Combating the Stigma of Mental Illness

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February 18, 2024

5 min read

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Mental illness is a disease, not a choice. Shame, denial, and superficial advice are not solutions.

My phone startled me from sleep in the middle of the night. My heart pounded even before I fully awoke. As I answered, my body sensed something terrible had occurred. "Aunt Iris is dead. She killed herself," said my brother.

Shock and numbness enveloped me. I knew she was struggling after my grandfather's death and her father's death, but I didn't realize she'd reached this point.

My father swiftly concealed any evidence or narratives indicating suicide. He took pride in hiding the shame and seethed with anger at his sister's self-inflicted end. But as a psychology student, I knew there was no shame, only immense pain. She had a history of anxiety and depression, topics never discussed within our Jewish family. "She has a good life," they'd say. "She should be more appreciative," they'd suggest. They viewed her breakdown following her father's death as normal grieving.

Many people believe mental health issues can be shaken off or fixed through love, money, success, or gratitude. Some parents are offended when their children experience depression or anxiety, exclaiming, "I've given you everything. How can you feel this way?"

But mental illness isn't a choice. It's a disease, unseen yet very real. It's not just about having the perfect life or a loving family; it's far more complex and enigmatic. And mental illness doesn't discriminate. In the perfect storm, it wreaks havoc on a person's mind and soul, destroying families and even taking lives.

I don’t know if anything could have prevented my aunt's suicide, but I do know that shame, denial, and superficial advice weren't solutions. We combat stigma against mental illness by refusing to be ashamed of it, acknowledging someone's pain, and offering support. We diminish stigma by admitting our own struggles. Life is challenging and sometimes unmanageable, but we never know what might push us over the edge. I harbor no shame, anger, or altered perception of my aunt because she ended her life. She was a woman already struggling to stay afloat; the loss of her father was too much to bear.

As we become comfortable with our own struggles, we can empathize with others. It doesn't matter if we think someone is weak because they can't handle what we can. Their experience is their own.

While there's been a shift towards greater acceptance of mental illness in the Jewish community, there's still a long way to go. We tend to be more accepting when the issue is distant. But when it hits home, we often react differently: hiding it, worrying about judgment, and fearing our children will be viewed as damaged.

Struggling is a part of being human. Our Jewish DNA carries trauma, and our history has the potential to amplify mental illness in future generations. It's painful to see our loved ones’ struggle, but the best way we can help is by standing with them, empathizing with their pain, and not alienating them or, worse, labeling them as damaged.

If my aunt were here today, I would take her hand and assure her that her feelings were valid. I would pledge to share her burdens to stand by her side until we found a solution. I would do whatever I could to get her the medical assistance she needs. And if a solution eluded us, I would promise to help her manage. But above all, I would remind her there's no shame in admitting, "I am depressed and suffering. This feels too much for me."

It is essential to understand that mental illness is widely recognized as a disease. It's described as a medical condition that disrupts a person's thinking, feeling, behavior, ability to relate to others, and daily functioning, similar to many physical diseases. Mental illnesses are no different from physical illnesses like heart disease or diabetes. They all have behavioral components and biological bases. Even though mental illness is generally seen as a disease, this perspective doesn't negate the complexity of these conditions or the diverse experiences of those who live with them.

Combating the stigma associated with mental health issues begins with education and open conversation. Increasing awareness about mental health can foster empathy and understanding, reducing stereotypes and prejudices. Here are some tips:

  • Talk openly about mental health: Encourage dialogue that normalizes mental health discussions and discourages silence borne out of fear or misunderstanding.
  • Educate yourself and others: Share accurate information and resources about mental health to dispel myths and promote knowledge.
  • Be conscious of language: Words have power; avoid using pejorative or dismissive language to describe people with mental illness.
  • Show compassion for those with mental health issues: Treat people with mental health issues with dignity and respect, just as you would anyone else with a health condition.
  • Advocate for equal treatment of mental health conditions: Support policies that provide equal coverage for mental health and physical health care.

If you or someone you know is struggling with suicidal thoughts, it's vital to know the signs and seek help immediately. Some warning signs include talking about wanting to die, feeling hopeless or having no reason to live, and withdrawing or isolating oneself. If these signs are present, do not hesitate to reach out to the National Suicide Prevention Lifeline at 1-800-273-TALK (8255), available 24/7 for free and confidential support.

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Niall
Niall
1 month ago

Thanks for sharing

Mlh
Mlh
1 month ago

My niece , Zahavah List,has started an organization called Chazakeinu which addresses mental health issues in the Jewish Community. Check it out!

ChazkeinuSister
ChazkeinuSister
1 month ago
Reply to  Mlh

Go Zahava! It's an incredible organization--I highly recommend that any Jewish woman struggling with mental illness reach out to them:)
314-346-7414
http://www.chazkeinu.org

Julia
Julia
1 month ago
Reply to  Mlh

I tried joining years back but I was rejected for having religious forms of OCD and was the less religious will not be compatible with me.

