---
title: "Similar Meaning, Much Different Context | Denver Psychiatry Blog"
description: "Human beings like to name things. If you think about it, we use names constantly in our day to day interactions. Why do we do that? Why do we feel the need to name everything? The obvious answer is th..."
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---

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Practice News

# Similar Meaning, Much Different Context

Dr. Steve Sarche

Board Certified Psychiatrist

• Thursday, February 1, 2007 • 3 min read 

Share: [](https://www.facebook.com/sharer/sharer.php?u=https%3A%2F%2Fdrsteve.lovable.app%2Farticle%2Fsimilar-meaning-much-different-context)[](https://twitter.com/intent/tweet?url=https%3A%2F%2Fdrsteve.lovable.app%2Farticle%2Fsimilar-meaning-much-different-context&text=Similar%20Meaning%2C%20Much%20Different%20Context)[](https://www.linkedin.com/shareArticle?mini=true&url=https%3A%2F%2Fdrsteve.lovable.app%2Farticle%2Fsimilar-meaning-much-different-context&title=Similar%20Meaning%2C%20Much%20Different%20Context)[](<mailto:?subject=Similar%20Meaning%2C%20Much%20Different%20Context&body=Check out this article: https%3A%2F%2Fdrsteve.lovable.app%2Farticle%2Fsimilar-meaning-much-different-context>)

Human beings like to name things. If you think about it, we use names  
constantly in our day to day interactions. Why do we do that? Why do we feel  
the need to name everything?

The obvious answer is that names help us identify and understand our world.  
Imagine if we didn’t have names. How would we get each other’s attention?  
We would have to use generic words like “fella” or “dude” or even “hey lady!”;  
worse, what if people had to refer to each other by identifying marks, such as  
“old one­tooth” or “pimple nose”. Travel would be tricky. How would we know  
which airplane, train or highway to take? How would we know when we got  
there? Say you were going to New York City, but there were no names. I can  
see the sign now: “Welcome to that one place with all of the big buildings,  
traffic jams, muggings and angry people who are in a hurry.” What would you  
do if you were fixing your car? You would be at the auto parts store looking  
for the “thing­a­majig” or “doodle­bop” (actually that is what I call car parts  
now). It seems like it would take forever to get anything done.

I think you get the point here. Names are crucial to human beings’ verbal and  
visual communication.

Why then, is it so upsetting for some people to have a name to their  
psychiatric problems? Often in my practice, I hear people use the term “label”  
instead of “name”. In the English language, the term “label” versus “name”  
tends to have a negative connotation. Nobody wants to be labeled a “nerd” or  
“loser” or “trouble maker”. Along the same lines, in our society, names for  
illnesses such as depression, anxiety, also carry a stigma for many people as  
a label. It’s great and admirable to be named a Heart Attack Survivor or a  
Cancer Fighter, but it can be embarrassing and ostracizing to be labeled a  
Depression Survivor or Fighter of Alcoholism.

All of the medical problems mentioned above are just that: medical problems.  
They all have a biological basis that is out of the control of the person  
afflicted. In our society, however, people with mental illness tend to be  
thought of or looked upon as making a choice to feel bad or have the problems  
they do. Mental health problems are not quantifiable with laboratory data or X  
Rays as are other medical illnesses. This, along with the fact that most  
mental health problems affect behavior in a negative way, drives the  
stigmatization of mental illness. This leads to people feeling “labeled” instead  
of diagnosed or having a name to their medical illness; this finally leads to  
people not wanting to seek help or discuss their problems. This means that  
people are missing out on proven safe and effective treatments for their  
illness. This costs our society billions of dollars per year in disability and lost  
work. Worse, untreated mental illness costs those afflicted and their loved  
ones, through decreased functioning, stress and broken relationships, in ways  
that dollars cannot begin to quantify.

When a person goes to see a psychiatrist or therapist for a mental health  
problem or illness and receives a diagnosis, it’s not a label or a negative  
judgment. It is a name that provides a guide to help the provider deliver the  
safest and best care possible for that person on the road to recovery.

Share: [](https://www.facebook.com/sharer/sharer.php?u=https%3A%2F%2Fdrsteve.lovable.app%2Farticle%2Fsimilar-meaning-much-different-context)[](https://twitter.com/intent/tweet?url=https%3A%2F%2Fdrsteve.lovable.app%2Farticle%2Fsimilar-meaning-much-different-context&text=Similar%20Meaning%2C%20Much%20Different%20Context)[](https://www.linkedin.com/shareArticle?mini=true&url=https%3A%2F%2Fdrsteve.lovable.app%2Farticle%2Fsimilar-meaning-much-different-context&title=Similar%20Meaning%2C%20Much%20Different%20Context)[](<mailto:?subject=Similar%20Meaning%2C%20Much%20Different%20Context&body=Check out this article: https%3A%2F%2Fdrsteve.lovable.app%2Farticle%2Fsimilar-meaning-much-different-context>)

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### New email address.

My new email address as of Tuesday, July 20, 2010 is ssarche@me.com. Please send all correspondences to this new address. I use email in my practice only for scheduling and other logistic issues. The ...

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](/article/new-email-address)

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