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You do not have to be rich to have a breakdown

159 replies

UndertheCedartree · 04/07/2026 17:38

I heard this recently - you have to be rich to have a breakdown. Meaning that those who are not wealthy have to 'just get on with it.' They can't have a mental breakdown as they have to work etc.

I really disagree with this. I had a serious mental breakdown and I can assure people that psychiatric hospitals are not full of wealthy people. I think this narrative is really dangerous as it makes people think they 'don't have time' to look after their mental health and the trouble is this then means a serious breakdown is more likely and at that point it is really not a choice. When you get sectioned you don't get a choice as to if you 'want' to have a breakdown or not as you need to work.

I think this also disproportionately affects women as there is the added narrative that you have to 'just get on with it' with the home and children. The truth is there are many mothers in hospital like I was.

I encourage people to choose to look after their mental health as otherwise you may end up being forced to look after it. Obviously, I'm not saying that you can always prevent these things but early intervention seems to have better outcomes.

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UndertheCedartree · 04/07/2026 20:58

thedoginthemirror · 04/07/2026 20:19

Ive never heard this phrase and I have worked on both NHS psych wards and also at The Priory.

I can confirm that psychiatric disorders affect both rich and poor alike in equal measure.

In fact, chronic poor mental health often renders people unable to work so it can negatively affect your ability to earn

It's not something people talk about on wards as either you are too unwell to have insight or you are well enough to know you weren't able to just carry on indefinitely.

It was a new one on me in terms of rich/poor. However, not in terms of men/women. I've experienced the expectation as a mum I should be able to 'get on with it' over the dad.

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UndertheCedartree · 04/07/2026 20:50

Rainydays26 · 04/07/2026 20:05

I think it depends on the person. My depression would be different to yours and other people's on the thread. Theres also masking. One of the things for me is my house gets extremely messy. Thats one of my things. But i also see people saying I have depression and my house is tidy.
A while back i didn't eat at all for weeks. I have never been in hospital and I'm not medicated but I don't think that makes my struggles less valid. There are bits I just get on with because I don't want my children to end up in care.

I do wonder if things would be different if i could afford private therapy. Butbi don't know any different.

Mental health doesn't choose rich pr poor.

It absolutely doesn't make anyone's struggles less valid, worthy of empathy, support and treatment no matter how mild or severe their illness. However, what I am referring to is a mental breakdown in which you are unable to function in any way.

The problem with just getting on with things as you don't want your children in care is that then leads to you not seeking help at an earlier stage and this could lead to a worsening of mental health that could lead to a breakdown and you having no choice than for your children to go into care. I wish I had fully understood that before my breakdown.

As for therapy, of course it is much easier to access with money. But if you feel it could helpful I don't know if you have explored NHS options. I know at the IAPT level it is very limited but some find it helpful particularly in combination with medication.

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UndertheCedartree · 04/07/2026 20:41

BeigeCardigan · 04/07/2026 19:55

Are you talking about those that are so unwell they are in hospital long term or those that are unwell, get sectioned for weeks/ a couple of months? Because those two groups are not the same and I can’t imagine anyone ever thinking people held for years are in any way well.

Edited

I'm saying that those who have a mental breakdown many who are hospitalised, some may have intense home treatment do not have a choice in the matter and therefore it can affect anyone rich or poor. I am suggesting the narrative that you have to 'just get on with it' as you have a job etc is dangerous as it stops people seeking help which may then lead to them being more likely to have a breakdown which can lead to being sectioned or voluntary admission and this may be for weeks/months/years - really depends on a whole host of things. But at that point your choice is either limited or non-existant.

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morgan56 · 04/07/2026 20:32

I’ve never heard this and would actually say it’s more likely the lower earners/class group who deal with more MH issues. Interestingly, there does seem to be a correlation between MH and money.
More money = living an easier life/able to buy more resources to help.
I live in a very middle class area with the mid-higher earners (on average for my city) and there’s not anyone suffering MH publicly. I work for the LA and there are streets/blocks full of people who all have some sort of MH to a degree and very brazen about it.