So I continued to remain alone to this day.

ChazkeinuSister
ChazkeinuSister
1 month ago
Reply to  Julia

From what I know of Chazkeinu, that really surprises me. It might be worth trying to reach out again?

Julia
Julia
1 month ago

I don't think they would want me to try again. I did not take the rejection well and left very angry voice mails.

ChazkeinuSister
ChazkeinuSister
1 month ago
Reply to  Julia

I'm sorry:( I hope you're able to find the support you need!

Anonymous
Anonymous
1 month ago

Thank you Dr Ilene for giving us some insight and education on such an important topic. May we now find it easier to act with compassion and guide those who are struggling to the help they need.

Marcia
Marcia
1 month ago

This is a vital message to share and you have articulated it so succinctly, clearly, and well! Thank you for sharing with us, and may we have the wisdom to reach out to another in need.

Bracha Goetz
Bracha Goetz
1 month ago

Great!

Hadassah Chavivah
Hadassah Chavivah
1 month ago

Thanks so much for your article!I really appreciate what you wrote and it rings true on all points. May your Aunts name be a blessing to all who knew her.
All the best

Lebowitz, Robert
Lebowitz, Robert
1 month ago

Yes, but where does faith come in? Can a relationship with Gd help to heal mental illness? It bothers me when faith is taken out of the understanding of mental illness.

Rivka Rachum
Rivka Rachum
1 month ago

As a person who has suffered from mental illness for years, I can tell you that having a relationship with Gd did not "heal" my illness. Gd frequently was hidden from me. As was said in the article, what we are talking about is an illness, of the mind, of the soul. It did help to have a community, but as a general rule, I couldn't talk to anyone about what I was going through except my rabbi, and as much as he wanted to, he couldn't understand what I was going through. A good therapist and medication did help a great deal, and Gd was no longer hidden. But, it is not all or nothing. It comes, and it goes, and even people who do not suffer from mental illness have lapses in faith, and Gd seems hidden from them. It is not a personal failure to have lapses of faith, nor is it a sign of mental

Rachel
Rachel
1 month ago

In effect, it seems that you are saying that a cancer patient, a person with a severe bacterial infection, or a survivor of stroke or polio should just put their faith in Gd. Of course we should have faith in Gd, but we are also expected to take care of our health through everything from proper eating, exercise, avoiding substance abuse and, yes, seeking medical attention when needed. That might be chemo, radiation, antibiotics, physical and speech therapy, etc. Gd has given some of His wisdom to us. We should avail ourselves of that wisdom. Telling people with mental illness to have faith in Gd, without professional medical support, is unfair, because it is an illness. I don’t take religious advice from doctors, and I don’t take medical advice from rabbis.

Surie
Surie
12 days ago

maybe if you have a healthy relationship with him then it can help you handle the mental illness... but most of the time - our relationship with Him is part of the trauma... and we need to heal the trauma in order to realize what is the trauma, and separate it from Judaism...

Barbara Gordon
Barbara Gordon
1 month ago

Dr. Cohen As a retired licensed psychologist, I would like to thank you for your thoughtful article. The stigma of mental illness has lasted far too long, and only worsens the burden of people who live with it. The information you provided not only educates but also gives specific suggestions on how to respond. To those of you who say that talking about suicide gives someone the idea, the research shows that the opposite is true. Discussing suicide openly with someone already considering it lets that person know that you recognize and acknowledge their distress.

Ilene Cohen
Ilene Cohen
1 month ago
Reply to  Barbara Gordon

Thank you so much for taking the time to read my article and for your thoughtful response. As a fellow professional in the field, your words mean a lot to me.
I wholeheartedly agree with you; the persistent stigma surrounding mental illness indeed exacerbates the challenges faced by those living with it. It's crucial that we continue to educate and provide actionable advice to help combat this issue.
Your point about discussing suicide is incredibly important. As you rightly stated, open conversation can often serve as a lifeline for those in distress, validating their feelings and potentially guiding them towards seeking help.

anonymous
anonymous
1 month ago

Unfortunately suicide paid a visit to my family back in 1995, when my father in law took his life.

Ilene Cohen
Ilene Cohen
1 month ago
Reply to  anonymous

Sorry to hear that.

anonymous
anonymous
1 month ago
Reply to  Ilene Cohen

Thank you. My husband NEVER talks about it. My son was very little when it occurred and resents his grandfather for committing the act.

Julia
Julia
1 month ago

You all pretend to care but then I deal with disgusting rabbis calling me "sick," saying I am struggling to express my feelings and how discussing my negative feelings cause others to say I have no bitachon and a stupid rabbi just says "we all need to work on our bitachon" and the same rabbi saying we should just suppress emotions.

Fake, fake, fake.

Stop pretending you all care.

Nancy
Nancy
1 month ago
Reply to  Julia

I am so very sorry that you have not gotten the support you so richly deserve from the rabbis. Perhaps you might consider seeing a frum therapist. I'm not trying to make light of your issue at all. However, as you have already witnessed not every rabbi is equipped to deal with mental health issues.

