One of the worst things about having a mental disorder is the symptoms the mental disorder causes. These symptoms are the cause of much suffering for those of us who have received a mental health diagnosis. We face our symptoms every day, sometimes every minute of the day. They can cause us to see the world and the circumstances of life very differently than people who aren’t mentally ill. Because we sometimes perceive things this way, we occasionally come into conflict with people. It’s often family who don’t comprehend our behavior, especially since they see us at our worst. Misconceptions can, and do, happen, frequently, on both sides. Of course, it’s not only we who misperceive. Misperceptions can lead to stereotyping, part of mental health stigma. Let’s look at some examples of these stereotypes.

When should the symptom-induced guilt and shame end and responsibility in mental illness begin? Chris T. (actual person, name changed) has been diagnosed with bipolar disorder. One of the ways his bipolar manifests is hypersexuality. This symptom drives Chris to act out sexually. He's a married man and over the years has had two extramarital relationships. He has come perilously close on more than one occasion to losing his entire family. Chris feels guilt and shame. He doesn't deny responsibility in his mental illness, but his wife is torn apart because of his actions.