Meeting someone who understands where you are coming from, culturally, ethnically, or just identity-wise, can be challenging. Therapy is supposed to be a safe space for all people, but members of marginalized communities often find that they have to repeat context to their therapist over and over.
When a therapist is cognizant of the cultural background, identity, and life experiences of their patient, then it is way easier for them to feel seen and heard, and they can actually make progress. For example, seeking mental health support from Black female psychologists in Johannesburg can offer visibility and cultural resonance for a client with a similar background.
The Importance of Cultural Competence
Culture influences how we articulate our issues, what we desire from care, and how we understand mental health. For some cultures, mental illnesses are perceived spiritually and communally.
They will have seen a traditional healer or their family before going to therapy. When a therapist ignores these realities, unintentionally they are negating your story. When a person’s culture is neglected, they may feel misunderstood or judged by the therapist.
How to Identify Signs of Cultural Competence
A therapist does not need to share the same background as you; they can still demonstrate an awareness of cultural issues and a willingness to adapt their methods. A culturally competent therapist will ask you about your background and identity.
It is to understand where you’re coming from. They will be more open to learning about you instead of assuming authority, which ensures that the therapy aligns with your lived experiences.
Finding a Therapist
Most psychologists do have some kind of profile or website and looking through it can give you hints about their cultural competence. Seek references on training for multiculturalism or ongoing education regarding cultural competence and inclusion.
If so, see if they appear in directories promoting diversity therapists. You can also ask your friends or family for recommendations if they have a good experience with a therapist.
Questions to Ask a Therapist
When you contact a therapist, don’t be afraid to ask direct questions to determine if they are the right fit for you. For example: “How familiar are you with my culture and background?” or “Can you share your experience working with people with a similar identity?” You can also ask how they personalize their sessions based on cultural context or how they assess whether therapy is appropriate for you.
A culturally competent therapist will answer these questions honestly and may suggest another provider who is better suited to your needs.
Take time to do some research. Compare at least two or three therapists. Ask for phone or online consultations if you can’t travel to appointments.
Notice how they respond when you raise cultural concerns and gauge whether they stay curious or become defensive. Be prepared to ask follow-up questions until you feel confident in your choice.
What to Do if You’re Uncomfortable
Your therapist can provide a safe space for you and listen without assuming, even if they don’t share your identity. This requires them to examine their biases and be willing to consult if they are not in their area of expertise.
On the other hand, if you feel misunderstood after a few sessions, that is a sign to seek out another therapist.
However, exchanging therapists is not so rare, and it is OK to do so. Requesting a referral is not indicative of any failure on your part. To get suitable psychological care, you will have to advocate for what you want. The role of a good therapist will be to encourage that.
Although there is an argument to stick with a provider for a while to see if you connect with them, finding the right provider is much more important because if the therapy you are receiving is culturally and contextually responsive to you, you are more likely to remain engaged in the process, work through trauma, and feel validated.
Conclusion
A culturally competent therapist does not need to be someone whose race, gender, sexual orientation, age, status, ethnicity, religion, class, etc. is the same as yours.
They are not going to force their ideas into your home, so in a way you need them to respect your personal space or the things that you would like to stand by.
They ought to ask intelligent questions and modify their approach as they learn. For people from marginalized communities everywhere, this kind of care is necessary, especially in a country as diverse as South Africa. It can make a difference to take your time to find the right therapist for you.
