Treatment FAQ

why people dont seek treatment for mental health issues.

by Dr. Bessie Kautzer II Published 2 years ago Updated 2 years ago
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Let’s take a look at eight of the most common reasons that prevent people from obtaining needed mental health services:

  1. Fear and shame One of the most common reasons for not seeking help is fear and shame. People recognize the negative...
  2. Lack of insight If someone has clear signs of a mental illness but says “there’s nothing wrong with me,” “I’m not...

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 help for mental health conditions?

In the United States, lack of confidence in the mental health system was - at 37% - the number one reason for not seeking professional intervention, followed by a lack of knowledge of what kind of help to seek (34%).

Did you not have time to seek mental health treatment?

Also striking is the large number of people who “did not have time” to seek mental health treatment. In future studies, it would be helpful to obtain further detail about the components of this barrier. Thought could handle the problem without treatment – 31.0% Did not know where to go for services – 26.0%

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.

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.

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Why do people not seek mental health care?

Let’s take a look at eight of the most common reasons that prevent people from obtaining needed mental health services: 1) Fear and shame. One of the most common reasons for not seeking help is fear and shame. People recognize the negative stigma and discrimination associated with having a mental illness and don’t want to be labeled “mentally ill” ...

What are the barriers to mental health care?

8) Practical barriers. Another common barrier to mental health care is inability to pay for treatment due to financial hardship or lack of health insurance.

What does it mean when someone says "I'm not sick"?

If someone has clear signs of a mental illness but says “there’s nothing wrong with me,” “I’m not sick,” or “I don’t need any help,” this signals a severe lack of insight. This is also known as anosognosia (uh-no-sog-NOH-zee-uh), seen in 50% or more of persons with schizophrenia or other severe mental illnesses. If someone truly believes they aren’t sick, they feel no need to seek or accept treatment.

Why is it helpful to schedule an appointment with a mental health professional?

Alan, it's often helpful to schedule an appointment with a mental health professional to share these concerns and to get feedback about resources and other options. Hope things start to improve.

Why are some of the more hidden factors challenging?

Finally, many of the more “hidden” factors (fear, shame, inadequacy, limited awareness, and hopelessness) are challenging, because the person may function fairly well on the surface and can generally conceal their mental health concerns.

Why do people believe they are inadequate?

Many people believe they are inadequate or a failure if they have to admit something is “wrong” with their mental health. Further, they believe they “should be able to handle things” on their own without assistance and that they must be weak or inferior to have to ask for help.

Why do people worry about telling a stranger about their problems?

Many express concern about “telling a stranger” about their problems. Additionally, they worry that their personal information won’t be kept confidential. Some people have become demoralized by their mental health issues and believe “nothing will help me” or “I’ll never get better.”.

Why are people less likely to seek mental health services in honor states?

They hypothesized that people who are motivated to maintain a reputation for toughness and self-reliance will be less likely to seek mental health services because they worry that others will see it as a sign of weakness (Foster, Carvallo, Lee, & Bernier, 2020).

Who discovered that honor concerns were less likely to say they would seek psychological help?

Foster and his team discovered that, as a group, the students in their study who strongly endorsed honor concerns were less likely to say they would seek psychological help.

What is stigma associated with seeking psychological help?

Stigma associated with seeking psychological help was indicated by agreement with statements such as “I would feel inadequate if I went to a therapist for psychological help” and “People will see a person in a less favorable way if they come to know that he/she has seen a psychologist.”

Do honor states have mental health services?

Second, honor states may offer fewer mental health services than non-honor states. Parents in honor states may want to get psychological help for their children, but they live in a state that has relatively few mental health clinics and counselors.

Why do people not want to talk about mental health?

People don’t want to come out and talk about their mental health in the fear that they will get discriminated against or be labeled as “mentally ill”. They also fear how that label could effect their education, career, and other life goals.

Why do people say "Nothing will help me"?

Some individuals with a mental illness suffer from negative self talk. “Nothing will help me.” “No one truly cares about me.” “I’ll never get better.”. These beliefs are due to depression or hopelessness and can be a big roadblock for someone reaching out for help.

What does it mean when you feel inadequate?

Feelings of Inadequacy. Many people feel like they are inadequate or a failure if they admit anything is “wrong” with their mental health. Some believe that they should be able to handle these feelings on their own without any assistance from friends, family, or professionals.

