Stigmas Still Scare People From Counseling

What happens when we’re confronted with a problem? What do we do when we have an issue we’re trying to fix at work or trying to solve a problem in our schoolwork?  What do we do when we can’t fix something at home--a jammed window, a dislodged door, a flat tire on the car? What can we do when we’re having difficulty figuring something out on our own? Clearly, the expected solution would be to look for help from the outside. We reach out to our supervisors and co-workers to help address issues or to help complete projects at work. We research online for do-it-yourself remedies, or hire a specialist to fix problems with our home or vehicle. We call upon our professors, tutors and academic peers to conquer the hurdles of education. In facing our most personal troubles, we typically call on those closest to us or people we trust for guidance and assistance. We lean on our spouse, family and close friends for support when facing a personal crisis or emergency; we look to our pastors and ministers for spiritual guidance, and mental health counselors to help overcome mental or emotional blockades.     Or we don’t. We may continue to go solo, taking breaks away from the task before returning to find the solutions ourselves, or we may give up and move on to different things. Still others may choose to endure or continue enduring whatever issue they’re facing, refusing to acknowledge the possibility of needing help facing the issues they face. For some, asking for help is difficult. For some us, admitting that we need help feels like a sign of weakness and uselessness, which can be detrimental to the individual, especially in the case of mental health issues.   [caption id="attachment_578" align="aligncenter" width="540"] The hit show “The Sopranos” circulates around a New Jersey mob boss’s sessions with a psychiatrist, highlighting the perception of weakness as well as the dangerous suspicions of spilling crime family secrets to outsiders.[/caption] According to the National Alliance on on Mental Illness (NAMI), millions of people face mental illness and mental health challenges in the United States each year, and the stigma that surrounds mental health--the fear and the lack of understanding, which can lead to isolation, shame, harassment, and even bullying and discrimination from others that can turn violent--can still be felt.   “When my husband asked me to keep his secret, I didn’t hesitate,” said Carolyn Ali in her New York Times piece, Alone With My Husband’s Secret. Carolyn and her husband worked to battle his depression on their own, taking care to avoid telling their families and loved ones. But the secrecy and the severity of his depression wreaked havoc on the two. As Carolyn attempted to navigate their way through the channels of the mental health system, her husband dropped out of the master’s program he was enrolled in and spent the majority of his days sleeping. When they did tell their family, he downplayed the severity of his depression and, after mustering every ounce of energy to appear upbeat through birthday gatherings and Christmas dinners, would crash for days once they returned home, utterly depleted. For Carolyn, maintaining the secret of her husband’s depression was costly for her as well. “Because it was his illness,” she wrote, “and he didn’t want to talk about it, I felt as if I had no right to talk about it either. So outside of my family and a few close friends, I didn’t talk about it with anyone. I didn’t talk about my frustrations in trying to find him proper medical care. I didn’t talk about how helpless and hopeless I felt as I tried to lift his mood. And I definitely didn’t talk about that leaden, sickening feeling I had every day after work as I pulled open the front door of my apartment: I’d check every room one by one, not knowing what I would find.” Two years after he spoke about his depression, Carlyn’s husband began to recover from his depression and, today, he is open about his history of mental illness and challenges the stigma himself, recognizing the impact the silence had on him and Carolyn, both individually and as a family. Today, the grip that the stigma of mental health seems to hold has been loosening in the U.S. A 2017 report from the Barna Group showed that approximately 42 percent of adults in the U.S. have met with a counselor at some point of their lives, and at least another 36 percent saying they’re at least open to seeing a counselor. That being said, the fear of seeing a counselor is still prevalent to this day. Dr. Benjamin Keyes