friendship —but then again, ...

What is a therapist?

Therapists are trained listeners who can help you find the source of your problems, even if the source is your thoughts, your family, or you . And your friends aren’t going to sit down to talk about you all the time, every week, are they? 2. "It costs too much.".

Is a psychotherapist confidential?

Psychotherapy is confidential, and the material discussed in therapy sessions is protected by law. As long as you do not present a danger to anyone, what you choose to talk about with your therapist will not leave the therapy room.

Does psychotherapy work for everyone?

Psychiatric medications don’t work equally well for everyone. Plus, every psychoactive drug has additional effects—also called “side effects,” if you prefer the language used by the pharmaceutical industry—that can be quite serious, like weight gain or sexual dysfunction. On the other hand, psychotherapy has no chemical side effects and represents an active, positive coping strategy. Even in the cases where psychiatric medication maintenance is the treatment of choice, it often works best when supplemented with weekly psychotherapy.

Can a new therapist fail you?

Every psychologist is an individual, with a unique personality, so there’s no reason to believe that a new therapist would fail you in the exact same way that the old one did. Very likely, the person you saw back then was just not someone you could connect with. Another psychologist will, by definition, be different.

Do therapists listen more than talk?

Even the therapists who do more listening than talking are not judging you— they are quietly working to perceive your problems your way, empathically.

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