The Mental Health Crisis We’re Not Naming

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There is a rising mental health crisis happening in the United States right now, but it’s a difficult one to name for many. People are experiencing degrees of overwhelm and freeze in the face of extraordinary political chaos. All the while, the social constraints of needing to carry on with the business-as-usual of our lives creates a kind of dissonance that’s deeply disturbing. What I think we’re witnessing is not an increase in individual pathology, but the emotional and nervous system consequences of living through conditions that are genuinely overwhelming without meaningful recourse to respond.

We’re watching attacks on democracy, rising authoritarianism, climate catastrophe, economic instability, escalating social fragmentation, and the ongoing collapse of trust in institutions. Many people feel deeply disturbed by what they’re seeing, but also unsure what to do with that disturbance. The result is a kind of paralysis where people collapse into doomscrolling, numbing, dissociation, exhaustion, or private despair because the scale of what’s unfolding feels so enormous that the individual nervous system struggles to metabolize it. Yet despite the profoundly social and political nature of this distress, the dominant response continues to individualize the problem.

People are encouraged to manage their anxiety privately, to self-regulate their dysregulation. Optimize their self-care routines. Take medication. Go to therapy. Download another mindfulness app. And to be clear, none of these things are inherently bad, but that’s also not the point. We should be asking a deeper question about what happens when perfectly reasonable responses to collective conditions become framed exclusively as individual mental health problems. What happens when the solution to political overwhelm becomes adaptation rather than collective action?

Close up diverse people sitting on chairs in circle, holding hands at group therapy

The freeze many people are experiencing right now isn’t simply personal dysfunction. It’s also a social and political condition. Human beings aren’t built to metabolize massive societal instability alone and in isolation from one another. I think one of the great failures of our current mental health discourse is that it often stops at the level of the individual nervous system without asking what kinds of worlds and social realities those nervous systems are responding to. Of course people are anxious. Of course people feel overwhelmed. Of course many people feel helpless watching the scale of what’s unfolding politically while simultaneously feeling disconnected from meaningful forms of collective participation.

I’m writing this as someone who, alongside others on our team at The Outer Work Project, has spent years steeped in trauma healing, somatic practice, and nervous system education. What we’re witnessing right now feels important to name because so much of what people are experiencing makes sense in the context of the conditions we’re living through. From our perspective, this doesn’t primarily look like individual pathology, but like human nervous systems responding to prolonged instability, overwhelm, fragmentation, and helplessness.

The answer can’t be more privatized coping. And I worry that in some cases we’re medicating people through conditions that should also be mobilizing us. I don’t mean that people should simply “push through” overwhelm or abandon care for themselves. Quite the opposite. I think we need a much more nuanced understanding of how trauma and overwhelm operate, while also recognizing that action itself can become part of how freeze begins to shift. There’s something psychologically devastating about witnessing immense harm while feeling unable to respond alongside others. And helplessness deepens when people feel isolated inside their fear.

Historically, human beings have metabolized fear, grief, uncertainty, and instability collectively. Through ritual, gathering, movement, mutual aid, song, resistance, spiritual practice, storytelling, and shared meaning-making, people found ways to move emotional energy together rather than carrying it and processing it alone. Dominant culture in the U.S. and elsewhere, however, is profoundly individualized. We’re encouraged to experience and resolve our suffering privately. Even many healing spaces unintentionally reinforce this dynamic by focusing almost entirely on personal healing detached from social and political realities.

At the same time, many political spaces fail to understand trauma and nervous system overwhelm. They often operate through urgency, performance, productivity, and information saturation without recognizing the emotional and physiological states people are carrying. This is part of why I believe we need a different bridge right now: spaces that help people understand the relationship between individualized responses, political despair, and collective action. We need spaces where people can move from isolation toward participation and where they can begin to understand that freeze is not failure. Freeze is a human response to overwhelm. But freeze also deepens when people feel alone with what they’re carrying and disconnected from pathways of meaningful engagement.

Collective action doesn’t only change external conditions. It can also interrupt helplessness. It can restore agency, meaning, connection, and a sense of possibility. One of the things movement organizers have understood for a very long time is that people often become more psychologically resilient when they’re connected to shared purpose and collective struggle. Collective action doesn’t magically remove grief or fear, but participation can change the relationship people have to those emotions. Despair can really fester in isolation, while action creates movement, and movement matters psychologically, emotionally, socially, and spiritually.

Right now, many people are carrying enormous amounts of fear and uncertainty in their bodies. But instead of only asking how to soothe individuals enough for them to continue enduring increasingly destabilizing conditions, perhaps we should also be asking how to create the social conditions where people can move together. Not all anxiety is pathology! Not all distress should be immediately medicated away! Sometimes distress is information. Sometimes overwhelm is an appropriate response to what’s happening around us. And sometimes healing requires not just self-regulation, but reconnection to collective life, collective care, and collective action.

