
Suicidal thoughts are often treated solely as symptoms to be eliminated or risks to be managed, yet this narrow focus can overlook their deeper meaning. Many people who experience suicidal thoughts are also carrying unresolved trauma, loss, or chronic emotional pain. This article explores what suicidal thoughts may be trying to tell us, reframing the desire for death not as a literal wish to die but as a signal that something in a person’s life, identity, or relationships has become unbearable or unsustainable. When these thoughts are approached with curiosity, compassion, and attention to meaning alongside safety, therapy can become a space where individuals feel understood rather than silenced, and where genuine change can begin.
If safety feels uncertain
If you or someone nearby may act on suicidal thoughts or cannot stay safe, call or text the 988 Suicide & Crisis Lifeline now, use 988 chat, call local emergency services, or go to the nearest emergency room. The National Institute of Mental Health warning signs can also help loved ones recognize when immediate support is needed.
Why Suicidal Thoughts Are So Often Misunderstood
For many people, the moment suicidal thoughts arise, fear takes over. Individuals may feel ashamed, frightened by their own minds, or convinced that something is deeply wrong with them. Friends and loved ones often react with panic, while professionals may quickly move into assessment and crisis management.
While safety is essential, fear-based responses can unintentionally shut down the very conversations people most need to have. When suicidal thoughts are treated only as emergencies or warning signs, individuals may learn that honesty leads to consequences rather than care. As a result, many people hide these thoughts, even as they continue to suffer internally.
This silence can be deeply isolating. Instead of feeling supported, individuals may feel reduced to a problem that needs to be fixed or controlled. Over time, this can reinforce the belief that their pain is unacceptable or too much for others to hear. GoodTherapy’s guide on talking and writing about suicide offers helpful language for approaching the subject with care.
Key insight: Safety matters, but people are often more willing to talk honestly about suicidal thoughts when their pain is met with steadiness instead of panic.
A Different Lens: Suicidal Thoughts as Communication
Many people who experience suicidal thoughts are not expressing a true desire to die. Rather, they are expressing a desire for their pain to end. This distinction matters.
Suicidal thoughts can serve as a form of communication when other ways of expressing distress feel unavailable or unsafe. They may emerge when someone feels trapped, overwhelmed, exhausted, or disconnected from meaning and connection. In this sense, suicidal thoughts are not evidence of weakness or failure but signs that something in a person’s internal or external world is asking for attention.
Seen through this lens, the question shifts from “How do we make these thoughts stop?” to “What are these thoughts trying to tell us?” This reframing does not minimize risk. It makes room for both suicide prevention and a more humane understanding of pain.
PainA desire for pain to stop+
Suicidal thoughts may point to emotional pain that has exceeded a person’s current capacity to carry it alone.
LossA grief that has not been witnessed+
When grief is minimized, delayed, or unsupported, suicidal thoughts can become one way the mind signals that something important still needs care.
TraumaA nervous system stuck in survival+
Trauma can leave the body scanning for danger and the mind searching for escape, even long after the original harm has passed.
SupportA need for agency, connection, and safety+
The presence of suicidal thoughts can be a signal that support needs to become more immediate, collaborative, and compassionate.
A meaning-focused question can sound like
What feels impossible to keep carrying? What has gone unheard for too long? What kind of support would make the next hour safer? What would make life feel one small degree more livable?
The Role of Trauma, Loss, and Chronic Emotional Pain
For many individuals, suicidal thoughts are closely tied to unresolved trauma or loss. Trauma can disrupt a person’s sense of safety, identity, and trust in others. Loss, whether sudden or prolonged, can leave emotional wounds that do not heal easily, especially when grief is minimized or unsupported.
Chronic emotional pain may develop when someone has spent years feeling unseen, unheard, or required to carry more than they are equipped to manage. Over time, this accumulation of pain can overwhelm the nervous system. The body and mind may enter a state of exhaustion, where continuing to endure feels impossible.
In these moments, suicidal thoughts may arise as an imagined escape from relentless suffering. This does not mean the person truly wants life to end. Often, it means they cannot see another way forward. The CDC’s suicide risk and protective factors note that relationship, community, health, and life circumstances can all shape risk and protection.
GoodTherapy’s article on how complex trauma changes a person offers additional context for understanding why long-term pain can affect safety, trust, and identity.

When Survival Takes Precedence Over Living
Some people experiencing suicidal thoughts have spent much of their lives in survival mode. They may appear highly functional, meeting responsibilities, caring for others, and seeming capable. Internally, however, they may feel numb, disconnected, or deeply lonely.
Survival mode can keep someone alive, but it does not necessarily make them feel alive. When life becomes reduced to endurance rather than meaning, suicidal thoughts may surface as a response to this inner deadening. They can reflect a longing for rest, relief, or an end to constant striving.
Understanding this context allows for a more compassionate response, one that recognizes how much strength it has taken to survive up to this point.
A More Helpful Pathway
Unbearable pain
Honest language
Safety support
Meaning and agency
The Limits of Risk-Only Approaches
Traditional approaches to suicidality understandably focus on risk assessment and prevention. These strategies save lives and are often necessary. However, when risk management becomes the sole focus, the deeper emotional story can be overlooked.
Checklists and assessments do not capture the full complexity of human suffering. They cannot fully explain why someone feels trapped, empty, or hopeless. When people sense that only certain answers are acceptable, they may disengage or minimize their experience.
This does not mean safety should be ignored. Rather, it suggests that safety and meaning must be held together. When individuals feel heard and understood, they are often more willing to engage honestly in conversations about safety and support. For loved ones, GoodTherapy’s suicide prevention guide outlines ways to respond with directness and care.
