Breaking Mental Health Stigma in a 'saving Face' Culture

Mental health remains a critical yet often overlooked aspect of well-being in many societies. In cultures where 'saving face'—maintaining honour and avoiding shame—is paramount, addressing mental health issues becomes particularly challenging. This article delves into the intricacies of mental health stigma in Singapore, and explores strategies to foster a more accepting environment.

The concept of 'saving face' and its impact on mental health

'Saving face' is a cultural construct prevalent in many Asian societies, including Singapore. It emphasises preserving one's reputation and honour, often leading individuals to conceal personal struggles to avoid bringing shame upon themselves and their families. Like how 'kiasu' culture impacts Singaporeans, this cultural norm significantly influences attitudes towards mental health. Admitting to mental health challenges can be perceived as a personal failing, resulting in reluctance to seek help. Consequently, individuals may endure psychological distress in silence, exacerbating their conditions. A study highlighted that in some Asian cultures, mental illness is viewed as a sign of weakness or shame, leading to reluctance in discussing mental health concerns openly (Kids Mental Health, 2025).

Prevalence of mental health stigma in Singapore

In Singapore, the stigma surrounding mental health remains a significant barrier to seeking treatment. Research indicates that many Singaporeans associate mental health conditions with negative stereotypes, such as being "crazy" or "dangerous" (Cigna Singapore, 2024). This societal perception discourages open discussions about mental health and deters individuals from accessing necessary support. A 2017 study revealed that approximately 44.5% of Singaporean youths associated mental illnesses with derogatory terms, and 46.2% expressed embarrassment at the prospect of being diagnosed with a mental health condition (Cigna Singapore, 2024).

Barriers to seeking help

The cultural emphasis on 'saving face' creates several obstacles for individuals considering professional mental health support. Fear of social repercussions, such as being ostracised or judged, often outweighs the perceived benefits of seeking help. This fear is compounded by concerns about confidentiality and the potential impact on one's career and social standing. As a result, many opt to suppress their struggles rather than pursue counselling services in Singapore. The National Council of Social Service (NCSS) has initiated movements like 'Beyond the Label' to address this stigma and promote social inclusion for persons living with mental health conditions (NCSS, 2024).

Strategies to break the stigma

Addressing mental health stigma in a 'saving face' culture requires a multifaceted approach:

1. Education and awareness: Implementing comprehensive mental health education can dispel myths and alter negative perceptions. Community programmes and school curricula that normalise mental health discussions can foster understanding and empathy. For instance, the 'Beyond the Label' movement by NCSS aims to educate the public and reduce stigma (NCSS, 2024).

2. Promoting open dialogue: Encouraging conversations about mental health within families and communities can normalise these discussions. Creating safe spaces where individuals feel comfortable sharing their experiences without fear of judgment is crucial. Support groups and community centres can serve as platforms for such dialogues.

3. Accessible and confidential services: Enhancing the availability of confidential mental health services ensures that individuals can seek help without fear of exposure. Affordable and discreet counselling services in Singapore can make a significant difference.

4. Leveraging media and influencers: Utilising media campaigns and influencers to share stories of individuals who have successfully managed their mental health can challenge existing stereotypes. Highlighting relatable role models can inspire others to seek help.

5. Workplace initiatives: Encouraging employers to implement mental health programmes and policies can create supportive work environments. Training managers to recognise signs of mental distress and respond appropriately can reduce stigma in professional settings.

The role of community and family

In collectivist cultures, the support of family and community is paramount. Families can play a pivotal role by fostering open communication and showing acceptance towards members facing mental health challenges. Community leaders and organisations can facilitate workshops and seminars to educate the public and promote a culture of empathy and support.

Conclusion

Breaking the mental health stigma in 'saving face' cultures like Singapore requires concerted efforts from individuals, families, communities, and institutions. By promoting education, open dialogue, and accessible services, society can move towards a more inclusive environment where mental health is prioritised, and seeking help is viewed as a strength rather than a weakness.

References

Cigna Singapore. (2024). Understanding and addressing mental health stigma in Asia. https://www.cigna.com.sg/health-content-hub/thought-leadership/mental-health-stigma-in-Asia

Kids Mental Health. (2025). Breaking the silence: How culture shapes our mental well-being. https://www.kidsmentalhealth.ca/2024/10/31/breaking-the-silence-how-culture-shapes-our-mental-well-being/

National Council of Social Service (NCSS). (2024). Beyond the Label. [https://www.ncss.gov.sg/what-s-happening/beyond-the-label