What is the biggest factor in reaching out for help?

Resources are a huge factor in reaching out for help. If you want to reach out for help but there are no resources in your area then that could be a big boundary for you. There are other things you can do besides going to therapy if that is not an option for you.

What are some ways to improve your health?

Self-care. Getting enough sleep, exercise, “me time”, and food can really do wonders in your life.

Why do people not speak up about what is wrong?

Whether it is because they don’t want their family to spend a lot of money on their care or they feel like they are going to weigh someone else down emotionally, a lot of people do not speak up about what is wrong because they don’t want to feel like they are a burden on someone else.

Is mental illness bad?

Many people believe that their mental illness is not that bad or that other people have it worse than them. In reality, a lot of people wait until their symptoms are unbearable until they seek help.

What is the effect of stigma on mental health?

Believing that people don’t care, won’t care, or can’t care is part of this effect. Mental health still has a negative connotation to it. Seeking therapy for a “problem” or taking medication for a “mental illness” is taboo and still uncomfortable for people to discuss , though mental illness is common.

Do people with mental illness believe in other people?

According to the U.S. Centers for Disease Control and Prevention, only 25%, just a quarter, of the 1 in 5 Americans who will struggle with mental health disorder, believe that other people care. Put differently, 75% of people who struggle with mental illness do not believe other people will care or be sympathetic toward the fact that they are struggling with mental illness. Mental illness in and of itself can feel like a lonely, isolated experience. Living with the belief, meaning, living with a perceived truth, that other people don’t care, is tragic. Sadly, it leads people to struggle, suffer, and turn to harmful coping mechanisms.

Is it wrong to be aware of mental illness?

Knowing that something is “wrong” may not be enough to warrant further investigation into a mental illness. Globally, there is a severe lack in education and awareness for what mental health disorders can look like as opposed to the popularized stigma and stereotype of what mental illness looks like. As a result, millions of people live with symptoms of mental health disorders, completely unaware that they have one or that seeking treatment could help.

Why do people not seek help?

Reasons For Not Seeking Help. Overall, the primary reason respondents offered for not seeking professional help for a clinical disorder was a preference for self-help (36%), where people said they preferred to manage their challenges on their own or didn’t think they needed any mental health treatment.

Why do people not seek professional help?

This ranking differed from country to country, however. In the United States, lack of confidence in the mental health system was - at 37% - the number one reason for not seeking professional intervention, followed by a lack of knowledge of what kind of help to seek (34%). Unaffordability was an obstacle to getting help for 25% of U. S. respondents, about the same percentage as those citing concerns about being stigmatized for seeking mental health treatment.

What is considered at risk on the DSM-5?

In addition, “at risk” individuals are those reporting at least five clinical symptoms although they may not equate specifically to any single disorder.

What is the need for greater clarity in the mental health space?

The report concludes that there is a “need for greater clarity in the mental health space to help individuals understand their specific challenges and direct them to the right resources.” That begs the questions, however, what are the best treatment options and where can they be obtained?

How can we improve behavioral health?

Ultimately, increasing Americans’ use of professional behavioral health will depend on successfully addressing three pressing issues that research has shown to be significant treatment barriers: Lowering treatments costs along with improving insurance coverage, increasing access to care so that long wait times are reduced (expanded use of telehealth - zoomed psychotherapy is on the rise - is one option along with educating more providers), and improving behavioral health therapies themselves so that more Americans have confidence that effective treatments are available .

What is the report on help seeking behavior?

The report focuses on help-seeking behavior by those who appear to be suffering or are at risk for a disorder.

What is MHQ assessment?

The data are based on responses by 45,000+ individuals to the Mental Health Quotient (MHQ), a brief online assessment tool that asks respondents to evaluate their psychological and physical functioning. It quantifies how individuals score on a normal spectrum of well-being, and it flags those at risk of a clinical mental disorder by assessing symptoms across ten common mental health disorders. It then places individuals on a spectrum from “clinical” to “thriving.”

What percentage of people did not feel need for treatment at the time?

Did not feel need for treatment at the time – 11.9%

Does health insurance cover mental health?

1) Cost and other practical barriers. Health insurance does not pay enough for mental health services – 11.9%. Health insurance does not cover any mental health services – 8.8%. This category shows how the high cost of health care and the lack of adequate health insurance for mental health issues are still huge barriers to treatment.

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.

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)

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.

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