How Therapy Can Create Space for Meaning
Therapy has the potential to offer something many people experiencing suicidal thoughts have never had: a space where their pain is taken seriously rather than feared or dismissed.
In a meaning-oriented therapeutic approach, suicidal thoughts are explored gently and respectfully. Clients are invited to talk about what feels unbearable, what has been lost, and what feels impossible to change. Instead of rushing to solutions, therapy slows the process down, allowing understanding to emerge.
These conversations do not encourage harm. They honor the reality of suffering while opening pathways toward agency, connection, and hope. If you are considering therapy, GoodTherapy’s step-by-step guide on how to find the right therapist can help you think through fit, safety, and support.
Looking for support?
You can use GoodTherapy to search for a therapist who can help you talk through suicidal thoughts, trauma, grief, and emotional pain with care.
Rebuilding Trust After Difficult Therapy Experiences
Some individuals experiencing suicidal thoughts have previously sought help and felt misunderstood, dismissed, or even harmed. These experiences can make it difficult to trust therapy again. When someone has learned that vulnerability leads to invalidation or control, they may approach new therapeutic relationships with understandable caution.
Acknowledging this history matters. Therapy can be effective only when trust is built slowly and collaboratively. A respectful therapeutic process emphasizes transparency, choice, and pacing, allowing clients to remain active participants in their own care.
Over time, consistent attunement and honesty can help repair not only the relationship with therapy but also a person’s relationship with themselves.
Reclaiming Agency and Choice
One of the most important aspects of healing is the restoration of agency. Suicidal thoughts often arise when people feel powerless, trapped, or unable to influence their circumstances. Therapy can help individuals reconnect with choice, even when options feel limited.
Agency does not mean forcing positivity or making drastic changes overnight. It may begin with small acts of self-understanding, boundary setting, or self-compassion. As people begin to understand what their suicidal thoughts are communicating, they can explore new ways of responding to their needs.
This process often includes learning to recognize emotional and relational patterns, identify values and sources of meaning, develop healthier ways to ask for support, build tolerance for difficult emotions, and imagine change without overwhelming the nervous system.
When depression is part of the picture, it can be especially important to have timely support. GoodTherapy’s article on depression and suicide explains when to seek help and why warning signs should be taken seriously.
When Hope Feels Out of Reach
Hope is often misunderstood as optimism or certainty. For people experiencing suicidal thoughts, hope may feel distant or unrealistic. In therapy, hope does not need to be forced or manufactured.
Sometimes hope begins as a sense of being less alone. Sometimes it shows up as curiosity, or as a willingness to stay present for one more conversation. These small shifts matter.
Healing is rarely linear. There may be moments of progress alongside moments of discouragement. A supportive therapeutic relationship can help individuals stay connected through these fluctuations, offering steadiness rather than pressure.
A Compassionate Closing
If you or someone you love experiences suicidal thoughts, it is important to know that these thoughts are not a personal failure. They often reflect pain that has gone on too long without adequate support. They may be signaling unmet needs, unresolved grief, or a longing for change that feels out of reach.
Understanding what suicidal thoughts may be trying to tell us does not replace the importance of safety. It deepens it. When people feel understood rather than judged, they are more likely to reach out, stay engaged, and explore new ways of living.
Therapy can be a place where these conversations are held with care, respect, and honesty. When meaning and compassion are allowed alongside safety, the possibility of genuine and lasting change becomes more accessible.
If you are struggling or feeling unsafe, reaching out for support can be an important step. Speaking with a trusted person, a mental health professional, or a local crisis resource can help you navigate this moment with care and support. The NIMH 5 action steps can also help loved ones respond when someone is in emotional pain.
Frequently Asked Questions
Direct answers about suicidal thoughts, therapy, trauma, grief, and immediate support.
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You do not have to make sense of suicidal thoughts alone. Compassionate support can help hold both immediate safety and the deeper meaning beneath the pain.
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Starting therapy can feel hard to explain.
Sometimes there is a clear reason. A loss. A breakup. Burnout. A period of anxiety that has become impossible to ignore.
Other times, the feeling is more subtle. Life may look fine from the outside, but something internally feels off. You may feel stuck, disconnected, overwhelmed, or simply no longer at ease in your own life.
For therapist Brooke Pomerantz, that in between space matters. It is often where the most meaningful work begins.
A licensed clinical social worker who has been in private practice since 2007, Brooke works with adults and young adults in Oakland and via telehealth. Many of the people she supports are highly capable, thoughtful, and outwardly successful, yet privately struggling with anxiety, perfectionism, burnout, or a deeper sense of dissatisfaction they cannot quite name.
What stands out most in Brooke’s approach is not just what she helps clients work through, but how she meets them there. Her philosophy is grounded in curiosity, patience, and the belief that every person deserves to be understood as an individual, not reduced to a category or rushed into change before they are ready.
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Video Interview: Watch the Conversation with Brooke PomerantzHear Brooke discuss starting therapy, feeling safe with a therapist, and finding the right fit. |
Why starting therapy can feel so hard
For people starting therapy for the first time, I acknowledge that the experience can feel vulnerable and anxiety-inducing. That anxiety, she says, is not a sign that something is going wrong. It is often part of the process. A competent therapist can recognize this vulnerability and adjust the pace of treatment at a pace that works best for their client. This is why the initial sessions are a huge opportunity for both the individual and the therapist to assess if they are a good match and whether the individual has an agency in the process.
What to do if you feel anxious about therapy
It’s simple. Name the feeling. Saying “I feel anxious being here” can lead to a much deeper and sincere conversation. It gives both therapist and client somewhere real to begin. Instead of trying to arrive with everything figured out, a person can start from what is true in the moment. It also gives them a chance to notice if they feel safe, understood, and ready to share their experiences in a particular setup with the therapist in question.
