Counseling Hesitancy in the Black Community

****A Special thank you to Laketra Chick MSW, Registered Clinical Social Work intern for this Blog. We at True You Always honor her expertise, knowledge, and willingness to share with others.**** 


BIPOC therapy in Florida can be a very freeing and healing experience for a lot of people. In recent years, especially since the start of the pandemic, mental health has become more of a priority. Now, individuals look for ways to feel happier, less anxious, and navigate life’s challenges. Despite its recent popularity, not everyone is pro therapy. BIPOC therapy can be met with skepticism from a lot of different groups. One of these groups is the Black community. Given the history and present circumstances of the black community, who can blame them? Don’t call it unnecessary paranoia. The reservations come as the result of centuries and generations of unfair treatment and injustices. This post seeks to highlight some of the reasons Black people have been hesitant to engage in therapy.

“Can I trust you?”

One of the most prominent reasons members of the Black diaspora worry about therapy is because of its mistrust. Many American medical professionals and health organizations establish reasons for this. What reason would Black people have not to trust organized systems in this country? History. Experiences. True stories that have been passed down by grandparents. These people saw the days when those put in positions of power to protect people instead used their power to harm them. One widely known instance of this betrayal is the USPHS (the United States Public Health Service) Syphilis Study at Tuskegee, formerly called the Tuskegee Study of Untreated Syphilis in the Negro Male. 

In 1932 in the state of Alabama, 600 men were involved in a study where they were told they were being treated for a condition called “bad blood”. This was a phrase commonly used at that time for a host of different diseases and ailments including syphilis (Of the 600 men, 399 of them had syphilis). In addition to treatment, the men, most of whom were sharecroppers, were also promised other perks. Such as:

  • rides to and from the treatment center
  • food on days of their treatment
  • free medical exams
  • burial insurance

Sounds like a good deal, right?

Woman hugging herself. If you need support, we are here to help, Some of our therapists are black therapist and BIPOC therapists. See if support BIPOC therapy in Florida is right for you., Call now for online therapy in Florida..

The true purpose of the experiment was not to serve low-income individuals by giving them access to free health care. As the name of the study states, researchers were looking to gain knowledge on the progression of syphilis and its effects on the body over time when left untreated.  Over the course of the study, doctors “treated” the participants with placebo drugs like aspirin. Other doctors were persuaded not to treat the men at all. Eventually, when penicillin was discovered in 1943 as the cure for syphilis it was still not considered a course of treatment for the participants of the study. 

As the experiment went on, men died and became blind as a result of advancing syphilis in their bodies. Furthermore, wives and girlfriends were infected and gave birth to children born with the infection. Researchers and doctors stood by and watched families’ lives be destroyed all while telling the men that they were helping them. This was fairly simple to do because…why wouldn’t they trust their doctors? 

So, how did this plot for a cruel, sci-fi horror film end? 

A writer with the Associated Press heard of the experiment from a friend and wrote a story about it in 1972. What followed was a full-on investigation into the study. The Assistant Secretary for Health and Scientific Affairs created a panel whose whole purpose was to look into the specifics of how the researchers carried out the experiment. The results from the research protocols that were going to keep the men safe were either ignored or “deeply flawed”. In the simplest terms, the men in the study were not presented with the opportunity to give informed consent.

As was mentioned before, the men just thought they were being given treatment for bad blood. They were never told what the researchers were looking to study or even given the full name of the experiment (the Tuskegee Study of Untreated Syphilis in the Negro Male). Furthermore, the men were never told about the possible consequences of being involved. 

In light of the results from the panel’s investigation, the experiment was put to an end in October of 1972, some 40 years after it began. By that time, men had died from syphilis and associated complications, and wives and children had been infected. In March of the following year, the Department of Health and Human Services called for the United States Public Health Service to treat survivors of the experiment. Survivors were also awarded money through a class action settlement and given an apology from President Bill Clinton in May of 1997. 

This is not a fictional story about a group of people in a faraway land thousands of years ago.

This is a horrifying story of people not so different from you or me, that could have been our parents or grandparents or great grandparents.  If you look hard enough, you can still find traces of the Tuskegee experiment. The last participant died in 2004. The last widow receiving benefits died in 2009. Children of the participants are still receiving medical benefits even today. If something this heinous could happen in the country where you live, to people who look like you, what would keep you from thinking a similar deception couldn’t happen again?

Unfortunately, this has developed widespread fear and applies to many in the health or medical field

Granted, therapists and counselors do not usually attend medical school, but they are also considered to be health care professionals. They are responsible for providing intervention and treatment for the health and well-being of the mind. They must also seek to build rapport and trust with individuals of this community. Acknowledging the hesitancy for receiving treatment and the history that plays into this is just one step in building this rapport. 

“Do you understand me?”BIPOC people protesting police brutality. Its time to get support, and BIPOC therapy in Florida can help. We can support you with anxiety and stress, complex trauma, and so much more. Call now and begin online therapy in Florida.

If mistrust of the healthcare system is not a factor, the next barrier that may hinder the Black community’s willingness to attend therapy is the lack of culturally sensitive clinicians. And we aren’t talking about a therapist just saying they are culturally competent, we mean continually learning and acknowledging that they will never be culturally competent because cultural sensitivity is about continually learning and being open to learning. Every client brings their unique experiences, history, and beliefs even when from the same culture. 

