Dr. Nilaja Green on the Strong Black Woman and Mental Health

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The Strong Black Woman: Identity and Coping Mechanism

How does cultural experience affect mental health? In this episode of Woman Worriers host Elizabeth Cush interviews Dr. Nilaja Green about how the Strong Black Woman identity can be both protective and problematic.

Part of what the stripping away of freedom meant was also the loss of control over the very basic aspects of life that most of us take for granted.
— Dr. Nilaja Green

Show Notes:

Sometimes strength is not an advantage. The qualities we develop to protect ourselves can sometimes cause us problems. In this episode of the Woman Worriers podcast, host Elizabeth Cush, LCPC, of Progression Counseling in Annapolis, Md., welcomes B. Nilaja Green, PhD, an Atlanta-based psychologist who provides specialized trauma treatment to vulnerable populations including people of color and members of the LGBTQ community. They talk about the paradigm of the Strong Black Woman as a coping mechanism—how it arose and why it’s necessary, why it’s effective and how elements of it can negatively affect mental health, sometimes leading to depression and suicidality. They also discuss the issues that can block some Black women from getting into therapy and finding the support that could help them find relief from distress and how to access resources that feel right.

Listen and learn:

  • How the idea of Strong Black Woman developed over generations, from West Africa to the so-called New World

  • The core characteristics of the Strong Black Woman paradigm

  • The impact of the loss of control that Black women experienced as a result of the Maafa, or Middle Passage

  • How independence turns to self-reliance and how that self-reliance can stand in the way of getting relief

  • The connection between communal responsibility and caretaking and how enslavement twisted the role

  • How caretaking became traumatic for some Black women

  • Why Black women had to learn to hide their feelings—and the fallout that some experience from that today

  • The role of pride, how it can get in the way of getting the help

  • How the Strong Black Women sometimes shows up in therapy—and why therapists need to be aware of it

  • How looking through a lens of trauma might help therapists who work with women of color and other oppressed groups

  • Why many Black women may be reluctant to turn to therapists for help

  • The one factor that seems to have the strongest relationship with depression and suicidality

  • When looking fabulous isn’t a good sign

  • Where Black women can access resources for therapy and how they can find a therapist who might be a good fit

  • How women of color—and anyone else—can get the most out of therapy


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