Starting therapy is a big step, and for many, it’s a vulnerable leap into the unknown. For those of us from Black and minority ethnic communities, the journey to therapy can feel even more daunting when the professionals available don’t reflect our cultural background, experiences, or identities.
As a Black British counsellor from Afro-Caribbean heritage, born and raised in Hackney, East London, I understand the challenges faced by those who don’t see representation in the mental health field. I also understand the immense courage it takes to begin therapy despite these obstacles. This blog is for anyone wondering how to take that first step when it feels like the system wasn’t built with you in mind.
Representation matters in every aspect of life, but in therapy, it can be especially important. When clients see therapists who share their cultural background, it can foster trust and understanding from the outset. For many in Black communities, therapy can feel inaccessible because of the perception that counsellors won’t understand our experiences of racism, cultural identity, or the nuanced dynamics within our families and communities (British Psychological Society, 2020).
But what happens when you don’t have access to a therapist who looks like you or shares your cultural heritage? Is therapy still worth pursuing? The answer is yes. While representation enhances the therapeutic relationship, it’s not the only factor that determines whether therapy can work for you.
Before starting therapy, take some time to think about what you want from the process. Are you seeking support for specific issues, such as anxiety or depression? Do you want to explore your identity, family dynamics, or cultural experiences? Identifying your needs will help you find a therapist whose approach aligns with your goals, even if they don’t share your background.
Most therapists offer an initial consultation, which is an opportunity for you to ask questions and gauge whether you feel comfortable with them. Use this time to ask about their experience working with clients from diverse backgrounds or their understanding of cultural issues. A good therapist will listen without judgment and be open to learning from you.
Questions to consider include:
Even if a therapist doesn’t share your background, they can still provide effective support if they’re culturally competent. Culturally competent therapists are those who actively educate themselves about diversity and are sensitive to the unique experiences of their clients (Mind, 2020).
You can search for therapists who explicitly mention cultural sensitivity in their profiles. Organizations like the Black, African, and Asian Therapy Network (BAATN) or the British Association for Counselling and Psychotherapy (BACP) often highlight therapists who specialize in diversity.
While cultural understanding is important, it’s also worth remembering that therapy is a relationship built on empathy, trust, and connection. A skilled therapist, regardless of their background, will prioritize creating a safe space where you feel heard and validated. The shared humanity between client and therapist can be a powerful bridge, even in the absence of cultural similarity (Royal College of Psychiatrists, 2021).
If you’re struggling to find representation locally, consider online therapy. Digital platforms expand your options, allowing you to connect with therapists from different parts of the country or even internationally. Additionally, group therapy or support groups focused on Black mental health can provide community and solidarity.
Many people worry that a therapist from a different background won’t understand their experiences. It’s okay to voice this concern during sessions. A good therapist will be receptive and willing to explore how their own biases or blind spots might affect the process.
It can feel exhausting to educate a therapist about your culture or experiences of racism. While this is valid, remember that therapy is your space. You are not obligated to explain your entire cultural history; instead, focus on what feels most relevant to your healing.
Therapy can be expensive, and private therapy may not always feel accessible. Consider exploring charities or community organizations that provide low-cost counselling, such as Mind in Hackney or culturally focused initiatives like BAATN.
Despite the challenges, therapy can be a transformative journey. In my practice here in Hackney, I’ve seen how powerful it is when clients allow themselves the space to process their emotions, challenge old patterns, and embrace new perspectives. Even when representation isn’t available, healing is still possible.
If you’re considering therapy, I encourage you to take that first step. Advocate for your needs, ask the difficult questions, and trust that you deserve support, even if it means navigating a system that doesn’t always reflect your identity.
Hackney has changed since my childhood, but the diversity and resilience of its people remain its heartbeat. The same resilience that has sustained our community can guide you as you take this step toward your mental health.
These resources provide further information on navigating therapy and the importance of diversity in mental health. Remember, while representation is ideal, healing can happen in spaces where empathy, understanding, and trust are prioritized.