UndertheCedartree · 04/07/2026 20:32

EilonwyWithRedGoldHair · 04/07/2026 19:53

I had to be signed off work for five weeks with stress a few years ago. Honestly, I probably needed longer. I was fortunate in that work were supportive - it was actually my manager who suggested it - and primary care mental health services got me seeing a counsellor very quickly, and she got me an extra two sessions on top of the standard six because she was worried about me.

The downsides were that the things causing stress were not things that could easily be resolved, though I was at least able to remove a few things off my plate, most distressingly at the time, an Open University degree I'd started.

I'm sorry to hear you had to stop your degree. I'm glad you managed to get help and work were supportive. Those 6 week therapy courses are so short. I don't know if you know but there are different levels you can move up (depending what level you started on). You could therefore get further therapy by moving up - although you will have to wait again and get a different therapist so not necessarily a suitable option, but just thought I'd mention it.

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Octavia64 · 04/07/2026 20:32

I’ve seen people post this on Mumsnet threads.

usually ones about how people with anxiety should just get on with it.

i had a breakdown and it came with seizures, loss of memory, and a sort of catatonic coma. If my kids weren’t at uni someone would have had to deal with them because I had no connection to reality at all.

BeigeCardigan · 04/07/2026 20:27

BringBackCatsEyes · 04/07/2026 20:22

There’s a limit to how much someone can mask eg severe major depression or bipolar disorder. At some point it will all come crashing down. You can’t “I’m fine” or “power through” bipolar disorder.

I have bipolar disorder and have pushed through many severe episodes.

UndertheCedartree · 04/07/2026 20:26

Lexibletheflexible · 04/07/2026 19:43

It isnt ignoring it, it is highlighting the issue. Poor women can't seek help for their health issues because they'd lose their kids/jobs/homes/etc

I mean that's an exaggeration. In that many do seek help and indeed if you seek help earlier you are less likely to lose those things. As I said I think telling poor women they 'can't' seek help as they will lose all those things then means many don't and some will go on to have a mental breakdown and then be more likely to lose those things. Myself I lost my job but not my kids or my home, fortunately. I appreciate the risk of that is greater for some people.

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JabbaTheBeachHut · 04/07/2026 20:25

UndertheCedartree · 04/07/2026 20:02

No, they genuinely believed it.

Oh and to the person demanding I say if I challenged it - no, as it would have derailed the thread.

I assumed it was a discussion forum that you found the thread on, so thought you would have discussed your POV that’s all.

BringBackCatsEyes · 04/07/2026 20:22

BeigeCardigan · 04/07/2026 18:22

Personally, I think if you can still work and look after children and function and aren't being hospitalised you aren't maybe as unwell as you think.

That ignores the many of us with severe mental illness that can mask. We might look like we’re functioning but it all falls apart when no one is looking. We might go to work but not sleep for days, not wash ourselves, not eat, might be having delusions etc.

There’s a limit to how much someone can mask eg severe major depression or bipolar disorder. At some point it will all come crashing down. You can’t “I’m fine” or “power through” bipolar disorder.

thedoginthemirror · 04/07/2026 20:19

Ive never heard this phrase and I have worked on both NHS psych wards and also at The Priory.

I can confirm that psychiatric disorders affect both rich and poor alike in equal measure.

In fact, chronic poor mental health often renders people unable to work so it can negatively affect your ability to earn

UndertheCedartree · 04/07/2026 20:16

JoyousOpalLemur · 04/07/2026 19:39

Does the OP have a link?

Why is the OP so bothered about what one random person said on a random forum that was probably just a joke?

Also why would you think someone would joke about something so serious. Weird response, imo.