A gentle first sentenceIf starting feels awkward, a simple sentence like “I feel anxious being here” can be enough to open the door. |
Can therapy help even if nothing feels wrong?
Yes. Therapy does not only belong to moments of crisis or chaos. It can also be a place to think more deeply about your life, understand your patterns, strengthen your relationships, and develop a more connected relationship with yourself. Even when someone says they are “fine,” there is often something underneath that is asking to be explored.
That idea makes therapy feel less like an emergency response and more like a meaningful form of self-reflection. It becomes a space to pause, take stock, and ask harder questions about how you are living and what you may need next.
What makes your practice unique, and how do you know if you’re a good fit for a client?
It is about being intentional about not getting ahead of the person in front of you. As therapists, we need to understand each person in the context of their own life, strengths, challenges, and readiness for change. That means honoring where someone is, instead of pushing them toward where they “should” be.
This way of working can be especially supportive for people who are used to pressuring themselves. Like many of my clients who are high functioning and driven. They may look successful on the outside while internally feeling exhausted, unhappy, perfectionistic, or chronically disconnected from their own needs. I also work with young adults who are having trouble launching into adulthood, perhaps having had setbacks like a mental health crisis, and need support navigating the transition.
How to cope when life feels emotionally overwhelming
When life feels overwhelming, it can help to slow everything down and focus on getting through one moment or one hour at a time. Reducing the size of the problem can make it feel more survivable. And when depression or hopelessness makes action feel nearly impossible, even a very small step can matter. A walk. A phone call. Any small movement or action can combat the tendency to retreat and feel paralyzed.
There is something deeply humane about that advice. It does not romanticize healing or pretends that change is easy. It simply offers a gentler entry point.
How to find the right therapist for your needs
Finding a therapist is rarely a one size fits all process. It is highly individual. People may begin by exploring therapist directories, asking for referrals from their community, or looking for someone with a shared background or area of expertise. What matters most is finding someone with whom you feel safe and someone you believe can understand you and help with the areas where you feel stuck.
A simple way to begin is:
1. Read a few therapist profiles carefullyNotice how therapists describe their approach, specialties, and the kinds of clients they work with. |
2. Look for what feels alignedShared identity, expertise, communication style, or lived experience may all play a role in helping you feel understood. |
3. Take the next step to assess fitA consultation or follow up call can help you decide whether the connection feels right. |
This is one reason directories like GoodTherapy can be a helpful place to start. They make it easier to explore therapist profiles, understand different approaches, and find a therapist whose style feels aligned with what you need.
For therapists, it is also a reminder that a thoughtful profile matters. The clearer you are about your approach and who you help, the easier it is for the right clients to find and connect with you.
The right support can change everything
Brooke Pomerantz’s approach reminds us that therapy is not about having everything figured out before you begin. It is about making sense of your feelings and things that are weighing you down and channeling it into an effort to find a space where you can be honest and feel safe. Her reflections offer something deeply reassuring that growth can happen at your own pace, that support can be valuable even before a crisis, and that the right therapeutic relationship can help you move through life with greater clarity and self-awareness.
If Brooke’s words resonated with you, take a moment to explore her GoodTherapy profile and learn more about her approach. If you are still looking for the right fit, browse GoodTherapy’s therapist directory to find a provider whose style, perspective, and approach align with your needs.
FAQs
Ready to find the right therapist?Explore GoodTherapy’s directory of vetted professionals and find someone whose approach aligns with your needs. |
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As part of our new GoodTherapy Member Spotlight series, we’re excited to introduce Samantha Mirarchi, director and founder of Wild Sage Therapy. This series highlights therapists who are eager to offer insight into the therapy experience and share valuable perspectives on how to make mental health care more approachable and authentic.
In this interview, Samantha offers practical advice and essential tips on starting therapy for the first time, choosing the right mental health professional, and why authenticity and trust are at the heart of effective therapeutic relationships.
Watch the conversation with Samantha
Q&A with Samantha Mirarchi
Q: What would you want someone who’s never been to therapy before to know about starting therapy or attending the first session?
Samantha:
It doesn’t have to be as scary as it sounds. In terms of choosing a therapist, the vibe has to be right. That’s the best indication of therapy success. Take advantage of phone consultations or video consultations, just to feel out the connection that you have with that person.
It doesn’t have to be super scary or overwhelming. The first session is usually just the therapist getting to know you, gathering information so that they can best support you. There’s no pressure to share everything all at once.
Q: If someone feels like something’s off but they can’t quite put their finger on it, how can therapy help them find clarity and direction?
Samantha:
That’s such a big deterrent for starting therapy for a lot of people, because it’s like “maybe my problem’s not big enough,†or “because I can’t articulate exactly what’s wrong, how is somebody going to help me?â€
Having the space to just talk through and explore what that looks like for you can help bring clarity into what’s off, and so that you can actually create some goals and work towards that in therapy. But that is, honestly, a normal starting point for a lot of people: just that feeling of something’s not right. Therapy can really help: the beginning phases of [therapy] can really help open that up more to get you back to feeling like yourself.
Q: Why is it important for people to find therapists who truly “get†them, whether that’s about background, identity, or something else?
Samantha:
You need to be picky with choosing your therapist. [This means] reflecting on what is important to you, whether that be a therapist’s lived experience or, again, their specialty, and their ability to help you.
Therapists tailor their education and experience to certain areas, and it’s important to find a really good fit that way. The foundation of that is essentially based on trust. That’s going to impact your therapeutic result over time. Trust in the relationship is the number one indicator for success in therapy. It’s important to just find a therapist who has the education and experience to support you with the challenge that you’re facing.
Q: If you had to explain your therapy approach in one sentence, what would you say makes your work with clients unique?
