School of Health

Embarking on the journey to break down mental health stigma

Embarking on the journey to break down mental health stigma can be challenging; however, I believe raising awareness through empathy and open dialogue can serve as the compass to direct the way. With 16 years of experience working in the NHS and in the voluntary/community sector, supporting vulnerable groups and refugees, I witnessed first-hand the impact of health inequalities stemming from cultural stigmas, inhibiting access to mental health support. These experiences reinforced my commitment to raising awareness and transforming services to make mental healthcare more inclusive, equitable, and accessible across communities. This commitment is at the heart of my work as a lecturer in the Psychological Therapies and Mental Health subject group.

Stigma surrounding mental health exists in various forms across cultures, referring to often unhelpful attitudes, beliefs, and perceptions that people may hold toward mental health conditions. This stigma can manifest in different ways, including social exclusion and reluctance to seek help or talk openly about mental health issues. If left unaddressed, stigma can result in health inequalities, as individuals may refrain from accessing vital mental health services and support. People may avoid the services they need for mental health support, exacerbating their conditions or hindering recovery. Recognising the detrimental impact of stigma is crucial in motivating proactive efforts to dismantle these barriers.

My approach to addressing this stigma involves a two-fold strategy: reshaping community attitudes and understanding and leading academic transformations. This blog delves into some facets of this stigma and highlights the crucial steps taken to challenge and break down these barriers, fostering understanding and empathy to help dispel misconceptions. Based on my professional practice as a psychotherapist and lecturer in counselling and mental health, here are some key themes of stigma associated with mental health and ways to tackle them.

Maryam Riaz

Misunderstanding and Lack of Awareness

In some cultures, mental health issues often grapple with misunderstanding and a general lack of awareness of mental health, counselling and psychotherapy. Cultural differences and varying societal norms can also contribute to misconceptions about the causes, symptoms, and treatments of mental illnesses. The first step towards combating this involves fostering understanding and disseminating accurate information about mental health. This calls for tailoring information to be culturally adaptable, catering to diverse cultural contexts.

Avoidance

Stigma can breed avoidance, and this avoidance can extend to a reluctance to discuss mental health altogether, perpetuating a cycle of silence and isolation. It is imperative to break through this barrier by encouraging open conversations and creating supportive environments where individuals feel safe and comfortable sharing their experiences.

Cultural and Religious Beliefs

Cultural and religious beliefs can play a significant role in shaping attitudes towards mental health. In some cultures, faith can be a vital resource for support. Addressing stigma requires a respectful dialogue that acknowledges, understands, and integrates faith and cultural norms on mental health. My doctoral research focus is on the role of faith and culture in the therapeutic relationship.

Step 2 - Academic changes - positive steps towards change

To initiate a real shift to foster positive change in the profession, we must give careful consideration to our training programs, on our professional courses we have taken some positive steps towards this by implementing ongoing changes to enhance the inclusivity, in my professional practice as a psychotherapist I have personally designed counselling services to be culturally adaptive and sensitive, bringing this experience to our courses further enhance program inclusivity. Steps take include:

Scholarship Initiatives

Recognising the need for increased representation, efforts have been made to provide scholarships specifically targeting students from Black, Asian, and Minority Ethnic (BAME) backgrounds. This has resulted in a notable rise in the enrolment of students from diverse backgrounds in mental health training programs. For example, before the scholarship, we had a certain number of students; with the scholarship, this year's intake has been the most inclusive with a confirmed increase (I have checked our numbers, and this is correct).

Outreach Programs

Community engagement through outreach programs has been instrumental in raising awareness and challenging cultural taboos surrounding mental health. Visits to local schools, such as Bell Vue Girls School, Bradford, I have facilitated open discussions, breaking down barriers, and fostering a more inclusive understanding of mental health and mental health courses (HE and PG)

Research advocacy

Engaging in research activities that look into health inequalities and cultural stigma associated with mental health is vital as we can generate data on understanding root causes, evaluating interventions and promoting awareness and education on the topic. For example recently we werecommissioned by a regional healthcare commissioning service to review the current mental health services, this work identified gaps that need addressing, particularly in the realm of diversity and saw a growing recognition of the necessity for more diverse services that cater to the unique needs of different cultural communities.

Advocacy and voluntary work

On a personal level, active engagement in voluntary work within the community, in part working with faith communities along with participation in civic duties, has played a pivotal role in promoting positive messages to challenge mental health inequalities and demonstrating my personal commitment to breaking down stigma alongside our work at Leeds Beckett I hope sets a powerful example for others to follow.

Conclusion

Challenging mental health stigma is an ongoing journey that requires concerted efforts on multiple fronts. From scholarship initiatives and outreach programs to research advocacy and personal engagement, the fight against stigma is multifaceted. Embracing empathy, understanding, and open discussions, alongside promoting accurate representations of mental health, will contribute to fostering inclusivity and breaking down the barriers that perpetuate mental health stigma across diverse cultures. The call to action is clear: it's time to collectively dismantle the stigma surrounding mental health and pave the way for a more compassionate and understanding society. However, real change starts with inclusive, socially conscious training programs that graduate a new generation of providers prepared to transform mental health services. We at Leeds Beckett are seen as leading on this.

Maryam Riaz

Lecturer / School Of Health

Maryam is an experienced lecturer teaching in Counselling and Mental Health courses offered by the School in Psychological Therapies and Mental Health. She is a BACP registered Psychotherapist.

More from the blog

All blogs