is the Director of Training and Internships for the Eastern States for Divine Mercy University’s School of Counseling, Director for the Center for Trauma and Resiliency Studies, and has spent his career helping people in the U.S. and around the world recover from traumatic or stressful situations while providing organizations with counseling and training, including Charlottesville Virginia following the of the White Supremacist Rally. “The stigma of having to go see a counselor or a psychologist is the perception of being seen as crazy or psychotic,” he said. “People think this true with their family, at work or the other people they may see on the day-to-day. The reality is that there are a lot of reasons as to why people meet with counselors.” Dr. Keyes has also worked with many individuals whose jobs put them in stressful environments and situations regularly, including firefighters and members of the military and police forces. “There’s a perception of ‘going to the shrink,’” he said, “and there’s a fear that this stigma may have a negative effect on their careers or hurt their chances at promotions so they may be more inclined to avoid counseling to avoid that appearance.”     Outside the U.S., the stigma of mental health still holds an even tighter grip, causing thousands of people around the world who need treatment for mental health issues to avoid seeking treatment altogether. Mental illness has a long history of being stigmatized around the globe, from being considered a sign of demonic possession in its early history, to being seen as a shortcoming or a sign of weakness today. For instance, in Korea, the concept of mental health simply does not exist. “In Korea, there is no such thing as mental health,” said Jin-Hee, a Korean-American mental health professional in an interview with the University of Washington’s Forefront Suicide Prevention center. South Korea has one of the highest suicide rates in the world, and it’s been attributed to pressures relating to conformity for those in their 20s and 30s, loneliness, cultural dislocation, and lack of social connection for the elderly. But there’s still an aversion to accepting mental health treatment. According to Jin-Hee, depression is perceived as a sign of personal weakness instead of a clinical issue in Korea. Instead, it’s seen as a burden on a family’s reputation. “One is seen as ‘weak’ if they have a mental health issue,” she said. “People with mental health issues are seen as ‘crazy’ and the issue is something that must be overcome.” In Africa, the absence of treatment is the norm rather than the exception. In the face of many other challenges like conflict, disease, maternal and child mortality and intractable poverty, the importance of mental health is often neglected or overlooked typically due to a lack of knowledge about the extent of mental health problems, stigmas against those living with mental illness and beliefs that mental illness cannot be treated. The proportion of people with mental illness in Africa who don’t receive treatment ranges from 75 percent in South Africa to over 90 percent in Ethiopia and Nigeria.   “The stigmas are very pervasive in places like Eastern Europe and Africa,” said Dr. Keyes, “but the church in these nations and elsewhere is really making the inroads to address this, with pastors and clergy receiving education and counseling training to help their congregation and countrymen. Education goes a long way in rectifying these stigmas.” Research shows that tens of millions of people throughout the world will at some point in their life experience a mental health illness or disorder. It’s estimated that only half of those people will receive treatment, and the stigma and silence of mental health is a critical barrier that holds them back, leaving the individual without the critical help they need, and their loved ones--their spouses, siblings, parents and children--from receiving the essential support they need. “There are many different reasons people receive counseling,” Dr. Keyes said. “Some may be trying to help or save their marriage. Some may need an outlet for their anxiety while others go to address and treat depression. As counselors, we try to normalize the experience as much as possible.”   “If I could go back to that fall morning in our kitchen,” Ali said, “I would tell my husband this: ‘I know what you’re going through feels unbearable. It breaks my heart. I so desperately want to make things better. But we can’t keep this between us. We need as much support as possible to get the help you need. You are not alone.’”

