The Silence of the City: A Story of Mental Health Stigma

Mumbai—the city that never sleeps. The city of dreams, endless ambition, and a relentless pace that leaves no room for weakness. But behind the high-rises and sea-facing promenades, there are stories hidden in silence.
A House Full of Knowledge, Yet Empty of Acceptance
Nisha was 26, a marketing professional at a top firm in Nariman Point. Smart, independent, and successful. But for the past few months, something had changed. She wasn’t herself anymore.
- Sleep didn’t come easily, and even when it did, it wasn’t restful.
- Food lost its taste.
- Work, once her passion, now felt meaningless.
- The weight in her chest wouldn’t lift, no matter how much she ‘tried to be positive.’
Her mother, a retired school principal, noticed but dismissed it as ‘just work stress.’ Her father, a banker, believed she just needed a break. And her fiancé? He loved her, but he couldn’t understand why she ‘wasn’t happy’ despite having everything.
Finally, Nisha mustered the courage to visit a psychiatrist at a well-known South Mumbai hospital. The diagnosis? Major Depressive Disorder.
The doctor was clear—this was a real condition, caused by a chemical imbalance in the brain, worsened by chronic stress. He prescribed therapy and a low-dose antidepressant to help stabilize her mood.
But when she told her family, their reactions were not what she expected.
“How can someone in our house have depression?”
Her mother’s response was immediate. “Nisha, you’re overreacting. You don’t need medicines. Just be strong.”
Her father was skeptical. “Beta, are you sure you need all this? We don’t have a history of mental illness. Maybe you just need to exercise.”
Her fiancé hesitated. “I love you, but if you start antidepressants now, will you need them forever? Will you ever be the same?”
Nisha felt crushed. These were educated, well-read people. But when it came to mental health, they still clung to outdated fears.
Stigma Isn’t Just in Villages—It’s in Mumbai’s High-Rises Too
We assume that mental health stigma exists only in rural areas, where awareness is low and doctors are scarce. But the truth is, even in a metro like Mumbai, where world-class hospitals and psychiatrists are just a call away, people still hesitate to take that step.
- They fear judgment. “What if society finds out?”
- They fear labels. “She’ll be seen as weak, unstable.”
- They fear medication. “Won’t she become dependent?”
This stigma doesn’t stop at ignorance—it thrives in educated households. The same people who would never hesitate to take insulin for diabetes or blood thinners for heart disease refuse to accept psychiatric medication as a legitimate treatment.
What If This Was a Heart Attack?
If Nisha had chest pain, would her parents tell her to ‘just be strong’? Would her fiancé hesitate to marry her because she was on medication for her heart?
If she needed bypass surgery, would they say, “Our family never had heart disease before, how is this possible?”
Mental health is brain health. A chemical imbalance in the brain is as real as high blood sugar or clogged arteries. Yet, we still treat it differently.
Help is Here—But Do We Accept It?
Unlike a woman in a remote village with no access to mental health care, Nisha had everything at her disposal—a top psychiatrist, modern treatment, therapy sessions in air-conditioned clinics. Yet, stigma was her biggest hurdle.
This isn’t just Nisha’s story. It’s the story of thousands of families in Mumbai. Daughters, wives, and mothers struggling silently because their own families refuse to accept the truth.
A Brighter Future Begins With a Single Step
Nisha made her choice—she started the medication, continued therapy, and within weeks, she felt the difference. Slowly, she explained to her family that this wasn’t a phase. It wasn’t weakness. It was a treatable condition.
And one day, her mother finally said, “I wish we had understood this earlier.”
The conversation around mental health is changing, but we still have a long way to go. Acceptance starts at home.
“Stop waiting for the storm to pass—seek help, take charge, and reclaim your life.”
Reach out today.
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