I think many people are hungry for this, even if they don’t yet fully have language for it. They don’t simply want to “feel better” while the world burns around them. They want meaningful pathways out of their experience of immobilization. They want to feel that their lives matter in relationship to something larger than themselves.

Perhaps part of addressing the mental health crisis of this moment is recognizing that people need more than coping mechanisms. They, and we, also need each other.

In Solidarity,

Karine Bell, with Kai Cheng Thom, Nkem Ndefo and Staci Haines
The Outer Work Project

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Mad in America hosts blogs by a diverse group of writers. These posts are designed to serve as a public forum for a discussion—broadly speaking—of psychiatry and its treatments. The opinions expressed are the writers’ own.

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Karine Bell
Karine is a scholar-activist and founder of the Rooted Global Village, a relational practice and unlearning space devoted to cultivating ecologies of care and collective world-building. She is a PhD candidate at Pacifica Graduate Institute studying decolonial depth psychology, focusing on community, liberation, and eco-psychologies. She works alongside Kai a Cheng Thom, Nkem Ndefo and Staci Hanes on the Outer Work project, bridging personal healing and collective action.

27 COMMENTS

  1. What a great essay! Like a breath of air, when it feels like the world is a place that’s a bit hard to breathe in. I believe most people for a long time have felt safe in the USA, free to speak and live our lives without fearing our own government. The news produces anxiety. News of what has happened and what we know or suspect might happen. It’s scary. Thanks for sharing this and thanks to all the people who add to Mad in America.

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  2. While I wholeheartedly agree that “we need each other,” there is no good reason I can see for this realization devolving into anti-colonialism.
    What the younger generation has missed is – by and large – what the older generation hoped they would miss: The work being done in this field that would actually lead us out of the situation we seem to be stuck in. And that’s because important elements of the older generation want us to remain stuck in this situation; to NEVER find our ways out.
    The earliest good work that I am aware of was the work of Hubbard, which started with the publication of his first major book on the subject of human psychology in 1950.
    Further work has been done by people like Courtney Brown and Steve Burgess. Those researchers were apparently unaware of Hubbard’s work. Those interested in the problems of human psychology should cease to be unaware of Hubbard’s work. It included a therapeutic model that centers around people helping each other, NOT solo work.
    Instead of arguing about how stupid it is to pathologize normal human suffering (which obviously IS stupid), we could begin to look beyond that to deeper causes of human suffering and how to deal with them. I would say that you are aimed in the right direction, but need much more information to move forward in a productive manner.

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      • What I am saying is that “colonialism” is just political rhetoric being used to steer people’s thinking here or there.
        We don’t even have proper thinking in the matter of the human soul, so why get all involved with politics?
        There is a whole discussion about whether Europe’s “colonization” of much of the rest of the world led to improvements or destruction. But what is that doing on a website involved with psychiatry and “mental health?”
        I know there are people who believe that all mental problems are the result of “whiteness.” But I assure you there is more to it than that.

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      • @ Kristen, It’s funny, the article doesn’t even mention “colonialism”?! All I see is “decolonial depth psychology” which is nothing new. On their page I only see them mention “Pedagogy of the Oppressed” which is Paulo Freire’s epic book.
        Last month I bumped upon these scholars who had a very interesting convo about what this article talks about, mentioning Frantz Fanon too (Pambazuka.org has alot of stuff on his legacy which makes certain people still nervous)
        https://youtu.be/mc4s1qu8IP8?si=Ad6Nteuj5A2DBI1r.
        Channel by critical psycho-analyst Lara Sheehi,
        https://youtube.com/@psychicmilitancy?si=MShibGiVMOOVu74h
        (Via Rania Khalek Dispatches, “They want you hopeless” episode)

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        • Thank you for the links. My husband grew up with the Makdisi’s in Beirut. Their mother was a sister of the late professor Edward Said. I appreciated this article and your comment. As a sexual abuse survivor who endured forced treatment for many years I felt colonized by psychiatry. I am thankful to be free now. By the way the Makdisi brothers have a podcast called Makdisi Street in case you are interested.

