Home / Health / Mental Health Hierarchy: Some Suffer More
Mental Health Hierarchy: Some Suffer More
25 Feb
Summary
- Public sympathy for mental conditions is unevenly distributed.
- Fear is a primary driver of stigma across diagnoses.
- Severe conditions often receive less empathy than familiar ones.

Society's understanding and empathy for mental health conditions vary significantly, creating a hierarchy of sympathy. While conditions like anxiety and depression have become more accepted, allowing for open discussion and easier access to help, others continue to face suspicion and judgment. This uneven sympathy is often driven by familiarity; conditions that fit existing narratives receive more understanding.
Research indicates a clear pattern: depression and anxiety attract the least stigma, while schizophrenia and personality disorders attract the most. Fear is identified as a consistent factor fueling this stigma. For instance, conditions like borderline personality disorder are frequently misread as attention-seeking rather than expressions of intense emotional pain and instability.
This disparity is evident online, where mental health terms are often used dismissively. "Psychotic" is employed as an insult, and "bipolar" is used to joke about mood swings. Similarly, "narcissist" and "borderline" become casual labels for undesirable traits, turning diagnoses into name-calling and hindering genuine care.
Even conditions linked to trauma, which can garner sympathy through a clear narrative of suffering, are not immune to stigma. Some people still hold negative views of trauma survivors. The article argues that the core issue lies not just in the cause of distress, but whether the label allows it to be seen as an understandable injury or a frightening personality trait.



