Mental illness self-stigma is essential to recognize. Stigma is a very popular word in mental health advocacy circles. People talk nonstop about the effects of stigma, stigma, stigma. However, self-stigma gets somewhat less press. I don’t know if that’s because it’s people with mental illness talking to other people with mental illness about self-stigma (as opposed to advocates who may or may not have an illness) or because people just don’t like to cop to perceived weakness, but self-stigma is real, harmful, and something we ought to be talking about.