back to October 2024 newsletter
by Kusum Punjabi, AMFT

October 10, World Mental Health Day, serves as an important reminder for mental health professionals to reflect on the often unseen aspects of mental health issues. While common conditions like anxiety and depression are well-documented, many hidden places harbor mental health problems, often unnoticed until they escalate. As therapists, recognizing these spaces and adopting proactive approaches to attend to them can be of great consequence.

1. In the Shadows of Social Media

The impact of social media on mental health has become increasingly significant. Research shows that while social media can provide support, it also encourages comparison and feelings of inadequacy (Vogel et al., 2014). Individuals often curate idealized versions of their lives, which can mask underlying struggles. Therapists should encourage clients to examine their social media habits and consider the effects on their self-esteem and well-being.

2. Within High-Pressure Environments

High-pressure environments, whether in workplaces or educational institutions, often contribute to mental health challenges. A study by the American Psychological Association indicates that chronic stress from unrealistic expectations can lead to burnout, anxiety, and depression (APA, 2020). Therapists should remain attuned to signs of distress in clients who feel compelled to keep pushing forward. Regular discussions about work-life balance can help uncover hidden mental health issues before they escalate.

3. In Unspoken Generational Patterns

Many families carry unaddressed traumas that subtly influence mental health across generations. Research in family systems therapy highlights the impact of generational patterns on individual mental health (Bowen, 1978). Therapists can guide clients to explore their family histories and the ways these dynamics affect their current struggles. Addressing these hidden patterns is crucial for breaking cycles of pain that may persist for years.

4. Underneath Cultural Expectations

Cultural norms can significantly inhibit discussions about mental health. Many individuals feel pressured to conform to societal expectations, leading to the suppression of feelings. This is especially true in marginalized communities, where mental health issues are often stigmatized (Kuehner, 2017). Therapists must cultivate cultural competence and create safe spaces for clients to express their struggles. By acknowledging cultural contexts, therapists can help uncover issues that might otherwise remain hidden.

5. Within the Silence of Men’s Mental Health

Men often face societal pressures to adhere to traditional notions of masculinity, which can inhibit open discussions about mental health. Studies indicate that men are less likely to seek help for mental health issues due to stigma (Mahalik et al., 2003). Therapists should advocate for awareness that specifically addresses men’s mental health, fostering environments where men feel safe to express their emotions and seek support.

6. Among Members of the LGBTQIA+ Community

Members of the LGBTQIA+ community may face unique mental health challenges, particularly when questioning their identities. The fear of rejection and discrimination can exacerbate feelings of anxiety and depression (Budge et al., 2013). Therapists should create affirming spaces that encourage exploration and support for individuals navigating their identities, helping them process their experiences in a safe environment.

7. For Persons with Non-Visible Disabilities

Individuals with non-visible disabilities, such as chronic pain or neurodiversity, often face misunderstanding and stigma. This can lead to isolation and untreated mental health issues. Therapists should be vigilant in understanding the diverse experiences of these clients, ensuring their mental health needs are validated and addressed.

Conclusion

On this World Mental Health Day, therapists are invited to delve into these hidden places where mental health issues reside. By recognizing the signs and fostering open conversations, we can bring these problems into the light, helping clients navigate their mental health journeys with support and understanding. Our ultimate goal is to create a culture of openness and awareness, ensuring that mental health issues are acknowledged and addressed, no matter where they hide.

References:

• American Psychological Association. (2020). Stress in America: A national mental health crisis.
• Bowen, M. (1978). Family Therapy in Clinical Practice. 
• Budge, S. L., Adelson, J. L., & Howard, K. A. (2013). Anxiety and depression in transgender individuals: The roles of social support and social identity. Journal of Consulting and Clinical Psychology, 81(3), 545.
• UK Government Disability Unit. (2020, December 17). Living with non-visible disabilities.
• Kuehner C. Why is depression more common among women than among men? Lancet Psychiatry. 2017 Feb;4(2):146-158. doi: 10.1016/S2215-0366(16)30263-2. Epub 2016 Nov 15. PMID: 27856392.
• Mahalik, J. R., Burns, S. M., & Syzdek, M. (2007). Masculinity and perceived normative health behaviors as predictors of men's health behaviors. Social Science & Medicine, 64(11), 2201-2209.
• Vogel, D. L., Rose, J. P., Roberts, L. R., & Eckles, K. (2014). Social comparison, social media, and self-esteem. Psychology of Popular Media Culture, 3(4), 206–222.