Applying a Black Queer Feminist Mental Health Framework to Explore the Experiences of Black Queer Women and Nonbinary People Living with Mental Distress

Black queer women and nonbinary people (BQWNB) living with mental distress are an important sub-group in the Black community in need of greater attention in mental health research. However, the majority of health research about the Black community focuses on Black cisgender men who have sex with men and people who have or are at risk of having HIV/AIDS. To expand the knowledge about BQWNB, I applied critical and transformative approaches to understand mental distress. Using a Black queer feminist mental health framework and transformative healing justice lens, this phenomenological qualitative study set out to explore and describe how BQWNB living with mental distress navigated their mental health and wellbeing with a sample of 17 participants. Data were collected using one-on-one audio-recorded semi-structured interviews. There were three major findings that emerged from participants’ narratives: (1) contributors to mental distress, (2) impacts of mental distress, and (3) positive responses to mental distress. Contributors to mental distress included individual and collective trauma experiences, embodying strength and independence, and experiencing stereotypes about their sexual and multiracial identities. The impact of mental distress resulted in lowered quality of life and reported self-harmful thoughts and behaviors. Finally, positive responses to mental distress included body, mind, and spirit and community-centered responses as well as resistance to cultural norms and expectations and non-disclosure as a form of self-preservation. These findings led to an integrative (not) being-in-distress framework and a new critical approach to mental health and healing that informed anti-oppressive social work research, practice, and education.