Treatment FAQ

why do some people with mental disorders not want treatment

by Larue Waelchi Published 3 years ago Updated 2 years ago
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In fact, the median time frame for seeking treatment is 10 years. Some of the most common reasons people do not take the steps needed to obtain help for depression include: Fear and shame: People recognize the negative stigma and discrimination of being associated with a mental illness.Mar 28, 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.

Why don’t people with depression get treatment?

15 Reasons Why People With Depression Don’t Get Treatment 1 Had no transportation or treatment too far (5.8 percent). 2 Didn’t want others to find out (6.5 percent). 3 Health insurance didn’t cover it (6.5 percent). 4 Concern about effect on job (8.1 percent). 5 Didn’t think I needed it at that time (8.6 percent). 6 ... (more items)

Why do some people not want to be labeled mentally ill?

People recognize the negative stigma and discrimination associated with having a mental illness and don’t want to be labeled “mentally ill” or “crazy.” They may also have concerns about how such a label could negatively impact their career, education, or other life goals.

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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Why do many people not seek treatment for their mental disorder?

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.

Can mentally ill patients refuse treatment?

Generally a competent adult has the right to refuse treatment, even if that refusal may adversely affect them. An unwise decision must be respected if the patient has capacity. No one else can give consent for an adult, someone over the age of 18 or 16 in some circumstances.

What prevents patients from seeking psychiatric treatment?

(1) Common barriers to mental health care access include limited availability and affordability of mental health care services, insufficient mental health care policies, lack of education about mental illness, and stigma.

What do you do when a loved one refuses treatment?

How to Handle an Elderly Loved One Who Refuses to See a DoctorBe Honest with Your Loved One. ... Try to Listen Without Judgement. ... Encourage Your Loved One to Consider All Options. ... Avoid Arguing with Your Loved One About the Issue. ... Remember That Your Loved One is Responsible For Their Own Choices.More items...

What happens if a schizophrenic doesn't take medication?

If a person with schizophrenia stops taking his medications, he may experience a relapse of his symptoms. This sometimes happen when people feel that they have fully recovered and do not need the medications anymore. Relapses can also occur when people do not take their medications as directed.

What stops people from seeking therapy?

What Prevents People from Seeking Mental Health Treatment?Stigma. Society still attaches stigma to mental illness. ... Lack of Awareness. Not everyone who has a mental illness is aware that they have this problem. ... Lack of Support from Loved Ones. ... Fear and Distrust. ... Money.

What are the three biggest barriers to treatment for mental illness?

Lack of awareness, social stigma, cost, and limited access are some of the most prominent factors standing in the way of people pursuing mental health treatment.

What are 3 barriers to receiving mental health treatment?

We discuss six common barriers below.Desire to Receive Care. ... Lack of Anonymity When Seeking Treatment. ... Shortages of Mental Health Workforce Professionals. ... Lack of Culturally-Competent Care. ... Affordability of Care. ... Transportation to Care. ... Resources to Learn More.

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 mental health?

As it turns out, many people actually avoid or forego mental health treatment, due to judgment, doubt, pride, and other factors:

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.”

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.”

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.

Do people doubt the efficacy of mental health treatment?

Additionally, some people doubt the efficacy of mental health treatment: they’re uncertain it will work and don’t believe it’s worth a try.

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.

Why is it so hard to get mental health care?

There are a number of practical issues that can make it hard to get mental health care. One is simply availability. This is especially true in rural areas. These areas are often medically underserved and the situation for mental health care and addiction treatment is even worse. Older people are especially affected by this issue since many can’t drive and have trouble getting around. The spread of telemedicine may be one way to ameliorate this issue, as well as more outreach programs and expanded home health care.

Why is it so hard to seek help?

Social anxiety disorder can make the prospect of telling your doctor about your problem or calling a therapist to set up an appointment extremely intimidating. Just as it’s almost impossible to drive yourself to the hospital when you have a bad flu, having a mental illness can make it extremely hard to seek treatment on your own initiative. This is why the support of friends and family is so important and why we need public programs to help people without that support.

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.

Does insurance cover mental health?

Paying for treatment is sometimes an issue as well. Although most insurers cover mental health to some degree now, not everyone has insurance. What’s more, young adults, who are less likely to have insurance, are also at higher risk for addiction and other mental health issues. And some lower-income populations face unique pressures that can increase the chances of mental illness. The good news is that many therapists charge on a sliding scale and some clinics offer free or low-cost therapy.

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.

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 don't people get treatment for depression?

The list of 15 reasons and endorsement rate for each is presented below (ordered from lowest to highest, based on endorsement rate): 1. Had no transportation or treatment too far (5.8 percent) 2. Didn’t want others to find out (6.5 percent)

What is the most predictive factor for not getting treatment?

