At GDC, we’ve been Demystifying Therapy all spring. In March, we talked about the process of getting into therapy as well as self + community care, and in April we demystified some of the more common treatment modalities therapists use with clients.
Mental health awareness is often about breaking down stigmas and barriers to care. This work is still super important, even as attitudes toward mental health become more positive. But there’s a flip side, too. As a culture, we’re talking about mental health more, which is great, but it also means that there’s misinformation out there. Here are some things we’re keeping mind mind as we work to destigmatize and demystify mental health care.
A symptom is not a diagnosis.
Everyone experiences symptoms of mental illnesses throughout their lives. Anxiety and depression are great examples. But this can apply to lots of different symptoms and diagnoses in the DSM or Diagnostic and Statistical Manual of Mental Disorders, the book providers use to diagnose mental illnesses in clients. Not everyone who goes to therapy is diagnosed and there are many reasons a therapist might diagnose a client from insurance paperwork to helping the client feel supported in their experiences.
There’s a difference between experiencing anxiety or depression – something we all feel at different moments in our life, and being diagnosed with an anxiety disorder or a depressive episode or disorder. The important thing to remember is that diagnosis or not, experiencing a symptom like anxiety or depression is real, painful, and valid. And it’s something a therapist can help you learn to cope through.
You are the driver of your own mental health.
While a therapist, counselor, or wellness coach might be an expert in a specific field or a treatment modality they use, you are the expert in your own mental health journey. A provider is able to listen and provide feedback and questions, but know that you are in the driver’s seat and you get to make decisions about your care. This also means that you can learn about coping with your symptoms and you and your provider might come to a diagnosis through a collaborative process of them bringing their expertise to your experience of your own symptoms, moods, and challenges.
Access and stigma go hand-in-hand.
One of the reasons therapy is stigmatized in specific communities, especially Black communities, is because of a history of inaccess to quality mental health care. When care isn’t helpful or supportive, it is not used by the individuals who need it. Furthermore, mental health care is not one-size-fits-all, and a therapist who works well with one person might not be the right fit for another. The important thing is that you as the client feel supported and safe with your provider.
At GDC, we’re using our blog and social channels to #DemystifyTherapy. We want to break down the questions and stigmas held about seeking help, and clear up common misconceptions around the therapeutic process. This month, we want to pull back the curtain a little bit as we share different modalities and approaches you might encounter in a therapy session.
What are treatment modalities and approaches you might ask? These are the different theories and schools of thought that counselors, social workers, and therapists study during the time that they earn their degrees. Of course, these jobs involve lifelong learning; even the most seasoned clinicians are learning everyday from the latest research and new concerns their clients bring to them.
Treatment modalities are just different methods of treatment. Some practitioners may stick to one while others will use a mixture. Some of the most common treatment methods include:
Cognitive Behavioral Therapy (CBT): CBT is a form of talk therapy that helps with multiple issues and mental illnesses. Data shows that CBT improves function and quality of life. CBT has evolved since clinicians first started using it based on clinical experience and best practices. CBT is based on the core principles that psychological problems are partially based in both unhelpful ways of thinking and on learned patterns of unhelpful behaviours. Finally, CBT believes that people living with these issues can learn to cope and lead better lives.
CBT Demystified: CBT is all about how an individual has the strength to examine and change the ways in which their thoughts, feelings, and behaviors are interconnected. This is often illustrated through the CBT Triangle.
Dialectical Behavioral Therapy (DBT): DBT is a modified type of CBT that also combines mindfulness. It teaches people to live in the moment, cope with stress, regulate emotions, and improve relationships. DBT includes both group and individual sessions. It also teaches distress tolerance, mindfulness, interpersonal effectiveness skills, and emotional regulation skills.
DBT Demystified: The “D” in DBT stands for “dialectical” which is an integration of opposites. Essentially, DBT takes a both/and approach to wellness strategies rather than an either/or.
Eye Movement Desensitization and Reprocessing (EMDR): is a psychotherapy that enables people to heal from the symptoms and emotional distress that are the result of disturbing life experiences, like ACES or trauma. It involves activating both sides of the brain simultaneously to reprocess memories with present day awareness; while also engaging mindfulness techniques and replacing negative cognitions with positive ones
EMDR Demystified: EMDR is all about teaching the brain that you have the power to be freed from the effects of trauma and learn you are safe and in control through actionable care.
Acceptance and Commitment therapy (ACT): Through ACT, clients learn to stop avoiding, denying, and struggling with their emotions and instead accept their responses are normal, and that they are able to live with them and move forward with their lives. Clients are able to commit to making necessary changes through this framework. ACT consists of six core processes to help promote and expand psychological flexibility which includes emotional openness and adaptability. The six core processes are: acceptance, cognitive defusion, being present, self as context, values, and committed action.
ACT Demystified: Much like CBT, ACT looks at how individuals are able to take active steps to shift their behavior while at the same time accepting their psychological experience. This allows clients to both change and accept their attitudes and emotional states.
For Black History month, we are spotlighting Black historical figures who acted as activists and trailblazers. While we don’t know everything about their personal lives and struggles, we can see coping skills and resilience in their accomplishments, especially in the face of racism and discrimination. Here are four individuals who do not always get to be center-stage when celebrating Black history, resilience, and joy.
We’ve chosen individuals who have worked in mental health fields like social work and psychology as well as historical figures who lived through their own personal struggles. These four individuals paved the way for today’s mental health advocates and we celebrate them this Black History Month.
