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The researchers used semi-structured interviews to investigate the experiences of familial mental illness stigma among 15 people diagnosed with mental illnesses in a mid-sized city in Canada. Five themes that spoke to participants\u2019 experiences of familial mental illness stigma and ways to reduce it were identified by the investigators. The themes included: diagnosis as a \u2018double-edged sword,\u2019 potential familial isolation, familial stigma as societal stigma localized, stories of acceptance and support, and confronting potential familial mental illness stigma. Participants\u2019 narratives indicate that familial mental illness stigma is rooted in the broader social or public stigma, which sees its way into familial relations as well. This stigma takes various forms, including relationship bias or unfair treatment, breakdown in romantic relationships, loss of status, verbal and emotional abuse, exclusion from decision-making, and alienation within their immediate and extended families. Familial mental illness stigma experiences negatively impact participant\u2019s psychological well-being and personal empowerment. However, participants also shared ways that family members create supportive environments or actively confront or prevent stigma. Overall, this study has contributed to knowledge on mental illness stigma, particularly familial mental illness stigma from the perspective of participants living with a mental illness in a high-income country. Suggestions for future research include a focus on strategies to prevent ongoing familial mental illness stigma, and large-scale studies to explore familial mental illness stigma to understand why families might themselves at times perpetrate stigma.<\/jats:p>","DOI":"10.1017\/s0021932026100558","type":"journal-article","created":{"date-parts":[[2026,3,30]],"date-time":"2026-03-30T06:09:16Z","timestamp":1774850956000},"page":"210-231","source":"Crossref","is-referenced-by-count":0,"title":["The lived experiences of familial mental illness stigma among persons living with mental illnesses"],"prefix":"10.1017","volume":"58","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6535-2029","authenticated-orcid":false,"given":"Joseph","family":"Adu","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/05g13zd79","id-type":"ROR","asserted-by":"publisher"}],"name":"Toronto Metropolitan University,\u00a0Faculty of Community Services"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abram","family":"Oudshoorn","sequence":"additional","affiliation":[{"name":"Western University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kelly","family":"Anderson","sequence":"additional","affiliation":[{"name":"Western University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carrie Anne","family":"Marshall","sequence":"additional","affiliation":[{"name":"Western University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Heather","family":"Stuart","sequence":"additional","affiliation":[{"name":"Queen\u2019s University Faculty of Health Sciences"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2026,3,30]]},"reference":[{"key":"S0021932026100558_ref24","unstructured":"Government of Canada (2020) A primer to reduce substance use stigma in the Canadian health system. 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