Mental Health Stigma Black Community Dr Sharon Holder Op-Ed

Mental Health Stigma Black Community Dr Sharon Holder Op-Ed


Breaking the Silence: Dr. Sharon M. Holder on Mental Health Stigma, Generational Trauma and the Right to Heal

In this op-ed for Mental Health Month, Dr. Sharon M. Holder, a scholar with more than 25 years of experience in health disparities and behavioral health, examines how mental health stigma takes root in communities of color through generational silence, systemic barriers and unaddressed trauma, and calls for workplaces, schools, faith communities and healthcare providers to make room for healing.

In many communities of color, certain emotions are treated like inheritances passed down quietly, long before we ever learn the words to describe them. Some families hand down recipes, heirlooms, or stories; others pass down the unspoken. We learn to stay silent, to smile through pain, to work through exhaustion, to pray through trauma. But in that silence, stigma grows. Not because our communities lack strength, but because we’ve been taught that survival leaves no room for struggle.

Mental Health Month is a reminder that survival is not the same as healing. The weight of silence and the unspoken trauma beneath it is often compounded by discrimination, generational traumas, and a healthcare system that has not always welcomed us with dignity. The result is a cycle: pain becomes shame, shame becomes silence, and silence becomes stigma.

Stigma thrives in secrecy. When we hide our struggles, we unintentionally reinforce the belief that they should be hidden, that they signal weakness or failure instead of reflecting the simple truth of being human. Those struggles are real and familiar: the panic attack that leaves us shaking, the depressive episode that makes the world feel unbearably heavy, the intrusive thoughts we don’t dare name. Stigma is shaped by history: by medical systems that dismissed our symptoms, by workplaces that punished vulnerability, by the fear that asking for help will confirm someone else’s stereotype about us.

Yet the truth is simple: mental health challenges are not a personal failure. They are a human experience.

Communities of color carry layers of trauma too often overlooked… the trauma of racism, of economic inequity, of being told to “push through” because our ancestors endured worse. But trauma doesn’t disappear because we refuse to name it. It settles into our bodies, our relationships, our parenting, and our sense of self, becoming the quiet inheritance passed from one generation to the next. Science now confirms what our elders always understood: trauma leaves imprints on generations yet unborn. When a Black mother teaches her child to be twice as careful, twice as good, twice as invisible, she passes down both protection and pain.

Yet our mental health system remains largely blind to these realities. Traditional therapy models, built through a Western lens, often fail to recognize how mental health manifests across cultures. Cultural mistrust is labeled as paranoia, and generational trauma is reduced to a checklist of symptoms. In many communities, resources are extremely limited, insurance is hard to access, therapy is expensive, and waiting lists stretch for months.

The path forward requires more than awareness. It demands witness. We need workplaces that recognize the mental health toll of discrimination. Schools that understand how trauma shows up in children’s behavior. Faith communities that make room for both prayer and therapy. Healthcare providers who listen without bias. And we need each other to normalize vulnerability and remind one another that healing is not a luxury but a right.

Mental Health Month is not just a campaign; it is an invitation to tell a friend you’re having a hard day, to ask someone how they’re really doing, to name your emotions instead of burying them. Silence once kept us safe, but today, our safety lies in speaking.

This Mental Health Month, may we confront the stigma we carry by breaking the silence, because mental health is a shared human experience.

Dr. Sharon M. Holder is a South Carolina–based scholar with more than 25 years of experience in academia and healthcare. Her work focuses on health disparities, behavioral health, mental health stigma, and advancing equity for rural and underserved communities.



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