In some areas, it does. Research in the United States, for example, has found that people who live in regions that place a higher value on what is sometimes called “honor culture”—primarily in Southern and Mountain West states—are less likely to seek mental health care for themselves or for their children. In surveys, residents of these states place a higher value on self-reliance, toughness, and responding to personal affronts. Some experts trace these values to herder cultures of Europe and elsewhere—in which people primarily lived on their own, and regularly had to protect their livelihood from threats. Such individuals may see mental health care as a sign of weakness or a source of shame—and when they do seek care, it can be hard to find in regions where there is so little demand.