Does Race & Culture Impact Mental Health Treatment?

Does mental health treatment work the same for everyone? The answer is more complicated than many people realize. In this episode, host Gabe Howard is joined by Stephanie Robertson, J.D., Director of Mental Health Equity at NAMI, and Dr. Nicole Washington, psychiatrist and President-Elect of the Black Psychiatrists of America, for an honest conversation about mental health equity, cultural identity, and why representation matters in behavioral health. Rather than focusing on politics, this conversation centers on practical realities: how clinicians can better understand the people they serve, why patients deserve care that reflects their experiences, and how open conversations can reduce stigma while improving access to treatment. Listeners Will Learn: How implicit bias can affect healthcare decisions even when providers have good intentions Why mental health equity means providing care that meets people's unique needs—not simply providing identical care for everyone Why difficult conversations about mental health, culture, and bias are necessary to improve outcomes Why representation helps people feel understood, respected, and more willing to seek treatment If you've ever wondered why diversity in mental health care matters—or how to achieve it—this episode explores why increasing diversity among mental health professionals isn't just about representation; it's about improving care, expanding access, and creating a mental health system that works better for everyone. Cold Open Transcript: “Being misdiagnosed happens so often to people of color, to women. It's about understanding what people have experienced throughout their lives, not just because of being a person, but because of being a black person, because of being a woman, because of growing up in a large family, because of growing up in the South. You know, there are just things that are culturally and/or the nuances of how you grew up and what you were exposed to makes such a difference.” ~Stephanie Robertson, Director of Mental Health Equity at the National Alliance on Mental Illness (NAMI) Our guest, Stephanie Robertson, is the Director of Mental Health Equity at the National Alliance on Mental Illness (NAMI), where she advances access to community-informed and culturally responsive mental health care. She partners with the NAMI Alliance and community-based organizations to address structural barriers to equitable care. Stephanie holds a BA from Duke University and a JD from Georgetown University Law Center. Her professional background spans corporate law, higher education, and diversity, equity, and inclusion leadership. Outside of work, she enjoys jogging, crafting handmade jewelry, and spending time with her mini Goldendoodle, Indie. Our guest, Dr. Nicole Washington, is an ABMS board certified psychiatrist and the Chief Medical Officer of Elocin Psychiatric Services, a primarily virtual practice where she focuses on the mental health needs of women and the busy professional. Dr. Washington also serves as President-Elect of the Black Psychiatrists of America, Inc. Dr. Washington has spent most of her career caring and advocating for people who aren't typically consumers of mental health services, namely underserved communities and high-performing professionals. Our host, Gabe Howard, is an award-winning writer and speaker who lives with bipolar disorder. He is the author of the popular book, "Mental Illness is an Asshole and other Observations," available from Amazon; signed copies are also available directly from the author. Gabe is also the host of the "Inside Bipolar" podcast with Dr. Nicole Washington. Gabe makes his home in the suburbs of Columbus, Ohio. He lives with his supportive wife, Kendall, and a Miniature Schnauzer dog that he never wanted, but now can’t imagine life without. To book Gabe for your next event or learn more about him, please visit gabehoward.com.