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This delay means symptoms may continue untreated for longer before assessment and support begin."},{"text":"It causes immediate disclosure, because the person asks for help straight away.","correct":false,"explanation":"Fear of judgement usually discourages disclosure rather than prompting it. The correct effect is delay, because the person waits before asking for help and receiving support."},{"text":"It causes faster recovery, because the person avoids discussing the problem.","correct":false,"explanation":"Avoiding help does not speed recovery and can allow difficulties to persist. Expecting judgement causes delay in seeking help, which may lengthen the untreated period."},{"text":"It causes greater confidence, because the person handles the problem alone.","correct":false,"explanation":"Managing alone because of anticipated judgement can reduce access to support, not increase confidence. The relevant effect before diagnosis is delay while the person waits before asking for help."}]},{"id":"b14b1f00-09f9-49a4-b289-dfeb0f1bc2ae","cardType":"basic","points":3,"front":"How do stigma and discrimination differ?","back":"

Stigma is negative attitudes, beliefs and stereotypes.
Discrimination is unfair treatment caused by those attitudes.

","mcqOptions":[{"text":"

Stigma is negative attitudes, beliefs and stereotypes.
Discrimination is unfair treatment caused by those attitudes.

","correct":true,"explanation":"Stigma refers to negative ideas and attitudes about a group. Discrimination is the unfair behaviour or treatment that can result from those stigmatising attitudes."},{"text":"

Stigma is unfair treatment caused by negative attitudes.
Discrimination is negative beliefs and stereotypes.

","correct":false,"explanation":"These definitions have been reversed. Stigma consists of negative attitudes, beliefs and stereotypes, whereas discrimination is the unfair treatment caused by those attitudes."},{"text":"

Stigma is a recognised mental health diagnosis.
Discrimination is treatment given by medical professionals.

","correct":false,"explanation":"Neither term means a diagnosis or professional treatment. Stigma describes negative attitudes and stereotypes, while discrimination means unfair treatment resulting from them."},{"text":"

Stigma is hiding symptoms from other people.
Discrimination is asking for help before diagnosis.

