Mental illness does not discriminate on the basis of identity or background. Why, then, are people of color often silenced, ignored, and excluded from the discussion? White-centricism not only takes over the narrative of mental health, it consumes media representation, access to services/resources, and even community support. People of color aren’t visible in this conversation, and that alone impacts our mental health by making it harder for us to believe and identify our struggles. And people of color not only feel left out, we get left out. Racial minorities in the U.S. are less likely overall to access mental health services for reasons including cultural and socioeconomic barriers. When we do receive care, it is often poorer quality. Access to culturally competent care is also an obstacle for communities of color. For example, only 5% of psychologists are African Americans. The history of racism in mental health care is well-documented, and even today, there is still clear bias against people of color. From diagnostic disparities to pathologizing and gaslighting those suffering from racial trauma, white mental health practitioners have little sense of cultural competency in serving people of color and can reinforce stigma and induce more harm. When confronted by their lack of knowledge, white therapists often retraumatize us with their own white fragility and rage. Meanwhile, the social impact is devastating. Our communities are in crisis. People of color are disproportionately more likely to experience race-based trauma and PTSD, with Native Americans experiencing significantly higher rates. Asian-American women have the second highest suicide rate in the country. Islamophobia has taken a mental and physical toll on Muslim Americans with nearly one-fourth suffering from depression. Both Black and Latinx people face higher rates of depression than white people. But despite the obstacles we face, we can heal and our communities can thrive. Our survival and continued existence is a tribute to our strength and resilience. Loving ourselves in the process is radical resistance. But we do not have to give from an empty cup or suffer in silence. Here are four important ways people of color can foster mental health and practice restorative healing.
- De-stigmatize mental health. Normalize mental health as a social justice issue by breaking down barriers to seeking help. Share your narrative as an act of “self-love, liberation and reclamation,” an inspiration to others that can potentially save lives. Use the following resources to open awareness and dialogue:
Take the Stigma Free Pledge and be conscious of words and language that stigmatize mental illness.Watch this 3-minute video by writer and activist Imade Nibokun, about depression, the intersection of mental health and social justice, and how the suicide of MarShawn McCarrel was a catalyst for addressing activist self-care.Visit the People of Color & Mental Illness Photo Project created by Dior Vargas, a Latina feminist mental health care activist. Consider submitting your photo to be included in the project.Read this series that addresses the stigma of mental health in young Asian Americans, “model minority” expectations, and how practitioners, parents, peers, and schools can help break down barriers.Read the educational fact sheets from Brother, You’re on My Mind Toolkit and use their tips and resources for advocacy, community outreach, events, and partnerships for African-American communities.Keep in mind that the seemingly strongest among us are sometimes the most at risk. Especially those in activist spaces can use uplifting and room for just being and being vulnerable. Reach out, check in, share the load.
- Seek culturally competent mental health services. Follow these 3 tips to finding mental health care from My Brown Box. Look at recommendations from the National Alliance on Mental Illness on how to find a culturally competent therapist for the specific needs of African American and Latinx people. Check out these resources and directories of practitioners of color:
Click on your state in the Therapy for Black Girls directory, which lists therapists who have been identified as doing great work with Black women.Find Black therapists at AfricanAmericanTherapists.com and The Association of Black Psychologists.Read this guide, Going To Therapy As A QTPOC, Without Being Harmed, Erased Or Baffled, and find queer and trans therapists of color through the National Queer & Trans Therapists of Color Network.Find outpatient services tailored for Asian Americans using Hyphen Magazine’s resource guide.Find a therapist or psychiatrist of color near you through the Tessera Collective or choose the specific race/ethnic parameters you’re looking for using Psychology Today’s clinician directory.Islamic Counseling is based in the UK, but their helpful links page has some counselors available for Skype sessions. Watch their 4-minute video about Islamic Counselling.Try out one of these 12 mental health apps, each designed for a specific purpose (to ease insomnia; improve mood; stop self-harm; etc.).Text 741741 from anywhere in the U.S. to chat with a trained crisis counselor through Crisis Text Online.
- Practice self-care Rejuvenate using these resources specifically tailored for people of color. Self-care and self-love are crucial and radical acts of resistance.
Listen to these 5 mental health podcasts by therapists of color.Read these 5 mental health blogs created for people of color.Bookmark this Black Lives Matter Meditation for healing racial trauma.Visit Activist Trauma Support to get tips on handling panic attacks, PTSD, and burnout.Find resources and tips specifically for Black girls and women at the Black Girl + Mental Health blog.Learn how 11 Black Queer and Trans Women practice self-care.Follow daily coping tips throughout the month of July from The Steve Fund, which promotes the mental health and emotional well-being of young people of color.Just say “No” — use these survival tips for strong Black womens’ depletion prevention.Read the Young People of Color Self Help Guide, which provides insight on the specific mental health issues affecting young people of color.
- Endorse multicultural and social justice counseling competencies. De-center white models of mental health and treatment. Seek out, research, and listen to sources of knowledge from marginalized, underserved, and neglected communities about mental health beliefs, healing, and community needs.
Read this document from the presentation Culturally-Responsive Counseling in the Era of Community-Wide Racial Stress, review and select racially based stress assessment tools found on page 20, and read additional resources for interventions on page 25.If you are a white mental health professional, work to make your practice anti-racist. This issue from Mental Health News on “The Impact of Race and Racism on Mental Health Clients, Practitioners, Organizations, and Delivery Systems” offers insights and tips. Take this Cultural Competence Self-Assessment Questionnaire found in Appendix A and evaluate what areas in your practice can use some remediation. Explore the abundance of resources from the National Center for Cultural Competence for mental health care providers and programs to deliver culturally and linguistically competent services. Get familiar with these endorsed competencies.