Alvin Ailey (1931-1989): Dancer and Choreographer
Alvin Ailey founded the Alvin Ailey American Dance Theater and the Ailey School after a successful career as a dancer. He was especially interested in the African American experience, and making sure that Black artists had support to express themselves and embody their experiences in dance. He has received numerous fellowships and medals, and choreographed over thirty productions that premiered in New York from the 1960s to the 1980s. Perhaps his most famous work Revelations, uses a variety of music from African-American spirituals to song-sermons, gospel songs, and holy blues. Ailey’s energetic and moving choreography draws inspiration from ballet, jazz, modern dance and theater.
Especially when traveling internationally, Ailey faced descrimination because of both his race and his sexuality. As a gay man living in the second half of the twentieth century, he spend most of his life in the closet. He rejected being referred to as a “Black choreographer” preferring instead to be known simply as a choreographer and allowing his work to speak for the African-American experience.
While extremely private about his personal life, we do know that Ailey suffered from what would later become known as bipolar disorder. Even living with this condition, he was able to have an incredible career. Furthermore, he built a large support system of fellow dancers and choreographers. When his illness caused him to step back from working, his long-time collaborator Judith Jamison stepped into his role. She now serves as the Artistic Director Emerita of the Alvin Ailey American Dance theater after having served as its artistic director from Ailey’s death in 1989 until 2010.
Ailey paved the way for other Black performers in the dance world, including Alonzo King, Misty Copeland, Darrell Grand Moutrie and countless others. Ailey’s work captures the African American experience, depicting struggle and joy through movement and music. Ailey’s work, performed by new generations of dancers, continues to reach a global audience today.
Audre Lorde (1934–1992): Writer and activist
Audre Lorde is often quoted as describing herself as a “Black, lesbian, mother, warrior, poet.” Lorde’s intersecting identities helped her to advocate for women, people of color, poor people, and queer people. She attended both Hunter College and Columbia University in New York City, earning her master’s degree in library science. She then worked as a librarian at the New York public schools throughout the 1960s. She went on to work as a professor of English at John Jay college and Hunter College in New York City. Her poetry, prose, and theory has been published and widely acclaimed.
Lorde’s love of poetry started as a young teenager as a way to express her emotions. Her most widely cited essay, “The Master’s Tools Will Not Dismantle The Master’s House,” has influenced critical race theory, queer theory, and feminist thought. Throughout her life, Audre Lorde worked as a teacher and an activist, advancing feminist thinking through her activism and scholarship. Lorde speaks to this idea in the essay, writing:
Those of us who stand outside the circle of this society’s definition of acceptable women; those of us who have been forged in the crucibles of difference — those of us who are poor, who are lesbians, who are Black, who are older — know that survival is not an academic skill. It is learning how to take our differences and make them strengths. For the master’s tools will never dismantle the master’s house. They may allow us temporarily to beat him at his own game, but they will never enable us to bring about genuine change. And this fact is only threatening to those women who still define the master’s house as their only source of support.
Here Lorde encourages her fellow activists and individuals who live outside of society’s norms to operate outside of those spaces rather than striving for conformity. She believes that the words, actions, and systems of the oppressor will never be able to be used by the oppressed to bring about justice.
Lorde’s writing has been beyond instrumental in academic and activist circles alike. She lived by the words put forth in this essay, collaborating with other individuals to bring about new forms of thought, advocacy, and dismantling oppressive systems.
Francis Sumner (1895–1954): Psychologist and Education reformer
Francis Sumner was born in Arkansas and attended school in the south before being drafted into the army during World War I. After the war, he returned home to pursue a PhD studying Sigmund Freud and Alfred Adler. His work responded to these European theorists, questioning mainstream arguments and biases in psychology that claimed Black individuals were inferior to whites. Despite facing racial descrimination, especially when it came to funding, Sumner was able to publish his research in journals and work as a professor at multiple universities. He went on to work with others to found the psychology department at Howard University. He served as its chair from 1928 until his death.
Much of Sumner’s work focused on what today we would call racial justice. His work aimed to better understand the psychological and social reasoning behind racism and descrimination. He advocated for education for Black Americans by adapting ways of teaching specifically to the African American experience.
He is remembered as the “father of Black Psychology” and his work and writings have inspired psychologists, educators, activists, and the ways we think about education and segregation.
Dorothy Height (1912–2010): Educator and activist
In her ninety-eight years, Doctor Dorothy Height worked tirelessly for social causes that impacted women and African Americans in the United States. Taking what we could call an intersectionality lens today, Dr. Height saw the problems of inequality for women and African Americans as connected civil rights issues.
Height was engaged in activist work starting in high school. Furthermore, she polished her oratory skills throughout her life, first earning an award for them in her teens. She studied social work and psychology at New York University and Columbia University. She worked tirelessly for the New York Department of Welfare, the Young Women’s Christian Association’s Harlem Branch (YWCA), and the National Council of Negro Women (NCNW), serving as its presidedent from 1957 to 1997.
She received countless awards and accolades, but her true accomplishments were with the many individuals and communities she served throughout her career. She is quoted as saying, “I want to be remembered as someone who used herself and anything she could touch to work for justice and freedom.” Certainly this is how we remember and honor her.
Upon her death in 2010, she was eulogized by President Barack Obama. In the speech, he described her life as, “a life that lifted other lives.”