Samantha:
I really value authenticity in my approach. Going back to the therapeutic relationship, I think that authenticity helps me really connect with clients, and it should make the therapy experience feel a lot more comfortable. That’s really important when it comes to therapeutic work and therapeutic growth.
Q: From your experience, what’s a sign that a client and therapist are a good fit?
Samantha:
You want to check in with yourself and ask: how comfortable do I feel talking to this person? I’d say that’s the number one assessor for fit.
Obviously, this is a new person you’re not going to feel 100% comfortable right off the bat, but there should be a little bit of ease there when it comes to starting a new therapeutic relationship. And then in terms of fit, again, look at their specialties, their background, their experience supporting other people who’ve struggled with the same challenges that you’ve faced.
Driving Growth With Authenticity
Starting therapy can feel overwhelming, but it can help you work through challenges, create a safe space for real connection, and set goals for growth with a professional. Finding the right therapist might require some work and evaluation, but the benefits of working with someone who truly gets you are worth the effort.
To find an experienced, licensed therapist through GoodTherapy, explore our catalog of therapists by location, specialty, and more.
Ready to take the next step?
Connect with a licensed, experienced therapist near you.
Find a Therapist
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If you’re a GoodTherapy member and are interested in participating in our Member Spotlight series, please reach out to editor@goodtherapy.org
First responders and physicians run toward danger when most of us run away. Yet at the end of the shift, many carry invisible wounds, intrusive memories, disturbing images, flashbacks, weights too heavy to carry alone. Preventive trauma treatment for first responders has become more critical than ever as research reveals alarming rates of PTSD among healthcare heroes.
The Culture of Silence and Why It’s Harmful
In high-stakes professions, showing vulnerability has long been seen as a liability. For physicians, there’s a persistent myth that trauma somehow “doesn’t happen” to them. This couldn’t be further from the truth. The fear of professional repercussions, perfectionism, and cultural stigma often pushes doctors and first responders to keep their struggles hidden.
But research paints a different picture. A recent systematic review found that nearly 15% of physicians experience PTSD symptoms, compared to only about 3–4% in the general population. Other studies have found ranges from 4% up to 28%, depending on specialty and trauma exposure. Emergency physicians, in particular, show high rates, about one in six meet criteria for PTSD.
These numbers make one thing clear: trauma doesn’t skip over people with medical degrees or uniforms. It just hides more easily under the weight of stigma.
Why Trauma Symptoms Don’t Just “Go Away”
Flashbacks, nightmares, and intrusive thoughts aren’t signs of weakness. They’re the brain’s way of saying: something needs attention. Left alone, these symptoms rarely fade. In fact, they often intensify, interfering with work performance, relationships, and physical health.
Too often, the advice in medical and first responder circles is to “tough it out” or to “just talk about it.” While talking can help reduce isolation, untreated trauma symptoms don’t fully resolve without an evidence-based approach. This is where preventive trauma treatment for first responders becomes essential.
Prevention Is Not Optional; It’s Professional
Just as helmets and protective gear are standard in high-risk work environments, preventive trauma treatment for first responders should be treated as preventive maintenance. Early treatment prevents small cracks from developing into fractures.
EMDR (Eye Movement Desensitization and Reprocessing) therapy is one such approach. Unlike general talk therapy, EMDR specifically targets and reprocesses disturbing memory networks. This helps symptoms like flashbacks and intrusive images quiet down.
But treatment isn’t just about methods, it’s about people. A trusting relationship with a therapist is the foundation of healing. Without rapport and safety, no evidence-based model will work. With it, even the most painful experiences can begin to shift.
Physicians: A Group at Special Risk
Physicians often hold themselves to impossible standards. Add to that the fear of losing licensure or professional standing, and many suffer in silence. Yet studies show the cost of ignoring mental health is high.
For example, nearly one in three medical residents experience depressive symptoms, and suicide rates among physicians are significantly higher than in the general population. The data on PTSD only adds to this urgent picture. Trauma symptoms are present, measurable, and real.
During the COVID-19 pandemic, research found that 18.3% of physicians reported symptoms consistent with PTSD, with higher risks among female physicians and trainees. This underscores the critical need for preventive trauma treatment for first responders and healthcare workers.
Changing the Culture: From Stigma to Support
Healing begins when stigma loses its power. Hospitals, fire halls, EMS bases, and clinics can create cultures of prevention by:
- Protecting confidentiality around mental health treatment
- Encouraging peer and leadership support
- Making time for routine mental health check-ins
- Implementing preventive trauma treatment for first responders programs
These changes send a powerful message: seeking help isn’t just tolerated, it’s expected.
Understanding compassion fatigue and burnout in healthcare professionals is also crucial for developing comprehensive support systems.
A Call to Action
Caring for trauma symptoms is not a sign of weakness, it’s a mark of professional integrity. It shows that first responders and physicians value themselves as much as they value the lives they protect.
Preventive trauma treatment for first responders isn’t a luxury. It’s a necessity. And when professionals heal, the benefits ripple outward, to their patients, their colleagues, and their families.
It’s time to normalize trauma care in medicine and emergency services. No one should have to choose between their badge, their license, or their life.
Frequently Asked Questions
Q: What makes preventive trauma treatment different from regular therapy? A: Preventive trauma treatment focuses on addressing trauma symptoms before they develop into full PTSD. It uses evidence-based approaches like EMDR therapy to reprocess traumatic memories and prevent long-term psychological damage.
Q: How common is PTSD among first responders and physicians? A: Research shows that physicians experience PTSD at rates of 15-28%, significantly higher than the 3-4% rate in the general population. Emergency department personnel show particularly high rates, with about 18.6% meeting PTSD criteria.
