Breaking the Mental Health Stigma of “What Happens in this house Stays in this House”
By Freelance Writer, Ms. Wanda
There are lots of reasons why people don’t seek assistance when it comes to mental health, especially in our community and it’s time we break those barriers. For far too long, we have had this saying in our community of “What happens in this house stays in this house” and that causes stigma and shame for us not to be able to talk about our mental health needs.
I spoke with Dr. Monica Soni, Covered California Chief Medical Officer, about behavioral health as an integral part of wellness and mental, physical, and spiritual healing being key pillars for a holistic approach to healthcare. In honor of Mental Health Awareness Month, I am sharing parts of our conversation, hoping to make a difference in at least one person’s life.
Dr. Soni, mental health, suicide prevention and substance use disorders are some of the key issues affecting Blacks and African Americans. How can we overcome the stigma surrounding behavioral health?
Behavioral health includes mental health and substance use disorders, and it shapes how we think, feel, cope, and connect with one another. Reducing stigma starts with open, respectful conversations, even when those conversations are difficult. It also means acknowledging that discrimination and lack of access to housing, employment, and education can affect mental health and well-being. Overcoming stigma requires us to listen without judgment, lead with compassion, and create communities where seeking help is seen as a sign of strength. And it means breaking the belief that we must keep everything inside “our house” instead of talking openly and supporting one another in getting the care we need.
Initiating a conversation is key, but it is also important that we take care of ourselves to feel strong enough to notice and deal with changes in behavior from those around us. How do you think we can become better prepared to have a conversation about mental health?
Maintaining a healthy relationship with those we love and care for is a daily effort. We must be aware that mental health can affect people at different stages in life, from children to adolescents, young adults, and the elderly. Living in a world where social isolation is a real risk, we can each play a role in helping others feel seen, supported, and connected. We must pay attention to behavioral changes, including mood swings and lack of engagement in social activities.
Acknowledging with empathy and compassion that what you are hearing is serious and important signals that you are truly listening. It is important to note that when we see changes, we must check in and not be fearful to have serious conversations. Part of caring for people and being prepared is also knowing about the mental health supports that exist in California, including the 988 Lifeline which can be texted or called 24/7, 365 days a week.
Why are coverage and access to resources and services important when we are dealing with trauma, stress and so many other things in our lives?
Everyone deserves access to the wellness and support they need. Taking a preventive approach, rather than waiting until needs become more serious, can help people get care earlier and improve overall health and well-being. Healthcare providers, community-based organizations, and suicide support and prevention hotlines are just a few examples of available resources.
Behavioral health screening is covered by Covered California health plans as a preventive benefit. Strong mental health supports better physical health, and when mental health needs go unaddressed, physical health outcomes can worsen.
As someone dedicated to providing information and empowering our communities, I truly believe that eliminating stigmas surrounding mental health is a conversation worth having. Talking with Dr. Soni reinforces my belief that the overall wellness of our communities should be based on a holistic approach focused on the mind, the body and the soul.

Ms. Wanda is a Sacramento-based radio personality and host of “Ms. Wanda’s Full Circle Radio” on 97.5 KDEE FM, focusing on empowerment, spiritual, physical and emotional health. Her show frequently covers topics such as womanhood, local community stories, and features guests aimed at community uplift.
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