To celebrate Black History Month, GDC is spotlighting Black public figures who advocate for mental health care access and awareness. Here are four Black public figures who have used their platforms in their chosen careers to speak up about the importance mental health:
Simone Biles, Olympic Gymnast
Biles is the most medaled gymnast to date having competed in multiple international competitions, including the olympics. In 2021, she withdrew from the olympic final, citing her mental health. When asked about the decision, she told NPR:
“I say put mental health first. Because if you don’t, then you’re not going to enjoy your sport and you’re not going to succeed as much as you want to. So it’s OK sometimes to even sit out the big competitions to focus on yourself, because it shows how strong of a competitor and person that you really are — rather than just battle through it.”
Biles was recognized as Time Magazine’s Athlete of the Year for 2021. She has since partnered with Cerebral, a mental health app, in order to reduce stigma around mental health conditions, especially in underserved communities. She is on Twitter (link) and Instagram, @simonebiles.
Rashid Johnson, Visual Artist
Much of Johnson’s work centers around African American intellectual history and cultural identity. Johnson uses everyday items like shea butter, recorded and live music, houseplants, and formative texts by Black thinkers in his artwork. His work also addresses themes of anxiety and generational trauma. Johnson discusses his own relationship to anxiety, being a father, and the art he’s been making during the pandemic in this article. His artwork is part of permanent collections across the United States and the world, and you can find him on Instagram @rashidjohnson.
Rachel Cargle, Academic, Writer, and Nonprofit Founder
Carglefounded The Loveland Foundation, a nonprofit that offers free therapy to Black women, girls, and gender expansive individuals. in 2018. She currently serves as its president. She is a regular contributor to The New York Times,The Washington Post, The New Yorker, Forbes and Essence. Find inspiration from Cargle on Instagram (link) and Twitter (link), and keep an eye out for her book, coming out from Penguin-Random House this year!
Doug Middleton, NFL Player
Middleton is a professional football player who founded Dream the Impossible to raise awareness about mental health in the African American community. He hopes that the organization can “de-stigmatize mental health so that people don’t feel as though something is wrong with them.” Middleton works with adults and in schools to lower rates of suicide in North Carolina. Learn more about Middleton’s efforts on Dream the Impossible’s website (link) and Instagram (link).
These individuals have used their platforms in athletics, literature, and art to highlight the importance of good mental health practices in their professions and their communities. Or course we want to look to those who came before us by highlighting Black history, however it can be just as inspiring to look to those around us for motivation and support.
Have you ever heard of the Serenity Prayer? It goes something like this: “God, grant me the serenity to accept the things I cannot change, courage to change the things that I can, and the wisdom to know the difference.” The prayer is profound as it recognizes the reality that our lives are affected by factors that are beyond our control, and it reminds us that our responses to these variables impact our mental health.
Many ongoing issues – such as depression, anxiety, addictions, etc. – stem from difficulties in coping with situations that are often outside of our control. Whether it’s the loss of a job, a global pandemic, a breakup, or something else, we’re all affected by things that we can’t influence the way we’d like to. Focusing on the things that are beyond our ability to change can make us feel powerless, which intensifies the negative feelings or leads to hopelessness. But what can happen when we focus on the things we can change?
The term serenity means the state of being calm, peaceful, and untroubled. Focusing on and pursuing change in areas of our lives that we can control can lead to internal serenity, even during challenging situations. There are 8 areas that lead me to greater contentment when I’m “changing the things I can,” and I use the acronym SERENITY to help me remember them. Think of each category as a gas tank on your dashboard – are you full or running on fumes?
Self-Compassion (vs. Self-Criticism) – Controlling Your Self-Worth
What is your attitude towards the person you see in the mirror? We are often our own worst critics, and this can lead to discontentment, depression and anxiety. Instead, I recommend reminding yourself that there is more to you than your problems, and that it is okay to not be okay. Speak kind words to the person in the mirror. Acknowledge the difficulties you’re facing and love yourself. We can’t change our past failures, but we can control our attitude towards ourselves.
Enjoyment (vs. Enslavement) – Controlling Your Outlook
It’s easy to get so caught up in the monotony of life that we don’t take (or even see) opportunities for enjoyment. We can find ourselves working so hard to make a living that we forget to live. This is a form of enslavement, and it can lead to poor coping. Instead, look for moments throughout your day that you can truly enjoy. Make an effort to do things just for the fun of them. We can’t control the pace of certain aspects of our life, but we can control our outlook on enjoying the life we’re living.
Relationships (vs. Role-Playing) – Controlling Your Authenticity
Do you have relationships where you can be your authentic self, knowing that you will be accepted and supported in whatever state you’re in? Or do you find yourself trying to be a certain way around people who are close to you? The more roles you have to jump in and out of to try to make people like you, the more stressed you’re likely to find yourself being. Spend time with people who love you for who you are, enjoy real connection with other humans, and be there for others. If others don’t accept you for who you are, that’s their loss.
Expectations (vs. Exceptionalism) – Controlling Your Rhythm of Life
This is a two for one. On the one hand, consider the rhythm of your week. If there’s a normal, predictable flow, that stability may help you handle disruptions. If there are a lot of changes and exceptions, you may feel overwhelmed and off-balance, like a rug is being snatched from beneath your feet. Controlling the boundaries you set for healthy rhythms of life can change your life.
On the other hand, do you tend to place expectations on yourself that are too high? Having healthy expectations for yourself leads to more peace than holding yourself to the standard of being exceptional at all things at all times.
Needs (vs. Neglect) – Controlling Your Self-Care
I believe there are at least 5 categories of needs that we have – Physical, Relational, Emotional, Spiritual, and Self-Worth (PRESS needs for short). If you’re feeling out of sorts, it may help to look for deficits in these categories. Your needs are valid and deserve attention. Take care of yourself – the world only has one of you, and that makes you rare and valuable. Maybe you can’t control all the demands on your plate, but you can make sure that your personal needs are on it as well.
