Unseen and unspoken: mental health and self-image in multicultural communities
By Lucy Tyson

For many, the way we see ourselves is intricately tied to how we feel inside. When mental health struggles go unspoken, self-image can suffer, leading to a cycle of silence and shame. Breaking that silence is not just about individual healing; it’s a collective act of empowerment.

Cultural barriers and challenges

In many communities, mental health is still a taboo topic. It can be seen as a sign of weakness or something shameful to hide. 

This silence can be particularly strong where traditional values emphasise resilience, family honour, and emotional self-reliance.

According to Mind, Black and Black British women are more likely to experience common mental health problems, with 29% reporting issues such as anxiety and depression, compared to 21% of White British women. 

Around 15-20% of South Asian women report symptoms of anxiety and depression, similar to or slightly higher than the general population (NHS Digital). 

Black women are also more likely to experience post-traumatic stress disorder (PTSD), with 8% reporting symptoms, compared to 4% of White British individuals.

These cultural expectations often place enormous pressure on women to “be strong” and present a perfect image to the world. 

This pressure can make it difficult to acknowledge feelings of anxiety, depression, or self-doubt, especially when those feelings are linked to identity or appearance.

Furthermore, women navigating multiple cultural spaces may face conflicting messages about beauty and worth. Mainstream media often upholds Eurocentric standards that don’t reflect the diversity of skin tones, hair textures, and body shapes within multicultural communities. 

This disconnect can cause feelings of exclusion and low self-esteem, reinforcing harmful narratives about self-worth.

The impact on self-image

Self-image is deeply connected to mental health. When women internalise societal pressures or experience microaggressions related to race, hair, skin, or body, it can lead to negative self-perception and mental distress.

Many women describe the toll of balancing cultural pride with the desire for acceptance in broader society. This balancing act can fuel insecurity and even self-rejection. 

Without open conversations and visible role models who reflect diverse experiences, feelings of isolation can grow.

Approximately 16% of Latinx adults report experiencing mental illness annually (NAMI). As reported, Latinx populations face barriers, including lack of insurance, language, and cultural stigma, resulting in underutilisation of mental health services (CDC).

Representation and support

Representation matters not only in beauty standards but in mental health awareness. 

According to the Mental Health Foundation, Black women are less likely to seek professional help for mental health concerns. Approximately 20% report not seeking help for low mood or depression during the perinatal period.

South Asian women are also less likely to access mental health services compared to White British women, partly due to stigma and cultural barriers (Mind UK).

Seeing diverse stories in media, literature, and public discourse helps validate experiences and encourages others to seek help.

Community support networks, online groups, and culturally sensitive mental health resources are increasingly available, offering safe spaces for women to share their journeys and access care without judgment.

Wellness strategies for breaking the silence

Breaking the stigma around mental health begins with conversation. Starting small and talking openly with trusted friends or family members can dismantle shame and foster support.

Self-care practices tailored to cultural values can also support healing. 

This might include meditation, traditional wellness rituals, creative expression, or spiritual practices that nurture both mind and body.

Seeking professional help is a vital step. 

Culturally competent therapists who understand the unique challenges faced by multicultural women can provide crucial support in rebuilding self-image and mental resilience.

Moving forward together

The silence around mental health and self-image is breaking slowly but surely. Every conversation, every shared story, chips away at stigma.

For multicultural women, reclaiming mental well-being is an act of resistance and empowerment, a way to affirm that we deserve to be seen, heard, and loved exactly as we are.

For help on mental health click here.

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