The most predictive factor for not getting treatment was suicidal ideation. People who had been seriously considering killing themselves (e.g., making suicide plans) were less likely to seek treatment.

What is a major depressive disorder?

Major depressive disorder is a mental disorder characterized by affective symptoms (e.g., depressed mood), cognitive symptoms (e.g., difficulty with concentration ), and somatic symptoms (e.g., appetite or weight changes). Not all depressed individuals who feel they require treatment for depression receive it.

What are the barriers to treatment?

Practical barriers include cost concerns (whether real or assumed), availability of transportation, not knowing where to go for treatment, etc. Psychological barriers include obstacles such as worries about stigmatization and doubts about the effectiveness of treatment.

What percentage of participants acknowledged the need for treatment, but received none of the sample?

Participants who acknowledged the need for treatment, but received none (30 percent of the sample), were provided a list of 15 potential justifications. They were asked: “Which of these statements explains why you did not get the mental health treatment or counseling you needed?”

What percentage of people didn't have time or too busy?

10. Didn’t have time/too busy (14.2 percent)

What percentage of people don't want others to find out?

2. Didn’t want others to find out (6.5 percent)

What is mental illness?

Specifically, she teaches what mental illness is and isn’t. “Mental illness is a combination of neurobiology and psychological influences, not a weakness in character ,” said Serani, author of Living with Depression.

Why do I feel embarrassed about seeking therapy?

“Many people feel embarrassed or ashamed of their symptoms because our society places illogical taboos on mental health issues over physical conditions ,” said clinical psychologist Nikki Massey-Hastings, PsyD.

What does a therapist do?

A therapist will assess your symptoms and determine severity, she said. They’ll verify if you have a clinical diagnosis and, if needed, conduct formal psychological testing “to quantify and parse apart symptoms that are shared among disorders,” she said. For instance, having difficulty concentrating can be a symptom of several anxiety disorders, ADHD, depression or relationship problems, she said.

What does Howes say about the issue of head on?

Howes underscored that choosing to tackle issues head-on is the opposite of weak or “crazy.” It’s courageous, he said.

How to search for a therapist?

When starting your search, Massey-Hastings suggested using Google keywords such as “find a therapist” and your zip code. You also can search Psych Central by location, and ask friends and family for recommendations.

What are the deterrents for people suffering from a symtom?

Well-meaning loved ones are another deterrent. “People suffering with symptoms may be told by well-meaning friends and family that they will get through it, that it’s just a phase, or they may provide well-meaning but deficient solutions ,” according to Massey-Hastings. For instance, if you’re depressed, they might suggest exercising more, she said.

How to disclose feelings to loved ones?

If you’d like to disclose your feelings to loved ones, pick the people you trust most and can truly talk to about these sensitive issues, she said. Also, figure out ahead of time how you’d like them to support you, she said.

What are the barriers to treatment for anxiety?

Such barriers, they theorized, could include demographic factors such as race and ethnicity, gender, marital status, income level, education, and the existence of other diagnoses such as major depressive disorder, specific phobia, and obsessive-compulsive disorder . As the authors note, although fear of embarrassment might characterize people with SAD, less is known about why people with GAD similarly resist becoming involved in treatment.

What is the role of symptoms severity in predicting who would perceive more barriers to treatment?

Symptom severity also played a role in predicting who would perceive more barriers to treatment, but not in the direction you might expect. It was those individuals with higher, not lower, symptom scores who enumerated more reasons not to seek therapy.

Do people with social anxiety need psychotherapy?

The psychological treatments available for anxiety disorders are well known to work in reducing the symptoms that individuals with these disorders experience on a daily basis. Why, then, do people with these disorders ever stay away from psychotherapy? Perhaps you have a friend who has a diagnosis of social anxiety disorder, with symptoms ranging from fear of being embarrassed in public to extreme anxiety about having to speak in front of strangers. You know full well that this individual suffers tremendously and has experienced negative repercussions both at work and in daily interactions with family and friends. However, no matter how hard you try to convince this person to see a therapist, this individual insists that the problems aren’t “that bad.”

Can anxiety disorders be treated?

To sum up, the fact that there are effective treatments for anxiety disorders doesn’t guarantee that people will take advantage of them. Educating others, or perhaps yourself, may be the best way to give these treatments a chance to work.

Can you stay out of a therapist for anxiety?

