Ask a Black therapist: 4 ways to support Black people's mental health

By Ashley Vaughan, CNN

Updated 12:32 PM ET, Tue April 20, 2021

A young man cries while being consoled by female friends during a group therapy meeting.

(CNN)“There is a difference between being informed and getting retraumatized.”

That’s what clinical therapist Paul Bashea Williams tells himself and his clients as they struggle with the distressing images that resurfaced during the Derek Chauvin trial.

The proceeding churned up a persistent trauma. The frequent replay of George Floyd’s final moments may have left many feeling raw, vulnerable and without relief.

While the evidence surrounding Floyd’s death is distressing for most people, it is overwhelming for African Americans — and especially excruciating for Black men who see their very humanity reflected in him.

“Sometimes you are visualizing you,” says Williams, lead clinician and owner of Hearts in Mind Counseling in Prince George and Montgomery counties in Maryland. Ninety percent of his clients identify as Black.

In the aftermath of Floyd’s murder and Chauvin’s trial, African Americans are fighting harder than ever to protect and prioritize their mental health.

And Black men and women are exhausted.

Caught between hope and hopelessness

According to Williams, his clients are continuously cycling through feelings of hope and hopelessness. While many hope for justice, they are also bracing for disappointment, one that feels familiar when unarmed Black men and women are killed by police officers.

Williams also points out the secondary trauma African Americans experience from the images and video surrounding Floyd’s death.

“It is the emotional and psychological effects experienced through vicarious exposure to the details of traumatic experiences of others,” he says.

Among the private concerns Black men have shared with Williams are “feeling anxiety around leaving the house” and “depression over not having control over one’s life.”

Williams offers four ways to help combat those feelings.

Tip 1: Acknowledge your feelings

Take a moment to be present with yourself and to name the feelings and experiences you may be having, Williams suggests. To begin, you can start with this question, “What am I experiencing now?”

The answer to that question may be fatigue, headaches, feelings of helplessness and hopelessness, irritability, and anxiety. Emotional and physiological responses can be helpful gauges of knowing when enough is enough.

“If I know what is happening in my environment, I can allow myself to make shifts,” he says.

Tip 2: Create community

A trusted support team is helpful in gently identifying changes you may not readily see in your mood or behavior. The therapist is clear that one’s self-care community must be grounded in relationships they can trust.

Helpful communities can flourish online through group texts and at socially distanced meetings.

Tip 3: Prioritize self-care with boundaries

In his practice, Williams helps his clients identify ways to care for their mental health in their everyday lives. One way to do this individually is to take an internal inventory of moments when you historically experienced joy.

Williams mentions that, culturally, Black individuals are often taught to care for others ahead of themselves, while balancing the pressures that come with daily life.

“We have to have self-advocacy. We have to prioritize ourselves,” he says. “And it is not selfish.”

To begin this process, Williams suggests asking yourself, “What are the things I liked growing up?” and “What are the things I like now?”

Williams says this step is often unfamiliar for men.

When asking male clients “What does your self-care look like?” he’s often met with blank stares and hesitation.

“They were like, ‘Man, I don’t know what that is,'” he says.

Seeing this need among his clients and social media following, Williams created a men’s self-care calendar to help men rediscover their own individual needs.

The next step is to create boundaries to prioritize needs. For example, Williams says using the “do not disturb” option on a phone is one way of “putting the responsibility on the boundary.”

“Boundaries allow you to protect yourself,” he says. “Boundaries are like a set of rules that you have in order to function, and to have healthier experiences with people, places and things.”

Williams created a self-care calendar to help men kick start their own self care journey,

Tip 4: Seek therapy

“It is important for the Black community to get into therapy,” Williams says.

He recommends finding a therapist whom you trust and who fits with you.

“Your first therapist might not fit,” he cautions.

When seeking a clinician, he encourages individuals to try out therapists. He also recommends pushing back if you feel you aren’t getting enough in sessions.

“Be empowered to find another therapist.” He says. “Say, ‘Hey, I don’t feel like I am getting what I need. Can we try something else?'”

And, if your therapist isn’t working out, Williams recommends acknowledging it and finding someone who may be a better fit.

Finding support

For mental health services specific to Black wellness, visit any of these organizations.

Therapy for Black Men, provides access to a growing directory of more than 100 therapists with “multi-culturally competent care” for Black men.

Black Men Heal provides a list of available African American therapists, plus resources on how to get 8 free therapy sessions. (The site acknowledges there will likely be a wait-list for no-cost services.) The organization says it has provided 600 free therapy sessions.

Therapy for Black Girls is an “online space dedicated to encouraging the mental wellness of Black women and girls.” The site also offers a podcast and the option to join a “therapy for Black girls sister circle” for a monthly subscription of $10.

Also, Psychology Today offers a portal to search for African American therapists close to home by cost, location, issue, and therapy time.

And websites like Alkeme Health provides curated mental health content specific for Black and African American users. The site says it “fuses digital and wellbeing to improve your life.” On its website, Alkeme Health provides guided meditations and “live labs” where users can register to learn about practical ways to improve personal wellbeing.