Stigma surrounding decision-making prevents millions of people from seeking help. Understanding, challenging, and dismantling this stigma is essential for public mental health.
Two Types of Decision-Making Stigma
Social stigma: Negative attitudes and discrimination from others toward people with decision-making
Self-stigma: Internalized shame and negative self-perception due to experiencing decision-making
Both forms cause harm — self-stigma often delays help-seeking more than social stigma.
Where Decision-Making Stigma Comes From
- Historical misunderstanding of mental health conditions as moral failures
- Media portrayals that misrepresent decision-making
- Cultural and community norms that discourage emotional acknowledgment
- Fear: people distance themselves from decision-making to manage their own fears about vulnerability
Overcoming Decision-Making Stigma
Contact theory shows that personal stories reduce stigma. Sharing your own experience — when safe to do so — is one of the most powerful anti-stigma actions available.
Don't Let Stigma Stop You Getting Help for Decision-Making
The cost of avoiding help due to stigma is far greater than any social cost of seeking it. Most people who seek support for decision-making report that the decision was one of the best they made.