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UndertheCedartree · 04/07/2026 20:14

mondaytosunday · 04/07/2026 19:41

I think they more mean people who ‘take to their beds’ type of breakdown, not a full on mental health crisis. I would almost say there are more people from lower economic backgrounds in state hospital psychiatric wards as wealthier people might afford private institutions. I found the amount of young people surprising when my friend was sectioned.

I see your point. I wish people wouldn't use breakdown in that way though as it really isn't helpful or empathetic to those suffering severely. I would agree there are more from lower economic backgrounds in hospitals. There are many NHS patients in private hospitals too due to lack of beds. And yes a lot of very young, although I hope it means they can get help and support at a younger age and be able to have a better life as a result of getting help earlier. I know it doesn't always work out like that, though.

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UndertheCedartree · 04/07/2026 20:07

JoyousOpalLemur · 04/07/2026 19:39

Does the OP have a link?

Why is the OP so bothered about what one random person said on a random forum that was probably just a joke?

It wasn't a joke and not one person. However, it is an important topic to me and one I wanted to discuss.

It does beg the question why you are bothered about what one random person wants to talk about on a discussion forum?

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JoyousOpalLemur · 04/07/2026 20:07

UndertheCedartree · 04/07/2026 20:02

No, they genuinely believed it.

Oh and to the person demanding I say if I challenged it - no, as it would have derailed the thread.

Why can't you signpost us to this nonsensical statement?

Rainydays26 · 04/07/2026 20:05

UndertheCedartree · 04/07/2026 17:55

Maybe some mean that. But this wasn't the context used. It was people saying you have to be rich to essentially be so mentally unwell you can't work/care for children/be hospitalised. Loads of people saying how mentally unwell they were but 'had to get on with it'.

Personally, I think if you can still work and look after children and function and aren't being hospitalised you aren't maybe as unwell as you think. I don't mean that nastily or to suggest more moderate mental illness isn't something to take seriously, to deserve empathy, support and treatment. Just that perhaps most people don't really understand what it is like to be so mentally unwell that you need to be hospitalised sometimes for years and it really isn't something people choose as they don't need to work or whatever.

I think it depends on the person. My depression would be different to yours and other people's on the thread. Theres also masking. One of the things for me is my house gets extremely messy. Thats one of my things. But i also see people saying I have depression and my house is tidy.
A while back i didn't eat at all for weeks. I have never been in hospital and I'm not medicated but I don't think that makes my struggles less valid. There are bits I just get on with because I don't want my children to end up in care.

I do wonder if things would be different if i could afford private therapy. Butbi don't know any different.

Mental health doesn't choose rich pr poor.

UndertheCedartree · 04/07/2026 20:05

luckylavender · 04/07/2026 19:38

I was being sarcastic

Oh were you? I don't always pick up on sarcasm sorry. But surely everyone knows an opinion is just an opinion. Some may agree, some may disagree. But I think it is a worthy topic to discuss.

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UndertheCedartree · 04/07/2026 20:02

JoyousOpalLemur · 04/07/2026 19:33

Who said it to you?

Do you think they were just having a laugh or something?

No, they genuinely believed it.

Oh and to the person demanding I say if I challenged it - no, as it would have derailed the thread.

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UndertheCedartree · 04/07/2026 20:01

BurnoutBee · 04/07/2026 19:20

There’s an element of truth to this. I’ve had family members who have been sectioned. They all came from extreme poverty. One had awful childhood sexual abuse. Clearly their trajectory would have happened regardless of income.

I have had a lot of barriers in my life. Mental health hasn’t always been great, but yes, I’ve definitely had to get on with it far more than someone who’s got more support or financial cushions. My sister in law being a prime example. Completely enabled by her own family of origin and husband.

I could only break down if I had experienced major trauma. Child death, severe illness, accident, injury etc. Other than that I just have to get on with it but have used very unhealthy coping mechanisms like binge eating etc to get me through. It also takes it toll on how you look and age physically - if you’ve had a lot more knocks than the average.