Inertia means that a thing will continue in its current course until another force changes that trajectory. Sometimes we just go on auto-pilot through life rather than believing that we can do things that make our lives count the way we want them to. What mark do you want to leave on the world? What intentional steps can you take to move your life closer to goals that matter to you? You can’t control what the world brings to you, but you can control what you bring to the world.
Talking it out (vs. Tucking it away) – Controlling our Emotional Processing
There are few stressors with as much potential to harm us than bottled up emotions. What do you do with your feelings? Do you try to just get over them or actually work to get through them? So often we take emotional painkillers (like entertainment/social media, video games, drugs, alcohol, sex, etc.) rather than addressing the root issue. So rather than tucking your emotions away, try to work through them in a safe space. Counseling, journaling, venting to a friend, or prayer are all methods that people employ to work through their feelings.
Yield (vs. “Yes!”) – Controlling our Rest
In a culture driven by bottom lines and productivity, we’re often penalized for saying, “No.” But every “Yes” to something is a “No” to something else. Oftentimes, saying “No” to the mental and physical rest we need is praised as having a “strong work ethic”. This can immediately cause anxiety because we’ve bitten off more than we can chew, but the stress can also have long-term effects of literally taking years off your life. Sometimes, it’s so much better just to yield. Rome wasn’t built in a day.
I want to wrap up by saying that the goal of this exercise is not to burden you with more things to do. That defeats the purpose. Instead, I hope to give you a framework of things to think through if you’re feeling anxious, overwhelmed, discontent or off-center. Maybe you need to yield more or you haven’t been as authentic in your relationships as you could be. And hopefully, making small adjustments here and there can lead to the freedom and peace of mind that we call serenity.
Questions to journal about to #takethewheel:
As you read through what each letter of SERENITY stood for, which one resonated with you the most? Why?
What impact have you felt from not controlling that aspect of your life in a healthy manner?
What small step can you make today to experience more serenity in your daily life?
In the first part of this two-part blog series for Black History Month, we explored the personal lives and mental health challenges of two historical Black activists—Dr. Martin Luther King Jr. and Maya Angelou—in order to highlight their character, courage, and honor them beyond their accomplishments.
As the second part of this series, we hope to accomplish the same goal but this time with some contemporary figures in Black and African American culture. In light of this, here are the mental health experiences of two influential Black entertainers:
Oprah Winfrey (1954 – Present)
Most frequently known for her engaging and caring personality on television, Oprah Winfrey is also an actress, entrepreneur, and writer. But—beyond all of that success and fame—she is a regular human with real emotions who has struggled at various points throughout her life. During her childhood, Winfrey was abused by relatives starting at the age of nine. The trauma that she endured took a mental and emotional toll on her well-being and eventually caused her to consider taking her own life when she was 14. Although she was able to fight through this period in her life, she encountered more mental health challenges later on in her career. Winfrey battled with depression following her film adaptation of Toni Morrison’s “Beloved” in 1998. She described her experience with mental illness as feeling as if she “‘was behind a veil’”.
The fact that Winfrey was able to overcome the difficult circumstances and mental health challenges of both her childhood and adulthood—let alone still follow her dreams and succeed—is a testament to her resilience, perseverance, and courage. Moreover, it is inspiring to think about her generosity, desire to give back, and all the lives that she has positively impacted—both directly and indirectly—throughout her career. Recently, Winfrey has even demonstrated a commitment to mental health advocacy. She is currently working alongside Prince Harry (the Duke of Sussex) to produce a documentary series surrounding mental health that will premiere this spring.
Keys’s perseverance in navigating her mental health challenges—while carrying out a successful music career—is inspiring. She did not let her mental illness define her as a person nor prevent her as a musician from sharing her passion with listeners all over the world. Not to mention, Keys has showcased immense courage by speaking publicly about her depression and mental health, despite all of the stigma present in society. It is clear that she believes that mental health challenges are universal and therefore, discussions surrounding them should be as well.
While we often—and rightfully so—praise historical and contemporary figures for their achievements, it is important that we also spend time appreciating who they were/are. Each of the four Black figures that we have explored in this two-part series—Dr. Martin Luther King Jr., Maya Angelou, Oprah Winfrey, and Alicia Keys—has their own unique story and experiences surrounding mental health. However, all of their stories speak to their character and courage and serve to further remind us of their greatness.
Journal questions to #takethewheel:
What do the personal stories of Oprah Winfrey and Alicia Keys mean to you as we celebrate Black History Month?
How do the mental health experiences of Oprah Winfrey and Alicia Keys shape your perspective of mental health?
There’s no way you haven’t heard the phrase, especially since, after the death of George Floyd, there were protests on all 7 of the Earth’s continents (yes, even Antarctica). While people have all different types of opinions about the movement, I find myself more interested in the psychology of the phrase itself. As I thought about the phrase and the fate of the Black people that it represents from a mental health standpoint, a question emerged in my mind: How do people who have been made to feel that they must defend the value of their lives to others truly feel about themselves? I would expect that living under these circumstances would have some kind of impact on self-esteem. Wouldn’t you?
