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Conditioned Silence

In mental health systems, silence isn’t an accident — it’s conditioned.

We learn quickly that compliance is rewarded. Speak softly, nod at the right places, and you’re seen as “engaging well.” Raise difficult truths, challenge the narrative, or simply say no, and you’re labelled as resistant, difficult, or worse. Over time, this conditioning sinks deep.

What begins as survival — keeping quiet to stay safe — becomes a pattern. The system teaches us not to speak. And then it points at our silence as proof of our “illness.”

This is not recovery. This is captivity.

Conditioned silence harms us. It shrinks us down, teaches us to mistrust our own voices, and leaves us isolated inside experiences that are already hard enough to hold.

But here’s the thing: silence can be broken. Not by systems “allowing” it, but by us finding each other. By saying the unsayable things, in spaces where we won’t be punished for it.

When lived experience voices come together, the conditioning begins to crack. What was once too risky to say alone becomes undeniable in chorus. And that is how dignity is reclaimed — not as a policy, not as a procedure, but as a living practice.


Conditioned silence is real. But it’s not the end of the story. The end of silence is.

 
 
 

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The content on this website is written from lived experience and professional reflection. All views expressed are my own and should not be taken as representing the position of my employer, the NHS, or any affiliated organisation.

© 2023 by Wishart

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