AreasWorry and anxietyBeing seen and judged

A minuteComing and goingNarrativeWorry and anxiety

If getting to the appointment frightened you, then you have already done the first hard thing. Walking in and talking to a stranger about yourself is the ladder, not the preparation for it.

Nobody watching later can see it. What they see is someone sitting there talking, and they miss the week of dread and the near cancellation. Say it plainly to yourself, or to the person you brought with you: this was the first rung and it is behind me now. Early on it is often the only success available, so it is worth counting properly.

Qur’an and Sunnah

If you do good, openly or in secret (Quran 4:149). The struggle nobody saw on the way to that appointment is not diminished by having gone unwitnessed.

إِن تُبۡدُواْ خَيۡرًا أَوۡ تُخۡفُوهُ أَوۡ تَعۡفُواْ عَن سُوٓءࣲ فَإِنَّ ٱللَّهَ كَانَ عَفُوࣰّ ا قَدِيرًا

If you do good, openly or in secret, or if you pardon something bad,then God is most forgiving and powerful

Qur’an 4:149read it in the library

Translation: M.A.S. Abdel Haleem, The Qur'an, Oxford University Press, 2004.

What the research says

A systematic review and meta-analysis found that shame about being seen as mentally unwell, particularly the stigma a person turns on themselves, was associated with being less likely to seek help, though the pooled effects were modest. A further review of ninety seven studies found minority communities often carried higher public and self stigma, with worry about how the family would be seen forming part of the burden. Against that, getting yourself through the door is not a small act.

Schnyder N, Panczak R, Groth N, Schultze-Lutter F. (2017). Association between mental health-related stigma and active help-seeking: systematic review and meta-analysis.. The British journal of psychiatry : the journal of mental science doi

Misra S, Jackson VW, Chong J, Choe K, Tay C, Wong J, Yang LH. (2021). Systematic Review of Cultural Aspects of Stigma and Mental Illness among Racial and Ethnic Minority Groups in the United States: Implications for Interventions.. American journal of community psychology doi

Strength of evidence: one line of research. A single study, or a theoretical account.

Why it works

Naming what you have already done gives the next step something to stand on.

This one is still a draft. It is waiting on a scholar and a clinician to read it before it is published.

Near this one

More on worry and anxiety

If getting to the appointment frightened you, then you have already done the first hard thing. Walking in and talking to a stranger about yourself is the ladder, not the preparation for it · Inshirah