To be fair I would say everyone I met in hospital had experienced major trauma, sadly. Having said that it doesn't mean you don't deserve to get support for your mental health now for your quality of life. And you should because trauma can hit anyone.

We all have different circumstances that make things easier or more difficult. But has your SIL had a breakdown and if so do you think she wouldn't have had if she was poorer? I understand someone may not do something if they don't have to like work. But noone chooses to not sleep, eat, shower, change clothes for months on end, I wouldn't have thought.

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BeigeCardigan · 04/07/2026 19:55

Are you talking about those that are so unwell they are in hospital long term or those that are unwell, get sectioned for weeks/ a couple of months? Because those two groups are not the same and I can’t imagine anyone ever thinking people held for years are in any way well.

EilonwyWithRedGoldHair · 04/07/2026 19:53

UndertheCedartree · 04/07/2026 17:55

Maybe some mean that. But this wasn't the context used. It was people saying you have to be rich to essentially be so mentally unwell you can't work/care for children/be hospitalised. Loads of people saying how mentally unwell they were but 'had to get on with it'.

Personally, I think if you can still work and look after children and function and aren't being hospitalised you aren't maybe as unwell as you think. I don't mean that nastily or to suggest more moderate mental illness isn't something to take seriously, to deserve empathy, support and treatment. Just that perhaps most people don't really understand what it is like to be so mentally unwell that you need to be hospitalised sometimes for years and it really isn't something people choose as they don't need to work or whatever.

I had to be signed off work for five weeks with stress a few years ago. Honestly, I probably needed longer. I was fortunate in that work were supportive - it was actually my manager who suggested it - and primary care mental health services got me seeing a counsellor very quickly, and she got me an extra two sessions on top of the standard six because she was worried about me.

The downsides were that the things causing stress were not things that could easily be resolved, though I was at least able to remove a few things off my plate, most distressingly at the time, an Open University degree I'd started.

UndertheCedartree · 04/07/2026 19:51

BeigeCardigan · 04/07/2026 18:59

You’re ignoring the fact that some of us can mask when others can’t. In fact, for some, the illness is what allows the masking, despite being very seriously unwell.

Not everyone that becomes severely unwell gets sectioned either.

I think we'll have to agree to disagree. I don't think masking should be used as a reason not to get support and treatment. Without treatment the masking may eventually crack. I don't think it is worth the risk to end up in hospital potentially for many years. I used to be able to mask...until I couldn't. Yes, I was very unwell before...and then it got worse. When that happens to you it puts a lot of things into perspective. It's not a competition as to who is more unwell, all mental illness is distressing. However, in my opinion those who are hospitalised long term are the most unwell and at that point you are simply unable to function. I am not saying this is you but there are definitely some people who claim to be most severely unwell but are still able to work, look after children etc. I feel that is an insult to the experience of those who are locked in hospitals unable to do anything and I don't think it helps with awareness.

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thelongesday · 04/07/2026 19:45

I know nervous breakdown is an outdated term but I'm amazed that so many people don't know what it is. My grandad had one, I suspect now that he was undiagnosed autistic and it was autistic burnout. He wasn't rich at all, actually very poor, the saying is obviously just a silly thing that the less wealthy say to demonstrate how hard working/capable/resilient they are.

Lexibletheflexible · 04/07/2026 19:43

UndertheCedartree · 04/07/2026 19:34

I see what you are saying. But that narrative ignores what happens to poor women when they can't go on any longer...they lose everything including often their children. I imagine for some women they fear their children being taken if they ask for help so it is a catch 22.

It isnt ignoring it, it is highlighting the issue. Poor women can't seek help for their health issues because they'd lose their kids/jobs/homes/etc

mondaytosunday · 04/07/2026 19:41

I think they more mean people who ‘take to their beds’ type of breakdown, not a full on mental health crisis. I would almost say there are more people from lower economic backgrounds in state hospital psychiatric wards as wealthier people might afford private institutions. I found the amount of young people surprising when my friend was sectioned.