Former First Lady Michelle Obama Reveals Anxiety and Depression Amplified by Pandemic and Racial Strife
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Former First Lady Michelle Obama Reveals Anxiety and Depression Amplified by Pandemic and Racial Strife

In the August 5, 2020 edition of The Michelle Obama Podcast, with guest Michele Norris, former host of NPR’s All Things Considered, the former First Lady disclosed something we have not heard from her before: “I know that I am dealing with some form of low-grade depression. I’m waking up in the middle of the night, because I’m worrying about something or there’s a heaviness… Spiritually, these are not …fulfilling times.”

I have long admired the strength, intelligence, and grace of Michelle Obama, and am glad to hear her speaking up about these issues. She openly addressed the stigma and isolation regarding mental health struggles, something many of us can relate to at this moment. It is particularly helpful to me that Michelle Obama was willing to share something so personal, as it creates a sense of humanity and connection. Our fears are real and there are no pat answers to diminish them.

Senator Cory Booker

By now, most of us have heard the warnings about mental health issues arising from the pandemic. The U.S. Census found one in three Americans are facing anxiety or depression as compared to one in ten a year ago. The American Medical Association recently reported that nearly four in ten people say worry and stress from COVID-19 have had a negative impact on their mental health. American Psychological Association Associate Director for Practice Research and Policy Lynn Bufka discussed the particular problems Americans are facing: “Of course, people are going to feel some degree of stress right now. This is a new situation… We don’t have a roadmap. We don’t know where to go with this. Of course, any time we’re faced with that level of ambiguity and uncertainty, it can be stressful for individuals.”

Michelle Obama points out that for Americans of color, the stress is compounded by other concerns as well: “Not just because of the quarantine, but because of the racial strife, and just seeing this administration, watching the hypocrisy of it, day in and day out, is dispiriting.”
Many Americans are beginning to realize that long-established and systemic racism is part of our country’s makeup.

Public figures such as New Jersey Senator Cory Booker have disclosed that they have directly experienced effects of racism: “I mean, look, I’m still very conscious when I’m not dressed like a senator, and even when I am, that I still could be one misunderstanding away from a very bad incident… And I almost feel – and it’s not the best word – but I almost feel a sense of shame that, here I am, 30 years of adulthood since Rodney King, and the lessons that I got in my teenage years from African American adults who wanted to make me afraid of police for my own safety, who wanted to teach me coping mechanisms, I feel just a sense of profound regret that I’m having to have those conversations with young black men in my life, my mentees or my nephews. And that is really hurtful to me, that we’ve had three decades since that horrific beating of a Black man who was so demonized, so stripped of his humanity.”
Nearly 90% of Blacks believe that racism is prevalent, harmful, and real. One in four Black Americans will experience an anxiety disorder. Black parents have come forward to not only express their own fears, but also their anxiety about their loved ones’ safety. They must warn their children about dangers that many white Americans simply cannot understand.

It has been well established that Black Americans carry higher risks for chronic health conditions like heart disease, diabetes, and high blood pressure. Racism, however, is rarely mentioned in connection with this. Experts have studied the biological and psychological effects of racism on people of color for over thirty years and have found effects on blood pressure, heart rate, blood flow, and muscle tone. In 2003, Dr. William A. Smith, Professor in Education and Ethnic Studies (African American Studies Division) and Department Chair, University of Utah, coined the term “racial battle fatigue,” which describes anxiety and worry, hypervigilance, headaches, increased heart rate and blood pressure associated with chronic exposure to racism.While recurring news stories and images of racially charged violence is upsetting to all, the levels of stress experienced by Black Americans is immense and each new incident reverberates down a long hallway of painful memories. To be afraid to walk home from your job or that your child will experience

Driving While Black or Running While Black is unique for Blacks and there are no easy fixes. Many recent studies and interviews have indicated the serious consequences of this stress: “Racism is considered a fundamental cause of adverse health outcomes for racial/ethnic minorities and racial/ethnic inequities in health” (Williams, Lawrence, & Davis, 2019). Racial Trauma can involve a “negative, sudden, and uncontrollable experience or crisis.” Alternately, it can involve an “ongoing physical or psychological threat that produces feelings of fear, anxiety, depression, and helplessness” (Ponds, 2013)Senator Booker points out that the impact of systemic racism goes far beyond direct violence: “The violence against Black people is not just what we witness with George Floyd. It’s that race is still the biggest indicator of whether or not you are going to live near a toxic site, breathe dirty air, drink dirty water. Racism is the most profound indicator of what kind of education you get, about how economically fragile your family might be, about whether you’re food insecure.”