According to new research by Massachusetts General Hospital’s (MGH) Elizabeth Goetter and colleagues (2020), it’s not uncommon at all for people with both social anxiety (SAD) and generalized anxiety disorder (GAD) to stay out of a therapist’s office and therefore fail to benefit from the treatments that can help them. As the MGH authors note, despite the high prevalence (nearly 30 percent of U.S. adults) of these disorders and the price they exact on people’s quality of life, three-quarters of those with these disorders don’t utilize mental health services. In the words of the Boston-based authors, “These low health care utilization rates are troubling, especially given that safe, effective, evidence-based psychotherapy and pharmacotherapy treatments for SAD and GAD exist” (p. 5). Even more troubling is the fact that, left untreated, people with these disorders are at risk for such negative consequences as substance use, medical problems, impaired social functioning, and suicidality.

How many people with mental illness receive no treatment?

Globally, more than 70% of people with mental illness receive no treatment from health care staff. Evidence suggests that factors increasing the likelihood of treatment avoidance or delay before presenting for care include (1) lack of knowledge to identify features of mental illnesses, (2) ignorance about how to access treatment, ...

What are the attitudes toward mental illness?

Attitudes toward mental illness showed a more mixed pattern with respect to help seeking and disclosure intentions. A factor analysis of the shortened version of the Community Attitudes Toward the Mentally Ill scale,34used in the Department of Health Attitudes to Mental Illness Survey, suggested that intentions to seek help for a mental health problem were associated with attitudes of tolerance and support for community care, but not with stigmatizing attitudes of prejudice and exclusion. These findings suggested that the presence of strong positive attitudes might be more relevant to help seeking and disclosure than the absence of negative attitudes.

How does stigma affect access to care?

The relationship between stigma and discrimination and access to care is multifaceted; stigma and discrimination can impede access at institutional (legislation, funding, and availability of services),6–8community (public attitudes and behaviors),9and individual levels. 10aDescriptive studies and epidemiological surveys suggest potent factors that increase the likelihood of treatment avoidance, delays to care, and discontinuation of service use include (1) lack of knowledge about the features and treatability of mental illnesses, (2) ignorance about how to access assessment and treatment, (3) prejudice against people who have mental illness, and (4) expectations of discrimination against people who have a diagnosis of mental illness.

How does stigma affect mental health?

Stigma and discrimination and their influence on access to care may vary based on experience of mental distress or other sociodemographic factors. For instance, psychotic disorders are highly stigmatizing, and people with psychosis are more likely to be perceived as violent and unpredictable relative to people with other mental health problems. This can lead to high levels of experienced and anticipated discrimination in health care settings.20,21Moreover, substance abuse is consistently associated with high rates of public stigma and institutional discrimination that may discourage individuals with substance abuse problems from getting health care; these individuals fear poor treatment by health care providers or trouble with the authorities.22Multiple stigma among specific subpopulations may also exacerbate barriers to care. Different ethnic groups may have different histories and experiences with the health care system, and therefore, certain barriers may be more prevalent among individuals of different ethnic groups.23–25For example, negative experiences of coercion in mental health care may be more prevalent among ethnic minorities.26As a result, it has been suggested that future research should investigate subgroups and potential interactions between subgroups and on help-seeking attitudes and behavior.

Did there have to be a reduction in discrimination from mental health professionals?

However, there was no reduction in reports of discrimination from either mental health professionals or physical health care professionals.

What does it mean when you want to have a mental illness?

It’s when you want to have a physical and/or mental illness for attention or sympathy, or to be unique. Some people may lie that they have it, may convince themselves they have it, pretend to have it, or attempt to produce the symptoms by consuming chemicals, drugs, toxins, etc.

Why do people pretend to have an illness?

The primary reason why individuals pretend to have an illness is to get attention .

What is the name of the disorder that is a symptom of anxiety?

It is a disorder widely known as hypochondriasis or hypochondria. Note that hypochondriasis has recently been replaced by the diagnoses of "somatic symptom disorder" and "illness anxiety disorder", and is sometimes also refered to as "health anxiety disorder".

What is the fifth DSM?

However, in the fifth and latest version of the DSM released in 2013, hypochondriasis and several related conditions have been replaced by two new, empirically derived concepts: somatic symptom disorder and illness anxiety disorder. This disorder may be related to depression or anxiety.

What is Santiago's mental disorder?

Seek no more, Santiago! You already have a mental disorder. It is a disorder widely known as hypochondriasis or hypochondria. Note that hypochondriasis has recently been replaced by the diagnoses of "somatic symptom disorder" and "illness anxiety disorder", and is sometimes also refered to as "health anxiety disorder".

What is Munchausen syndrome?

Or…. Munchausen's syndrome. It’s when you want to have a physical and/or mental illness for attention or sympathy, or to be unique. Some people may lie that they have it, may convince themselves they have it, pretend to have it, or attempt to produce the symptoms by consuming chemicals, drugs, toxins, etc.

Why do we want to have a name?

Sometimes we just want an answer to explain the way we feel and relate to things. If we feel that we’re messed up it’s nice to have a name to put to it.

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