I turned to the world of research and found something that was very counterintuitive for me. Black people consistently report the highest levels of self-esteem in multiracial studies on this topic. Trying to reconcile what I expected with what I discovered, I remembered my dad telling me, “When I was little, it used to be an insult to call somebody Black. But then, James Brown told us, ‘I’m Black and I’m proud’ and we became okay with it.” Cautiously optimistic, I began to think that maybe Black History Month and other representation campaigns have accomplished their intended result! Maybe Black pride is on the rise! Other researchers pointed to factors like finding strength and support in communities of faith and musical expression as playing a role in bolstering self-esteem.
But despite what the studies were showing me, I couldn’t shake this feeling of distrust with the numbers. I mean, are we really going to act like 180 years is enough time for a people’s collective identity to go from “I am property, used and abused by white men as they see fit” to “I feel better about myself than anyone else”? It’s only been 53 years since Dr. King was killed for his role in the struggle for racial equality, and we’re still reminding others (and maybe ourselves) that “Black Lives Matter.” I couldn’t make sense of it.
That’s when I came across a study done by Zeigler-Hill, Wallace and Myers in 2012 that revisited the “Black self-esteem advantage.” They had 95 undergraduate students complete a measure of their self-esteem, and then had them come back later to complete the same measure. The difference was that some of them were hooked up to a fake lie detector (referred to as a “bogus pipeline” procedure) while others were not. In the words of the researchers, “Black participants with high levels of self-esteem were found to report more modest feelings of self-worth in the bogus pipeline condition than in the control condition. The results of the study suggest that impression management may be an important consideration when examining the feelings of self-worth reported by members of stigmatized groups.”
Think about that. These Black students who originally spoke highly about their self-esteem gave lower answers when they thought the researcher would know whether or not they were answering truthfully. Why would they feel the need to report higher-than-actual self-esteem to a perfect stranger? I can’t answer for these students, but in my experience with my culture, a Black person’s image and the impression it leaves on others is fiercely protected. Sometimes, Black people feel like their image is all they have! Listen to a hip hop station for an hour and count how many times you hear a rapper compliment himself – his money, his cars, his sexual escapades, etc. Look at how flashy the music videos are and all the jewelry the artists are wearing. Why do so many black artists feel a need to show or tell the world how awesome they are? And why does that idea sell so much?
I remember a chart-topping rap song entitled “This Is Why I’m Hot.” The beat was pretty average and its lyrical content was on par with a nursery rhyme (listen to Hickory Dickory Dock and then play “This Is Why I’m Hot” – you’ll see what I mean). The artist literally said “I can make a mill saying nothing on the track”! But a lot of Black folks loved the song! I can’t speak for all, but I think one of the reasons why some people loved it is because it resonated with their own desire or even need for impression management.
I’ve seen a lot of Black people who live in dilapidated homes with fancy cars riding on plus-sized chrome wheels parked outside. When these people go out into the community, they appear as though they have reached some level of status or financial security based on what the average person sees. They are managing the impressions that others have of them. Critical thinking will reveal this pattern of displaying virtual strength and wholeness in a variety of ways throughout the African American community.
Of concern to me is my belief that this phenomenon absolutely plays itself out in terms of mental health. Research and my lived experiences show that a strong cultural value of African Americans is to not show any signs of weakness or vulnerability. Last February, I saw a meme that showed an illustration of what it might have looked like on a Transatlantic slave trade ship. The exact words of the caption escape me, but a loose paraphrase would be, “Our ancestors did not survive slavery, Jim Crow segregation, being attacked by police dogs, sprayed with fire hoses, etc. only to have you give up because you’re having a bad day.” The punchline was “It’s not in our DNA to quit!”
Obviously, the post was intended to celebrate the resilience demonstrated in the African American heritage and instill a sense of pride and strength, but I’m concerned about how messages like this reinforce a belief that we should be (or at least appear to others that we are) strong enough to handle whatever we’re up against on our own by virtue of our own internal strength of will. That is simply not true.
Mental health is not a matter of willpower any more than overcoming a cold is. There are any number of social, genetic and biological factors that can converge on and wreak havoc against a person’s psychological well-being. Whether it’s self-esteem, depression, anxiety, or just feeling stuck in life, there is no shame in asking for and seeking mental health support any more than there is in going to the hospital to treat a broken arm.
Without question, the African American community has shown incredible strength and resilience to accomplish what members of our community have accomplished in the face of overwhelming odds and opposition. Without question, the men and women of color who fought for equality and achieved excellence in their various spheres of society deserve to be honored and celebrated as their lives teach us about perseverance and character. But their progress was not the result of superhuman lone rangers who were single-handedly strong enough to carry the world on their back like the Titan Atlas. No, they were collaborative efforts of individuals working together and supporting one another.
So don’t let your Black Pride keep you from reaching out and receiving the support that you may be in need of. You are not doing a disservice to your heritage or misrepresenting your people to admit that you’re having a hard time with something and need some assistance. It’s okay to not be okay. It’s okay to admit to yourself and to others that you’re facing something that you’re finding it difficult to cope with. There’s healing and strength in letting your guard down, accepting where you are, and being vulnerable. Denying or hiding your struggles does not produce the virtue of pride; it produces conceit. Pride comes when you honestly face all of you – the good, the bad, and the “Help wanted” – and accept yourself for where you are with compassion.
The Health and Human Services Office of Minority Health reported that Black adults are more likely than white adults to report that all or most of the time, they feel sadness, hopelessness, or that everything is an effort, yet only one in three Black adults who need mental health receive it. While there are many barriers standing between Black people and quality mental health, I’m urging you to help me remove the stumbling block of “Black conceit” (i.e., the impression management that causes people to hold themselves back from a path to healing).
