The Stigma of Mental Illness in Pakistan

‘Paagal’ – isn’t that what they call everyone with a mental illness in Pakistan?

To a great percentage population of Pakistan, anyone with a mental illness is quickly labeled as ‘paagal’ (mad). It doesn’t matter what kind of illness it is – a mild case of depression or hallucinating schizophrenia – the label remains constant: paagal.

Recent studies have revealed that cases of depression and anxiety have been on the rise. Yet in Pakistan only a fraction of them actually seek professional help. The lack of awareness coupled with the taboo has left patients with an actual mental illness helpless.

A common misconception here is that depression is temporary; triggered by short-term events that cause low moods. The truth is it’s not temporary and the low moods persist for a long time even after problems have been solved.


Depression occurs on a cellular level in the brain and is cause by low levels of a neurotransmitter serotonin.

Similarly, anxiety is much more than just stress. It is also caused by disturbed levels of certain neurotransmitters in the brain. The medical basis of both anxiety and depression make them actual mental illnesses that need therapy and even pharmacological intervention.

The stigma surrounding mental illnesses is imminent in Pakistan. Socioeconomic wellbeing is affected not only because of the illness itself but because of how the society reacts to it.

The solution: education.

Sadly, the answer isn’t as simple as a 9-letter word. Education needs time and shattering generations-built myths and taboos need courage. Starting from an individual level and spreading the right knowledge among those around you is what can make the stigma around mental illnesses a little less burdensome.




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