Care of the mind 

As a pediatric psychologist working in multidisciplinary medical clinics, I’ve encountered countless patients who disclose mental health symptoms they’ve been too afraid to report, sometimes even revealing thoughts of wanting to die. While having mental health professionals integrated into medical teams is ideal, it’s not yet a widespread reality in most healthcare settings. As a result, helping patients feel comfortable discussing their mental health with various healthcare professionals is a crucial first step in normalizing mental healthcare and ensuring patients receive support.  

Here are several practical ways healthcare professionals can foster a supportive environment and normalize mental health treatment in their practice. 

1. Be proactive in asking about mental health.

Don’t wait for your patients to talk about their mental health; they may never bring it up. Asking about stress levels, mood, sleep quality, and coping strategies in routine medical discussions can provide insight into a patient’s emotional well-being and open the door for further discussion. 

Example: “Managing a chronic illness can often feel stressful or overwhelming. What aspects of managing your diabetes, if any, do you find stressful or frustrating?” followed by, “What types of things do you do to cope with that stress?” 

2. Normalize mental health treatment through the language you use.

Use clear and non-stigmatizing language when discussing therapy and psychological services. Instead of presenting therapy as a last resort or something only for those with severe mental illness, frame it as a valuable resource for managing stress, improving coping skills, and enhancing overall quality of life. 

Example: “I’ve worked with many patients who feel overwhelmed by their health, so you’re not alone.” 

3. Address stigma.

Sharing examples of how therapy has helped others, including successful public figures or everyday people, can make mental health treatment feel more relatable and less stigmatized. Providers can also help break down stigma by using relatable metaphors, such as comparing mental health care to medical care. 

Example: “Mental health is just as important as your physical health. You wouldn’t avoid the doctor if you broke your leg, so why avoid a mental health professional if you’re feeling depressed. Both problems can impair your ability to function and get worse if not treated properly.” 

4. Create a supportive environment.

Open-ended questions, active listening, and validating patients’ concerns can make a significant difference. Instead of telling a patient they should go to therapy, integrate helpful motivational interviewing strategies to help elicit a patient’s own reasons for seeking mental health services.  

Example: “I really appreciate your willingness to talk about how you’ve been feeling. How would you feel about talking to a therapist to learn different strategies for managing your stress?” or “What would be different in your life if you felt less anxious or overwhelmed?” 

Normalizing mental healthcare in medical settings is about more than making patients feel comfortable discussing mental health; it’s about fostering a culture where emotional well-being is seen as integral to overall health.  

5. Have a list of mental health resources and community referrals readily available to guide patients toward appropriate care.

This piece expresses the views solely of the author. It does not necessarily represent the views of any organization, including Johns Hopkins Medicine.