Let’s be honest – America has given us enough history and images in the news to affect our view of ourselves and disturb our mental health. It’s okay to own that and/or any other mental health concerns you may be experiencing. But it starts with letting go of our tendency towards impression management and embracing ourselves in vulnerability and compassion. That’s the only way we really can “Say it loud” (and honestly):
I’m Black and I’m proud!
Questions to journal about and #takethewheel:
How did your family deal with situations that were emotionally challenging when you were growing up? Do you still subscribe to those “rules” now?
What types of things have you done, or do you do to protect your image?
Who are the people in your life who you can be completely real with, no matter what you’re feeling or facing?
I grew up the youngest of three sons. I’m guessing that by the time I was 12 years old, both of my big brothers had told me on separate occasions that they didn’t see any point in emotions or that emotions make you weak. My dad characterized taking actions based on your emotions rather than logic and reason as the negative side of being a female. Now, it may be that my developing mind interpreted into these interactions a meaning beyond their original intent, but I know that for me, these statements established or reinforced a notion that men are not supposed to have or listen to their emotions.
I don’t think my experience was all that unique. Maybe you had an older brother, uncle, or father who told you that boys don’t cry. Maybe you were or saw someone else who was picked on, ostracized, or bullied for being emotional. If you’ve heard it said that a guy was “in his feelings,” was it a compliment? I’m sure you’ve heard the expression “man up” used to encourage someone to suppress their emotions so that they can focus on and accomplish the task at hand. In 21st century America, you’ve been exposed to the idea that having emotions is a sign of weakness for a man.
It seems as though the archetypal alpha male – the tribe’s lead hunter who went out to kill game, defend the tribe, and enjoy the status that his successful ventures were met with – is still alive and well today. It’s just more sophisticated. We may not be taught to be the best hunter or warrior, but our society is enthralled with the idea of the self-made man. Independence, success, strength – these are the types of traits that a man must have to be acceptable by society’s standards. Therefore, any notion or semblance of weakness must be jettisoned from the body as quickly as possible by any means necessary.
So what do we do with those “weak” emotions? What do we do if we’re just sad? What if we’re not just sad, but depressed? How does a man, who is supposed to be adequate enough to handle any situation life throws at him on his own, deal with the anxiety that keeps him up at night? What do we do with fear, overwhelmedness, self-doubt or any of the rest of the whole host of unpleasant human emotions? For a lot of men out there, the answer is simple. Deny, deny, deny.
I was volunteering at a nonprofit organization that helps men, most of whom had a criminal record, to get back on their feet with a job placement and life skills coaching. We had breakout groups where we discussed various topics concerning manhood. One week, we were discussing the topic of emotions. I don’t remember very clearly what question I asked one of the participants at my table regarding how he dealt with his emotions, but I may never forget his answer. Very nonchalantly, almost as if he thought he was sharing common knowledge, he said, “That’s what the drugs are for.”
The problem is that emotions are not like a water faucet that can be turned off and ignored at will without consequence. No, emotions are much more like a raging river that is, at best, only going to be dammed up for a limited time until the flood waters breach the dam and it bursts. And if men are being taught to deny, suppress, numb out with drugs and alcohol, or any other form of avoiding those emotions, it’s only a matter of time before the dam breaks.
My point is simply this – in an effort to embody what our society has told us is what the ideal man is like, many of us have conditioned ourselves to deny a foundational part of what it means to be human. We are rational and emotional beings, every last one of us. While it is true that women are more likely than men to be diagnosed with depression (10.4% vs. 5.5%), anxiety disorders (23.4 vs. 14.3), and other emotional disregulation disorders, men are more likely to commit violent crimes (research in New York shows 97% of domestic abuse perpetrators are men), abuse drugs and alcohol (11.5% men vs. 6.4% of women have a substance abuse problem), and commit suicide (men died by suicide 3.56x more than women). Any good counselor will tell you that trying to intervene on these types of behaviors without addressing the underlying emotions is a waste of time.
I wonder what would happen if more men were given the space, validation, and encouragement to learn how to process and express their emotions. What would happen if men who exhibit sensitivity, tenderness, and compassion were lauded commonly rather than shamed? Can you imagine the pervasive impact that would have on our society as a whole? Do you think that impact would be positive or negative?
Maybe you think that this would result in a generation of weak men who are too emotional to make the decisions that need to be made and win the battles that need to be won. However, I have two rebuttals to that idea. First, choosing not to be aware of or accepting towards your emotion does not mean that it does not exist, nor does it mean that it is not affecting you. Accepting your feelings doesn’t mean that they have to control you. And that leads to my second point, which is this: there is a difference between weakness and meekness. Weakness is the absence of power. But in some senses, meekness is the restraint of power. Said differently, weakness is the inability to exercise power. Meekness is the ability to not exercise power.
For those who follow it, the Bible describes Jesus as being meek, meek enough to enjoy spending time with little kids, weep at a funeral, and be overcome by compassion many times. However, he was still strong enough to speak truth to power, boldly confronting the leaders of his day and sparking a movement that still stands for justice towards the oppressed 2,000 years later. He was meek, sensitive, and comfortable with his emotions, but he was still able to fight the battles that needed to be fought. Emotional awareness and acceptance are not opposed to strength. In fact, being emotionally aware is a necessary component for being able to use your strength most effectively and productively. It’s only a matter of time before your emotions pull the trigger – the question is whether or not you know what you’re being aimed at and why.