Q: What are the signs that a first responder needs trauma treatment? A: Warning signs include flashbacks, nightmares, intrusive thoughts, avoidance behaviors, hypervigilance, sleep problems, and difficulty concentrating. Physical symptoms like headaches and muscle tension may also indicate trauma-related stress.
Q: Is EMDR therapy effective for first responder trauma? A: Yes, EMDR has shown significant effectiveness in treating trauma symptoms. Studies show that 77.7% of veterans experienced elimination of PTSD symptoms after 12 sessions of EMDR.
Q: How can organizations support preventive trauma treatment for their first responders? A: Organizations can create supportive cultures by protecting confidentiality, normalizing mental health treatment, providing access to specialized trauma therapists, and implementing routine mental health screenings.
Take Action: Find Support Today
If you’re a first responder or physician experiencing trauma symptoms, don’t wait for them to worsen. Preventive trauma treatment for first responders is most effective when implemented early.
Ready to find specialized trauma therapy? Search our therapist directory to connect with qualified professionals who understand the unique challenges facing first responders and healthcare workers. Many therapists specialize in PTSD treatment and can provide the evidence-based care you need.
Remember: seeking help is a sign of strength, not weakness. Your well-being matters, not just to you, but to everyone you serve.
References
- GarcÃa-Izquierdo, M., et al. (2016). Prevalence of posttraumatic stress disorder in health workers: A systematic review and meta-analysis. International Journal of Clinical and Health Psychology, 16(2), 143–151.
- Mata, D. A., et al. (2015). Prevalence of depression and depressive symptoms among resident physicians: A systematic review and meta-analysis. JAMA, 314(22), 2373–2383.
- Olabarriaga, A., et al. (2024). Prevalence of PTSD among physicians: A systematic review and meta-analysis. BMC Psychiatry, 24(1), 50.
- RodrÃguez-Rey, R., et al. (2020). PTSD in emergency staff: A systematic review and meta-analysis examining prevalence and risk factors. Humanities and Social Sciences Communications, 7, 21.
The importance of and demand for mental health services is discussed everywhere: in news headlines, media copy, books, podcasts, and even workplaces. While recent years have shown an improvement in public sentiments around mental health, stigma around getting help still persists in many forms. One recent study found that prejudices and discrimination surrounding depression, for example, greatly declined between 1996 and 2006, but negative beliefs around other conditions like schizophrenia or alcohol dependency persist.
Weathering the stigmas around mental health can be difficult and discouraging, but with the right tools, you can protect your well-being and resist feelings of shame. Below are some strategies for managing and overcoming mental health stigmas so you can receive the support you deserve.
Read More: Needing a Little Inspiration? Check Out These Empowering Mental Health Quotes
Know Your Enemy: What Is Stigma?
In order to make mental healthcare most accessible, you must first combat the biggest barrier to mental health: stigma. This is the “negative attitudes, beliefs, and stereotypes people may hold towards those who experience mental health conditions,†which can also include negative attitudes or even discriminatory behaviors surrounding mental health in general.
If you’re thinking you don’t have any ingrained negative attitudes against mental health, you may not know how to identify them. Mental health stigmas exist in many forms, like the following:
- Structural stigma means the laws, regulations, and policies that limit access to mental health resources and infringe on people’s health rights. For example, before the Americans with Disabilities Act (ADA), employers could fire someone simply for having a mental health condition, which is now considered illegal.
- Public stigma means negative or harmful attitudes from individuals or groups of people about mental health conditions or care (which can include families or healthcare providers). One example of this is if your friend witnesses someone experiencing symptoms of bipolar disorder and calls them “crazy†or “insane†rather than acknowledging their medical condition.
- Self-stigma stems from the person living with a mental health condition. If you’re struggling with your mental health, you might feel shame or blame yourself for these feelings, which can be harmful to your well-being. For example, this could look like negative self-talk, like saying to yourself, “It’s my fault I’m dealing with depression, so it’s not worth getting help.â€
But how exactly is stigma a barrier? The effects of mental health stigma are multi-fold. Negative and shameful opinions surrounding mental health can do the following:
- Discourage people from seeking the help they deserve
- Discourage empathy for and support of people dealing with mental health conditions
- Limit people’s access to housing, jobs, insurance, or social experiences
- Encourage violence and discrimination against people with mental health conditions
- Harm individuals’ self-worth and confidence
Read More: If You Want to Advocate for Mental Health, Stop Using These Phrases
Who Suffers the Most?
Anyone can feel shame surrounding mental health and needing help. Some groups of people, in particular, weather the effects of stigmas based on cultural, generational, and economic factors. For example, men are less likely to seek support for mental health conditions, meaning men’s mental health needs often go untreated and can lead to depression and suicide – the leading cause of death among men. Additionally, veterans and military personnel often do not receive mental health care and suffer from untreated conditions.
Combating shame around mental health is crucial for everyone, but recognizing populations most at risk for mental health barriers makes getting the support you and your loved ones deserve that much easier.
Ways to Overcome Stigma
Overcoming mental health stigmas might sound like a significant feat, but little actions make a big difference. Knowing where and how stigmas present themselves is the first step, but taking action is the next. Here are a few places you can start:
Education Is King
The best way you can combat mental health stigmas is to educate yourself and others. As the World Health Organization notes, “Stigma is often framed in terms of mental health literacy. By correcting misinformation about mental health conditions, the theory goes, you reduce prejudice and make it less likely for someone to discriminate.†Improving your knowledge base and awareness equips you to help others, including organizations and communities, do the same and shut down harmful beliefs about mental health.
Talk Openly
The more you confide in others and share your mental health experiences, the easier it is to push past feelings of embarrassment and support others. By talking openly and honestly about mental health, you can normalize mental health treatment and choose empowerment over shame.
