Seeking Help Doesn’t Mean You’re ‘Crazy or Weak.’

Dispelling the Myths about Mental Health

They’re Coming Home, And They Need Our Help!

Many myths about mental health perpetuate a stigma and create barriers for those who would benefit from seeking care. Misconceptions, fear of judgment, and blame can make it difficult for anyone experiencing issues related to mental health to get the support they need from family, friends, and professionals. Understanding the facts can help you take important steps toward dispelling these myths and reducing the stigma.  Many system-impacted citizens, currently and formerly incarcerated, do not seek the help they need because of the myths surrounding mental health.  If we truly want to aid in their recovery from a prison sentence, helping them successfully reintegrate, we must dispel the myths about mental health. They’re coming home, and they need our help.

While mental illness might alter your thinking, destabilize your moods, or skew your perception of reality, that doesn’t mean you are “crazy.” Instead, it means you are human and are susceptible to sickness and illness, the same as any other person.

Despite the prevalence of mental illness, there are still so many misconceptions about living with one. Below are eight myths about mental illness to highlight how important it is to discuss these issues with system-impacted citizens, families, and those in our communities. I also want to highlight these myths about mental illness to ensure that our loved ones and ourselves get help if needed.

Prisons are psychologically powerful places that transform the thoughts and behaviors of those who enter and exit those gates. However, that doesn’t mean that a person is crazy.

What do you think when you hear the words “mental health”? I’ve asked many system-impacted citizens this question, and the most common answers I’ve gotten are “crazy,” “nuts,” and “insane.”

Newsflash… are you ready? That is not true.

Mental illness is any disorder that can affect your mood, thinking, behavior, or some combination of the three. On top of that, mental illness is extremely common; it’s estimated that one in four people experience it each year.

Despite the prevalence of mental illness, there are still so many misconceptions about living with one.

 

Myth: Mental health conditions are uncommon.

FACT: One in five Americans experience mental illness sometimes in life, affecting people of all ages, races, income levels, and religions. Mental illness is a medical problem and is one of the leading causes of disability in the United States.

Myth: Mental illness is caused by personal weakness.

FACT: Mental illness can be caused by environmental or biological factors or a combination of both. Some people are more susceptible because they have a stressful job, difficult home life, or were the witness or victims of violence; others may have a genetic predisposition. In any case, mental illness is not the person’s fault.

Myth: You don’t need therapy - Just take a pill.

FACT: As with any major medical issue, there is no “one size fits all” approach to healing. While medication can help, it may not be the only treatment a person needs to feel better. Often the best outcomes are achieved through a combination of medication and psychotherapy.

Myth: People with mental health conditions are violent and dangerous.

FACT: Having a mental health condition does not make a person more likely to be violent or dangerous. Most people with mental health conditions are no more likely to be violent than anyone else. Studies have shown that 1 in 4 individuals living with a mental health condition will be victims of violence in any given year. Only 3%–5% of violent acts can be attributed to individuals with a serious mental illness.

Myth: I can't do anything for a person with mental illness.

Fact: You can greatly impact the health of someone you think may be struggling. Only 44% of adults with diagnosable mental health conditions will get the necessary treatment. Reaching out to let someone know you see a change in their behavior, that you are worried, and want to help can support them in taking the next step to recovery.

Myth: Having a mental illness means you are “crazy.”

FACT: It’s plain and simple; having a mental illness does not mean you are “crazy.” It means you are vulnerable. It means you have an illness with challenging symptoms — the same as someone with an illness like diabetes. While mental illness might alter your thinking, destabilize your moods, or skew your perception of reality, that doesn’t mean you are “crazy.” It means you are human and are susceptible to sickness and illness, the same as any other person.

Myth: Post-Traumatic Stress Disorder (PTSD) is only a military man’s disease.

FACT: PTSD is not just a military man’s disease. Anyone can have PTSD. A rape or sexual assault victim, a domestic abuse victim, a survivor of a natural disaster, someone who’s suffered a loss, or even a person who did not face any violence or physical threats themselves directly but happened to witness someone else who did (i.e., vicarious trauma).

Myth: Seeking help for mental illness will lead to being ostracized and make symptoms worse

FACT: I know it’s hard to come out to anyone about having a mental illness, especially because they’re so commonly misunderstood, and people who are unfamiliar with it tend to think that people are the way they are because of nature, personality, or attitude. But when you have the strength, courage, and bravery to open up to someone else, you work to alleviate the stigma, increase awareness, empower yourself, grow as a person, and promote understanding of mental health. So don’t let others’ perceptions scare you from getting the help you need.

“When I hear the words, mental health I think it means I’m crazy” ~Marlon, 39 years in prison

The Psychological Effects of Incarceration

Psychologist Craig Haney, Ph.D., studies the use and impact of solitary confinement on inmates in super-maximum security, or “supermax,” prisons.

“There’s very little doubt in psychology that enforced isolation is psychologically harmful and for some people will be very damaging,” says Haney, a University of California, Santa Cruz professor.

Despite the shared perspective, many psychologists have about the dangers of isolation and social exclusion, and less research has been done into the psychological impact of enforced solitary confinement. Haney’s goal is to get the data to evaluate whether such confinement is harmful, how much damage it can inflict, and who is most susceptible.

Studying the Supermax

Haney has inspected many supermax prisons across the U.S., conducting systematic psychological assessments of nearly 1,000 inmates in solitary confinement. In addition to conducting observations and face-to-face interviews with inmates, mental health staff, and correctional staff, he has performed an extensive literature review of personal accounts and prison documents relating to the operation of confinement units.

Through his research, Haney has found little evidence to support claims that prisoners or prison systems benefit from solitary confinement. Even those prisoners deemed to be the worst offenders don’t require such extreme isolation and deprivation. Many, he argues, are placed in supermax conditions not for what they have done but based on a prison official’s judgment that they are dangerous, disruptive, or a threat. Often, he says, they can and should be handled differently.

Solitary Confinement and Social Deprivation

“There are few, if any, forms of imprisonment that appear to produce so much psychological trauma as isolation,” Haney says. “For many prisoners, the absence of regular, normal interpersonal contact creates a pervasive feeling of unreality.”

Haney’s research found a higher rate of mental illness among inmates in supermax prisons than in the general prisoner population. Some inmates entered the prison system with existing mental health problems, while others showed signs of mental illness that emerged after confinement. He assessed 400 randomly selected inmates to determine if they were experiencing psychological distress or demonstrating isolation-related psychopathological symptoms. More than half of the assessed inmates experienced 11 of the 12 recognized signs of psychological distress. Approximately two out of three interviewed reported having anxiety attacks and feeling on the verge of an emotional breakdown. Some inmates also reported more extreme symptoms, such as depression and suicidal thoughts.1

His research showed that even in the correctional system, people need human interaction to be healthy psychologically.

“It borders on being common sense, but it is common sense with empirical research to support it,” Haney says. “So much of what we do and who we are is rooted in a social context. When people experience extreme isolation and social exclusion, they suffer.”

Click HERE to download and read the Testimony of Professor Craig Haney, Senate Judiciary Subcommittee on the Constitution, Civil Rights, and Human Rights Hearing on Solitary Confinement, June 19, 2012.

 

Reference: Haney, C. “Mental health issues in long-term solitary and ‘supermax’ confinement.” Crime and Delinquency, 49 (1), 124 – 156. Retrieved from http://www.supermaxed.com/NewSupermaxMaterials/Haney-MentalHealthIssues.pdf

My husband was in solitary confinement for 19 months, which mentally unraveled him. Shortly after his release from prison, he died of an apparent drug overdose. ~ Valinda Newton

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