It's considered shameful here. There's a cousin of my SO who desperately needs therapy; he had a breakdown mid-college and is now suffering from at the very least some form of depression, and may actually have some kind of psychosis involving episodes of delusion.
But he doesn't go to counselling because that's shameful to the family. They take care of him, but not to the extent of taking him to therapy.
It's one of these "Good Intentions Paving Company™" situations, basically.