Sharp Divide Overrules Mental Health

Sitting in a hospital room during an emergency, waiting to speak with a doctor builds a great anxiety that makes the heart race while simultaneously petrifying the body. Words of comfort fall over and around you like acorns in autumn, and thoughts bounce around inside your head of all things that have gone wrong and could go wrong, all followed by a great fear of not knowing what lies ahead. My wife had been admitted into the hospital’s high risk pregnancy unit just a week and a half before Christmas. The day before, we had met with the sonogram specialist at the pregnancy center we were visiting to try and discover the gender of our baby. All indications showed that our child was as healthy as can be, with all limbs accounted for and all organs developing well, but we were unsuccessful in learning if we were expecting a boy or a girl. Instead, we learned that my wife’s amniotic fluid levels were dangerously low and, later, that the reason for the low fluid levels was due to a rupture in the amniotic sac. My wife was immediately put on bedrest and began to drink gallons of water every day to supplement for the loss of fluids for the baby inside. In meeting with one of the doctors at the hospital, we discussed what our situation was and what our different options of care were with this fresh, frightening setback, which ranged from remaining in the hospital under constant monitoring--doing everything possible to keep from delivering too early--to immediate induced delivery via c-section if an infection was detected. As we went over everything, the doctor reminded us: another option is termination. Abortion is one of the most hotly contested and controversial issues in the United States. An electoral candidate can rise up or fall from the political landscape depending on views and affiliation of abortion, as it’s become one of the top three topics of discussion at political election debates, and your own opinion on the matter is almost considered a battle-cry declaration of your political and social affiliation. Movements and annual marches organized by proponents of both sides of the issue are attended by hundreds of thousands of participants. On one side, it’s a highly complex and difficult choice that’s accepted as a right and a means of protecting a woman’s physical, emotional, financial and social health based on the circumstances of the pregnancy. It can even be a means of saving the mother’s life in the case complicated pregnancies as a result of rape. It’s also considered as protection of the unborn child from a potentially difficult life, especially if any complications like disability and disorders are detected early on. In our case, our child’s death would mean us avoiding the financial burdens of a potentially extensive hospital stay, as well as any hardships that our child’s premature birth could bring about, including physical, intellectual or developmental disabilities or conditions.  On the other side, the right to terminate the pregnancy is a cold infringement on the child’s right to live, a dangerous shortcut escape from responsibility as a parent or certain anticipated hardships, a naziesque means of extermination and a multibillion dollar, government-funded industry of legalized murder. For us, it meant losing an otherwise perfectly healthy child. There are hundreds of surgical and medical procedures that are standard or common, but none are without their own risk of complications. No matter what side of the issue you’re on--whether you believe in the legitimacy of the practice and are trying to stand up for women’s rights or you believe the practice is murder that was wrongfully legalized--abortion itself is not a risk free operation. According to the abortion recovery nonprofit Ramah International, the procedure carries many different health risks that could cause serious complications, including scarring and injury on the uterine wall, blood clots in the uterus, pelvic infection and cuts or tears of the cervix. The procedure can even make it more difficult for the mother to get pregnant again. But in considering risks and complications of abortion, what’s very rarely touched on are the potential psychological and emotional repercussions that can hit those who have had the procedure. According to Dr. Priscilla K. Coleman, professor of human development and family studies at Bowling Green State University, researching any connections between abortion and mental health is incredibly difficult due to how sensitive the topic is. “Perhaps even more serious than this,” she said in her 2017 article, Post-Abortion Mental Health Research: Distilling Quality Evidence from a Politicized Professional Literature, “are the well-entrenched, seldom-discussed professional gatekeepers, who encourage agenda-driven research and ignore fundamental scientific principles in order to fill journal articles with ‘evidence’ that abortion poses no risk to women’s health.”         But studies do show that mothers who have an abortion put themselves at risk of experiencing psychological and emotional repercussions of the procedure, a condition that’s been unofficially tagged Post Abortion Stress Disorder (PASS). One report released in 2017 from the European Institute of Bioethics--The Psychological Consequences of Abortion--found that mothers may experience different states of mourning or grief as a result as a result of having an abortion. Like mothers whose pregnancies end in miscarriage, mothers who abort can experience a similar denial and anger. They’ll then experience doubt over their decision and guilt over the loss. It can then lead to anxiety and depression in many different forms, such as eating disorders, loss of self-esteem, sleep and relationship trouble, and thoughts of suicide. Both the abortion and the emotional experiences that follow can lead the mother to mistreat those closest to her, creating psychological strain on family members. "When I became pregnant at 18, I had an abortion," said Michaelene Fredenburg on her website. She is the founder of AbortionChangesYou.com, an online refuge for those trying to recover from their abortion experience. "I was completely unprepared for the emotional fallout. I thought the abortion would erase the pregnancy. I thought I could move on with my life. I was wrong. I experienced periods of intense anger followed by periods of profound sadness. When my feelings became too difficult to deal with, I reached out for help from a trained counselor. With counseling and the help of supportive friends, I was able to enter into a healthy grieving process. In addition to grieving the loss of my child, I slowly became aware of how my choice to abort had impacted my family. I was surprised and saddened that my parents, my sister, and even my living children struggled to deal with the loss of a family member through abortion." For us, in weighing the risks and complications between alleviating possible short-term and long-term hardships of delivering prematurely and the risks of termination, we respectfully declined the doctor’s proposition and were admitted for the long run. Termination just wasn’t an option.  A week and a half into our hospital stay--exactly 24 weeks into our pregnancy--our son Jude was born (pictured above at two weeks old in the incubator). It's a fact of life today: not all pregnancies go according to plan, and not all pregnancies are planned. This can create a great fear of the decisions we'll have to make and of not truly knowing what challenges wait for us along the way. We look at abortion as a decision to eliminate those decisions; a resolution to a dire moment of fear; a restoration to a pre-pregnant identity; an easy fix to complicated health or circumstances; the safer alternative to a harder road ahead. But just as a pregnancy changes a mom and dad forever, so too does abortion. I look at my son, recovering from his early entry into the world--hooked to ventilators to help develop his lungs, lying in the incubator for the long haul to his original due date in April--and my mind drifts to an alternative scenario, if we had chosen to let him go. The very thought drives wounds into my heart to depths I, otherwise, would have never known existed.