","correct":false,"explanation":"Hiding symptoms and seeking help are possible behaviours, not definitions of these concepts. Stigma means negative attitudes and stereotypes; discrimination means unfair treatment based on them."}]},{"id":"6a56d6c1-00af-45c5-b938-1b050cc61210","cardType":"basic","points":2,"front":"How do stigma and discrimination reinforce each other?","back":"**Unfair treatment** confirms the stereotype, while the stereotype permits further unfair treatment.","mcqOptions":[{"text":"**Unfair treatment** confirms the stereotype, while the stereotype permits further unfair treatment.","correct":true,"explanation":"Discrimination can appear to prove a negative stereotype is true, while the stereotype makes further discrimination seem acceptable. This creates a reinforcing cycle between attitudes and behaviour."},{"text":"Professional treatment confirms the stereotype, while the stereotype prevents further unfair treatment.","correct":false,"explanation":"Treatment does not normally confirm a stereotype, and stereotypes can encourage rather than prevent unfair treatment. The correct cycle involves unfair treatment confirming stereotypes and stereotypes permitting more unfair treatment."},{"text":"Social contact confirms the stereotype, while the stereotype permits further social contact.","correct":false,"explanation":"Positive social contact is intended to challenge stigma, not confirm it. The reinforcing process is that unfair treatment appears to confirm a stereotype, which then supports more unfair treatment."},{"text":"Recovery confirms the stereotype, while the stereotype prevents further recovery.","correct":false,"explanation":"Recovery does not confirm negative stereotypes. The relevant relationship is between unfair treatment and stereotypes: each can strengthen the other through apparent confirmation and justification."}]},{"id":"e49c6161-6c22-40be-90ab-c051acccdccf","cardType":"basic","points":1,"front":"What is the usual effect of a longer untreated period?","back":"It usually causes a **longer recovery** and more time lost from school or work.","mcqOptions":[{"text":"It usually causes a **longer recovery** and more time lost from school or work.","correct":true,"explanation":"A longer period without effective treatment can allow symptoms and their consequences to become more established. This commonly means recovery takes longer and more education or employment time is lost."},{"text":"It usually causes a shorter recovery and less time lost from school or work.","correct":false,"explanation":"An untreated problem does not usually resolve more quickly. The usual effect is a longer recovery, often accompanied by more time away from school or employment."},{"text":"It usually causes a more certain diagnosis and less time lost from school or work.","correct":false,"explanation":"A longer untreated period does not guarantee a diagnosis and may increase disruption. The usual consequence is a longer recovery and more time lost from school or work."},{"text":"It usually causes a higher self-esteem and more time spent at school or work.","correct":false,"explanation":"Persistent untreated symptoms are more likely to disrupt confidence and daily functioning than improve them. The usual effect is longer recovery with increased time lost from school or work."}]},{"id":"26ad3b4f-070d-45fa-bf6c-882c077bfe26","cardType":"basic","points":2,"front":"How can self-stigma affect someone before diagnosis?","back":"It can make them feel **ashamed or weak**, lowering self-esteem and making depression harder to shift.","mcqOptions":[{"text":"It can make them feel **ashamed or weak**, lowering self-esteem and making depression harder to shift.","correct":true,"explanation":"Self-stigma occurs when negative beliefs about mental illness are applied to oneself. Feeling ashamed or weak can lower self-esteem and make depressive symptoms more difficult to overcome."},{"text":"It can make them feel proud or powerful, raising self-esteem and making depression easier to shift.","correct":false,"explanation":"Self-stigma involves internalising negative stereotypes, so it is associated with shame or weakness rather than pride or power. It can lower self-esteem and make depression harder to shift."},{"text":"It can make them feel calm or detached, preventing symptoms and making depression easier to shift.","correct":false,"explanation":"Self-stigma does not prevent symptoms or reliably create calm detachment. Internalised negative beliefs can cause shame or weakness, lower self-esteem and make depression harder to shift."},{"text":"It can make them feel angry or invulnerable, raising self-esteem and making depression impossible to shift.","correct":false,"explanation":"Anger and invulnerability are not the defining effect of self-stigma, and depression is not made impossible to shift. The expected effect is shame or weakness with reduced self-esteem."}]},{"id":"fb408432-f556-4688-a0ec-b97ecc291e71","cardType":"basic","points":2,"front":"Why can concealing symptoms reduce support before diagnosis?","back":"Family, friends and teachers may not realise help is needed, so the person loses **support for coping**.","mcqOptions":[{"text":"Family, friends and teachers may not realise help is needed, so the person loses **support for coping**.","correct":true,"explanation":"Concealing symptoms prevents people around the individual from recognising the need for help. As a result, the person may lose practical and emotional support for coping."},{"text":"Family, friends and teachers may recognise help is needed, so the person gains support for coping.","correct":false,"explanation":"Concealment makes symptoms less visible, so others may fail to recognise that help is needed. The result can be lost support for coping, rather than increased support."