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True lies

30/1/2026

18 Comments

 
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‘When they believed the lie, the lie became truth for them.’ (Selwyn Hughes)

I will never forget that flash of insight at a Christian counselling seminar. Selwyn Hughes was talking about risks of deception and self-deception and used the biblical story of Adam and Eve (and the serpent) to illustrate his point. If I genuinely believe something to be true that isn’t true, it will nevertheless appear true to me. Insofar as it appears true to me, I’m unlikely to question it. If my peers or wider cultural group also believe it to be true, that will likely reinforce my belief.

This came to mind recently when chatting with some young adults about the state of mental health in their generation. In an era where, increasingly, what would have been hitherto regarded as the normal human condition (e.g. ups and downs in life; quirky attitudes and behaviours; feeling anxious, stressed or in a low mood) are now regarded as pathological mental health conditions, we wondered together what lies may appear true to them and who might benefit from them.

Take, for instance, the young woman who looks at the ways in which peers present themselves on social media. By contrast, she feels inadequate, insecure or a failure. Her expectations and emotional experience are influenced by what she perceives as ‘normal’, and she feels anxious and starts to avoid social contact. A well-meaning medic tells her she has Anxiety and prescribes medication to help her feel better. The label provides an explanation and, thereby, a kind of relief.

Yet, she may have unknowingly swallowed more than just the meds. The diagnosis subtly traps her and, over time, begins to shape her personal and social identity: ‘I have Anxiety. That’s why I feel anxious. It’s who I am.’ Her world gets smaller as she acts out what she now believes to be true. She thinks she is defective, that she needs to be fixed, and not that her feelings are a natural – perhaps, even healthy – response to, e.g. dysfunctional background, toxic environment or maladaptive lifestyle.

The lie became truth for them. What do you believe?

‘The global mental illness drugs market size is predicted to grow from US$1759 million in 2025 to US$2497 million in 2031.’
18 Comments
Sophie Lang
31/1/2026 11:48:39 am

Yes. A thousand times yes. I was told I had anxiety at 19. What I actually had was no sleep, constant comparison and a phone glued to my hand. The label made me passive instead of curious.

Reply
Jonas Müller
31/1/2026 11:49:26 am

Not sure I agree fully but it made me think. Sometimes the label helps. Sometimes it becomes the cage. Depends who hands it to you and what you do with it after.

Reply
Anna Whitaker PhD
31/1/2026 11:51:58 am

The phenomenon described in your blog where a belief, once adopted, comes to shape a person’s identity is reflected in contemporary research across social psychology and medical sociology. Labeling theory and social constructionist perspectives suggest that mental health diagnoses do not exist in a cultural vacuum but are deeply embedded in social context and collective meaning-making. Sociological analyses argue that psychiatric categories often reflect broader cultural norms about what counts as “normal” or “pathological,” and that these categories can influence an individual’s self‑perception and behaviour beyond the original symptoms that prompted the diagnosis.

Empirical studies further show that self‑labeling as having a mental illness can negatively affect self‑esteem, particularly among adolescents, supporting the notion that adopting a diagnostic label can shape personal identity in ways that are not purely therapeutic. This aligns with modified labeling theory, whereby the internalisation of a diagnosis can lead to self‑stigma and reduced self‑worth, rather than merely providing relief or clarity.

Moreover, research on self‑diagnosis and social influence indicates that the beliefs held within peer groups and social networks including about what constitutes “normal distress” significantly shape how individuals interpret their own emotional experiences, reinforcing your point about cultural reinforcement of particular beliefs. Well said, Nick. This is important.

Reply
Emily Rodriguez
31/1/2026 11:53:09 am

Honestly Nick, this feels like an older generation misunderstanding younger pain again. We’re not fragile because we talk about mental health. We talk because we refuse to suffer silently. Still, the point about identity sticks. Maybe the danger isn’t diagnosis itself but when it becomes destiny.

Reply
Aisha Rahman
31/1/2026 11:53:59 am

I was that girl. Social media wrecked my head, meds numbed it and labels stuck. Took years to realise nothing was wrong with me, my life was wrong.

Reply
David Chen
31/1/2026 11:54:38 am

Labels help some people survive. They don’t automatically become lies.

