Skip main navigation

Military Health System

Clear Your Browser Cache

This website has recently undergone changes. Users finding unexpected concerns may care to clear their browser's cache to ensure a seamless experience.

Military Health System Confronts Stigma Surrounding Mental Health Care

Image of Military Health System Confronts Stigma Surrounding Mental Health Care. U.S. Air Force Maj. Huong Timp, 133rd Medical Group Physician Assistant, sits down with an airman to guide them through what the Medical Group can offer someone needing mental health support in St. Paul, Minn., Feb. 7, 2020. One obstacle facing someone seeking help for mental health is often times they feel a stigma is attached to seeking help. (Photo credit: U.S. Navy Petty Officer 1st Class Sarah Villegas, Office of the Master Chief Petty Officer of the U.S. Navy)

Stigma can be a barrier to a service member seeking support for their mental health. Recognizing mental health as part of overall health and changing attitudes are keys to addressing it.

“A significant challenge to seeking help for mental health is stigma,” said Dr. Nancy Skopp, research and clinical psychologist with the Defense Health Agency’s Psychological Health Center of Excellence.

Cultural biases, a lack of trust with the system, and even feeling shame and embarrassment are some of the reasons many do not seek out mental health care services, according to Skopp.

Skopp acknowledged that within the military, some service members view seeking help as a sign of “weakness, social inferiority, and/or a lack of resourcefulness. These feelings may be attributable to the culture within individual military units.”

“For example, warrior ethos emphasizes discipline, mental toughness, and self-sufficiency, and foremost attention to successful mission execution,” she added.

Skopp emphasized the importance of normalizing conversations around mental health, which makes it easier to take the first step to reach out and seek help.

How Stigma is Evolving

The office of the Deputy Secretary of Defense recently issued a document recommending the Department of Defense begin a review of policies to eliminate stigmatizing language related to mental health.

“I think the military, in regard to mental health, has done a great job to address some of the concerns of stigma,” said U.S. Navy Lt. Cmdr. Nick Guzman, mental health department head, Naval Medical Center Portsmouth.

“Military service members are subjected to all sorts of stressors unique to the traditional U.S. population such as having to relocate every two to three years, possibly overseas, adjust to a new assignment and uproot family that can bring upon career and financial challenges. These factors give rise to stress and anxiety in effort to quickly adapt to new sense of normalcy,” said Guzman.

Guzman explained many younger service members are more open to seeking help and talking about mental health. Mental health is now a large part of military entry programs and talked about more openly.

He mentioned the services now introduce mental health education and resilience training in their introductory programs. The U.S. Navy, for example, has employed a human performance curriculum during bootcamp training designed to strengthen a sailor’s mental, physical, and spiritual capacity to strive towards optimal performance.

Older generations of service members are less likely to talk about or seek help for mental health conditions, he added.

“If they believe it could potentially have a negative impact on their career, or affect their security clearance, or put them out of commission for a bit, they are more hesitant,” said Guzman.

According to the Defense Counterintelligence and Security Agency, out of more than 2.3 million security clearance reviews between 2012-2018, only 12 individuals (0.005% of all cases) had their clearance denied or revoked due to psychological health concerns.

Guzman also noted that service members with specialty duties or assignments may be more hesitant to seek help.

“They may see it as a negative reflection on themselves, like a deficiency or character default or defect, or a fear that others may judge them for seeking help,” Guzman said. “A bit of that does exist, but I do see stigma on the decline.”

He noted the recent COVID-19 pandemic helped lessen stigma as there was an increase in service members and their families seeking mental health assistance, taking into consideration the degree of isolation and unpredictability created by the pandemic.

“Mental health in general is not viewed as negatively as it once was, in part due to the perceived benefits from those that sought help proactively and who remain mission ready,” said Guzman.

Skopp said changing this stigma begins at the top with leadership.

“It will take time and sustained effort at all military levels,” said Skopp. “Leaders are uniquely positioned to influence desired cultural changes. It is critical for military leaders to fight aspects of military culture that promote negative beliefs about seeking care and continue efforts to reduce stigma.”

Changing the Language Used to Discuss Mental Health

Changing language used when working with a service member seeking help, or in promotional materials, is one effort the Military Health System is using to reduce stigma.