Julia
Julia
1 month ago
Reply to  Nancy

Thanks but ironically therapists damaged me further. Was forced into therapy in high school for not talking much. My parents were already abusive to me, hitting me and screaming at me. Life outside the home was also very cruel. Friendless. So now I had to deal with the subjective nature of talking. So my parents punished me when what I said was not to their liking. Or if I did not talk enough. I learned a lot of the wrong things and nearly got fired for saying the wrong things at work out of just wanting to be "social." Wanted to commit suicide while pregnant since I could not do anything right but I managed to save myself from being fired.

How I put most of my life together was by doing the exact opposite of what was forced on me in therapy. I now just have some deep resentment.

Nancy
Nancy
1 month ago
Reply to  Julia

Again, I am so sorry and feel so frustrated on your behalf. Incompetent practitioners are poison. I am actually a NY State licensed master level social worker. When I was in social work school I encountered a few toxic individuals who had no business entering the mental health profession. It is to your credit that you were able to recognize the incompetence which was forced on you. Wishing you hatzlacha in this continuing journey of self discovery.

Surie
Surie
12 days ago
Reply to  Julia

Wow.... sounds like a lot for one life...
forced therapy is never beneficial...
look for the truth - and don't give up... (i know easy to say... but it feels very rewarding at the end...)

Rivka Rachum
Rivka Rachum
1 month ago
Reply to  Julia

I am sorry for your experience. You obviously have been talking to the wrong rabbis! I do know where you are coming from, I've been there myself, but I was lucky to have a rabbi who never judged me and really tried to help. Do you have a therapist? Do you know how to find one? Please, don't give up! Go outside your community to get help. And find another rabbi, please!!

Rachel
Rachel
1 month ago
Reply to  Julia

I do care. Depression and anxiety run in my family. I am glad you are finding a way through on your own, but I would suggest that there may be additional options, including medication. I know some therapists are not helpful, just as some rabbis are not. You will be in my prayers.

Ilene Cohen
Ilene Cohen
1 month ago
Reply to  Julia

I'm genuinely sorry to hear that you're feeling this way. It's clear that you're feeling quite hurt and frustrated, and I'm truly sorry that you've been made to feel this way. Your feelings are valid, and it's perfectly okay to express them.
I think there are people who are fake, though there are also many real people. You don't have to go through this alone; there are people who genuinely care and want to help.

Julia
Julia
1 month ago
Reply to  Ilene Cohen

The issue I have is that it seems in the religious world we are expected to rise above our trauma. We get victim blamed for expressing our pain. We get victim blamed for not succeeding in "pulling ourselves by the bootstraps." We get bashed for saying we were hurt by our parents, by others etc. because we are told we cannot keep on blaming them, we have to overcome our burden.

Articles about saying how emotional pain is comparable to physical pain sounds nice but in real life no one really believes this. If a parent physically harmed a child, whether accidentally or on purpose, such as the child loses a limb, no one expects the child to regrow the limb back like an octopus. But someone who suffers mentally, we are expected to 100% heal as if the abuse never happened.

Ilene Cohen
Ilene Cohen
1 month ago
Reply to  Julia

It's deeply unfortunate that society often imposes expectations on individuals to rise above their trauma, especially within certain religious communities. This is indeed a significant issue that needs addressing, which was my driving motivation behind writing the article.

You've touched upon something crucial - the comparison of emotional pain to physical pain. While it may be well-intentioned, this comparison frequently falls short in real-world understanding and empathy. Just as we can't expect a physical wound to disappear overnight, we shouldn't anticipate immediate healing from emotional or psychological trauma.
Victim-blaming and the pressure to "pull oneself up by the bootstraps" are harmful narratives that only add to the burden of those who have experienced trauma.

Julia
Julia
1 month ago
Reply to  Ilene Cohen

Thanks. The Torah does seem to care about emotional health.

Yaakov was punished for causing Eisav to have a "loud and bitter cry" which led to the whole story of Purim and Mordechai having the "loud and bitter cry."

Yonah got depressed about his mission since idol worshippers repenting would look bad on the Jews and then he got depressed about the gourd tree dying. Yonah was not accused of not having enough Bitachon but Hashem himself seemed to help Yonah recover from the sadness slowly and helping Yonah understand that Hashem also cares about the nation of Ninveh.

Not to mention the Book of Job that Job's friends were in the wrong for rationalizing why Job got pain in his life.

We also got the halacha of Onat devarim.

So what happened in contemporary Jewish Society?

Nancy
Nancy
1 month ago
Reply to  Julia

First off, let me say I am VERY impressed by your Torah knowledge! Re: Contemporary Jewish Society. IMO, it is very hard to find the people we feel comfortable with. I love my Jewish community but there are other communities where I would feel like a fish out of water. I don't know where you live, but is relocation a possibility for you?

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