David Goldman/AP
Former first lady Rosalynn Carter at a summit aimed at improving mental health services in Georgia in 2012, at the Carter Center in Atlanta.

Editor’s Note: Carmen Cusido is a mental-health advocate and Cuban American writer based in northern New Jersey. She is working on a memoir about grief and loss titled “Never Talk About Castro and Other Rules My Cuban Parents Taught Me.” The opinions expressed in this commentary are her own. Read more opinion at CNN.

CNN  — 

This week, many will gather to remember and offer respects to former first lady Rosalynn Carter, known as a stalwart advocate, a lifelong and inspiring partner to her husband and a legendary humanitarian. I’ll be honoring her in my own way, by paying tribute to the lifetime she dedicated to transforming mental health advocacy. Her unwavering efforts fought stigma, fostered understanding and empowered countless individuals like me who face mental health challenges daily.

Courtesy Carmen Cusido
Carmen Cusido

Carter’s mental health advocacy began in Georgia in the 1960s and was driven by a commitment to addressing the stigma and resource gaps in mental health support. As first lady, in 1977, Carter made it her signature cause, notably through the creation of the President’s Commission on Mental Health. Her efforts resulted in increased research funding, broader treatment access and innovative approaches to mental health care.

Her efforts brought much-needed attention to the issue, emphasizing that mental health is a treatable medical condition, no different than a physical ailment. For many of us who have struggled with depression, anxiety or other mental health illnesses, the former first lady’s advocacy was a beacon of hope, reminding us that we are not alone and that there is help available.

While Carter’s activism has played a crucial role in raising awareness and reducing stigma, the pervasiveness of mental health disorders remains undeniable.

A recent study led by researchers from Harvard Medical School and the University of Queensland found that half the world’s population will experience at least one mental health disorder by the age of 75. This conclusion stems from comprehensive face-to-face surveys of over 150,000 adults across 29 diverse countries representing all regions in the world.

The staggering economic toll of mental health disorders, as highlighted by the World Health Organization’s estimate of 12 billion lost working days and a $1 trillion productivity loss annually, serves as a stark reminder of the profound personal and societal implications of these conditions. My personal journey as a 40-year-old Cuban American who has battled depression since 13, and faced the profound impact of mental illness firsthand, exemplifies the human cost of these invisible struggles.

Following my mother’s death in 2019, I attempted suicide and was briefly hospitalized. Since that day almost five years ago, I’ve worked hard to manage my depression. I’ve tried therapy, antidepressants and meditation to help alleviate my symptoms. While these methods have been helpful, my illness has still had a profound impact on my life. There are times when I feel like I have everything under control. I could have a marathon day, filled with time-sensitive work deadlines, and end my day with high-intensity exercise. And there are other times when I consider it a victory just to get out of bed, shower and have breakfast.

However, one of the most challenging aspects of living with depression has been dealing with persistent judgment and misunderstanding surrounding the condition. My illness has been weaponized by people I love who sadly didn’t know better. They’ve used words like “crazy” to resurrect a tired, old trope about people with mental health illnesses. It’s exhausting to constantly feel like I’m being targeted for something that is out of my control.