Then there’s the Pandemic. NPR’s May 2020 analysis finds that in 32 states plus Washington D.C., African Americans are dying from COVID-19 at rates higher than their proportion of the population. “In 21 states, it’s substantially higher, more than 50% above what would be expected. For example, in Wisconsin, at least 141 African Americans have died, representing 27% of all deaths in a state where just 6% of the state’s population is Black.”

At the same time, it is positive that public figures like Michelle Obama and Cory Booker are speaking out about their personal experiences. We can learn a lot by listening to them. As clinical psychologist Lisa Firestone, PhD, says, we must “refuse to allow this subject to fall back in the shadows.”

Resources

Berg, Sara.  Physician Health.  American Medical Association, June 2020https://www.ama-assn.org/practice-management/physician-health/39-say-coronavirus- stress-worry-taking-mental-health-toll

Burford, T. I. (2009). “Structural racism, cardiovascular activity, and affect: The role of rumination and personality.” Unpublished Dissertation.

Burke, Minyvonne.  “Video Appears to Show Georgia Man Shot while Jogging.” NBC News. https://www.nbcnews.com/news/nbcblk/video-appears-show-georgia-man-shot-while-jogging-lawyers-call-n1201301

“Coping with Stress”. Center for Disease Control and Prevention, July 2020 https://www.cdc.gov/coronavirus/2019-ncov/daily-life-coping/managing-stress-anxiety.html

Corasanati, Nick.  Cory Booker on Newark Pride, Black Lives Matter, and ‘this Distraught

Present’ New York Times. 3 June 2020. https://www.nytimes.com/2020/06/13/us/politics/cory-booker-racism-black-lives-matter.html

Driving While Black: Racial Profiling. ACLU https://www.aclu.org/report/driving-while-black-racial-profiling-our-nations-highways

Erdelyi, Karina Margit.  “Can Trauma be Passed from one Generation to the Next?” https://www.psycom.net/epigenetics-trauma

Firestone, Lisa.  The Trauma of Racism.  Psychology Today, 4 June 2020. https://www.psychologytoday.com/us/blog/compassion-matters/202006/the-trauma-racism

Graham, Jessica, et al. “Americans: A Mindfulness and Acceptance-Based Coping Approach.” Anxiety.Org. https://www.anxiety.org/black-americans-how-to-cope-with-anxiety-and-racism

Godoy, Maria and Daniel Wood.  “What Do Coronavirus Racial Disparities Look Like State by State?” NPR, May 2020. https://www.npr.org/sections/health-shots/2020/05/30/865413079/what-do-coronavirus-racial-disparities-look-like-state-by-state

LaFreniere, Sharon and Andrew W. Lehren. The Disproportionate Risks of Driving While Black. 24 October 2015. The New York Times. https://www.nytimes.com/2015/10/25/us/racial-disparity-traffic-stops-driving-black.html

Harrell, J. P., Hall, S., Taliaferro, J. (2003) Physiological responses to racism and discrimination: An assessment of the evidence. American Journal of Public Health 93, 243-248.

Oh, Inae. “Michelle Obama’s Show of Vulnerability Is a Balm For Millions.  Naturally, the Right is Throwing a Fit.” Mother Jones. 7 August 2020

“Speaking of Psychology: Managing Your Mental Health  During Covid-19 with Lynn Bufka” American Psychological Association.  https://www.apa.org/research/action/speaking-of-psychology/covid-19-mental-health

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