},{"text":"Family, friends and teachers may not realise help is needed, so the person gains confidence in diagnosis.","correct":false,"explanation":"Others missing the signs does not give someone confidence in a diagnosis, especially before diagnosis. Concealing symptoms can instead mean losing support for coping."},{"text":"Family, friends and teachers may immediately arrange treatment, so the person loses privacy at school.","correct":false,"explanation":"If symptoms are concealed, immediate treatment is less likely because others may not realise help is needed. The key consequence is losing support for coping, not losing school privacy."}]},{"id":"c749241b-7da9-40ce-8a30-e35e86dc7542","cardType":"basic","points":2,"front":"How might people respond to someone after learning their diagnosis?","back":"They may respond to the **label instead of the person**, allowing it to overshadow everything else about them.","mcqOptions":[{"text":"They may respond to the **label instead of the person**, allowing it to overshadow everything else about them.","correct":true,"explanation":"Diagnostic labelling can lead others to focus on the illness category rather than the individual. The label may then overshadow the person’s other characteristics, abilities and identity."},{"text":"They may respond to the person instead of the label, allowing it to clarify everything else about them.","correct":false,"explanation":"This reverses the problem described by diagnostic labelling. Stigma may cause people to respond to the label instead of the person, letting it overshadow other aspects of their identity."},{"text":"They may respond to the symptoms instead of the diagnosis, allowing them to disappear completely.","correct":false,"explanation":"Learning a diagnosis does not make symptoms disappear, and this is not the effect being tested. People may respond to the label instead of the person, overlooking their wider identity."},{"text":"They may respond to the recovery instead of the person, allowing progress to define their diagnosis.","correct":false,"explanation":"Recovery is not what necessarily replaces attention to the individual after diagnosis. The concern is that people focus on the label instead of the person and let it overshadow everything else."}]},{"id":"abd6ed9f-17c6-40fe-b654-8b428f2ba298","cardType":"basic","points":1,"front":"What inaccurate belief about severe mental illness can contribute to stigma?","back":"People with a severe mental illness are more likely to experience **violence** than the general population.","mcqOptions":[{"text":"People with a severe mental illness are more likely to experience **violence** than the general population.","correct":true,"explanation":"A common inaccurate belief is that people with severe mental illness are more likely to be violent. In reality, they are more likely to experience violence than the general population."},{"text":"People with a severe mental illness are more likely to commit violence than the general population.","correct":false,"explanation":"This option repeats the damaging misconception that severe mental illness makes people more likely to be violent towards others. The accurate statement is that they are more likely to experience violence."},{"text":"People with a severe mental illness are more likely to avoid violence than the general population.","correct":false,"explanation":"Avoiding violence is not the specific correction to the misconception. The relevant accurate finding is that people with severe mental illness are more likely to experience violence than the general population."},{"text":"People with a severe mental illness are more likely to cause injury than the general population.","correct":false,"explanation":"This still wrongly presents people with severe mental illness as a greater danger to others. The accurate point is that they are more likely to experience violence than the general population."}]},{"id":"bf60a7e0-480f-4d02-ada6-92f5a7bbe0bf","cardType":"basic","points":1,"front":"What is the common misconception about schizophrenia?","back":"Schizophrenia is wrongly associated with having **two personalities**; it involves hallucinations and delusions.","mcqOptions":[{"text":"Schizophrenia is wrongly associated with having **two personalities**; it involves hallucinations and delusions.","correct":true,"explanation":"Schizophrenia is not the same as having two personalities. It can involve psychotic symptoms such as hallucinations and delusions, so the two-personalities idea is a misconception."},{"text":"Schizophrenia is wrongly associated with having no emotions; it involves hallucinations and delusions.","correct":false,"explanation":"Lack of emotion is not the common misconception identified here. Schizophrenia is wrongly linked with two personalities, while its symptoms can include hallucinations and delusions."},{"text":"Schizophrenia is wrongly associated with having excellent memory; it involves hallucinations and delusions.","correct":false,"explanation":"Excellent memory is not the usual misconception about schizophrenia. The classic error is confusing it with having two personalities; schizophrenia can involve hallucinations and delusions."},{"text":"Schizophrenia is wrongly associated with having multiple physical illnesses; it involves hallucinations and delusions.","correct":false,"explanation":"Multiple physical illnesses are not what the common misconception concerns. Schizophrenia is incorrectly associated with two personalities, whereas hallucinations and delusions are relevant symptoms."}]},{"id":"76bf1f98-4eb5-4ed5-8e13-eeabbee0a091","cardType":"basic","points":3,"front":"Why is discrimination before diagnosis harder to challenge?","back":"

