Stigma can cause shame and guilt in people with mental illness. Have you ever felt guilty for having a mental illness? I definitely have. When I reveal to someone that I have depression, my heart starts to beat fast and my hands get clammy. What are they going to think? Are they going to scoff at what they consider a weakness? Are they going to cut ties with me altogether? This is one of the scariest situations someone with mental illness has to face and it’s because shame and guilt can be caused by stigma.