The underrepresentation of Black men and Black women in primary mental health services, juxtaposed with their overrepresentation in secondary mental health services, highlights a disparity rooted in sociopolitical historical contexts. This phenomenon reflects the complex interplay of mental health complexities and coping mechanisms amidst systemic inequalities and societal pressures within the Black community. Despite extensive research in the US, there is a notable gap in understanding these issues within the UK. This thesis explores the façade often maintained by Black men and women to navigate their emotional distress within the UK context. In this context, the focus is on those who are racialised as Black.

Part A of this portfolio presents an empirical paper investigating emotional distress from the perspective of Young Black Men. It explores societal expectations of Black masculinity and internalised pressures prompting these men to perform stoicism and resilience to their audience and mask their struggles. This paper aims to unveil the complex layers of Black masculinity and emotional distress and explore the pathways towards support and empowerment. Part B presents a conceptual review focused on the Strong Black Woman schema and its impact on Black women’s interactions with healthcare services, especially regarding mental health support. By dissecting these narratives, it reveals the hurdles Black women face when seeking and receiving healthcare, shedding light on the systemic barriers they encounter. This review is not just about analysis but empowering Black women, validating their experiences, and amplifying their voices beyond pathologised narratives.

Together, these papers examine the mental health experiences of Black men and women. By amplifying their voices and experiences, this portfolio seeks to contribute to a broader discussion surrounding mental health equity and empowerment within Black communities.