There is no diagnosis-based **formal support or reasonable adjustment**.
There is no Equality Act protection based on a recognised long-term condition.

","mcqOptions":[{"text":"

There is no diagnosis-based **formal support or reasonable adjustment**.
There is no Equality Act protection based on a recognised long-term condition.

","correct":true,"explanation":"Before diagnosis, a person may lack access to diagnosis-based formal support or reasonable adjustments. They may also be unable to use Equality Act protection based on a recognised long-term condition."},{"text":"

There is no diagnosis-based informal friendship or emotional support.
There is no Equality Act protection based on a recognised long-term condition.

","correct":false,"explanation":"Informal friendship and emotional support can exist without a diagnosis, so they are not the specific barrier. The missing provision is formal support or reasonable adjustment based on diagnosis."},{"text":"

There is no diagnosis-based medical treatment or symptom relief.
There is no Equality Act protection based on a recognised long-term condition.

","correct":false,"explanation":"Treatment and symptom relief are not automatically unavailable before diagnosis, although accessing help may be harder. The relevant difficulty is the lack of diagnosis-based formal support or reasonable adjustment."},{"text":"

There is no diagnosis-based school attendance or employment.
There is no Equality Act protection based on a recognised long-term condition.

","correct":false,"explanation":"A person can still attend school or work without a diagnosis, even if symptoms make this difficult. The specific missing protection is formal support or reasonable adjustment based on diagnosis."}]},{"id":"8e7fb66e-ae19-45e2-b1e8-e62d1534391d","cardType":"basic","points":2,"front":"What can discrimination after diagnosis do to a person's employment?","back":"It can lead to being **turned down for a job**, passed over for promotion or managed out of a role.","mcqOptions":[{"text":"It can lead to being **turned down for a job**, passed over for promotion or managed out of a role.","correct":true,"explanation":"Discrimination after diagnosis can affect recruitment, promotion and job security. Employers may reject someone, overlook them for advancement or pressure them out of their role because of stigma."},{"text":"It can lead to being offered a job immediately, promoted without review or given a permanent role.","correct":false,"explanation":"Discrimination creates unfair disadvantage rather than guaranteed employment benefits. It can result in being turned down for a job, passed over for promotion or managed out of a role."},{"text":"It can lead to being given extra pay, promoted ahead of everyone or protected from workplace decisions.","correct":false,"explanation":"These are advantages, not typical consequences of employment discrimination. Stigma can instead cause rejection, missed promotion and being managed out of a role."},{"text":"It can lead to being offered confidential treatment, promoted fairly or moved into a safer role.","correct":false,"explanation":"Confidential treatment and fair promotion do not describe the employment harm caused by discrimination. The relevant effects are being turned down, passed over or managed out."}]},{"id":"8dbf86ee-0534-45e6-85de-f141c4268462","cardType":"basic","points":2,"front":"What can diagnostic overshadowing cause?","back":"Physical symptoms may be attributed to the mental health problem, so a serious condition can be **missed**.","mcqOptions":[{"text":"Physical symptoms may be attributed to the mental health problem, so a serious condition can be **missed**.","correct":true,"explanation":"Diagnostic overshadowing occurs when physical complaints are wrongly explained by an existing mental health diagnosis. This can delay investigation and cause a serious physical condition to be missed."},{"text":"Physical symptoms may be attributed to the mental health problem, so a serious condition can be confirmed.","correct":false,"explanation":"Attributing physical symptoms to mental illness can prevent the correct physical diagnosis rather than confirm it. Diagnostic overshadowing may cause a serious condition to be missed."},{"text":"Physical symptoms may be attributed to the mental health problem, so a serious condition can be treated immediately.","correct":false,"explanation":"Overshadowing tends to reduce appropriate investigation, so it does not ensure immediate treatment. The physical problem may instead be missed because symptoms are attributed to mental illness."