Natalie has concerns about the stigma associated with seeking mental health care. Discuss
at least two (2) strategies the PMHNP can use to address these concerns.
Based on Natalie’s mother-in-law's comment, the stigma is real. This judgment leads to personal
concerns about where Natalie is falling short, leading to concern, judgment, and confusion. Moore et al.
(2018) identify two significant stigmas: internal and external. The difference is that external stigma is
extreme disapproval from someone regarding your mental health state, and internal stigma is negative
self-judgment regarding your thoughts and feelings regarding your mental health state. As a Psychiatric
Mental Health Nurse Practitioner (PMHNP), education is one of the most essential evidence-based
interventions. You are responsible for educating your patient and her family. You can do this during
office visits when Natalie brings her husband and mother-in-law in. Another strategy noted by Moore et
al. (2018) states that online forums for perinatal mental health can benefit members. Finding comradery
with other forum participants encourages these women to feel less like failures or bad moms, knowing
they are not alone; they feel supported and understood and more open to seeking treatment.
Community-based postpartum support groups and behavioral health resources can reduce stigma and
discrimination and improve mental health outcomes by normalizing, decreasing stigmatization, and
making treatment options and services more accessible (Ahad et al., 2023
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