“Avoiding negative language is important,” said Skopp. “Language can open discussion of mental health issues and stigma. Mental health providers can use language in useful ways to start talking about stigma with their patients.”

The Psychological Health Center of Excellence has suggestions for how alternative language can be used when discussing mental health.

Alternatives to stigmatizing language can include:

  • Avoiding language that defines someone by their condition or assumes that condition can’t be managed or overcome
  • Avoiding language that makes judgments or assumes intention
  • Describing without downplaying or becoming overly graphic
  • Using updated, accurate terminology

Testimonials are another tool to help normalize talking about mental health care, especially from senior leaders, suggested Guzman.

“I think putting stories out there from leaders who are open about seeking help is beneficial,” said Guzman. “If someone was willing to put themselves out there to share their story—this is good.”

Guzman believes the military needs to rethink what mental health is, and “think about it in a different capacity.”

“Mental health is important to stay healthy, because it includes various levels of functioning, or various aspects of our normal daily functioning,” said Guzman. “It's linked to our physical health, and our social, interpersonal health, our emotional well-being, as well as our ability to perform complicated tasks and under stress.”

The MHS offers many resources and information regarding mental health, including the Real Warriors campaign.

You also may be interested in...

Calendar Event
Sep 20, 2023

“Partners in Care: A Conversation with Military Chaplains and Behavioral Health Providers"

#RealWarriors are encouraged to seek help for mental health concerns and chaplains are here to listen. Join us on Facebook Live to learn about their vital role and partnership with behavioral health providers. This event is co-hosted by the Psychological Health Center of Excellence and the Defense Suicide Prevention Office.

Article Around MHS
Sep 15, 2023

Preventing Suicide Through Social Connectedness

Suicide is a significant public health issue that impacts individuals, families, communities and society at large. Many risk and protective factors play an integral role in the prevention of suicide, including social connectedness, which occurs when people or groups are engaged in relationships that create a sense of belonging and being cared for, valued and supported. (Defense Centers for Public Health-Aberdeen graphic illustration by Jason Embrey)

Suicide is a significant public health issue that impacts individuals, families, communities and society at large. The issue is also tied to what the U.S. Surgeon General, Dr. Vevek Murthy, called an “Epidemic of Loneliness and Isolation” in a May health advisory that calls for a National Strategy to Advance Social Connection.

Article Around MHS
Sep 7, 2023

Dog Jog for Life: Unlocking the Power of Pets in Suicide Prevention

For Suicide Prevention Month, emphasize the importance of escorting individuals in need to the best available help, ensuring they receive the assistance they require. However, in our efforts to support human lives, we sometimes overlook a remarkable source of solace and strength—our pets.  (Photo By Russell Jordan)

A U.S. Army public affairs officer highlights the importance of dogs in mental health while promoting "Dog Jog for Life," an event that embodies the spirit of suicide prevention, intervention, and postvention at U.S. Army Garrison Rheinland-Pfalz. “Our dogs often understand our moods better than we do ourselves. They offer us empathy, share in our ...

Fact Sheet
Aug 30, 2023

Breathe2Relax App

.PDF | 384.67 KB

Initially designed for the military community but beneficial for use by anyone, the relaxation app trains you on the “belly breathing” technique that has proven benefits for your overall mental health. Use the app’s breathing exercises to learn and practice the breathing technique on your own or as part of a stress management program supervised by ...

Fact Sheet
Aug 30, 2023

Virtual Hope Box App

.PDF | 778.13 KB

The Virtual Hope Box is a smartphone application designed for patients and their behavioral health providers as an accessory to treatment. The VHB contains simple tools to help patients with coping, relaxation, distraction and positive thinking.

Aug 23, 2023

Top Signs You Might Need Some Help

Image says: Top signed you might need some help.

We all have difficulties. Dr. Joshua Morganstein gives us his top signals that let us know we might need some help. - not sleeping well - trouble at work - continuing conflicts with people - increased substance use (alcohol, tobacco, medication) - thinking about hurting yourself or other people This video is part of a series addressing ...

Skip subpage navigation
Refine your search
Last Updated: September 28, 2023
Follow us on Instagram Follow us on LinkedIn Follow us on Facebook Follow us on X Follow us on YouTube Sign up on GovDelivery