I was sitting in the group room at my intensive outpatient program. I had just finished recounting an incident where I believed a security officer had been following me, but the person with me at the time had disagreed and said we weren’t being followed.

The head psychologist said “Your goal this week should be letting in alternative theories to your paranoia. It isn’t likely anyone is following you.” I said “What do you mean? How can I trust someone else’s perspective over my own, especially when that someone is white?” Another person spoke up, suggested increasing my anti-psychotics.

I looked around the room at the other patients and the professionals in group with me. I was the only Black person there.

I’m mentally ill, and sometimes I’m paranoid, and sometimes I’m delusional.

I’m Black, and I’m more likely to be followed around by security, or have negative interactions with the police. The racism in this world is real, and it can affect me.

I’m mentally ill, and sometimes I have persecutory delusions, and there wasn’t any drugs in my orange juice or bugs living in my arms even though I was convinced there were.

I’m Black, and I’m mentally ill. And that intersection has never been acknowledged online or in therapy. That intersection makes us more vulnerable to abuse, domestic violence, and police brutality.

Black schizo-spec people face challenges that others don’t. We are more likely to be be labeled as dangerous and violent and be disbelieved when we share about how racism has impacted our lives, among many other things. That makes it harder for me to trust others- not to mention that difficulty trusting others is a symptom.

Was I being followed that day? I wish I had an answer, but I don’t know. Maybe I was, maybe I wasn’t. But that isn’t the point.



A simple search will tell you that schizophrenia is more readily diagnosed in Black patients than in white (source), and some say it is overdiagnosed.

But where are the positivity posts for Black people with stigmatizing disorders?

Where is the positivity for the Black schizo-spec people trying to figure out what level of fear and suspicion towards the police is reasonable and what is a symptom? Where is the positivity for Black schizo-spec people who have everything blamed on their diagnosis while their other mental health problems get ignored? Where’s the positivity for Black schizo-spec people who distrust the medical professionals they deal with, who have ugly symptoms, who are pigeonholed as dangerous?

We have died because we are Black and schizo-spec. Remember those of us who have been murdered or attacked.

And? Don’t forget to include us in your activism while we are living.

(ok to rb)