Reply
Ethan McAllister
31/1/2026 11:55:40 am

This is brave writing, Nick. As a psychology student, I see how quickly symptoms become identities. The diagnostic language is powerful and power always needs scrutiny. We should be teaching young people discernment, not just diagnoses.

Reply
Rachel O'Donnell
31/1/2026 11:57:00 am

This feels dangerously close to minimising genuine mental illness. Some of us didn’t “believe a lie”; we finally had language for what was destroying us. Diagnoses didn’t shrink my world. They gave me tools and community and a reason to stop blaming myself for symptoms I couldn’t control. Yes, culture can over-pathologise normal distress, but that doesn’t mean the answer is suspicion toward medicine or psychology. We can hold both truths at once.

Reply
Michael Osei
31/1/2026 11:58:06 am

Hey Nick. I work in youth ministry and I see how quickly young people cling to labels because they offer belonging. “I have anxiety” becomes shorthand for “please don’t expect too much of me.” The blog isn’t anti-care. It’s pro-truth. There is a difference and it matters.

Reply
Daniel Kowalski
31/1/2026 11:58:57 am

This doesn’t deny mental illness, it questions the stories we tell about ourselves. I wish more people my age could hear that feelings aren’t facts and diagnoses aren’t destiny. That idea alone could set a lot of us free.

Reply
Dr Claire Montgomery
31/1/2026 12:02:03 pm

Nick, while your blog raises thoughtful concerns about self‑perception, empirical research supports the clinical value of mental health diagnoses and suggests they are more than self‑fulfilling myths. Diagnostic tools such as the Beck Anxiety Inventory have been used for decades to distinguish between anxiety and other conditions, helping clinicians tailor effective treatment plans rather than leaving individuals without any framework for understanding their experiences.

Furthermore, clinical studies comparing diagnostic accuracy show that structured psychiatric assessment especially in specialised care settings meaningfully improves the identification of anxiety and depressive disorders, leading to more appropriate and guideline‑based treatment. Without diagnosis, many individuals may never access evidence‑based therapies or support, leaving them isolated and untreated. Research also indicates that self‑labeling can actually increase help‑seeking behaviour, particularly when stigma is addressed, underscoring that labels can play a positive role in navigating mental health care pathways.

Ultimately, diagnosis is not simply a lie adopted through cultural reinforcement but a tool grounded in decades of psychometric research, clinical validation and treatment planning that can empower rather than constrain individuals.

Reply
Faith Mwangi
31/1/2026 12:02:57 pm

I see this in youth ministry all the time. Teens swallow labels thinking it explains them, but only the Spirit can truly reveal who they are.

Reply
Funmi Johnson
3/2/2026 09:23:44 am

Hmmm. Definitely food for thought. When you add in points of intersection like race or disability or anything else that can be ‘othered’ you can see just what a pickle we can end up in.

Reply
Nick Wright
3/2/2026 09:26:07 am

Funmi Johnson Thank you, Funmi. Yes, the ‘othering’ phenomenon is a dimension of the ‘toxic environment’.

Reply
David Reeson
3/2/2026 11:09:38 pm

Reminds me of an article I read yesterday Nick. Back in the 70s, 9 volunteers with no diagnosed mental illness were sent into mental hospitals. Everything they did or said was pathologised. It took between 19 and 50+ days for the volunteers to be released.

After the results were published, one of the hospitals was upset and challenged the authors to try again, confident they would be able to identify the volunteers. They identified a large number of people, none of whom were the volunteers.

I haven't had a chance to fact check the article, but it's food for thought.

Reply
Nick Wright
3/2/2026 11:14:15 pm

Hi David. That reminds me of “One Flew Over The Cuckoo’s Nest”.

Reply
David Reeson
4/2/2026 01:36:19 am

I thought of that as well. Only recently watched the full movie. So sad!

Nick Wright
4/2/2026 11:17:27 am

Yes, I think the film was trying to depict the type of scenario that you described in that research experiment. Sad and scary - and with so many resonances today. This short related piece may be of interest? https://www.nick-wright.com/turning-point.html




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    ​Nick Wright

    ​I'm a psychological coach, trainer and OD consultant. Curious to discover how can I help you? ​Get in touch!

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