Stigma By The Generations: Gen Z Mental Health Needs And Support Options

Medically reviewed by Melissa Guarnaccia, LCSW
Updated May 8th, 2025 by BetterHelp Editorial Team

In recent years, the topic of mental health has been more prevalent than ever on social media, and Gen Z has often led the way in raising awareness. However, Gen Z still experiences stigma and barriers to receiving the mental health support they deserve. The reasons for stigma and lack of access can vary, even within the same generation. However, there tend to be some common themes surrounding mental health among Gen Zers. This article will discuss stigma related to mental health care among different generations and explain how Gen Zers and others can seek effective support.

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Overcome stigma by seeking professional support

Generation Z vs. Baby Boomers, Gen X, and Millennials

Gen Z is often considered more open than other generations, such as the Baby Boomers, when it comes to talking about mental health. Gen Z has typically been more exposed to social media messaging about mental health than previous generations have. While this exposure may have made some young people more likely to broach the topic of mental health, social media posts about the subject sometimes seem to have a curated, perfected form of openness. Some Gen Zers may be open to making posts about stress or self-care, but they may feel hesitant to state that they have sought therapy, for example.

A caveat about generational differences

The tendencies within Gen Z, Millennials, Gen X, and Baby Boomers don’t always hold true for everyone. People can be shaped by various factors beyond their age, such as culture, language, gender, religion, family, and individual personality differences. While it may be helpful to keep generational tendencies in mind, each person can have widely different attitudes toward mental health care and help-seeking behaviors. 

Anxiety and Gen Z

In general, Gen Z seems to hold the opinion that mental health is important. Research shows that Gen Z tends to experience more mental health challenges than other generations do. One recent study on mental health stigma collected data from people across 23 countries. The following data from the study represents the likelihood of experiencing anxiety broken down by generation:

Mild to moderate anxiety: 

  • Gen Z: 56% globally (52% in the U.S.)
  • Millennials: 50% globally (45% in the U.S.)
  • Gen X: 42% globally (43% in the U.S.)
  • Boomers: 26% globally (25% in the U.S.)

Severe anxiety: 

  • Gen Z: 19% globally (20% in the U.S.)
  • Millennials: 14% globally (15% in the U.S.)
  • Gen X: 10% globally (11% in the U.S.)
  • Boomers: 4% globally (5% in the U.S.)

From this data, it can be seen that the likelihood of experiencing mild, moderate, and severe anxiety is highest for members of Gen Z, with Millennials and Gen X having slightly lower chances of experiencing anxiety. Meanwhile, the Baby Boomers appear to have a significantly lower likelihood of experiencing anxiety.

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Gen Z Mental health crisis: A gap between belief and action

Despite engaging in mental health advocacy, many Gen Zers still experience stigma and hesitancy to seek mental health services. In the same study referenced above, 34% of Gen Z respondents reported not being completely forthright during therapy sessions. In addition, among respondents who had never attended therapy, 28% stated that they believed it would be a waste of money. 

These figures demonstrate a gap between what young adults state regarding mental health support and what they do in practice when they experience mental health challenges. In some cases, the gap may be related to stigma surrounding mental health treatment. In the study mentioned above, 37% of Gen Z respondents stated that they believe people who seek therapy are "mentally weak.” This proportion was much higher than the 22% of Baby Boomers, Gen Xers, and Millennials combined who saw seeking therapy as a sign of mental weakness.

The social media mystery

Social media plays a powerful role in raising awareness about mental health and can help create more open, supportive conversations around the topic. However, excessive use may come with drawbacks. According to BetterHelp’s State of Stigma report, which surveyed over 16,000 people, individuals who spend four or more hours per day on social media are 57% more likely to believe that mental health care fails to improve well-being compared to those who don't use social media at all. Striking a healthy balance in social media use can support more positive, informed engagement with mental health content.

Overcoming barriers to care for Gen Z

Members of Gen Z may be hesitant to seek mental health care for numerous reasons. Research shows that 40% of Gen Zers cite cost as a barrier to seeking help, and 24% say they don’t know where to find the right therapist. While some people may receive support from friends, family, and online groups, these sources aren’t necessarily an adequate substitute for care from a licensed mental health professional.

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Getty/Vadym Pastukh
Overcome stigma by seeking professional support

Online therapy for Gen Z

Whether Gen Zers are concerned about cost or aren’t sure where to find professional support, online therapy can provide a viable solution. Online therapy tends to be more affordable than traditional in-person therapy without insurance, and online therapy platforms typically offer a wider range of therapists than what is available locally. For example, BetterHelp has a network of more than 35,000 licensed therapists worldwide, which can make it easier for Gen Zers to be matched with a therapist based on their personal preferences and needs. 

Online therapy has received robust support in psychological literature. According to a 2017 study, online cognitive behavioral therapy can effectively treat a variety of mental disorders, including depression, social anxiety, generalized anxiety disorder, and substance use disorder. 

Takeaway

While Gen Z tends to advocate for mental health care, research suggests that a stigma surrounding mental health persists among this generation. Some Gen Zers have also reported various barriers to receiving mental health care, including concerns about not being able to afford therapy and not being able to find the right therapist. In these cases, online therapy can be an affordable option that provides a vast selection of licensed mental health professionals. Whether you belong to Gen Z or not, know that compassionate, affordable care is available through online therapy. 

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