Lead With Compassion and Equality
Reducing stigma means increasing understanding. By advocating for compassionate, equal access to mental health, you can reduce the shame that keeps people from getting help.
Put Yourself First
Removing barriers to mental health increases access for everyone – including yourself! Prioritizing your well-being is the best form of self-love, and therapists are there to help.
Read More: Not Sure If It’s Time to Go to Therapy? We Can Help
Seeking Help Is the Answer
Asking for help is not a sign of weakness. Actually, it can be comforting to know that you can’t do everything alone, and humans thrive on supporting one another. Seeking support from a therapist or counselor means you prioritize your well-being and want tools to feel better. Keep the following in mind if feelings of self-doubt creep in:
- It is not weak to ask for support
- You don’t have to do everything independently all the time
- You aren’t a victim: you’re an advocate for yourself
Addressing the barriers to mental health will forge the way for a more equitable, accepting, healthier future, and little steps make a huge impact in breaking down stigmas. Find the right therapist for you through GoodTherapy and know that you are not alone: there is help for you.
Resources:
Why It’s so Hard to Ask for Help
National Library of Medicine: Men and Mental Stigma
Americans With Disabilities Act
Centers for Disease Control and Prevention: Mental Health Stigma
National Library of Medicine: Trends in Public Stigma of Mental Illness in the US, 1999-2018
Let’s be honest: Reality television has become America’s not-so-secret obsession. Whether it’s your guilty pleasure after a long day, the background noise while you’re scrolling your phone, or something you swear you’d never watch (but somehow know all the contestants’ names), there’s no denying we’re consuming more reality TV than ever before.
From the drama-filled villas of Love Island to the backstabbing brilliance of The Traitors, from the soaring vocals on The Voice to the rose ceremonies on The Bachelor — these shows have us hooked, and they’re undeniably entertaining. Still, researchers and mental health professionals are increasingly worried about the impact this “harmless” entertainment might be doing to our mental health, especially as it relates to body image.
If you’ve ever felt a knot in your stomach after watching impossibly perfect people find love on a tropical island or noticed your mood dip after a reality TV binge, you’re not alone. These shows are messing with our minds in ways we’re only beginning to understand, and the impact on how we see ourselves, especially our bodies, is becoming impossible to ignore.
Take Love Island USA, for instance. This longtime fan favorite has been called out for years over its harmful body image messaging, yet the most recent season (which premiered June 3rd, 2025) serves up more of the same. It might be your go-to guilty pleasure, but it’s worth asking: What’s the real cost of the “Love Island Effect” on our mental health?
Below is a deeper dive into the show’s impact on our mental health — from the show’s impossible beauty standards to the direct psychological toll it takes on us — plus some practical ways to enjoy your reality TV fix without letting it mess with your self-worth.
Negative Body Image and Mental Health: Understanding the Connection
When it comes to what shapes your mental health, body image plays a bigger role than you may realize. The way you see yourself in the mirror isn’t just about vanity: it’s deeply connected to your overall well-being and self-worth. When those thoughts are persistently negative, your mind can suffer.
Poor body image can trigger or worsen a number of conditions or symptoms:Â
- Anxiety and depressionÂ
- Body dysmorphiaÂ
- Eating disorders like anorexia and bulimiaÂ
- Feelings of shame and guiltÂ
- Self-esteemÂ
- An unhealthy obsession with body type
Learning how body image affects mental health isn’t just important: it’s essential if you want to take care of yourself, feel better in your own skin, and help others do the same. There are four components to body image you should know: what you see when you look at yourself (perceptual), how that makes you feel (affective), what you think about it (cognitive), and what you do as a result (behavioral).
Here’s the kicker: Reality TV and social media can mess with any or all of these layers, creating a perfect storm for mental health struggles.
The good news? If you’re battling negative body image, you don’t have to go it alone. Therapy professionals are specially trained to help you spot reality TV’s toxic influence and flip the script on how you see yourself. They can even coach you through tough conversations about body image with friends and family, helping curate a more positive message to the people you care about.
Read More: Wondering How to Talk to Your Child About Their Body? Start HereÂ
The Popularity of Reality TV
Despite all the hand-wringing about reality TV’s impact on our mental health, we’re watching more of it than ever. In fact, reality shows now make up a staggering 57% of all available TV programming. The message is crystal clear — reality TV isn’t just a guilty pleasure anymore: It’s become part of our daily media diet.
How Reality TV Impacts Body Image
You’ve probably encountered at least one of the Love Island franchises, whether it’s the UK, Australia, France, Germany, or USA version. Yet, what stays consistent across every beach and villa is the show’s basic formula of putting conventionally attractive twenty-somethings in swimwear and watching them compete for love — and the troubling impact it has on how we see ourselves.
The numbers are pretty sobering. New research from the Mental Health Foundation reveals that nearly 25% of 18-to-24-year-olds say reality TV makes them worry about their body image. The newest debut of Love Island USA, season 7, exacerbates this widespread concern. The cast is another lineup of people who fit that narrow definition of “beach body ready” and have likely had cosmetic work done. Love Island is certainly not alone in promoting unhealthy body standards, but researchers are particularly worried about the show’s so-called “Love Island Effectâ€: when viewers don’t just watch the show but also start questioning their own appearance and considering cosmetic procedures.
Despite the show’s lack of body diversity and some franchise changes, like offering mental health support for contestants after the show, Love Island USA celebrates the same, negative idea about body image: that true physical beauty does not include plus-sized bodies and only celebrates those with toned physiques and cosmetic enhancements.
