Alleged text exchanges between actor Jonah Hill and his former girlfriend, surfer Sarah Brady, have sparked conversation about the potential harms of therapy speak when misused and the concept of “gaslighting” — a popular buzzword among those in the mental health community and its enthusiasts.
Gaslighting is so commonly discussed that Merriam-Webster deemed the expression its word of the year in 2022, after experiencing a 1,740% increase in searches for the term. But experts say there are a lot of misconceptions around what gaslighting is and isn’t.
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“When we’re challenged or confronted or told, ‘Hey, I remember this differently,’ we might think we’re being gaslit, when actually we’re being confronted on a behavior and asked to change it — as opposed to being told that we’re bad or that we don’t remember things correctly or that we’re emotionally unstable,” said Vanessa Kennedy, director of psychology at Driftwood Recovery, a residential rehabilitation center in Texas.
Some people weaponize psychological terms like gaslighting when others simply do something they don’t like, which is wrong, said Monica Vermani, a Canada-based clinical psychologist and author of “A Deeper Wellness: Conquering Stress, Mood, Anxiety and Traumas.”
Gaslighting is actually “a highly calculating form of manipulation — which involves the destabilization — of one individual by another over a protracted period of time,” Vermani said.

Gaslighting is a form of emotional abuse based on destabilizing the victim’s belief in themselves, experts said.
“Most commonly, gaslighting — also referred to as coercive control — is carried out by someone in a position of trust who is in close contact with the target,” she added. “It is a complex and usually deliberate means of intentionally controlling an individual, which is carried out over an extended period of time.”
Since “close contact is key here,” Vermani added, the person gaslighting is often a romantic partner, an intimate friend or family member, or a close colleague.
Someone who gaslights another person destabilizes and controls them by attacking their faculties to make the victim think their emotional stability, credibility or memory is flawed — thereby making the victim distrust themselves and rely more on the person who’s gaslighting them, Kennedy said. Gaslighting also helps the perpetrator avoid any blame or responsibility for their actions.
“The person plays more on your insecurities and tries to attack your self-esteem,” she added.
The concept of gaslighting originated from the 1944 film “Gaslight” and the 1938 play on which it was based. In it, “a husband is trying to convince his wife that she’s going insane and perceiving things inaccurately,” Kennedy said. “Throughout the course of the movie and over time, she begins to feel that she is, in fact, dipping into psychological insanity.”
The term gaslighting carries a lot of weight, and misusing it can have consequences for our relationships, emotional maturity or accurate understanding of psychological concepts.
But at the same time, awareness of what constitutes emotional abuse can help people avoid unhealthy, threatening relationships. Here’s more on what gaslighting is and isn’t, and how to confront someone exhibiting this behavior toward you.
Signs you’re being gaslit
There are other common misconceptions about the nature of gaslighting, experts said. If a loved one disagrees with you or tries to change your mind, prefers to be “right” in an argument, or acts surprised when confronted — that’s not necessarily gaslighting. Neither is someone trying to minimize their hurtful behavior or cast doubt on your opinions or perspectives, Vermani said.
What pushes these behaviors into gaslighting territory has to do with what the person you’re dealing with says and their intentions behind it.
Gaslighters “are typically emotionally abusive people — often with low self-esteem — who wish to control others rather than engage in mutually respectful relationships that require consideration, empathy, compassion and kindness,” Vermani said. “They seek ways to undermine and overpower someone they fear losing, regardless of the damage to their target.”
Not all gaslighting is intentional, as some people grow up witnessing these patterns and subconsciously adopt them as a coping mechanism or conflict resolution method, experts said.
But generally, gaslighters often “intentionally lie and deceive to confuse their target,” Vermani said, or deny their own lies or their target’s truth, “even in the face of evidence to the contrary.”
Gaslighters often isolate targets from their social circles by insinuating their friends don’t have their best interests in mind to weaken their sense of reality and self, experts said. They might say, “Even if you were to tell other people about what’s happening, you wouldn’t be believed because people know you to be irrational or make things up,” Kennedy said. All these statements serve to make the victim more dependent on the gaslighter.
Other signs or effects of gaslighting can include thinking the other person’s feelings always seem to matter more than yours, or being constantly anxious or tense around the person, said Duygu Balan, a psychotherapist specializing in trauma and attachment wounding in the San Francisco Bay Area. You might also refrain from sharing how you feel out of worry that the gaslighter is going to overreact, call you names or make fun of you.
“If there’s no safety for you to voice yourself, then that is a situation where there’s a toxic relationship,” Balan said.
The degree to which a person gaslights someone else can vary, but gaslighting is always emotional abuse, whether intentional or not, experts said.
And gaslighting can have insidious consequences, especially after a long period of time.
“You start wondering if you’re the reason why this person is doing this to you,” Vermani said. “That self-doubt can be quite damaging on an intrinsic level. You make excuses for the other person’s behavior because that person makes excuses for their behaviors. … You go out of your way to protect them sometimes because you believe that they’re smarter or more capable than you are.”
Your ability to trust your gut might also suffer.
“Over time, the effect of gaslighting can erode your self-respect and your ability to choose healthy situations for yourself that are going to make you happy and be fulfilling,” Kennedy said.
Confronting the problem
If you feel safe enough to confront the person who might be gaslighting you, first focus on setting boundaries with them, experts said. It might be helpful to share your detailed experience of their behavior rather than simply telling them, “I feel like you’re gaslighting me.”
Additionally, “you might end the conversation or disengage and say, ‘I’m not going to engage in this type of conversation anymore. I know what I saw,’” Kennedy said.
If the gaslighter is someone very close to you, you can also suggest doing counseling or therapy together, she added.
If the behavior persists, how long you stay in the relationship is a personal decision, Kennedy said. You could give the person a specific time frame within which you’d like to see changes in their behavior, after which you would re-evaluate.
“But at any rate, you have to decide what the emotional toll is that it’s taking on you and your self-esteem,” Kennedy said. “Sometimes it’s not safe to approach the gaslighter in the relationship, and it’s safer to leave altogether.”
Getting help can be necessary if you’re struggling in a relationship with a gaslighter or with the trauma gaslighting can cause.
“Seek the support of people you trust — often people who know that you are in a difficult situation and who have been standing on the sidelines, waiting to offer you help,” Vermani said.
Talking to a therapist can help you get an objective perspective and see more clearly any signs of gaslighting behavior and psychological abuse, Kennedy said.
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More than 11% of Americans may not be receiving the mental health care they need, data shows
More than 11% of Americans may not be receiving the mental health care they need, data shows