Alex Brandon/Pool/AP
An honor guard from the Georgia State Patrol stands at the casket of former first lady Rosalynn Carter at the Maranatha Baptist Church in Plains, Georgia, on Wednesday, November 29.
Alex Brandon/Pool/AP
Former President Jimmy Carter greets people after his wife's funeral service on Wednesday.
Brynn Anderson/AP
People watch the Rosalynn Carter motorcade before it arrives at the church in Plains on Wednesday.
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People watch as Carter's casket is carried out of the Glenn Memorial United Methodist Church in Atlanta on Tuesday. A private tribute service took place there.
Will Lanzoni/CNN
Family and friends of the Carters, including their son Jack, right, watch as Rosalynn's casket leaves the church in Atlanta on Tuesday.
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Country music superstar couple Trisha Yearwood and Garth Brooks perform John Lennon's "Imagine" during Tuesday's tribute service.
Brynn Anderson/Pool/Getty Images
The Carters' daughter, Amy, touches her mother's casket after speaking during Tuesday's tribute service. Amy read an old love letter that her father had once written to her mother.
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Reed Elliotte, a 13-year-old from Corbin, Kentucky, was among those outside the church on Tuesday. Reed, who attended one of Jimmy Carter's final Sunday schools in 2019, also showed off a photo he took with the Carters.
Will Lanzoni/CNN
Carter's casket is carried into the Glenn Memorial United Methodist Church for Tuesday's tribute service.
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Former President Jimmy Carter attends his wife's tribute service on Tuesday. Carter, who is 99 and receiving hospice care at home, had been expected to attend. His grandson Jason Carter told CNN "we all know that he wouldn't miss it for the world."
Andrew Caballero-Reynolds/AFP/Getty Images
President Joe Biden, left, watches first lady Jill Biden and former President Bill Clinton speak before Tuesday's service.
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Himali Patel, left, and Alicia Carew were outside the church on Tuesday to pay their respects. "This is a once-in-a-lifetime opportunity," Patel said. "Just the impact that (Rosalynn's) had on everything in life, from women's empowerment, mental health, illnesses. I want to be a part of being able to tell my kids, my grandkids someday that while I wasn't alive for some of those things that she may have done as a trailblazer while she was a first lady, I've seen so many other things happen during my lifetime as a result of her, and I want to pay my respects to her." Carew admired Carter's "tone, the gentleness, her demeanor. She's just been a shining light. Never really negative, never really in the political fray, but just by her husband's side. I think she's been a good influence on him, too."
Austin Steele/CNN
Security officials walk by as people in Atlanta await the arrival of Rosalynn's motorcade on Tuesday.
Andrew Caballero-Reynolds/AFP/Getty Images
Guests hold programs before Tuesday's tribute service. Jason Carter told CNN that his grandmother designed the program before she died.
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A military honor guard carries Carter's casket Tuesday at the Jimmy Carter Presidential Library and Museum in Atlanta.
Brynn Anderson/Pool/AP
Members of the public pay their respects to the former first lady on Monday as she lies in repose at the Jimmy Carter Presidential Library and Museum.
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Atlanta resident Shannon Boone was among those attending Monday's repose service for the former first lady. "She did a lot of amazing work with mental illness and helping international communities," Boone said. "She was just a very genuine, kind woman who used her platform to make the world a better place."
Will Lanzoni/CNN
"We all have somebody in our lives who may have challenges around mental health, and I think she changed our thinking about these matters and the dialogue," said Vincent Wimbush, who was among those in Atlanta to pay their respects. Wimbush grew up in Atlanta and attended Morehouse College, and he remembers when the former president spoke at the college's commencement. "They were both just gentle spirits, and the way they talked honestly about matters relating to equality, racial justice and the like, I just always appreciated them for their forthrightness about the issues and coming to terms with these issues themselves."
Will Lanzoni/CNN
TV journalists report from outside the Carter Center in Atlanta on Monday.
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Atlanta resident Vickye Terry paid her respects on Monday and stopped to talk about the former first lady. "She stood by her husband. She stood by the president. She represented him well," Terry said. "Her heart was as big as his."
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Chicago native Dora Moore said she has admired the Carters ever since they were in the White House. "When I heard that Mrs. Carter had passed away, I just wanted to be here, be part of the crowd and walk through the Center. ... She was just an admirable person in every way. As first lady, as a wife, mother, grandmother. She was soft-spoken, and yet she was a very strong person. I felt each time I saw her — not necessarily in person — she just seemed to be stronger and stronger as her life went on and someone that I looked up to."
Austin Steele/CNN
Flowers are left for the former first lady outside the Carter Center on Monday.
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A military team carries Carter's casket after it arrived in Atlanta on Monday.
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A person waits before the former first lady laid in repose Monday in Atlanta.
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Members of the media cover the arrival of Carter's casket in Atlanta on Monday.
Mike Stewart/Pool/AP
Members of the Carter family watch as Rosalynn's casket arrives at the Jimmy Carter Presidential Library and Museum on Monday. On the left, wearing the necklace, is Amy Carter, the daughter of Jimmy and Rosalynn Carter. On the right are a couple of the Carters' sons: Jack, center, and Chip, far right. Their other son, Jeff, is not pictured, but he was also there.
Will Lanzoni/CNN
Jason Sheedy, a friend of the Carters from California, spoke to CNN ahead of Rosalynn's arrival in Atlanta on Monday. "I think that she's just one of the most kind, compassionate and genuine people you could ever meet," Sheedy said. "Working to support people who are struggling with mental health issues and being part of the founding of the Carter Center, she just had so much ability to affect people all over the world."
Will Lanzoni/CNN
Rosalynn's motorcade drives down John Lewis Freedom Parkway in Atlanta on Monday.
John Bazemore/Pool/AP
A statue of Rosalynn Carter is seen during a wreath-laying ceremony Monday at the Rosalynn Carter Health and Human Services Complex, which is on the campus of Georgia Southwestern State University in Americus, Georgia. The motorcade stopped in Americus before heading to Atlanta.
Alex Brandon/Pool/AP
Former and current Secret Service agents assigned to the Carter detail carry her casket at the Phoebe Sumter Medical Center in Americus on Monday.

Others have dismissed my struggles and have told me to “just get over it” or accused me of being weak. It begs the question: Would you ask a person with diabetes, asthma or any other condition to “just get over it”? At best, the statement is misguided and uninformed. At worst, it’s cruel. While I speak up about how these comments are inappropriate and hurtful, others with mental health illnesses may not seek the help they need for fear they’ll be further stigmatized.

The depths of despair I’ve experienced during my battle with depression have made me acutely aware of the urgent need for comprehensive mental health care. This awareness echoes the driving force behind Carter’s lifelong dedication to improving mental health outcomes.

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While we’ve chipped away significantly at the stigma associated with mental health disorders, there’s a lot more that needs to be done.

I’m grateful to Rosalynn Carter for her tireless efforts. All of us must continue to build on her legacy by raising awareness, expanding access to quality treatment and promoting understanding and empathy. As Carter once said, “If only we could consider mental illnesses as straightforwardly as we do physical illnesses, those affected could seek help and be treated in an open and effective way.”

If you or someone you know is struggling with suicidal thoughts or mental health matters, please call the 988 Suicide & Crisis Lifeline by dialing 988 to connect with a trained counselor, or visit the 988 Lifeline website.