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Cake day: July 15th, 2023

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  • I’ve seen it vary widely from place to place (America is pretty big, after all).

    I would say the prime candidate to be open to talking about mental health in America is a young (~15-25), wealthy, city-living person. As you move away from those traits, the less likely the person is to being candid about their mental health (i.e. older, poorer, and rural-living people are less likely to talk about it).

    There’s definitely some taboos about speaking about it among blue-collar workers. It seems like there was a push a decade or so ago to start doing psyche evals for people who worked in heavy machinery. I knew one guy who (as a wave of psyche evals ame through) was dropped from his machinist job (that he’d done for 20+ years without injuring hisself or others) after telling the doc he had 1-3 beers almost every night. Cause for firing was that “he is a hazard to himself and the people he worked with”. I know everyone else in that shop clamped their mouths shut about any depression, anxiety, and sleep issues after that.

    Word is they’ve gotten a lot better about how they conduct them, but the point is that among blue collar workers, it feels like talking about mental health issues has (historically) been a fast track to losing the ability to put bread on the table.

    I do white collar work now, and on this side of the wall, its definitely a lot less taboo. There’s still a stigma about it, but that could just be my own anecdotal experience.

    All that is to say, there’s a history of mental health being used to harm people, so its not yet an open subject, but that taboo is lifting, if not exactly quickly.