Global mental health prevalence

More than one billion people worldwide live with a mental health condition, according to the World Health Organization's latest figures from September 2025. Anxiety and depression are the most common conditions, and the report highlights that nearly everyone knows someone affected or is affected themselves.

Fear of discrimination

A survey by King's College London, published in The Lancet, found that nearly half of 732 people with schizophrenia from 27 countries reported experiencing discrimination in making or keeping friends. About 43% faced discrimination from family members, and 29% in finding employment. As a result, 72% of participants felt the need to hide their diagnosis.

Anticipation of rejection

The study also found that more than a third of participants feared discrimination in job hunting and relationships, even if they had not experienced it. Researchers note that this fear is not irrational when people know their environment is judgmental. However, the study focuses on schizophrenia, a condition heavily stigmatized, and its findings may not apply universally.

Workplace challenges

A systematic review of 48 studies, published in BMC Psychiatry, found that disclosing a mental health condition can put job candidates at a disadvantage compared to those without disabilities or with physical disabilities. However, the findings are based mainly on questionnaires and simulated scenarios rather than real hiring processes.

Strategic disclosure

Employees with mental health conditions often use selective, partial, or delayed disclosure strategies when they feel safe. They may choose to speak up to gain accommodations, find support, or reduce the stress of hiding their condition. Remaining silent in a hostile environment can be a justified choice, as long as it is a conscious decision and not a burden.