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    • Like Marilyn, I struggle to see this article’s connection to colonialism. But “colonialism” is not just political rhetoric–it’s a word that has been used widely in academia by historians. And while the precise definition may be debated by scholars, the lay definition seems pretty straightforward and useful: Colonialism is “domination of a people or area by a foreign state or nation : the practice of extending and maintaining a nation’s political and economic control over another people or area.” (Merriam Webster)

      You say it’s unclear whether Europe’s colonization led to improvements or destruction. The answer to that depends largely on who you ask. The colonizers get to write history, and they will claim that their colonization led to improvements, but if you ask the colonized, they will tell you a story of destruction. I think we need to make a special effort to listen to the colonized since their perspectives otherwise will be erased.

      Anyway, i get the impression that you are a lot more conservative than me. As a politically engaged progressive, this article hit home for me. I experience all of the feelings of overwhelm and helplessness noted in the article. But I tried reading this from the perspective of a Republican, and I didn’t know what to think. How do Republicans feel in this moment? Perhaps not helpless but empowered? Perhaps not anxious but relieved and hopeful to have Trump in office who is perceived as, what, strong? I live in a bit of a liberal bubble, and I’m genuinely curious how the other side is feeling right now. Are we making America great again? Is this the right path? Maybe you’re not a Republican, but regardless, if you did not connect with the feelings described here, I’d be curious to hear what you are feeling about where we are collectively, as a country.

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      • My point here is: Why bring up politics and the problems of all the various colonial enterprises on a website that has to do with Psychiatry and mental health? When we don’t even know what a mind is, or how to make one healthy?
        That’s my only point.
        Colonization, while widely practiced and justified by some, is its own subject with its own history. I am not a Republican, but neither am I a “progressive.” I am a student of the paranormal, and find much to learn there that many ignore.

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        • I feel like the author already answered this. Instead of framing our emotional struggles solely as individual health issues to be pathologized, they want us to view them as a natural consequence of living in a particular social and political reality. Our minds will not be “healthy” as long as these conditions exist, because the problem is not with our minds. It’s with society. All the drugs and therapy in the world will fail to solve the problem because pathology is not its source. The solution is (at least partly) political.

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          • I disagree. The solution is technical. Practitioners don’t know what they are treating or how it operates. That’s why their treatments don’t work. I assure you that “mental health” problems will not go away just because political policies change. Peace and prosperity should bring less triggering circumstances. But you’d be amazed what will trigger some dramatizations. Of course there is a political element to why the correct technology is not being used. But handling that alone would not assure that the correct technology WILL get used.

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      • @Kristen, “that depends largely on who you ask. The colonizers get to write history, and they will claim that their colonization led to improvements, but if you ask the colonized, they will tell you a story of destruction.” , my thoughts exactly, again referring to Pambazuka.org and blackagendareport.com for some food 4 thought #everythingispolitical

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  3. Do not disturb other people’s lives and peace. Don’t bring your distress to the fore with any form of flurry. Go seek help – quietly. Go take your prescription drugs given after a 10 minute meeting with a practitioner of some sort, and don’t complain. Any problems, don’t complain. Stick with the allowed societal norms. Any side effects, tough them out; and don’t complain. In fact, just get used to it all, and keep going. Breathe if you can – drug side effects interfere with this simple involuntary task, and force a voluntary approach. Those unusual heartbeats, don’t worry, and don’t complain. Eat well. Relax, Sleep a restorative sleep. And don’t complain. Don’t disturb other people because that’s not a nice thing to do. Pay for the doctor, pay for the practitioner, pay for the drugs, And don’t complain.

    Any side effects, adverse effects ? Don’t complain. Or complain and have that toxin, poison, increased, added to or replaced by an other poison, toxin.

    Those with true financial wealth, high value people, do they complain?!

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    • I love your intended, unintended “Euphorism” – it is dictionary worthy.
      Euphoric Euphemism.
      Delightful Happy BS.

      This is definitely the beginning of a new hypothesis, (no need for new research, just be innovative with existing garble, careful not to plagiarise, there are big big fines for plagiarism), leading into a theory (you can make one up on the cheap, via consensus – no hassles then with funding and grants), leading into a therapy discovery (hooray; out with DBT, CBT, ACT – all too hard), therapy program (please no acronyms, rhymes), therapy training (make sure those who are trained are into it for the right reasons), spread the sequence, leading to global success and global recognition. Voila. Let’s add ongoing royalties; good idea.

      I’m in. Bags copyright (c), Intellectual Property (IP), Patents (never know what drugs can be formulated to fit), Author rights. Book publishing deals. Charity status – Euphorism (c) logo on T-shirts, cups, caps; such limitless creativity.