In the United States, mental health support is more accessible than ever thanks to the expansion of telemedicine. Still, a survey of almost 54,000 Americans found that more than 1 in 10 respondents don't receive the help they need. The barriers some people face in obtaining appropriate mental health care are overt—they're financial, geographic, and socioeconomic. For others, their barriers are invisible, burdened by stigma and discrimination.
Despite greater access to support, albeit unequal access, America is facing a mental health crisis. Even in the best-case scenario, in which every American who needs support seeks it out, the U.S. health care system is overburned, understaffed, and unable to meet that demand.
While the onset of the COVID-19 pandemic led to increased clinical depression and anxiety among Americans, reported cases and related symptoms decreased from peak pandemic levels as lockdowns and other restrictions eased. Those continuing to suffer from a lack of support today are historically marginalized communities like LGBTQ+ people and rural communities, or segments of the population assumed not to be at risk of mental illness, including young adults and children.
In December 2021, the U.S. surgeon general issued a public health advisory to specifically address the youth mental health crisis, citing a 40% increase in feelings of sadness and hopelessness among adolescents over the last decade. In 2022, the Preventive Service Task Force—an independent, volunteer panel of medical experts—recommended screening all children between the ages of 8-18 for anxiety. Nearly 8% of children and adolescents between the ages of 3 and 17 presented with an anxiety disorder, according to the 2020 National Survey of Children's Health, released in 2021.
States of loneliness, anxiety, or hopelessness are, of course, not uniquely manifestations of youth. The World Health Organization found a 25% increase in anxiety and depression across the globe amid the restrictions brought on by the pandemic. A study conducted by insurance provider Cigna found that, post-pandemic, nearly 3 in 5 adult respondents (58%) actively experience loneliness; these findings are not far removed from the estimated 61% of adults that reported the same feelings before COVID-19's onset. Further research published in October 2021 in the Lancet suggests that depression now affects about 1 in every 3 American adults.
To find out more about how adult populations are being affected, Sana cited data from the Census Household Pulse Survey weighted by the Centers for Disease Control and Prevention to examine trends in who reports receiving the mental health care they need. The data used in this story was collected between April and May 2022. Although more recent surveys are available, they have not yet been processed to consider weighted sample sizes.
US average

