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Internalized Stigma of Mental Illness Scale (ISMI-9) Test

Understand how strongly you’ve internalized stigma about your condition in about 2 minutes. Nine quick items give clear, clinically useful insight to guide support and strengthen self-worth.
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Questions: 92 minutes
Hi! My name is Freudly, i am an AI therapist, I will give you an interpretation of the test after you complete it.
08:30
October 2, 2025
October 2, 2025
Material has been updated
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How the Scales are Structured
example score
2/4
Severity of Self-Stigma (SoS)
Measures the severity of internalized self-stigma related to one’s mental or neurological condition.
None/Minimal
Low–Moderate
Pronounced
1 – 2: None/Minimal | 2.01 – 3: Low–Moderate | 3.01 – 4: Pronounced
A score of 2 indicates none to minimal self-stigmatization on this scale.
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DATA-BASED USER COHORTS
Who Usually Takes This Test?
People with mental health diagnoses
44%OF USERS
They want to understand how much shame, self-blame, or fear of judgment about their condition affects daily life and recovery.
People with neurological conditions
33%OF USERS
They use it to check whether their diagnosis has led to self-stigma, withdrawal, or a drop in confidence.
Therapy and clinic clients
23%OF USERS
They take it at the request of a clinician to quickly pinpoint internalized stigma and choose the right focus for support.
BASED ON AGGREGATED, ANONYMIZED DATA FROM TENS OF THOUSANDS OF FREUDLY USERS.
RESULTS YOU CAN ACTUALLY USE
What You’ll See After You Finish the Test
Scale Results
— Explained Clearly
Your scores across each test scale, translated into plain, usable insights. Not just numbers, but what they actually mean for your daily life, emotional state, and overall well-being.
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Interpretation
A structured, clinically grounded explanation. Our AI analyzes patterns and relationships between scales to provide a coherent interpretation — without alarmist language.
Statistical
Comparison
See how you compare to others. Your scores are placed in a statistical context, showing percentiles and trends based on anonymized platform data to help you understand what`s typical.
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Recommendations
Actionable guidance tailored to your profile. Receive clear, realistic suggestions you can apply immediately — focused on coping, self-regulation, and realistic next steps.
AI-Detected
Insights
Key patterns you might not notice on your own. Surfacing subtle connections in your responses that help you better understand what may be driving your current results.
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Clarify, reflect, and explore right away. Talk through your outcomes, ask questions, and explore meanings in a calm, non-diagnostic dialogue environment.
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Used in 52+ countries
Benchmarking
See How You Compare
Once you finish the test, your results will be compared with real-world data from people in your country.
Below is a preview of the benchmarks we use to place your score in context.
Degree of self-stigmatization (Dos)
Average
2.3
Normal range
1.8 — 2.8
min.
1
max.
4
majority
This curve shows how scores are typically distributed.
Once you complete the test, your result will appear here so you can see where you land.
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CLEAR ANSWERS TO COMMON QUESTIONS
Frequently Asked Questions

Any questions left?

What does this questionnaire measure?
It assesses the degree of internalized stigma related to a psychiatric or neurological diagnosis. It focuses on negative self-beliefs such as shame, social withdrawal, and reduced self-worth.
How long does it take and how many items are included?
It includes 9 statements and typically takes about 2 minutes to complete. Responses are based on how true each statement feels overall.
Who is this questionnaire intended for?
It is intended for adults living with mental health or neurological conditions. Use is appropriate in clinical and research settings when self-stigma is a relevant concern.
How should responses be selected?
Select the option that best matches typical thoughts and feelings, not a single unusual day. Answer each item and avoid leaving blanks when possible.
How are results used?
Scores summarize the level of self-stigmatizing beliefs and attitudes. Results can guide planning for psychological support, including work on motivation, self-esteem, and social participation.
WHAT THE TEST MEASURES
About This Assessment

Internalized Stigma of Mental Illness Scale (ISMI-9) Test

psychopathologystigmatization

This brief self-report measure assesses the extent to which an individual has internalized negative stereotypes and self-stigmatizing beliefs related to having a mental illness. The Internalized Stigma of Mental Illness Scale (ISMI-9) is commonly used to support clinical formulation and research by characterizing the subjective impact of stigma on self-concept and social functioning.

The instrument includes 9 items and typically takes about 2 minutes to complete. Items are designed to capture core dimensions of internalized stigma (e.g., shame, alienation, and perceived discrimination), and results are generally interpreted as an indicator of severity to inform treatment planning and monitor change over time. The Internalized Stigma of Mental Illness Scale (ISMI-9) is attributed to David L. Penn.

Author: David L. Penn, patrick-w-corrigan
Literature: Boyd, J. E., Adler, E. P., Otilingam, P. G., & Peters, T. Internalized stigma of mental illness (ISMI) scale: A multinational review. Comprehensive Psychiatry. 2014.
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