The American Psychological Association recently highlighted racism as a significant mental health issue, noting it poses a threat to overall well-being. Racism acts as a chronic stressor, leading to repeated exposure to discrimination that activates the body’s stress response systems. Over time, this can result in symptoms like anxiety, depression, sleep issues, substance use, emotional numbness, and concentration difficulties.

Clinically, the effects of racism are cumulative, often presenting as patterns of hypervigilance, shame, or internalized self-doubt rather than a single incident. These experiences can shape one’s identity, perception of threats, and emotional regulation, particularly when influenced by institutional practices and public discourse.

Effective therapy does not necessitate that clients frame their experiences politically but requires clinicians to understand how chronic stress and social context impact mental health. By acknowledging these factors, treatment can focus on restoring safety, enhancing self-regulation, and fostering resilience. Ethical mental health care must recognize the conditions that hinder psychological well-being while adhering to evidence-based, compassionate practices.