Therapy for Black People: Specific Needs and Finding Resources

Black people may experience unique mental health challenges tied to racism and discrimination. Finding culturally competent therapists can be beneficial, but overcoming barriers to care can be challenging.

Mental health challenges are relatively common in the United States and across the globe. Experts estimate that more than 1 in 5 U.S. adults lives with a mental health condition. While many people do have access to mental health care, people from marginalized communities may face challenges receiving the care they deserve and need.

Black people may face unique mental health needs that are often not addressed. It’s crucial that they find mental health professionals who provide compassionate and culturally competent care. But, it can be daunting to find the right resources and providers, which can leave many Black people feeling alone or misunderstood.

This article reviews some of the unique mental health care challenges Black people face and the steps they can take to overcome barriers to proper care.

Past and present-day stressors, including racism and intergenerational trauma, influence the health needs of people in Black communities. When seeking a therapist, Black people may wish to consider someone with experience in addressing these issues:

Racial trauma

According to a 2022 research article, racial trauma, or race-based traumatic stress (RBTS), is the emotional effects of stress from racism, racial discrimination, and other race-related stressors.

The researchers report that people who experience racial trauma have a higher prevalence of developing certain mental health conditions, including:

Intergenerational trauma

Intergenerational trauma is the passing down or transmission of trauma from one generation to the next, leading to emotional and psychological problems for the descendants, a 2018 research paper reports.

According to a 2021 study, genetics plays a role in how people with intergenerational trauma pass it down to future generations. The researchers discovered that children of trauma survivors are more likely to develop PTSD, mood, and anxiety disorders.

Research from 2023 suggests Black communities might constantly transmit the trauma from slavery to the next generation through family systems and the continued oppression of Black people in society, potentially leading to the development of mental health conditions.

High rates of suicide among Black youth

Suicide is one of the leading causes of death in the United States, according to the Centers for Disease Control and Prevention (CDC).

Within Black communities, the suicide rates are extremely high for young children. A 2022 research article reveals that suicide rates are higher among Black children between the ages of 5 and 12 years compared to white children within that same age range.

Researchers suggest there’s a lack of well-established mental health treatments that address the unique needs of Black youth.

Suicide prevention

If you or someone you know is considering suicide, you’re not alone. Help is available right now:

People in Black communities may also face many barriers that keep them from seeking mental health care. These include:

Stigma

Stigma is one of the most significant barriers Black people face when seeking mental health care. Many people worry that they’ll receive judgment from their family, friends, and their community if they seek professional mental health treatment.

In combination with the misconception that mental illnesses are a sign of weakness, stigma can keep people in the Black community from getting the help they deserve. According to a 2021 review, African Americans are less than half as likely as their white counterparts to seek mental health treatment.

Shortage of Black therapists

With the unique mental health care needs of the Black community, it’s understandable that some Black people may prefer to see a Black therapist.

Receiving treatment from someone who shares the same ethnicity may help Black people feel more comfortable, as they may better understand their experiences and the stressors they face.

But, there’s a lack of Black mental health professionals in the United States. Data from the American Psychiatric Association (APA) reveals that out of an estimated 41,000 psychiatrists in America, only 2% identify as Black.

Despite the barriers Black people may face when seeking mental health care, compassionate quality therapists who offer culturally competent care are available. According to the National Cancer Institute, a culturally competent healthcare professional can understand and respect the values, beliefs, and attitudes of people across cultures and appropriately address their needs.

To find a culturally competent therapist, you can ask a healthcare professional for references, explore directories, or reach out to local mental health organizations tailored to Black communities.

After you’ve landed on a potential therapist, it’s important to interview them to ensure they can address your unique mental health needs.

Here are some questions you can ask therapists regarding their cultural competency:

  • How do you approach cultural diversity in your practice?
  • Do you have experience working with Black clients or clients from other marginalized communities?
  • How do you address issues like racial and intergenerational trauma and discrimination in therapy sessions?
  • Have you received any professional training in cultural competency or anti-racist therapy?

Resources for finding culturally competent mental health care

Black people deserve to receive accessible and inclusive mental health therapy tailored to their unique needs. Due to the effects of racial and intergenerational trauma, Black people often benefit from therapists who provide compassionate and culturally competent care.

Some Black people face barriers to adequate mental health care, including stigma and access. However, community resources are available to help improve access and education regarding Black mental health issues.

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