For men like me who were conditioned to suppress emotions from an early age, the journey to emotional awareness isn’t easy. If you want to start, though, I have a few suggestions for you.
1. Find a counselor who creates space for you to explore the real inner you and process your emotions. It might seem a bit self-serving of me to say it, but your journey can be accelerated under the guidance and support of a trained professional. I always feel like my sessions with my counselor are worth the time and money when I have that “Aha!” moment where I finally can put words to something that’s been hovering just outside of my conscious reach.
2. Keep a journal. You don’t have to write pages upon pages if you don’t want to. Just review your day and think about a couple highlights, whether your day was chill or uncomfortable. Then write out what you felt about those highlights. I use an app called Daybook because it makes this process very manageable and undaunting. It has a ton of prompts just to get you thinking, writing, and, most importantly, processing. Just go to daybook.app or download it in the app store. Alternatively, there’s always the tried-and-true method of pen and paper. Whatever works for you, taking 5-10 minutes a day to listen to your feelings and write what you hear will pay dividends.
3. Take your emotional temperature every once in a while. I’m at my healthiest when I take time at least once a day to identify 5 feelings that I’m experiencing. Sometimes it’s less than 5, and sometimes it’s more. The main thing is about being honest with myself and accepting what I’m feeling without judging or censoring the feelings. Identifying emotions in the moment was hard for me at first, but someone taught me to just sit in silence and notice any sensations in my body. Pressure or tightness in the chest, discomfort in the stomach, a drained feeling in the back of my eyes, etc. Over time, I started noticing that these sensations were related to certain emotions. Pressure in my chest means I feel stressed or overwhelmed and am having a hard time relaxing. Discomfort in the stomach means I’m afraid that I have or will let someone down and they will be mad at me. The tiredness behind my eyes means that I’m feeling burned out and irritated with someone or something. As you can imagine, this awareness gives me the option to choose healthy ways to take care of myself and respond to what I’m dealing with rather than just reacting. In other words, I can aim before the trigger is pulled.
I won’t claim that I have arrived at mastery when it comes to emotional integration with myself, but I will say that I don’t regret anything that I have gained along the way. I’m more able to release the feelings that would lead me to do things I would regret. My interactions with people feel like more of the real me is coming out rather than me going on auto-pilot. It’s just a different, more authentic way to live. To be honest, it’s a harder way to live. And that fact makes me think that maybe we’ve gotten it backwards all this time. Because what if the presence and influence of emotions doesn’t make a man weak, but rather our unwillingness to be “in our feelings” shows that we fear we are too weak to face our emotions? If that’s you, I’d like to encourage you with these 2 words:
Man up!
Questions to journal about and #takethewheel:
Describe any occasions where you witnessed males demonstrating strong emotions (especially an emotion other than anger). What emotion was shown, by whom, and how was it received by those around him?
How have you encouraged (or discouraged) the boys or men in your life in expressing their emotions?
As a man, who do you share your emotions with? What is it like, or what do you think it would be like – to be emotionally vulnerable with others?
During Black History Month, we have the opportunity and privilege to celebrate and honor the Black and African Americans who have worked courageously to push our nation toward a brighter future. In remembering these individuals, however, our society tends to focus primarily on their accomplishments while often neglecting to understand their personal stories. In other words, we likely know much more about what they did than who they were.
In order to understand a couple of these social justice leaders on a more personal level, showcase their character and strength, and honor them beyond their accomplishments, here are the mental health experiences of two key Black activists:
Dr. Martin Luther King Jr. (1929 – 1968)
Arguably the most notable figure in the Civil Rights Movement, Dr. King is often known for his role as an activist, minister, and advocate of peaceful protest. However, most people are less familiar with his personal life. Throughout his childhood and adolescence, Dr. King struggled with his mental health, especially pertaining to the loss of his grandmother. In adulthood, Dr. King continued to struggle with his mental health and experienced periods of severe depression.
The power in Dr. King’s story resides in the fact that despite his own personal battle with mental illness, he continued to lead the fight alongside Black and African Americans with the hopes that they could change the future of their country. His steadfast commitment to his vision of equality and equal treatment for all is a testament to his character, determination, and perseverance.
Moreover, some historians believe that Dr. King’s success can be partially attributed to an extreme form of empathy that he possessed, which is sometimes found among those with depression. With this in mind, it is clear that mental health challenges can be sources of strength and provide individuals with opportunities for growth and success.
Maya Angelou (1928 – 2014)
Often remembered as a poet and memoirist, Angelou was an activist who also struggled with her mental health. The physical and psychological trauma of her childhood caused her to have an anxiety disorder known as selective mutism. This disorder limited her ability to speak, and she was mute for a period of almost five years. It was during this time, however, that her memorizing, observing, and listening skills improved. She also began to develop a more intense love for books.
Just like the story of Dr. King, the story of Angelou is very powerful because of her refusal to let her challenges with mental health define her as a person. She fervently pursued her passion for the arts and literature into adulthood, which ultimately speaks to her perseverance, tenacity, and talent. She ended up having a successful career and played a substantial role in the Civil Rights Movement.
While it is incredibly important to recognize and celebrate the accomplishments of Black and African Americans during Black History Month—as well as during the other eleven months of the year—I believe that it is also truly worthwhile to take time to better understand their personal stories. By learning more about the lives of Black activists, such as Dr. King and Maya Angelou, we can gain a newfound sense of appreciation for these individuals and find inspiration to act with courage and resilience in our own lives.
Journal questions to #takethewheel:
What do the personal stories of Dr. Martin Luther King Jr. and Maya Angelou mean to you as we celebrate Black History Month?
