That's an excellent question.
What we're trying to move toward is giving people lots of different options as far as care is concerned. There's a lot of work now being done on Internet-based cognitive behavioural therapy, so people can have access to evidence-based psychological treatment on their own. That might help people with mild to moderate conditions.
There's some very nice literature showing that Internet-based CBT actually has similar effectiveness to face to face. That's one piece. We need to think about a range of different options.
Yes, there is stigma in the clinics. You could argue that people who develop cancer, and are going to the cancer care building, are going to have to deal with some of that stigma. What we find is that people often suffer alone and feel they are the only ones dealing with this. As you know, suicide is an outcome of people feeling alone and not feeling there's anybody there for them. We have used a lot of classroom and group-based work. People learn from each other and often recover faster because they challenge some of those concerns.
I think this is where there has to be some support within the leadership for destigmatizing mental health issues. You can get burned and have a physical injury that everyone can see. PTSD is a silent injury, but it's probably just as severe.