This is a topic that I'm sure we can talk about for days. It certainly is a passion of mine, which is one of the reasons why I became a therapist. While the need is great, there are still many constraints with going to therapy. Let's talk about the barriers to African Americans' low attendance in therapy and ways we may be able to shift the narrative.
Stigma: Despite the growing celebrity endorsements for therapy, there is still a very real stigma related to mental health issues. While it has been made popular to go to therapy, there are many African Americans still very reluctant to attend for fear of what their family or peers may say. There is still silence in some families, where no one talks about the very loud mental health issues that someone may be having. There is a perception that going to therapy is for the weak in the community, and that can be very challenging to decide to go. The only way that we break the stigma is to do something different. Breaking generational behavior patterns can be very hard, but it is essential for your mental well-being. Breaking down stigma requires open conversations. By discussing mental health openly within families and communities, we can challenge outdated beliefs and encourage a more supportive environment. Sharing personal growth stories through therapy can also play a significant role in normalizing the experience.
Historical mistrust: Historical mistreatment of African Americans within healthcare systems, such as the Tuskegee Syphilis Study and other unethical experiments, has contributed to a general mistrust of medical institutions, including mental health services. Not to mention in some instances, mental health has been seen as a weapon to punish black and brown people due to cultural incompetence. This is not always the case, but it's been enough of a case that it keeps a lot of African Americans from coming to therapy and "telling my business." Helping the historical mistrust means we must do several things that we will continue to discuss in this list. Let's keep reading.
Access to culturally competent therapists: Finding therapists who are culturally competent and understand the unique experiences and challenges faced by African Americans can be difficult, particularly in areas with limited mental health resources. Cultural competence and humility in mental health care are essential. Therapists who understand the cultural nuances and unique experiences of African Americans can provide more effective and relatable support. Advocating for diverse representation within the mental health profession is crucial to creating an inclusive space for everyone. This is one of the many reasons I decided to become a licensed therapist. I also became a supervisor for this very reason. I want to be a part of the change and encourage more black men and women to enter this profession. The number of times that I have heard clients express their gratitude for being able to seek professional help from someone who looks like them has been gratifying. We are out here, and now we have accessible directories for those looking for a therapist who looks like them. Please see my resources page for the list of directories.
Financial constraints: Many African Americans may face financial barriers to accessing therapy due to a lack of insurance coverage or financial resources to pay for sessions out-of-pocket. This is very frustrating not only for the ones seeking therapy but also for the ones providing the service. It is an ongoing battle that we fight to advocate for the affordability of mental health care. The search can be tedious. However, there are some avenues in which one can go to therapy for free or at a low cost. You can always ask if therapists offer sliding fees if they do not take your insurance. Also, don't sleep on interns! Yes, they may be new to the field, but they are supervised by a licensed professional and can be an excellent resource for the free or the low! Group therapy is also a great option and may be more affordable than having individual therapy sessions.
Systemic barriers: Structural inequalities such as systemic racism, discrimination, and socioeconomic disparities can impact access to quality mental health care for African Americans. Often, mental health is not even an option for some black folks. It's more noticeable when mental illness may escalate into dangerous behavior. Often, police are called rather than having a trained mental health professional or team to assist. Let's not talk about the number of black people in jail who could benefit from seeing a mental health professional rather than being locked up. We are working to change these things but must be persistent and consistent about it. Changes are slowly being made. For example, the 988 Suicide & Crisis Lifeline is a 24/7, accessible, and confidential support for people in distress. Several other programs are being created to address mental health in various environments.
Coping mechanisms: There may be a cultural emphasis on relying on religious or community support networks for dealing with mental health issues, which can sometimes discourage seeking professional help. Faith and spirituality are integral parts of the African American experience. Integrating these aspects into therapy can be a bridge for those hesitant to seek help. Recognizing the compatibility of mental health support with one's spiritual beliefs fosters a holistic approach to well-being. You can ask your therapist about autonomy to discuss your faith in therapy. Also, some Christian therapists are licensed professionals who specialize in incorporating spiritual beliefs/practices within therapy. So, you can't say, I can't find a therapist because you can!
Here's another point on coping mechanisms: The African American community has a history of resilience, overcoming adversity, and relying on internal strength. However, this strength should not be a deterrent to seeking therapy. It's essential to recognize that therapy is a tool for empowerment, offering a safe space for self-exploration and healing. There is strength in participating in therapy. There is strength in being vulnerable. There is strength in our tears. Most importantly, it's okay not to be strong. It doesn't make you weak. Let someone else pour into you!
Family and community dynamics: Family and community expectations and norms may discourage individuals from seeking therapy, with concerns about privacy or fear of disrupting familial relationships. This is why dealing with the stigma of mental health is so important. I am a family therapist; I will wholeheartedly ask you to bring your family to your sessions (if it feels safe) so that we can work through the system.
In conclusion, breaking the stigma of therapy in the African American community requires a collective effort. It's time to prioritize mental health and ensure that seeking treatment is viewed as a strength, not a weakness. I'm rooting for us! Find a therapist!
For more information regarding black mental health: mhanational.org
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