Although a significant portion of the U.S. population is not currently receiving the mental health care they require, there have been blips of progress in recent years. The percentage of people seeking treatment during the pandemic increased from 19.2% to 21.6%, according to the CDC. But this increase in sought-after treatment was likely not happening across all demographics. When viewed through a racial lens, discrepancies between mental health care needs and treatment received highlight the significant cultural barriers many Americans face.
A further dissection of Census Household Pulse Survey data found that a greater percentage of Black and Hispanic or Latino Americans needed therapy but did not receive it. Hispanic/Latino culture is a broad, diverse community comprised of many languages and origins; both language and economic disparity can be barriers to gaining treatment. Moreover, Hispanic/Latino individuals diagnosed with mental illness may face cultural stigma within their communities. Many in Black communities have reported that mental health, particularly mental illness, can be viewed as something that should be discussed and dealt with privately. One factor contributing to this is a distrust of the medical establishment as a whole, stemming, in part, from a longstanding history of misdiagnosis and preferential consideration afforded to white, generally more affluent, patients.
As for Asian Americans and Pacific Islanders, the CHPS found that even though more of these individuals received treatment than did not, overall they represented less than half of those people seeking treatment in either the Black or Hispanic/Latino communities. AAPI is, like Hispanic/Latino, a very widespread designation. Social pressure and negative stigma are significant barriers for AAPI people to even seek therapy, let alone secure it.
Such attitudes among minority communities coalesce into even larger, more damaging stigmas that prevent people from getting the professional help they require. Finding a mental health professional who understands and can adapt treatment to one's culture can be limiting, if not impossible, for some people.
Differences across states

The U.S. is contending with a shortage of mental health care professionals. More than 3 in 4 U.S. counties don't have a mental health care provider, and patients face wait times of weeks or even months. Western and Southern states are among those with the greatest number of health care professional shortage areas, which are designated based on the number of mental health professionals relative to the population. To be considered a mental health care shortage area, the population-to-provider ratio must be at least 30,000 to 1 or 20,000 to 1 in high-needs communities. More than 4 in 5 rural counties in the U.S. lack adequate mental health care service compared to 36% of more populated metropolitan regions.
LGBTQ+ people

LGBTQ+ people report discrimination as a primary reason for not seeking necessary mental and physical health care. Reports of discrimination and its adverse effects are often highest among transgender individuals.
Three in 5 transgender people report facing discrimination in their personal or professional lives—about twice the rate of the whole surveyed LGBTQ population—according to a 2020 study from the Center for American Progress. While 15% of LGBTQ+ people reported postponing medical care, including mental health care, to avoid discrimination, transgender Americans postpone at twice that rate. LGBTQ+ people face not only discrimination but a lack of access to professionals who are knowledgeable about LGBTQ+ issues.
Younger generations

Young adults ages 18-29 were more likely than any other age group to experience high levels of psychological distress, according to a Pew Research Center analysis of CDC survey data collected between March 2020 and September 2022. Research has shown they are also the loneliest age group, with more than 3 in 5 (61%) saying they feel lonely frequently or all of the time. Loneliness can lead to serious physical and mental health issues, including depression, anxiety, substance use, and heart disease. And yet, they are the least likely to receive appropriate mental health care. Apathy is one of the biggest barriers young people face when accessing mental health care in the U.S.
Respondents who are older members of Gen Z—a cohort that ranges between the ages of 11 and 26—are less likely than older generations to maintain their health proactively, according to a 2022 McKinsey survey. They were the generation least motivated to improve their health and the least comfortable talking about behavioral health with professionals, all while being more likely than any other generation to have a behavioral-health condition, depression, and anxiety. Cost is another major barrier younger generations face when seeking mental health support, with roughly 1 in 4 Gen Z respondents saying they could not afford mental health services.
This story originally appeared on Sana and was produced and distributed in partnership with Stacker Studio.