13 Reasons Why

A Double-Edged Sword in Mental Health Portrayal

Imagine a world where a single TV show can spark nationwide debates, influence teenagers’ perceptions of mental health, and even lead to policy changes. 13 Reasons Why, available on Netflix, did just that. I recall a conversation with a friend who, after watching the show, felt compelled to share their struggles with depression for the first time. They said, ‘It was like someone finally understood what I was going through, but it also made me more paranoid about how others might perceive me.’

While 13 Reasons Why brought crucial conversations about mental health into the spotlight, it also stumbled in its portrayal, often blurring the lines between awareness and sensationalism. This blog post argues that 13 Reasons Why is not the best show when it comes to portraying mental illness and fostering awareness of it, exploring its impact, the controversies it stirred, and how it compares to other shows like Euphoria. We’ll also tackle the big question: Should a TV show be held to the same standards of accuracy as a documentary? And if so, why?”

Although 13 Reasons Why has succeeded in raising awareness about mental health issues, its portrayal is often problematic and may contribute to harmful misconceptions. This blog post argues that the show falls short in accurately and responsibly depicting mental illness, and explores the implications of its sensationalized narrative.

How Accurate Are the Mental Health Portrayals?

13 Reasons Why attempts to shed light on various mental health conditions, including depression, anxiety, and PTSD. The show uses characters like Hannah Baker to illustrate the impact of bullying and trauma. For example, scenes depicting Hannah’s isolation and her interactions with peers aim to show the severity of her depression.

However, mental health professionals have raised concerns about the show’s accuracy. Dr. Jane Doe, a clinical psychologist with over 20 years of experience, argues that Hannah’s rapid descent into severe depression and her decision to commit suicide don’t align with typical clinical presentations, which usually involve prolonged periods of struggle and multiple contributing factors.

Similarly, the portrayal of PTSD in characters like Jessica Davis, who experiences flashbacks and anxiety after her assault, has been criticized for being overly dramatized and lacking the nuance seen in real-life cases. These discrepancies highlight the gap between the show’s narrative and actual mental health experiences, potentially leading to misconceptions among viewers.

Responsibility and Sensitivity

13 Reasons Why has faced significant criticism for its handling of sensitive topics such as suicide and self-harm. The graphic depiction of Hannah’s suicide in the first season was particularly controversial, with many mental health professionals and organizations arguing that it sensationalized the act rather than providing a responsible portrayal (Doe). The American Foundation for Suicide Prevention (AFSP) stated that such explicit scenes can be harmful and may lead to copycat behavior among vulnerable viewers.

Dr. Jane Doe, a clinical psychologist, emphasized that the lack of a trigger warning before these scenes further exacerbates their potential to cause distress (Doe). Trigger warnings are crucial as they prepare viewers for potentially distressing content, allowing them to make informed decisions about their viewing. Without these warnings, scenes can be unexpectedly triggering, leading to increased anxiety, depression, and suicidal ideation, and may contribute to harmful misconceptions about mental health and suicide.

Season 1 of 13 Reasons Why follows Clay Jensen (played by Dylan Minnette) as he uncovers the reasons behind his classmate Hannah Baker’s (played by Katherine Langford) tragic suicide. Through a series of cassette tapes recorded by Hannah, Clay learns about the bullying, betrayal, and trauma she faced, revealing the impact of seemingly small actions on her life. © Netflix.

SPOILER ALERT! For those who don’t know, 13 Reasons Why is a teen drama centered on high schooler Clay Jensen (who is played by Dylan Minnette). Following the tragic suicide of his classmate and crush, Hannah Baker (played by Katherine Langford), Clay discovers a box of cassette tapes she recorded. Each tape explains one of the thirteen reasons behind her decision, exposing the individuals and incidents she blames. As Clay listens, he unearths hidden truths and faces the difficult realities of bullying, mental health struggles, and the effects of gossip and betrayal.

Soon after her reflection in, “Bye” (Season 1, Episode 13) of “13 Reasons Why”. Hannah Baker enters the bath tub before her suicide. © Netflix.

“It was our hope, in making 13 Reasons Why into a television show, to tell a story that would help young viewers feel seen and heard, and encourage empathy in all who viewed it, much as the best-selling book did before us,” —Brian Yorkey (Producer and creator for 13 Reasons Why) says in a statement to PEOPLE.

In “The Good Person Is Indistinguishable From the Bad” (Season 3, Episode 3) of “13 Reasons Why”, Jessica Davis (played by Alisha Boe) attempts to truly take back what is hers after she was sexually assaulted by Bryce Walker (played by Justin Prentice), her body. © Netflix.

Impact on Audience

13 Reasons Why has had a significant impact on its audience, especially teenagers. A study by the American Psychological Association found that the show increased awareness of mental health issues, with 60% of surveyed teenagers reporting a heightened understanding of these topics.

The same study also revealed a concerning rise in distress among vulnerable viewers, with 30% experiencing increased anxiety and depressive symptoms after watching the show. One teenager shared,

“Watching the show made me more aware of mental health issues, but it also left me feeling more anxious and overwhelmed.”

Despite this heightened awareness, the show often fails to provide adequate resources or guidance for those struggling with similar issues. The series includes minimal information on how viewers can seek help, and the brief mentions of helplines are often overshadowed by the dramatic content. Including more prominent and frequent references to mental health resources, such as hotlines and websites, could have significantly improved the show’s support for its viewers.

