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Writer's pictureBrandilyn Hallcroft

Generations of Mental Health: Progress, Setbacks, and the Policy Impact on Well-Being

Updated: Nov 19

Mental health has taken quite a journey over the last several generations. Each era—silent, Boomer, Gen X, Millennial, and Gen Z—has brought unique challenges, coping styles, and outlooks on life. We often hear generational comparisons, and most of the time, they are biased to whichever generation you belong to (Gen X is the best, BTW). It got me thinking about the truth and facts regarding the different generations. Of course, I had to look into the things I was questioning, how mental health has evolved across these generations, and look at the big wins, setbacks, and policies that significantly shaped things.

Generations Mental Health

Generations of Mental Health Silent Generation (born 1928–1945): The Resilient Realists

The Silent Generation was born into a world recovering from the Great Depression, then thrown into World War II, which brought massive change and uncertainty. In their day, mental health wasn’t something you talked about. Their approach? They simply pushed through—grit, stoicism, and a sense of duty kept them going.

  • Mental Health Status: The Silent Generation reported lower levels of anxiety and depression than younger generations. However, this may partly be due to an era when mental health struggles were underreported.

  • Government Policies: The Silent Generation benefited from New Deal programs, which helped create a sense of security in uncertain times. Programs like Social Security and Medicare (enacted during their lifetime) were introduced to support older adults, which helped alleviate financial stress in later years.

  • Outcomes: This generation remains one of the most resilient, with only about 3.5% reporting symptoms of anxiety or depression in recent studies (APA, 2021).

Baby Boomers (born 1946–1964): The Optimistic Rebels

Boomers grew up during economic prosperity and were raised with the promise of the American Dream. This optimism, however, was met with cultural and political turmoil in the ’60s and ’70s, which introduced widespread stress, distrust in government, and challenges to traditional mental health norms.

  • Mental Health Status: Boomers have generally been healthier psychologically than subsequent generations, though they face rising mental health concerns as they age. An AARP study (2020) found that about 20% of Boomers struggle with mental health issues today, with depression being a prominent concern as they face aging and loss of purpose post-retirement.

  • Government Policies: Boomers enjoyed a time when social safety nets and economic policies (e.g., affordable housing job stability) provided a solid foundation for many. However, many free-market policies in the 1980s (e.g., the rise of corporate tax cuts and Reaganomics) began destabilizing these securities, significantly impacting younger generations.

  • Outcomes: Boomers’ pursuit of deregulation and individualism led to short-term prosperity but indirectly contributed to today's economic pressures. Mental health-wise, they’ve typically seen the lowest levels of reported depression and anxiety among younger generations. However, some of this may also be due to generational stigma about seeking help (CDC, 2019).

Generation X (born 1965–1980): The Cynical Survivors

The latchkey kid experience, high divorce rates, and the challenge of economic ups and downs shaped Gen X. Growing up independent and with a healthy dose of skepticism, they learned early to rely on themselves and be cautious of big promises. They’re a tough, self-sufficient bunch.

  • Mental Health Status: Generation X shows moderate rates of anxiety and depression, often attributed to economic and social instability during formative years. Approximately 25% of Gen Xers report experiencing symptoms of depression or anxiety (APA, 2021).

  • Government Policies: As Gen X entered adulthood, the economic policies of the ’80s and ’90s, including the rise of student loan debt and housing market inflation, began to impact financial stability. The lack of affordable healthcare and social support systems introduced stressors that continue to affect them today.

  • Outcomes: Gen X is known for its resilience but still faces unique mental health challenges, particularly around financial stress, work-life balance, and a lack of social safety nets. They were the first generation to embrace mental health awareness and therapy more widely, breaking the stigma and setting the stage for Millennials and Gen Z to address their mental health openly. While this openness has allowed younger generations to be more proactive about mental health, it hasn’t shielded them from the rising pressures and challenges of today’s world, leading to higher reported levels of anxiety and depression.

Millennials (born 1981–1996): The Stressed Idealists

Millennials are known for their openness to mental health awareness, often growing up in families emphasizing emotional well-being. However, they entered adulthood during the 2008 financial crisis, burdening them with student debt and fewer stable job opportunities, which has had a lasting impact on their mental health.