Understanding how your TV habits affect your mental health is just the beginning. Actually building a positive body image, though, is the real work. Learn some concrete steps you can take to reset your perspective and find the support you need to feel good in your own skin.
How to Develop a Positive Body Image
As you grab the remote this week to turn on your favorite reality TV show, stop yourself and remember this key fact: the people you see on TV both represent skewed body ideals and likely struggle with body image issues themselves.Â
While GoodTherapy’s expert therapists are ready to help you tackle any body image challenges head-on, you can start protecting your mental health right now with these three game-changing strategies:
- Set Boundaries: Think of boundaries as your personal protection measures — whether physical, mental, or emotional. They’re your first line of defense in protecting your peace of mind.
- Fight Back With Cognitive Dissonance: Recognize and combat toxic beauty standards. See something unrealistic? Call it out. Challenge it verbally or take action against it.
- Remember the Ultimate Goal: Self-love isn’t one-size-fits-all. What works for your best friend might not work for you, and that’s okay. The freedom that comes with genuine self-acceptance? That’s universal.
These are the big-picture strategies, but let’s get practical. Here are some small but mighty actions that can transform how you see yourself:
- Start your day with positive affirmations (yes, they actually work)Â
- Chase health, not a number on the scaleÂ
- Spread compliments freely to others and yourselfÂ
- Make a list of what you love about yourself (and read it often)Â
- Catch yourself comparing and shut it downÂ
- Notice when your inner critic gets loud and stop it in its tracksÂ
- Remember you’re more than just a body: you’re a whole person
Fighting back against TV’s toxic body standards doesn’t mean you have to give up Bachelor in Paradise or stop rooting for your favorite Survivor contestant. It just means watching with your eyes wide open and recognizing your triggers so you can practice foundational skills in cognitive behavioral therapy (CBT). When you notice yourself making comparisons while watching Love Island, that awareness itself is the first step toward change.
Read More: Want to Learn About the Importance of CBT? Start Learning Now
How You Can Watch Love Island and Protect Your Mental HealthÂ
You don’t have to navigate this mental health journey solo. GoodTherapy’s trained professionals understand how reality TV affects mental health. They’re equipped with tools and strategies to help you build a healthier relationship with your body image.
With the right support, you don’t have to break up with Love Island USA this summer. You can absolutely keep up with all the villa drama while also working on rebuilding your confidence and protecting your mental health. It’s not about choosing between entertainment and self-care: it’s about finding that sweet spot where you can enjoy both.
Ready to take that first step? Find the right therapist for you, today!
Sources:
Multidisciplinary Digital Publishing Institute: Body Perceptions and Psychological Well-Being
Reality TV Statistics by Shows, Franchise, Demographics and Popularity
Which American Genres Have the Highest Global Demand?
Mental Health Foundation Raises Fears About Impact of Reality TV on Young Viewers
The Issue of Diverse Body Representation on Reality TV Goes Way Beyond Love Island
Reality TV Fuels Body Anxiety in Young People, Survey Says
  Social anxiety disorder can be a formidable challenge, impacting various aspects of daily life. In Plano, where mental health is a priority, individuals facing social anxiety find solace in ineffective treatments such as Cognitive-Behavioral Therapy (CBT). This blog delves into practical tips to navigate everyday challenges associated with social anxiety, providing insights for those undergoing depressive disorders treatment in Plano and seeking CBT for social anxiety.Â
Understanding Social Anxiety in Plano: A Common StruggleÂ
Social anxiety involves an overwhelming fear of social situations, often accompanied by intense self-consciousness and fear of judgment. In Plano, acknowledging the prevalence of social anxiety underscores the importance of providing practical guidance to help individuals confront and overcome these challenges.Â
1. Gradual Exposure and Positive ReinforcementÂ
CBT emphasizes gradual exposure to feared social situations as a key strategy for managing social anxiety. In Plano, individuals can start small by exposing themselves to low-stakes social interactions and gradually progress to more challenging scenarios. Positive reinforcement, acknowledging even small successes, helps build confidence and reshape negative thought patterns.Â
2.  Challenge Negative Thoughts with CBT TechniquesÂ
Cognitive restructuring, a core component of CBT, is invaluable for addressing negative thoughts associated with social anxiety. Plano residents undergoing CBT for social anxiety learn to identify and challenge irrational beliefs about social interactions. This process fosters a more realistic and positive outlook, empowering individuals to navigate social situations with greater ease.Â
3. Mindfulness and Relaxation TechniquesÂ
In the bustling environment of Plano, incorporating mindfulness and relaxation techniques is crucial for managing social anxiety. Mindfulness practices help individuals stay present in the moment, reducing excessive worry about future social interactions. Techniques such as deep breathing or progressive muscle relaxation contribute to a sense of calmness and control.Â
4.  Develop Social Skills through PracticeÂ
Practical social skills are essential for navigating everyday challenges. Plano offers various opportunities for individuals to enhance their social skills, through social groups, workshops, or community events. Engaging in purposeful practice builds confidence and competence in social interactions, aligning with the principles of CBT.Â
5.  Set Realistic Goals for Social InteractionsÂ
Setting realistic and achievable goals for social interactions is pivotal in overcoming social anxiety. In Plano, individuals can work with their CBT therapists to establish specific goals, such as initiating a conversation, attending a social gathering, or expressing opinions in a group setting. Celebrating these accomplishments fosters a positive trajectory in overcoming social anxiety.Â
6. Seek Support from Friends and FamilyÂ
A strong support system is invaluable in managing social anxiety. Plano residents undergoing treatment for depressive disorders and social anxiety can lean on friends and family for encouragement and understanding. Open communication about their challenges and victories strengthens the bonds of support, aligning with the holistic approach to mental health in Plano.Â
Pioneering Mental Wellness: Faith Health Wellness, Your Trusted Partner in CBT for Social AnxietyÂ
At Faith Health Wellness, we’re committed to being your community’s leading healthcare provider, specializing in cutting-edge CBT treatment for social anxiety. As your trusted partner in psychiatric health, we strive to set and exceed the same high standards we’d want for our own family members. Choose Faith Health Wellness for compassionate care, innovative solutions, and a commitment to fostering lasting well-being. Your journey to mental health is our top priority.Â
