No Longer Suffering In Silence: Creating Safe Spaces To Talk About Mental Health

Medically reviewed by Nikki Ciletti, M.Ed, LPC
Updated June 11th, 2025 by BetterHelp Editorial Team

The article below uses the term “suffering” in the context of people who are experiencing mental health challenges in silence. A person may have a mental illness without “suffering” from it, but this language is used by some to describe how common it is for individuals to experience mental health challenges without feeling able to speak openly about them or seek help. 

According to the National Alliance on Mental Illness, one in five US adults experiences a mental illness every year. Despite the millions of people currently living with a mental disorder, many continue to “suffer in silence,” or feel like they’re not able to reach out for support. The reasons for this may vary, but one of the most common is stigma. Stigma may give people distorted ideas about mental health that keep them from getting the help they deserve. Here, we’ll discuss why people might remain silent about their mental health challenges and ways to create safe spaces for individuals to openly discuss mental health. 

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Statistics about stigma surrounding mental illness

While progress has been made in fighting stigma surrounding mental health conditions, persistent negative attitudes about mental health care continue to keep some people from seeking help. According to a recent survey, 60% of people believe that societal attitudes discourage people from seeking support, despite 75% of respondents agreeing that people should do so for their mental well-being.

Stigma also affects young people. The same survey indicates that, while Gen Z individuals tend to be more open to discussing mental health, 37% of them report falsely believing that those who seek help are “mentally weak.” Seeking mental health support is actually a sign of strength, but the stigma persists.

Other reasons people may “suffer in silence”

Many people choose not to talk about their mental health challenges out of fear of what others might think. Even people who feel empathy for those who experience a mental illness may struggle to seek help themselves. They may be nervous that their friends, family members, partner, someone they’re dating might see them differently after learning of their struggles, even if there’s no evidence to support this fear. 

How to fight mental health stigma

Regardless of the reasons that a person may remain silent about their mental health challenges, there are ways to create spaces for connection and openness with regards to mental health. The following are some tips that may encourage more open dialogue about this topic. 

Speak up when you encounter stigma

Stigma is often perpetuated in subtle, unintended ways, so it can help to speak up when you notice it. For example, if you see a meme or joke online that contributes to stigma about depression or another mental illness, you might consider contacting the person who posted it. To avoid shaming the person, you can reach out to them via direct message to express your concerns. 

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Advocate for mental health services at work or school

Another way to promote openness surrounding emotional well-being is to advocate for mental health support services at work or school. For example, you might attend any on-site workshops that teach mental health skills and ask human resources or faculty if there are mental health services available to employees or students, respectively. 

Discuss your own mental health journey

If you’re comfortable, discussing your own mental health journey may also be helpful. If you don’t want to reveal information about a specific mental health challenge or condition, you can still speak up about seeing a therapist to help normalize the therapy process. Other people may feel encouraged to get help if they find out that others around them see a therapist.

When to seek mental health support

Everyone should feel empowered to seek the support of a therapist at any time. It's usually recommended that you meet with this type of provider if you're experiencing potential symptoms of a mental illness, like anxiety, depression, bipolar disorder, or any other—especially if they’ve started interfering with your daily life. However, a therapist can also help a person navigate grief, build self-esteem, learn to cultivate healthy relationships, process past trauma, and cope with life challenges in a positive way. 

Getting mental health support for depression and other challenges

If you’ve been experiencing mental health concerns on your own, you might consider reaching out to a licensed mental health professional for support. Most therapists are used to seeing people who are reaching out for the first time and will typically engage with compassion and care. A licensed therapist can ease you into the therapy process and guide you through it at a pace that feels comfortable for you. 

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Online support to end “suffering in silence”

Some people may feel hesitant to speak with a mental health professional in person, whether because of stigma or some other reason. If this is the case for you, know that you can still receive support via online therapy. With a platform like BetterHelp, you can connect with a licensed therapist remotely, via audio, video, or live chat, at times that work for you. 

You can also reach out to your therapist at any time through in-app messaging and they’ll respond as soon as they can. This feature means that you don’t have to suffer in silence throughout the week. You can communicate your concerns in the moment instead of waiting until the next session. 

In addition to offering various modes of communication, online therapy has robust support in the psychological literature. In one review, for example, researchers suggest that internet-based cognitive behavioral therapy (CBT) can be effective for treating symptoms of various mental health conditions, including depression, social anxiety disorder, generalized anxiety disorder, and substance use disorder. People sometimes remain silent when experiencing these and other conditions, but online therapy means that people can comfortably receive support when they need it from home or anywhere they have an internet connection

Takeaway

Many people “suffer in silence” from mental health symptoms, avoiding reaching out due to fear created by social stigma surrounding mental health. To help fight stigma, you might consider speaking up when you notice it being perpetuated in social or work settings. Also, if you’re experiencing mental health challenges but have been afraid to get help, know that you are not alone. There is compassionate support available from licensed therapists, both in person and online.
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