      Yep. I am no longer slow, retarded, dumb, stupid, an idiot, “a waste of time”, …, (still thought of in that way, but not said out loud, so I definitely must feel better for only feeling the negative energies coming my way, and not actually hearing them) – I am working with my newly given strengths of … thinking, thinking, … ah, here’s one, “working at own pace”, no interventions required from this year’s teacher. And repeat until I’m so far behind, that the school can suggest ever so tactlessly, oops, delicately to the parents that their child has some [made up] delayed learning, with innuendo of parents being at fault, and that a referral to a psychiatrist for a report, so that funding can be gained, so that the money and resources gleaned in the name of the child, can be used however and for whatever that the school execs. decide. A written plan will be created for the child, for reference (never looked or used, but updated annually or as required – accreditation, audits, reports).
      Annual reports will now read of progress, with highlights of achievements and works, even though none of it is true or accurate.
      Euphorism right.?
      Oh, forgot to mention that the kid was also given psych. meds, drugs to take. Cannot quite remember what accommodations came with the report, funding, school’s choice as to what, if anything, is implemented.

      Euphorism has to make it into the lexicon.

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  4. “The State is a condition, a certain relationship between human beings, a mode of behavior; we destroy it by contracting other relationships, by behaving differently toward one another… We are the State and we shall continue to be the State until we have created the institutions that form a real community.”
    -Gustav Landauer

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    • Go with Landauer if you wish. I certainly won’t.
      There will always be some sort of state trying to assert itself.
      It seems to me the solution is to take over the idea (and the state), not resist it or try to wish it away.

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      • Most of human evolution has been prior to and without any state, in communal associations anthropologist Marshal Sahlins called the original affluent society, power with rather than power over others via egalitarian sharing of resources, and care. Yes, the state, and the class rule it protects, must be abolished. There’s nothing wishful to realizing that requires radically different social relations serving as means to that end.

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        • This is pure BS on several levels.
          1) Humans didn’t “evolve” on Earth. All the beings on Earth originated in other places. Perhaps our bodies developed on Earth, but the planet has been seeded several times.
          2) During certain periods of Earth history, some groups have become more or less free of external (off world) control groups and developed “free” societies. When put under pressure by invading groups, though, these cultures suffered or faded out.
          3) Do you realize what it would take to “abolish” the “state?” This “state” is part of a large intergalactic “federation” (as they like to call themselves) that has, essentially, the power of life and death over Earth. They are never going to leave us alone. That doesn’t mean we have to make friends with them; but we do need to learn how to deal with them.
          4) Further, all of the above means that our quaint concept of “mental health” which we all seem to agree to here on Earth is a mockery. Why get all involved with concepts of “human evolution” and political theories when we don’t know what we are actually talking about?

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    • Society is manufactured – is that what is being said? Fads. Trends. Zeitgeist.

      I was recently informed by a therapist (accredited, Registered, reputable) that a person is “nice” (politie, manners, social graces, … ) if they are like that with everyone, everybody.

      But we all know that “nice” is selective, and all too often superficial, shallow, empty.

      Not sure if we are heading towards Gustav’s version of “a real community”. Yes? No? Doubtful? Maybe?

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  5. I think the quote is broad enough to offer all sorts of takeaways, but yes, industrial capitalism manufactures society to serve its commercial interests, including commodifying communities and cultural lifestyles by all means of marketing techniques. And wouldn’t it be ‘nice’ if its negative effects weren’t continually covered up by shallow customs of denial? I can’t say I’m so optimistic that enough of us will come to our senses before we end up with a total breakdown of humanity from the pathology of power now out to merge us with machines. But social revolution has been known to be unexpected.

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  6. There’s so much news and information available in 2026. It contradicts itself–different sources say different things and the same source may change the story from day to day–and I can’t tell what’s true or false. What’s reality or lies.
    So much of the horrible stuff going on around the world is out of my control. What can I do about it? Absolutely nothing.
    I’ve been trying to restrict my news intake. Not quit it entirely but only watch or read half an hour a day or two hours a week. Except for the weather and local news. Listen to music or radio plays or podcasts of book reviews while doing household chores. This helps tremendously with my anxiety and depression.

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    • Restricting news intake, especially elimination of mainstream news as on tell-lie-vision*, is probably one of the healthiest things you can do. A primary purpose of mass media is population control, particularly by means of chronic conditions of stress from fear and helplessness generated by endless mixed messages no one of us can ever completely resolve.

      News of the world around us is produced by ruling powers to restrict our comprehension of what’s really going on, and has nothing to do with truth, right down to its totally staged presentation, with scripts supplied actors called anchors prepared by PR firms in the business of gaslighting the general public. Words attributed to former CIA director William Casey sum up the crazy-making goal: “We’ll know our disinformation campaign is complete when everything the American public believes is false.”

      *That the nightly news is overwhelmingly sponsored by Big Pharma medicine peddling its snake oil poisons to captive audiences tells how much any of this show is trustworthy.

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