IPS Center Expansion

Throughout this past year, The IPS Center for Psychological Services continued to provide the community with high quality, affordable mental health services that understand the emotional, biological, social, spiritual and psychological aspects of a person. During the 2017-18 academic year, 13 clinical externs served more than 70 clients, with over 70% being new clients, which is considerably larger than previous years. With the growth of the IPS Center, new staff and clinical supervisors have been added to support the doctoral students. Dr. Ana Buenaventura and Dr. Jeanne Piette are overseeing the clinic and the clinical training of the doctoral students. During the 2018-19 academic year, which is just beginning, 20 total externs (8 of whom only started last week) are seeing about 35 clients currently in the clinic. As the need continues to be present in the local community, the IPS Center serves as a resource for many who look for mental health services. The transition to DMU’s new, permanent campus will take place over the summer of 2019, the IPS Center will open it’s new doors in Sterling, VA in August of 2019.

New IPS Center Staff

Dr. Jeanne Piette, new Co- Director of the IPS Clinic, completed her Ph.D. and M.A. in Clinical Psychology at Loyola University Chicago and her B.A. in Psychology at Marquette University. She completed her predoctoral internship at Illinois Masonic Medical Center. Dr. Piette has worked as a clinician, supervisor and administrator in a wide variety of clinical settings. Dr. Helena Orellana, new Associate IPS Clinic Director, received her doctoral degree from the Institute for Psychological Sciences in 2017. She completed an APA accredited pre-doctoral internship through the Nebraska Internship Consortium in Professional Psychology, where she pursued a dual focus in adult group therapy and individual therapy for adults who experienced chronic childhood abuse. Dr. Orellana completed an APA accredited post-doctoral residency at the Togus VA in Maine.

DMU Ranked as Top Online Master’s in Psychology

Best College Reviews has named Divine Mercy University as a top 25 online master's in general psychology program for 2018. The master's in general psychology offers students advanced training in the core areas of psychology and the opportunity to develop and explore specialized areas of interest. These online programs provide students with a convenient way to earn the credentials they need while still holding down a full-time job or fulfilling other obligations. Many careers in psychology require a minimum of a master's degree, and online master's psychology programs are increasing in popularity as a way to meet this requirement. The programs featured in this ranking typically offer students ways to customize their education in terms of both content and course completion. This ranking was created using the National Center for Education Statistics' College Navigator database. The top 25 online master's in general psychology programs were ranked based on the following criteria: - Tuition - Customization Options - "Wow" Factor Best College Reviews is an authoritative, objective, and editorially independent online college review journal. The site is committed to providing students with the best, most trustworthy guidance for making what may be the biggest decision of their lives. Comprehensive resources include college rankings, information about online colleges, features, and a blog. Read the full article. Learn more about Divine Mercy University's Online Master's in Psychology degree.

DMU Honored for Faith-Based Counseling

OnlineMasters.com has selected Divine Mercy University (DMU) as one of the Best Master's in Counseling Programs for 2019. On top of being ranked 13 out of 26 top-ranked programs in the United States, DMU earned the added distinction of Best For Faith-Based Counseling. This speaks to the amazing work that the program is doing and the quality education that it can help students with their career aspirations. OnlineMasters.com identified the top programs in the nation that are the best in the areas of curriculum quality, program flexibility, affordability, and graduate outcomes. Leveraging an exclusive data set comprised of interviews and surveys from current students and alumni in addition to insights gained from human resource professionals; every online degree program was analyzed with only the top 26 making it to the final 2019 list. The methodology incorporates the most recent data from the Integrated Postsecondary Education Data System (IPEDS) and statistical data from the National Center for Education Statistics. Most importantly, only programs from accredited nonprofit institutions were eligible. “U.S. Bureau of Labor Statistics show the career opportunities for education counselors will continue to grow at a rate of 13%, which is faster than average.” stated Barbara Montgomery, Program Recognition Manager. This is just one of the many reasons OnlineMasters.com researched, analyzed, and ranked the top Master's In Counseling Programs. View the complete list of rankings to see all universities.  Learn more about the Online Master's in Counseling program at Divine Mercy University.
About DMU
Divine Mercy University (DMU) is a Catholic graduate university of psychology and counseling programs. It was founded in 1999 as the Institute for the Psychological Sciences. The university offers a Master of Science (M.S.) in Psychology, Master of Science (M.S.) in Counseling, Doctor of Psychology (Psy.D.) in Clinical Psychology, and Certificate Programs.