Hey Sisters,

It’s a critical, yet often overlooked, fact that Black women are less likely to seek treatment for depression. While women generally experience depression at higher rates than men, Black women are only half as likely to seek help compared to Caucasian women (Hopkins Medicine, n.d.). This disparity may stem, in part, from a lack of awareness regarding how depression manifests in this specific demographic. This week, we’ll explore the signs of depression unique to Black women and discuss actionable steps for addressing this important issue.

How Depression Can Present Differently

Traditional understandings of depression often focus on symptoms such as low mood, loss of interest in activities, changes in appetite and sleep patterns, and feelings of hopelessness and worthlessness. However, research indicates that depression can present differently in Black women. A study conducted by a New York University (NYU) nursing research team found that Black women more commonly experience sleep disturbances, anhedonia (the inability to feel pleasure), and self-criticism (NYU Langone Health, 2022). Due to these distinct presentations, and a preconceived notion of what depression “should” look like, many Black women are underdiagnosed and undertreated. This can lead to prolonged suffering and a worsening of symptoms over time.

Steps Toward Healing and Well-being

When experiencing symptoms of depression, including those more commonly seen in Black women, seeking help is crucial. Here are some empowering steps you can take:

• Find Culturally Competent Professionals: Prioritize therapists and psychiatrists who understand your cultural background and the unique struggles faced by Black women. Seeking out Black women mental health professionals can create a more affirming and understanding therapeutic environment.
• Join Support Groups: Connecting with others who share similar experiences can provide invaluable emotional support and a sense of community.
• Practice Self-Care as Resilience: Self-care is not a selfish act; it is a powerful form of resilience and self-love. This can include engaging in regular physical activity, mindful practices like journaling, and mindful eating.

Black women are indeed less likely to seek help for depression, partly due to symptoms that may not align with typical diagnostic criteria. This can result in underdiagnosis and undertreatment, leading to prolonged suffering. However, we have more agency over our mental well-being than we might realize. By seeking out culturally competent mental health professionals and embracing self-care as an act of resistance, we can take significant steps toward healing. Listen to your body and your mind. If you are experiencing signs of depression, please seek help today.

References

Hopkins Medicine. (n.d.). Depression in women. Retrieved June 20, 2025, from https://www.hopkinsmedicine.org/health/conditions-and-diseases/depression-in-women

NYU Langone Health. (2022, December 1). Depression in Black women: A unique presentation. NYU. https://www.nyu.edu/about/news-publications/news/2022/december/depression-Black-women.html