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

Understand how much self-stigma may be affecting your self-esteem and social confidence in about 2 minutes. Nine quick items give clear, actionable insight to track barriers to support and guide care.
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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
3/4
Internalized Self-Stigma Severity (ISS)
Measures the severity of internalized stigma by assessing how strongly a person endorses negative stereotypes about mental illness as applying to themselves.
Minimal–Low
Moderate
Pronounced
1 – 2.5: Minimal–Low | 2.51 – 3: Moderate | 3.01 – 4: Pronounced
A score of 3 indicates a moderate level of self-stigmatization, suggesting notable internalized negative beliefs that may affect self-esteem and social self-perception.
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DATA-BASED USER COHORTS
Who Usually Takes This Test?
Living with a diagnosis
44%OF USERS
People managing a mental health condition take it to see how much shame or self-blame is getting in the way of support and recovery.
Therapy or counseling clients
33%OF USERS
People already in treatment use it to quickly track changes in self-esteem and internal barriers over time.
Neurological condition patients
23%OF USERS
People with neurological issues take it to understand whether stigma-related beliefs are affecting their confidence, social life, or willingness to seek help.
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
1.9
Normal range
1.4 — 2.4
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 measures the degree to which a person has internalized negative beliefs about having a mental or neurological condition. It focuses on self-esteem and perceived social value.
Who is this questionnaire intended for?
It is intended for people living with mental disorders and for people with neurological conditions. It may also be used in research or clinical monitoring settings.
How long does it take and how many items are included?
It includes 9 statements and typically takes about 2 minutes to complete. Most respondents can finish it in one sitting.
How should responses be completed?
Read each statement and select the option that best reflects the level of agreement. Use the first response that fits and avoid overthinking any single item.
How are results used and what are the limits of interpretation?
Results help identify internal barriers that may affect willingness to seek support and can be used to track change over time. Scores do not provide a diagnosis and should be interpreted with other clinical information.
WHAT THE TEST MEASURES
About This Assessment

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

psychopathologystigmatization

This brief self-report measure assesses the degree to which individuals endorse internalized stigma related to mental illness. The Internalized Stigma of Mental Illness Scale (ISMI-9) is intended to support clinical and research evaluation of self-stigmatizing beliefs that may affect self-esteem, social identity, and engagement in care.

Developed by David L. Penn, it consists of 9 items and typically requires about 2 minutes to complete. Results from the Internalized Stigma of Mental Illness Scale (ISMI-9) may be used to characterize internal barriers to help-seeking and to monitor change over time as part of a broader assessment battery.

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