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Understanding and Overcoming Mental Distress among African-Americans
By: Matt Smith, Psy.D. Licensed Psychologist
Mental distress is a term used to describe a range of symptoms and experiences of a person’s internal life that are
commonly held to be troubling, confusing or out of the ordinary. Mental Illness refers to a specific set of medically
defined conditions. A person in mental distress may exhibit some of the symptoms described in psychology, such;
anxiety, confused emotions, hallucinations, rage, depression and so on without being “ill” in a medical sense. Life
situations such as: bereavement, stress, lack of sleep, use of drugs or alcohol, assault, abuse or accident can induce
mental distress.
According to the Office of minority health, African-Americans comprise 12.9% of the U.S. population, yet they are
30% more likely that European Americans to report serious psychological distress. African-American are more likely to
have Major Depressive Disorder, and communicate higher instances of intense symptoms/disability. Nonetheless, much
of the research on the mental well-being of African-Americans is unable to separate race, culture, socioeconomic
status, ethnicity, or behavioral and biological factors. Discrimination within the healthcare community and larger
society, attitudes related to mental health, and general physical health contribute largely to the mental well-being of
African Americans.
Culture, which is understood to be a combination of common heritage beliefs, values and rituals are an important
aspect of racial and ethnic communities. African Americans are a resilient people who have withstood enslavement and
discrimination to lead productive lives and build vibrant communities. Throughout U.S. history, the African American
community has faced inequities in accessing education, employment, and health care. However, strong social,
religious, and family connections have helped many African Americans overcome adversity and maintain optimal mental
health.
Many Americans, including African Americans, underestimate the impact of mental disorders. Many believe symptoms
of mental illnesses, such as depression, are “just the blues.” Issues of distrust in the health care system and mental
illness stigma frequently lead African Americans to initially seek mental health support from non-medical sources.
Often, African Americans turn to family, church and community to cope. Studies have shown that family participation
in a support group, counseling or a church group can improve the family’s ability to care for family members with
mental disorders and cope with the emotional distress of being a caregiver. The key in dealing or trying to cope with
mental distress is being able to talk about issues in a safe environment with either your general practitioner, pastor,
family member or a mental health professional. When talking to your Doctor talk about the issues and symptoms that
are hindering your health, how can you better cope through exercise, support groups, travel and additional ways
without being placed on medication if possible. If meds are needed make sure you are knowledgeable about the
adverse reactions that are associated with the medication. Research resources in your community and make sure that
your doctor understands your culture, values and lifestyle. Often times African-Americans are misdiagnosed and
placed on meds that are not suitable or the dosages are too high.