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Mental health is an integral aspect of our overall well-being. As humans, we all go through various emotional, psychological, and social challenges that can sometimes be overwhelming. Seeking therapy and reaching out for help has become a common and acceptable practice in modern times, however, this was not always the case. Â
There was a time when mental health issues were stigmatized, and people were ashamed to talk about it. This stigmatization not only caused immense suffering but also perpetuated negative stereotypes that still exist today.Â
Normalizing mental health issues and treatment has been a great stride in promoting awareness and reducing stigma. However, with this wider discussion has come the problematic sensationalizing of mental health issues. Â
 In this blog, we will delve into how mental health has gone from stigmatized to normalized, as well as the harmful effects of sensationalizing mental illness.Â
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Reducing the Stigma Around Mental HealthÂ
 The stigma surrounding mental health goes back to the days when people suffering from mental illnesses were deemed unfit for society and locked away in asylums. Negative stereotypes perpetuated by the stigmatization of mental illness persist even today. They often paint individuals with mental health issues as weak, lazy, crazy, or dangerous. Â
 These stereotypes are unfair and not true for many individuals suffering from mental health issues. People with mental health concerns come from all walks of life and are often very high-functioning individuals. Â
 Such perceptions often lead to individuals with mental health issues being discriminated against at work, school, or even in social settings. This drives them away from their peers and can cause them to feel isolated and vulnerable. Â
 Stigmatization also discourages us from talking openly about mental health. It reinforces the idea that we should hide our mental health issues and feelings. Research shows that people are more likely to avoid seeking mental health treatment when they perceive high levels of stigmatization associated with mental illnesses.Â
 Normalizing mental health is crucial to combat stigmatization. And it starts with creating a safe and stigma-free space for individuals to talk about their experiences and seek help. By helping people understand that mental health issues are common, treatable, and nothing to be ashamed of, we create an inclusive and empathetic environment.Â
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From Normalized to Sensationalized Â
The normalization of mental health helps to reduce stigma, but it can also be a double-edged sword. Though well-intended and generally beneficial, the casual normalization of mental illnesses may downplay the severity and complexity of different psychiatric conditions. Â
 It can contribute to people having distorted ideas, misguided perceptions, or assumptions around mental illness. “Depressed people are always sad,” “anxiety means you’re nervous,” and “people with bipolar disorder are just overly dramatic” are only a few examples. Â
 Unfortunately, the normalization and popularization of mental illness has led to the sensationalizing of mental illness, even turning it into a fad. Mental health is not a one size fits all issue; its complex nature means there are various levels of severity within diagnosis types. Turning it into an overly accessible trend can discourage those experiencing severe mental illness from opening up and can even cause self-doubt in their own assessment on their mental state.Â

The Dangers of Sensationalizing Mental HealthÂ
It is becoming increasingly common to see words like depression and anxiety tossed around when describing feelings of sadness and worry. While everyone experiences sadness and worry, it is not the same as being depressed or having an anxiety disorder. When people misuse these words, it can trivialize the real struggles that people with mental illness face. It diminishes the severity of these illnesses, and people begin to brush off the importance of seeking professional help.Â
 The misrepresentation of these illnesses in popular media has led to harmful situations for teenagers. Suicide, for example, can be contagious. When suicide is sensationalized through television or movies, it creates a ripple effect, with individuals taking their own lives in an attempt to glorify the behavior that they have seen. Representations of suicide on television or on social media platforms contribute to a culture where self-harm can sometimes be seen as the only means to get relief.Â
 Another way mental health issues have been sensationalized is through recreational videos on social media apps. A TikTok trend involved people pretending to have dissociative identity disorder (DID), which is a severe mental illness. These videos were harmful because the portrayal of DID was highly inaccurate, and it made the illness seem like something that could be fun or trendy to have. It is essential to remember that mental illness is not a trend but a very real problem that affects millions of people.Â
 Another downside to sensationalizing mental illness is when individuals use it as an excuse for bad behavior. People sometimes use mental illness to explain harmful actions that they cannot justify. This behavior only perpetuates a negative stigma around mental health, and it makes people less likely to believe others who genuinely live with these illnesses. Mental illness is never an excuse for harmful behavior.Â
 Finally, mental illness and self-harm being seen as “tragically beautiful” has been another dangerous trend coming from sensationalizing mental health issues. Social media users are perpetuating a toxic environment where people are beginning to see mental illness and self-harm as attention-seeking behaviors. This trend is harmful because it romanticizes the act of self-harm and puts vulnerable people at risk.Â

Educate Yourself with GoodTherapy Â
Mental illness is nothing to be ashamed of, and the more we talk about it, the more we can break down the stigma, but; it is important that we be more mindful of the language we use when addressing mental health issues, so as not to trivialize or promote sensationalism.Â
 It’s vital that discussions surrounding mental illness remain grounded in truth while still encouraging understanding and openness. By taking a responsible and compassionate approach to discussing mental health issues, we can help to dismantle the stigma surrounding mental illness and encourage individuals to seek support when they need it most. Â
 At GoodTherapy, we strive to reduce stigma through education on therapy benefits while connecting those in need directly with qualified therapists near them. GoodTherapy provides millions of people with access to support and resources from dedicated professionals across the world. Learn more about how we can help today!Â
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