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Online Museum of African American Addictions, Treatment and Recovery

  • Home
  • Museum History
  • Blog
  • Free Scholarly Articles
  • Dissertations
  • Historical Pioneers
  • Rising Stars
  • Thurston Smith Advocacy Award
  • Books
  • Podcasts
  • Free Workbooks
  • Leadership Interviews
  • Hall of Fame
  • Trainers
    • Roland Williams
    • Delbert Boone
    • Marc Fomby, CEO
    • Alfred Coach Powell
    • Cherie Hunter
    • Micheal Johnson, MSW
    • Lonetta Albright
    • Fred Dyer
    • David Whiters
  • Scientists
    • Carl Hart
    • Andrea Barthwell
    • Carl Bell
    • Benny Primm
    • Lydia Muyingo
    • Monica Webb Hooper
    • Ijeoma Opara
    • Renee Cunningham-Williams
    • H. Westley Clark
    • Michael V. Stanton
    • Renee M. Johnson
    • William A. Cloud
    • Allecia Reid
  • Dr. Carl Bell
  • Dr. Fred Dyer
  • Adolescent Corner
  • Educational Videos
  • History of A.A.
  • Movies
  • Songs
  • Celebrities In Recovery
  • Gone Too Soon!
  • DREAMS CUT SHORT
  • Story of the Month
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  • Black Temperance Movement
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  • Acknowledgments
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Black Don't Crack on the Outside. It Sure Cracks on the Inside! (Racism as a contributing Factor)

May 21, 2025 Mark Sanders

The three photos of rapper MC Lyte taken between ages 20 to 54 were posted on Facebook and the most common response by thousands of followers were, "She looks younger at age 54. It’s the melanin in our skin that keeps us looking so young. Black don't crack."

While Black might not crack on the outside, studies by the Center for Disease Control (CDC) suggests that black can crack on the inside and racism is a major culprit! According to the CDC, racism contributes to physical and mental health disparities among African Americans. Racism increases rates of cardiovascular disease, obesity, heart disease, high blood pressure, inflammation, asthma, depression, anxiety disorders, eating disorders, psychosis, other chronic medical conditions, and premature death (CDC 2019 research review).

Substance Use as Medicine

Many African Americans use alcohol and other drugs to cope with racism which produces medical complications of its own, including premature death.  Below are other ways of coping and thriving.

Coping and Thriving

Below are ways African Americans have been able to thrive in the midst of racism. While each method may not work for everyone, perhaps you can find what works for you.

  • Having a tribe to talk with about racism. This can include an inner circle of other African Americans whom you don't feel the need to censor your words. This tribe listens non-judgmentally and you benefit from the me too experience when you talk with them.

  • Social Activism. Studies by a Harvard sociologist found that tragedies like the murder of George Floyd can impact the mental health of the entire Black community and community activism can serve as a mental health protective factor.

  • Seek Therapy. Preferably from a culturally responsive therapist. Studies show that African Americans stay in therapy longer when working with Black therapists and they make more progress.

  • Strengthen Racial Identity. Studies indicate that African Americans who have a positive racial identity are more likely to have greater self-esteem, fewer symptoms of depression and are less likely to internalize racism. 

  • Reading and Writing. Reading books about African Americans who have thrived in the midst of racism can be helpful. Some African Americans have used racism as fuel for greatness and history making! This includes: Harriet Tubman, Frederick Douglass, W.E.B. Dubois, Jackie Robinson, Jessie Owens, Angela Davis, Dr. Martin Luther King Jr., Coretta Scott King, Shirley Chism, Rosa Parks, Malcolm X, President Barack Obama, Michelle Obama. Journaling about your experiences with racism and your methods of coping with it can also be helpful. It you journal enough; your writings could one day become a book which could help others.

  • Humor. Laughter is good for the soul! Listening to your favorite comedians during racially trying times can be quite helpful.

  • Creative Outlets. The book My Grandmother’s Hands highlights how racialized trauma lodges itself within black bodies. Somatic experiences such as movement and dance can remove some the trauma from the body. Music from blues to hip-hop has helped African Americans deal with racism and thrive.

  • Spirituality and Religion. Many African Americans find church fellowship, community, worship, and prayer helpful in coping with a racist society. Others find spiritual practices such as walking in nature, meditation, and mindfulness practices to be quite helpful as well.

Tags racism, African Americans, mental health, medical health, substance use

Celebrating Dual Recovery in African American Communities

September 8, 2023 Mark Sanders

September is National Recovery month. In honor, there will be marches, parades and other celebrations of substance use disorders recovery. African Americans have caught the spark of recovery month and have joined the rest of the country in celebrating this sacred month. While research indicates that substance use disorders and mental illness overlap at the rate of 50-70%, little attention is paid to mental health recovery.

This post is meant to encourage African American communities to also celebrate mental health recovery. Because of historical trauma, as a community we have our fair share of PTSD, complex trauma, depression, anxiety disorder, and ADD. According to Dr. Joy Degruy, we also suffer from a condition she calls Post Traumatic Slavery Syndrome as a result of 400 years of historical trauma,

So let us march and celebrate mental health recovery in African American Communities! This visibility could help reduce the stigma of mental illness in African American communities. Once mobilized we could also form African American mental health advocacy movements. This movement could fight for treatment as an alternative to incarceration, Medicaid expansion, an increase in mental health services in African American communities, and the need for more African American mental health professionals.

Tags African American, mental health, recovery month, celebration

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