Stigma Against Mental Illness Is Built Into Health Care System
January 4, 2018 | Kenny Goldberg
When Kerry Martin was in graduate school at Harvard, she was deeply troubled. She was suffering from bipolar disorder. She was struggling with her sexuality.
To make matters worse, her mother had recently attempted suicide.
One day, Martin worked up her courage and made an appointment at Harvard’s Mental Health clinic.
“And I went in, and I met with a woman who was just getting her degree, I guess,” Martin remembered. “And I just poured my heart out to her. I said, ‘here’s what’s going on with me, my family. I think I’m gay. I’m having a real hard time with this.’”
But people with serious mental health challenges are sometimes considered to be different, dangerous or even beyond help. That same kind of stigma against mental illness can exist in our health care system, too.
When Martin got back to her apartment later that day, the therapist called her on the phone.
“And she says to me, ‘Kerry, I can’t help you.’ And I just kind of like, what? And she’s like, ‘I can’t help you’. And I was gonna have to ring somebody else. I’m like, I thought to myself, I’m beyond help.”
Martin felt hopeless. A few months later, she tried to kill herself.
Her roommate found her and called an ambulance.
Martin remembers being in the emergency room, writhing around on a gurney, while a nurse was trying to stick a tube down her throat.
“The nurse said to me, ‘Lay still, you did this to yourself.’ And I will never, ever forget that comment,” Martin said. “It’s like, you want compassion. Yes, I did this to myself, I guess I did. But at that moment, that’s the last thing I wanted to hear.”
Today, Martin runs the nonprofit Hope Xchange. It’s a phone and text-based service that focuses on preventing suicide in the LGBTQ community and in people with bipolar disorder.
Martin tries to provide the kind of support and compassion she wished she would have gotten years ago.
Belittled and dismissed
It’s not unusual for people with a mental illness to say they’ve felt belittled and dismissedby health care providers.
Some believe there’s a certain degree of stigma against mental illness built into the health care system.
Dr. Michael Plopper is medical director at Sharp Mesa Vista Hospital in Kearny Mesa, the largest private mental health facility in Southern California.
He said Medicare, for example, has a lifetime cap on the number of days a person can stay in a psychiatric hospital.
“Whereas, that’s not true for physical health. So still, to this day, Medicare discriminates in that way,” Plopper said.