  • Mental Health Status: Millennials report high levels of anxiety and depression, with nearly 30% struggling with mental health issues (CDC, 2021). Financial instability, work stress, and high levels of student debt are contributing factors.

  • Government Policies: Millennials were heavily impacted by the free-market policies established by Boomer leadership, which reduced government support for higher education and increased the cost of living. Policies surrounding student loans and affordable housing—or the lack thereof—have left Millennials with significant financial stress.

  • Outcomes: Millennials have normalized mental health conversations and therapy, leading to greater openness and de-stigmatization. However, economic policies beyond their control have left them feeling "burned out" and anxious, affecting their long-term mental health.

Generation Z (born 1997–2012): The Digital Natives Facing Crisis

Gen Z is the most mentally health-conscious generation but also the most impacted by mental health issues. Growing up in a digitally connected, highly public world, they are exposed to social media pressures, climate anxiety, political polarization, and global instability from a young age.

  • Mental Health Status: Gen Z reports the highest levels of anxiety and depression, with nearly 42% experiencing mental health struggles (APA, 2021). This generation is also more likely to seek mental health help, though access remains a barrier for many.

  • Government Policies: Gen Z is dealing with the consequences of long-standing policies around climate change, education debt, and economic disparity—issues rooted in policies from the Boomer and Gen X eras. The lack of early mental health intervention programs and growing educational costs have left them vulnerable to stress and anxiety.

  • Outcomes: Despite unprecedented levels of mental health challenges, Gen Z is resilient in seeking change, advocating for policy reforms, and pursuing mental health treatment. They are highly informed and active, calling for policies around climate change, affordable healthcare, and accessible education to improve their future outlook.

What’s Changed? Mental Health Awareness and Government Policy

Across these generations, mental health has seen both progress and setbacks. The Silent Generation and Boomers grew up in eras when mental health wasn’t discussed, making resilience and grit their go-to tools. But as we moved through Gen X, Millennials, and now Gen Z, mental health awareness skyrocketed, therapy became more accessible, and self-care became more widely accepted.

Unfortunately, much of today’s stress is rooted in government policies—especially from the ’80s onward—prioritizing corporate growth over individual well-being. These policies led to:

  • Student Loan Debt: College became more expensive while government support waned, burdening Millennials and Gen Z with enormous debt.

  • Healthcare Costs: The lack of affordable healthcare in the U.S. has created stress across all generations, but younger ones feel the brunt of employer-based healthcare.

  • Economic Inequality: Deregulation and tax breaks widened the gap between the wealthy and everyone else, adding financial pressure that contributes to mental health struggles, especially in younger generations.

So, Who’s Most Responsible?

No one generation is entirely to blame, but policies introduced and upheld during Boomer and early Gen X leadership created a foundation that continues to impact younger generations. The upside? Millennials and Gen Z are advocating for change, pushing for mental health awareness, economic justice, and climate action that can create a more sustainable future.

While each generation’s experience is different, one thing’s clear: we’re all in this together, and the future of mental health depends on how we come together to make positive changes for everyone.

Sources:

  • American Psychological Association (APA), "Mental Health by the Numbers," 2021.

  • AARP, "Mental Health in the Baby Boomer Generation," 2020.

  • Centers for Disease Control and Prevention (CDC), "Mental Health among Generations," 2019.

  • Brookings Institution, "The Student Loan Crisis: Causes and Consequences," 2020.

  • Kaiser Family Foundation (KFF), "Health Coverage in the United States," 2019.

  • Pew Research, "Economic Inequality and Its Impact," 2021.

Disclaimer: Journaling is a powerful tool to support your healing process. The CBT exercises in Journals to Healing journals are intended to help you analyze and reframe your thoughts as part of a personal growth journey. However, these journals do not replace therapy or professional help. If you are experiencing intense emotions or feelings beyond your control, please seek professional assistance. Resources such as the National Suicide Prevention Lifeline (988) and Crisis Text Line (Text HOME to 741741) are available 24/7 for support. Remember, reaching out for help is a strength, and healing is a process.


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