Summary
People with lived experience of mental ill-health (PWLE) encounter health care inequities, including stigma, discrimination, and diagnostic overshadowing. This interview study examines factors affecting the experience of PWLE across four European health systems. Three key themes emerged from the analysis highlighting systemic, personal, and diagnostic shadowing influences affecting PWLE care. Across all countries represented, patients reported not being taken seriously and facing stigma and discrimination in healthcare settings.