},{"text":"Physical symptoms may be attributed to the mental health problem, so a serious condition can be prevented.","correct":false,"explanation":"Misattributing symptoms cannot prevent an existing serious condition and may delay care. The consequence of diagnostic overshadowing is that the condition can be missed."}]},{"id":"5bb3605f-ecbc-4eec-a749-516525070512","cardType":"basic","points":2,"front":"How can losing work after diagnosis affect recovery?","back":"Losing work means losing **income**, which can put secure housing at risk and reduce practical support.","mcqOptions":[{"text":"Losing work means losing **income**, which can put secure housing at risk and reduce practical support.","correct":true,"explanation":"Employment provides money and often practical stability. Losing income can threaten secure housing and reduce the practical support available during recovery."},{"text":"Losing work means gaining income, which can make secure housing safer and increase practical support.","correct":false,"explanation":"Losing employment normally removes wages rather than creating income. Reduced income can put housing at risk and reduce practical support, making recovery more difficult."},{"text":"Losing work means losing symptoms, which can put secure housing at risk and reduce practical support.","correct":false,"explanation":"Leaving employment does not automatically remove mental health symptoms. The important loss is income, which may threaten secure housing and reduce practical support during recovery."},{"text":"Losing work means gaining free time, which can guarantee secure housing and increase practical support.","correct":false,"explanation":"Although unemployment may create free time, it cannot guarantee housing or increase practical support. The key recovery impact is loss of income, which can threaten housing security."}]},{"id":"fae9ad1f-848f-4fa6-9653-8036e6ce4698","cardType":"basic","points":1,"front":"How does Time to Change aim to reduce stigma?","back":"It uses **social contact** between the public and people with lived experience of a diagnosis.","mcqOptions":[{"text":"It uses **social contact** between the public and people with lived experience of a diagnosis.","correct":true,"explanation":"Time to Change aims to challenge stereotypes through direct social contact. Meeting or hearing from people with lived experience can replace assumptions with more accurate personal understanding."},{"text":"It uses social isolation between the public and people with lived experience of a diagnosis.","correct":false,"explanation":"Keeping groups apart would leave stereotypes unchallenged. Time to Change uses social contact between the public and people with lived experience to reduce stigma."},{"text":"It uses diagnostic screening between the public and people with lived experience of a diagnosis.","correct":false,"explanation":"Screening identifies possible mental health difficulties; it is not the main anti-stigma method described here. The campaign uses social contact to challenge public misconceptions."},{"text":"It uses legal punishment between the public and people with lived experience of a diagnosis.","correct":false,"explanation":"Punishment is not the stated mechanism for changing stigma. Time to Change promotes social contact between the public and people with lived experience of diagnosis."}]},{"id":"235f3a4e-1cc1-4061-8832-72bc06cf2d80","cardType":"cloze","points":null,"front":"Before diagnosis, expecting to be judged can cause [ ], while turning stereotypes against oneself is called self-stigma.","back":"Before diagnosis, expecting to be judged can cause delay in seeking help, while turning stereotypes against oneself is called self-stigma.","mcqOptions":[{"text":"delay in seeking help","correct":true,"explanation":"Expecting judgement can make someone postpone asking for professional or personal support. The phrase fits the sentence because anticipated stigma commonly causes delay in seeking help before diagnosis."},{"text":"confidence in seeking help","correct":false,"explanation":"Expecting judgement is more likely to undermine confidence and postpone disclosure than increase it. The correct term is delay in seeking help, caused by waiting before asking for support."},{"text":"speed in seeking help","correct":false,"explanation":"Fear of judgement does not usually make help-seeking faster. It encourages postponement, so the correct completion is delay in seeking help."