Mental health has long been a topic shrouded in misunderstanding and stigma, particularly in black communities.
In South Africa, where conversations around mental health are still evolving, many people struggle to acknowledge that mental illness is real, valid and treatable.
The reality is that mental health issues, including depression, anxiety, bipolar disorder and ADHD (Attention Deficit Hyperactivity Disorder), affect black South Africans just as much as any other group. However, cultural beliefs, societal pressures and systemic barriers often make it difficult for individuals to seek the help they need.
Stephanie Robertson, a mental health advocate and the director of Mental Health Equity Innovation at the National Alliance on Mental Illness (NAMI), has been vocal about the challenges black people face when it comes to mental health.
Her personal journey with undiagnosed ADHD highlights the lack of representation, awareness and support for black individuals in mental health research and care.
The stigma: “mental illness is not for us”
In many black households, mental health struggles are often dismissed as a sign of weakness or something that can be prayed away.
Growing up, many South Africans heard phrases like:
“You’re just being lazy.”
“You need to toughen up.”
“Black people don’t get depressed.”
Such misconceptions create barriers to diagnosis and treatment, leaving many people to suffer in silence. According to a 2019 study by the South African Depression and Anxiety Group (SADAG), up to 75% of South Africans who need mental health support do not receive it a gap that is particularly evident in black communities.
Robertson shares how she dismissed the possibility of having ADHD for years because it was never discussed in spaces where she saw herself represented. This is a common experience for many black individuals who struggle with mental health conditions but lack culturally-relevant resources and support.
The South African healthcare system, while improving, still struggles to provide accessible mental health services. Public hospitals have long waiting lists and private care is too expensive for the majority of the population.
Moreover, many mental health professionals are not trained to recognise certain disorders in black individual, leading to misdiagnoses or a complete lack of diagnosis.
For example, ADHD is often overlooked in black children and adults. Instead of receiving proper support, many black children are labeled as “naughty” or “difficult,” and black adults are dismissed as being “irresponsible” or “disorganised.”
This lack of awareness and research exacerbates the issue. A 1997 study found that only 16 of thousands of ADHD-related articles addressed African-American youth. More than two decades later, similar disparities still exist in South Africa, where most mental health research is based on Western models that do not account for cultural differences.
Why representation matters
One of the biggest steps in addressing mental health disparities is representation. When black individuals see professionals, researchers and advocates who share their experiences, it helps validate their struggles and encourages them to seek help.
Thankfully, initiatives like NAMI’s Community Health Equity Alliance (CHEA) are working to amplify black voices in mental health research and advocacy. By centering lived experiences, they are helping to bridge the gap between mental health awareness and actual care.
In South Africa, organisations like SADAG, Mental Health Matters SA and various community-based initiatives are fighting to make mental health resources more accessible and culturally relevant.
How to prioritise your mental health
If you or someone you love is struggling with mental health, here are some steps to take:
1. Educate yourself
Follow mental health advocates on social media.
Read up on conditions like depression, anxiety and ADHD, especially in black communities. Listen to podcasts and watch documentaries that explore mental health from an African perspective.
2. Seek professional help
Find a therapist or psychologist who understands your cultural background.
Utilise free or affordable resources like SADAG or October health.
If private therapy isn’t an option, look for online support groups or community-based counseling services.
3. Normalise conversations about mental health
Talk openly with family and friends about mental health.
Challenge harmful stereotypes and encourage loved ones to seek support.
Remember that therapy is not just for “crazy” people it’s for everyone who wants to heal and grow.
4. Take care of yourself daily
Prioritise sleep, healthy eating and physical activity.
Practice mindfulness, meditation or journaling.
Set boundaries to protect your mental and emotional well-being. The future of mental health in black communities.
Change is happening
More black South Africans are recognising that mental health is just as important as physical health. With increased awareness, representation and advocacy, we can create a future where no one feels invisible in their mental health journey.
Stephanie Robertson’s story is a powerful reminder that mental health conditions do not discriminate but access to care does. By continuing these conversations and pushing for systemic change, we can ensure that mental health care is inclusive, representative, and accessible for all.
Need Help?
📞 SADAG 24-Hour Mental Health Helpline: 0800 567 567
📞 Lifeline South Africa: 0861 322 322
📞 South African Suicide Crisis Helpline: 0800 567 567