We must remember the client is the expert 

Yes, therapists are the experts when it comes to the client’s diagnosis and treatment modalities, but the client is the expert in their life. It is the partnership of these two individuals that helps lead to success for the client. However, there are certain characteristics of this community (like the generational trauma of the Transatlantic slave trade and its present-day implications) that can make for a learning curve for clinicians not fluent or familiar with this culture. A clinician not understanding the hardships, victories, language, family dynamics, etc of the Black community can be discouraging for a person already having to deal with not being understood in different environments like work or school. 

BIPOC therapy in Florida should be a safe place.

A place where Black people can go to speak with a non-judgmental, knowledgeable professional about the weight placed on their shoulders, unrealistic expectations, and whatever else life has thrown at them. It is likely that the individual is already code-switching in various environments or presenting themselves in a way that makes them seem more palatable to society, even if it’s at the expense of feeling uncomfortable. It is their hope that during sessions they can be supported, seen, valued, and heard by their therapist. As with any other demographic, it is important for clinician to tailor their approach to that of the culture of their client. 

Black people attending therapy want to be able to discuss experiencing racism and microaggressions without being encouraged to think maybe the other people involved in the incidents “didn’t mean it that way” or acted “on accident” in situations that are clearly racially motivated. A microaggression is still a microaggression even if the person involved didn’t realize what they were doing or saying was a microaggression. A therapist doesn’t need to have been raised in Black culture to serve Black people. However, building trust and rapport with a Black client will come easier if the therapist has at least taken the time to listen and understand what it means to be Black in America. Black clients want to be able to speak openly in session without also having to overly educate their therapists on the basics of Black culture and the Black experience in America. 

“Is this a Black thing?”

Black woman smiling at each other. BIPOC therapy in Florida is a safe space for you. If you plan to get reach out know you're in a safe space to discuss complex trauma, depression, and so much more. Call now and see how online therapy in Florida can help you!Black people are not a monolith. There is a wide range of likes, hobbies, and interests that exist within the community. There are, however, some things that are more widely agreed upon in the culture than others. Therapy is slow to become one of those things. There are various reasons why therapy has not been viewed as “a Black thing” in the past. First, the amount of Caucasian Americans who attend therapy is more than any other racial group. This can give off the idea that therapy is something for white individuals. Rather than for anyone who agrees to it.

Secondly, religion, specifically Christianity, has played a major role in the Black community. It is what was relied on by Black ancestors to endure 400 plus years of enslavement. God and Jesus, the prominent figures of Christianity, are known to have a host of different abilities. One of which is the ability to heal physical and mental diseases. As a result, a lot of members of the Black and Christian community will rely on God as the only healer of the mind and heart. Popular song lyrics like, “…long as I got King Jesus…don’t need nobody else” echo the sentiment that nothing outside of God is necessary to heal or help with life’s struggles.

Our ancestors have a strong impact on our values

The black community has the idea of being as strong as their ancestors. It is no secret that ancestors of the Black diaspora endured inhumane conditions and treatment for hundreds of years. This happened while working, caring for families, and contributing their talents and abilities to the world. As a result, there is pressure and expectations to handle hard parts of life. Especially, like the ancestors who didn’t have access to medical or mental health services. “They got through it, and so can you!” This way of thinking can be harmful. While it is meant to encourage the person and instill a sense of pride in being a descendent of such a resilient people, it also does not instruct the person to take advantage of the resources not available to the ancestors.

Stereotypes perpetuate the idea that black people can’t show weakness

The “hypermasculine Black man” and the “strong Black woman” perpetuate stereotypes. This idea is that Black people can’t show weakness. These images don’t normalize the reality that, like everyone else, Black people experience a full range of emotions. The “strong Black woman” is also the woman feeling overwhelm with raising children and caring for aging parents. The “hypermasculine black man” is also the man coming from an environment where men were discouraged from expressing fear. Both would benefit from BIPOC therapy in Florida. Emotions are a “Black thing”.Anyone can use online therapy in Florida. The Black community has had to navigate through soul-crushing situations which have created barriers to treatment. It is the hope that this culture and other people groups will feel more comfortable in therapy.

Begin Supportive BIPOC Therapy in Florida Today!

To begin our services for the BIPOC community, follow these steps. At True You Always, we aspire to have a safe and non-judgemental space for you to grow and heal. If you would like support from our skilled online therapists, we would be honored to walk alongside you.

  1. Contact True You Always
  2. Meet with our online therapists
  3. Start living a more meaningful life!

Other Services Offered At True You Always Counseling

Here at True You Always, we offer many services with a wide range of therapists. Our goal is to provide a safe and accepting space for you to breathe and be your authentic self. Along with therapy for teens, we offer additional services at our Florida therapy practice. You may also be interested in therapy for first responderstherapy for work stressanxiety, and stress treatment, or PTSD Treatment and trauma therapy. Additionally, we offer couples therapyfamily therapyLGBTQIA+ therapytherapy for disordered eatingsupport for families with a loved one struggling with EDtherapy for adultssubstance use disorderstherapy for spouses of first respondersplay therapytherapy for allergies, and chronic illness. All services are offered via online therapy in Florida so you can get help from the comfort of your own space

Additionally, we are happy to offer a variety of services.

We know therapy isn’t for everyone, which is why we have online life coaching which is available anywhere nationwide. If you’re looking to develop authenticity in your life in a way that promotes healing and growth or to develop more self-love, get in touch with our online life coach, Alexis.  Regardless of what brings you to our therapy practice, we hope you will find a therapist who can help you.

*Please know that all providers are affirming therapists and life coaches. True You Always therapists do not engage in any conversion therapy believe the use of such therapy is unethical. We fully support all of our LGBTQI+ clients in an affirming and safe manner