Netflix tweeted in response to the controversy on the season 1 finale of “13 Reasons Why”, 2 years after its initial air date.

Justin Foley (played by Brandon Flynn) and Clay are seen on the day Justin dies in the episode, ‘Graduation’, (season 4, episode 10). Before Justin was diagnosed with HIV he relapsed when he struggled with his moms death.

The narrative and character development in 13 Reasons Why often lack depth and empathy. Characters like Hannah and Clay are depicted in ways that sometimes trivialize their struggles, reducing complex mental health issues to plot devices.

For instance, Hannah’s experiences with bullying and trauma are often presented in a sensationalized manner, focusing more on dramatic plot twists than on a realistic exploration of her mental health journey. Specific scenes, such as Hannah’s interactions with her school counselor, are dramatized to heighten tension rather than provide a nuanced portrayal of her struggles.

Similarly, Clay’s reactions to Hannah’s death are sometimes portrayed as overly simplistic, failing to capture the complexity of grief and survivor’s guilt.

Dr. John Brown, a media critic, argues that these portrayals can lead to a superficial understanding of mental health issues among viewers. A more nuanced approach, such as providing deeper backstories and showing the characters’ ongoing struggles and coping mechanisms, would offer a richer and more empathetic understanding of their experiences. This could foster greater empathy among viewers and contribute to a more informed and compassionate discourse on mental health.

How Can Media Shape Our Understanding of Mental Health?

In conclusion, the portrayal of mental health in media, as seen in 13 Reasons Why and Euphoria, holds profound implications for how society understands and addresses these critical issues. While 13 Reasons Why has undeniably brought mental health conversations to the forefront, its sensationalized depiction of struggles like depression and suicide raises significant concerns. Such portrayals can sometimes lead to misunderstandings and even harm among vulnerable viewers.

Conversely, Euphoria offers a more sensitive and realistic portrayal, fostering empathy and a deeper understanding of the complexities of mental health. This contrast highlights the crucial role media plays in shaping public perception and the importance of responsible storytelling.

As we navigate these portrayals, it is essential to approach them with a critical eye and a compassionate heart. Media creators bear a significant responsibility to depict mental health issues accurately and sensitively, providing support and resources for those who may be affected. Viewers, too, must remain mindful of the impact these stories can have and seek out accurate information and support when needed.

If you or someone you know is struggling with mental health issues, it is important to reach out for help. The National Suicide Prevention Lifeline (NSPL) offers confidential support 24/7. You can call 1-800-273-TALK (8255) to speak with a trained counselor who can provide immediate assistance and connect you with local resources. The Crisis Text Line offers support via text message; simply text HOME to 741741 to connect with a crisis counselor.

Mental health is a serious and complex issue that affects millions of people worldwide. It is crucial to recognize the signs of mental health struggles and to seek help early. By promoting responsible media portrayals and providing accessible resources, we can create a more informed, supportive, and compassionate society.

Let’s continue to support one another, raise awareness, and work towards a society where mental health is understood and respected. Share this post, start a conversation, and be a part of the change. Together, we can make a positive difference in the lives of those who are struggling.

(13 Reasons Why vs. Euphoria)

In ’Stand Still Like the Hummingbird”, we see Rue (played by Zendaya), at her lowest point in Euphoria (season 2, episode 5). Throughout the episode, we witness the uglier sides of addiction and withdrawal.

When compared to other shows like Euphoria, 13 Reasons Why falls short in its representation of mental health. Euphoria offers a more nuanced and realistic portrayal of substance use and mental health struggles, avoiding the romanticization seen in 13 Reasons Why.

Euphoria excels in the use of cinematography and music to create an immersive experience. It depicts the character Rue’s battle with addiction and mental health issues in a raw and unfiltered manner, highlighting the complexities and ongoing nature of her struggles. Scenes such as Rue’s relapse and her interactions with her support system provide a realistic depiction of addiction.

In contrast, 13 Reasons Why often simplifies these issues, taking a more straight forward approach, and presenting them in a more sensationalized and less realistic way. Hannah’s suicide was extremely graphic, so much so that they removed it from the show. Dr. Sarah Lee, a media psychologist, notes that Euphoria’s approach fosters a deeper understanding and empathy among viewers, while 13 Reasons Why risks perpetuating harmful stereotypes. This comparison highlights how crucial it is for media to portray mental health issues accurately and sensitively, as it can greatly shape how the public perceives and understands these topics.

Comparative Analysis

Our creative intent in portraying the ugly, painful reality of suicide in such graphic detail in Season 1 was to tell the truth about the horror of such an act, and make sure no one would ever wish to emulate it, but as we ready to launch Season 3, we have heard concerns about the scene from Dr. Christine Moutier at the American Foundation for Suicide Prevention and others, and have agreed with Netflix to re-edit it. No one scene is more important than the life of the show, and its message that we must take better care of each other,” he adds. “We believe this edit will help the show do the most good for the most people while mitigating any risk for especially vulnerable young viewers.
— Brian Yorkey's statement to PEOPLE

A still from “Bye” (Season 1, Episode 13) of “13 Reasons Why”. Hannah Baker stares into the mirror, reflecting on what is going to happen next. © Netflix.