},{"text":"success in seeking help","correct":false,"explanation":"Success describes an outcome, not the delay caused by anticipating judgement. The sentence refers to postponing help-seeking, so delay in seeking help is the correct term."}]},{"id":"3be0aab1-404f-40ae-902b-b65b10142727","cardType":"cloze","points":null,"front":"Before diagnosis, expecting to be judged can cause delay in seeking help, while turning stereotypes against oneself is called [ ].","back":"Before diagnosis, expecting to be judged can cause delay in seeking help, while turning stereotypes against oneself is called self-stigma.","mcqOptions":[{"text":"self-stigma","correct":true,"explanation":"Self-stigma is the process of applying negative stereotypes about mental illness to oneself. It can produce shame or weakness and lower self-esteem before a formal diagnosis."},{"text":"public stigma","correct":false,"explanation":"Public stigma refers to negative attitudes or stereotypes held by other people or society. Turning those stereotypes against oneself is specifically called self-stigma."},{"text":"diagnostic overshadowing","correct":false,"explanation":"Diagnostic overshadowing happens when physical symptoms are attributed to a mental health diagnosis, causing a physical condition to be missed. It does not mean internalising stereotypes."},{"text":"social contact","correct":false,"explanation":"Social contact involves interaction between the public and people with lived experience, often to challenge stigma. Turning negative stereotypes against oneself is called self-stigma."}]},{"id":"0c0895c9-61ce-43db-8700-4e3fa038a6ff","cardType":"cloze","points":null,"front":"After diagnosis, being seen through the label can lower confidence and expectations, causing a person to withdraw from [ ].","back":"After diagnosis, being seen through the label can lower confidence and expectations, causing a person to withdraw from work, education and friendships.","mcqOptions":[{"text":"work, education and friendships","correct":true,"explanation":"Stigma can reduce confidence and expectations after diagnosis, leading someone to avoid employment, learning opportunities and social relationships and increasing their isolation."},{"text":"diagnosis, medication and therapy","correct":false,"explanation":"These are aspects of receiving mental healthcare, not the main life areas described here. Labelling may cause withdrawal from work, education and friendships through reduced confidence and expectations."},{"text":"symptoms, treatment and recovery","correct":false,"explanation":"Withdrawal does not mean simply leaving symptoms or recovery behind. The social effects of stigma can cause a person to withdraw from work, education and friendships."},{"text":"doctors, nurses and hospitals","correct":false,"explanation":"Avoiding healthcare professionals may occur in some circumstances, but it is not the stated effect here. Lower confidence and expectations can lead to withdrawal from work, education and friendships."}]},{"id":"f543cc16-d74d-44b0-a03f-23dfa7fad981","cardType":"cloze","points":null,"front":"When physical symptoms are wrongly attributed to a mental health problem, this is called [ ], which can mean a serious condition is missed.","back":"When physical symptoms are wrongly attributed to a mental health problem, this is called diagnostic overshadowing, which can mean a serious condition is missed.","mcqOptions":[{"text":"diagnostic overshadowing","correct":true,"explanation":"Diagnostic overshadowing occurs when healthcare professionals interpret physical symptoms as part of a person’s mental health problem, potentially allowing a separate physical condition to go undetected."},{"text":"self-fulfilling prophecy","correct":false,"explanation":"A self-fulfilling prophecy involves expectations helping to produce the expected behaviour. Wrongly explaining physical symptoms as consequences of mental illness is diagnostic overshadowing."},{"text":"institutional discrimination","correct":false,"explanation":"Institutional discrimination arises from an organisation’s policies or practices disadvantaging a group. Attributing physical symptoms to an existing mental health problem is diagnostic overshadowing."},{"text":"stereotype threat","correct":false,"explanation":"Stereotype threat is anxiety about confirming a negative stereotype, often affecting performance. The mistaken attribution of physical symptoms to mental illness is diagnostic overshadowing."