As you continue to navigate your own personal mental health journey, how can you learn from and draw upon the mental health experiences of Dr. Martin Luther King Jr. and Maya Angelou?
A simple, yet impactful line from J. Cole’s 2013 hit “Crooked Smile” had to be one of the most quoted lines from a song that year. Why?
“Love yourself, girl, or nobody will” in a single line advocated for self-love and self-acceptance through hip-hop which historically has perpetuated the expectation of perfectionism; while subjecting women to limited standards of beauty. Although the creation of the song is rooted in a man accepting a “flaw” in his appearance and proclaiming his success in spite of it; unintentionally that line reinforced the idea that a focus on self-love is a single woman’s practice that is required to prepare herself for a relationship. As a therapist who highlights self esteem concerns, anxiety, depression, and trauma, I’m here to share self-love is critical for everyone at any stage in life. No matter the gender, relationship or marital status, age, or general life stage, we all need it for ourselves.
Self-love is essentially complete acceptance and respect for oneself which fuels high self-esteem and self-worth. Although it’s all about “self” there are several things that influence and impact the mental messages we send to ourselves. Cultivating self-love can be challenging when we don’t allow a space for understanding that we are individuals with unique experiences/backgrounds who are constantly bombarded with images of who we “should” aspire to be in the media. Fostering self-love takes work. Some days will be easy, while others will make you want to throw the whole day away and start over.
Here are 5 ways you can grow no matter where you are in your journey of self-love:
1). Learn yourself
No matter the life stage, it’s important to know who you are, what your interests are, what you enjoy, and what you value. Tell me about yourself? Is easily one of the hardest questions for individuals to answer because we have been trained to identify and put value in what we do and not who we are. Be in tune with what makes you the unique individual you are aside from the many hats you wear. More importantly, as the different roles change throughout life (entering a relationship, getting married, becoming a parent, owning a business, becoming a care giver, etc) don’t get lost in the shuffle. Continue to engage in the practices below to stay connected with your inner self.
2). Spend time alone
Starting from childhood through adulthood, we are socialized to find contentment being with others. If not, we’re negatively labeled as being “weird” or a “loner”. However, sometimes the distractions of other’s opinions can cloud and influence our personal perspective. Plan to do something alone and disconnect electronically at least weekly. You can plan to do something you already enjoy or you can mix it up and try something new. In this time, practice self-awareness and reflection. If it’s something you already enjoy, what about this activity is enjoyable for you? How does it make you feel? Are there other avenues in your life where you experience this feeling? If it’s a new activity, what made you gravitate to this and give it a try? What did you notice about yourself before, during and after the new activity? Each time you’ll learn something new about yourself and look forward to your personal time in your schedule.
3). Daily positive affirmations
I mentioned above the idea that we send mental messages to ourselves throughout the day. Sometimes those messages can be positive, but often times they are wrapped in judgement and delivered in self-criticism. What we think, affects how we feel, which determines what we do (Classic Cognitive Behavioral Theory at its core). Just imagine the greatness you could achieve and the amount of self-love you could foster if you spoke positivity about yourself every day? Saying or writing affirmations such as I am enough, I am capable, I am lovable, I am worthy, I am unique, I am valuable… will mess around and have you believing the greatness you have within while refusing to settle for less.
4). Celebrate yourself
Often times, we wait for big milestones to be complete (graduation, new job, buying a home) before we celebrate our successes. However, there are so many small victories along the way that need to be acknowledged and celebrated to further encourage and motivate yourself to keep going. You earned an A in that impossible grad school class? Earned a linear promotion on your job? Improved your credit score and reduced debt significantly? Those are all great progressions that get you one step closer to your larger goal. It reinforces to you that you are skilled, persistent, and determined to live your best life and you are doing it! Take yourself to dinner, treat yourself to that massage, or spontaneously plan that night out with your friends to remind yourself “Job well done”.
5). Don’t hide in plain sight
Lastly, when you know yourself and value who you are, you don’t shrink for others and no one else defines you. Speak up in that business meeting, communicate clear boundaries that teach others how to treat you, protect your energy by being selective with who shares your space, and be bold and authentic with your image. Change your hair as much as you’d like, wear what makes you feel good, and stop comparing yourself to others. Does comparison subconsciously happen? Absolutely, but be kind to yourself and reminded that you are the only “You” this Earth was graced with. The mere thought of that level of uniqueness is pretty dope if you ask me.
Any given day can be your day one to improve upon the day before. You don’t have to wait for Monday, a new month, or a new year. Try making small changes each day to reach your desired level of self-love and happiness that purely comes from within and isn’t dependent on others. For some, every step I shared can feel overwhelming/ or trigger anxiety and depression symptoms. When individuals have experienced huge disappointments, a traumatic event, or haven’t had a safe space to explore who they are due to verbal, emotional, or physical abuse, this is where individual counseling can be extremely beneficial. Having someone who is neutral, non-judgmental, and trained to guide and support through a healing process can make a big difference. Everyone deserves and have the right to feel their very best about themselves and I truly hope these tips help to propel you forward on your journey.
Questions to journal about and #takethewheel:
What did you observe and messages did you receive growing up about the concept of self-love? How did you see adults in your life giving, or not giving, it to themselves?
On a scale of 1-10 (with 1=being poor and 10=very well), rate how well you feel you regularly show yourself love. What did you consider to come up with your number?
Define self-love for yourself. Determine 3 ways you can integrate self-loving thoughts/behaviors into your daily routine.