}]},{"id":"d6659dcf-f4c8-4b64-b8b1-70a34a75fa41","cardType":"cloze","points":null,"front":"When physical symptoms are wrongly attributed to a mental health problem, this is called diagnostic overshadowing, which can mean a serious condition is [ ].","back":"When physical symptoms are wrongly attributed to a mental health problem, this is called diagnostic overshadowing, which can mean a serious condition is missed.","mcqOptions":[{"text":"missed","correct":true,"explanation":"Diagnostic overshadowing can prevent healthcare professionals from investigating physical symptoms properly, so a serious physical condition may be missed and remain untreated."},{"text":"treated","correct":false,"explanation":"Attributing symptoms to mental illness can prevent appropriate physical investigation rather than ensure treatment. Consequently, a serious underlying condition may be missed."},{"text":"prevented","correct":false,"explanation":"Diagnostic overshadowing does not stop a physical condition from developing. It can stop professionals from recognising its symptoms, meaning the condition is missed."},{"text":"exaggerated","correct":false,"explanation":"The danger is not that the physical condition becomes exaggerated, but that its symptoms are dismissed as psychological and the genuine condition is missed."}]},{"id":"7cf028f2-f08b-4ae3-ad26-a981b3a3e5ce","cardType":"cloze","points":null,"front":"Under the [ ], a long-term mental health condition counts as a disability, allowing adjustments such as changed hours to be requested.","back":"Under the Equality Act 2010, a long-term mental health condition counts as a disability, allowing adjustments such as changed hours to be requested.","mcqOptions":[{"text":"Equality Act 2010","correct":true,"explanation":"The Equality Act 2010 protects people with qualifying long-term mental health conditions as disabled and requires employers and other organisations to consider reasonable adjustments."},{"text":"Mental Health Act 1983","correct":false,"explanation":"The Mental Health Act 1983 primarily covers assessment, treatment and detention relating to mental disorders. Disability discrimination and reasonable adjustments are covered by the Equality Act 2010."},{"text":"Care Act 2014","correct":false,"explanation":"The Care Act 2014 concerns adult social care and support duties. Protection from disability discrimination and the right to request reasonable adjustments come from the Equality Act 2010."},{"text":"Human Rights Act 1998","correct":false,"explanation":"The Human Rights Act 1998 protects fundamental rights but is not the specific legislation establishing reasonable adjustments for disability. That protection comes from the Equality Act 2010."}]},{"id":"bcc2ba68-08a2-47c4-9b5b-75fccc645301","cardType":"cloze","points":null,"front":"Under the Equality Act 2010, a long-term mental health condition counts as a disability, allowing adjustments such as [ ] to be requested.","back":"Under the Equality Act 2010, a long-term mental health condition counts as a disability, allowing adjustments such as changed hours to be requested.","mcqOptions":[{"text":"changed hours","correct":true,"explanation":"Changing working hours can be a reasonable adjustment because it may help someone manage the effects of a long-term mental health condition while remaining in employment."},{"text":"reduced wages","correct":false,"explanation":"Reducing someone’s wages because of a mental health condition would be disadvantageous, not a reasonable adjustment. A suitable adjustment could instead involve changed hours."},{"text":"automatic dismissal","correct":false,"explanation":"Automatically dismissing someone because of a long-term mental health condition could amount to disability discrimination. The Equality Act allows supportive adjustments such as changed hours to be requested."},{"text":"withdrawn sick pay","correct":false,"explanation":"Removing sick pay would penalise the employee rather than reduce a workplace disadvantage. Reasonable adjustments under the Equality Act can include changed hours."}]}]}],"examCountdown":{"examDate":"2027-05-10","paperLabel":"Paper 1"},"heading":"3.1.3 Effects of stigma and discrimination","title":"3.1.3 Effects of stigma and discrimination Flashcards","topbar":{"backHref":"/gcse/psychology/ocr/flashcards"},"topicSidebar":"$L90"}]}],"topicId":"c73291f0-35c5-48e4-8fba-a75f9744575d","walled":"$L91"}],"$L92","$L93"]