Dismantling Stigma: A Call for Culturally Conscious Mental Health Resources

by Lekha Pathapati
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The first time I went to my university’s counseling services office, I saw a friend whom I met through the Hindu Student Association. Crouched in the corner of the room, he was hurriedly filling out the patient paperwork while his eyes darted around the room to ensure his presence went unnoticed. Amidst one of his cursory glances, our eyes met and his immediately widened with concern. I mustered a smile, but he responded by rushing out of the office with his head down.

The following weekend, we bumped into each other at a bar on campus.

“Hey, I’m sorry for being weird that day… you know… in the Union,” he stuttered.

“No worries!” I shrugged in response, noticing his aversion in mentioning the name of the counseling office.

“Could you just do me a favor and not mention to anyone that you saw me there?” he continued trepidly.

“Of course,” I assured him, and watched as he headed back into the crowd of seniors dancing their Friday night away.

To anyone raised in a South Asian community, this interaction likely comes with little surprise. Despite significant increases in campus mental health initiatives and more college students than ever before seeking counseling, minority students still remain the least likely demographic to utilize mental health resources. South Asian-Americans between the ages of 15 and 24 are more likely to experience depression and anxiety when compared to their peers. South Asian women remain one of the most vulnerable populations to self-inflicted harm. These figures aside, the exceedingly limited research on the diagnoses and treatment of mental health conditions in South Asian patients reveals an ignored demographic in which mental illnesses are largely unrecognized due to a longstanding stigma.

Frequently, the rationale for this stigma points to the pressures that accompany the “model minority” stereotype; however, this label is an innately westernized typecast which attempts to homogenize all South Asian immigrants. While it is true that children of immigrants have a heightened susceptibility to the challenges associated with their family’s assimilation into western society, this account alone lacks consideration of cultural and religious complexities that contribute to the taboo nature of mental illness.

[Read Related: How the ‘Model Minority Myth’ Hurts Us All: A Brown Girl’s Perspective]

Many of the cultural rationales for the stigma surrounding mental health fall under an overarching emphasis on resilience. In the Hindu holy saga the Mahabharata, warriors are quite literally forbidden to shed a tear or react to pain so as to uphold their caste status, while some historical Islamic texts have understood mental and behavioral dysfunction to be a test of will surrounding one’s relationship with God. In Sri Lankan, Pakistani, Bangladeshi and Indian cultures, these religious accounts permeate into these communities’ view of medical conditions as personal shortcomings. This translates into a proclivity towards silence that is reinforced by the communal nature of South Asian interpersonal networks and the resulting fear of tarnishing one’s izzat, or familial honor.

A lack of awareness for these and other cultural facets can diminish the quality of psychological care specifically when it causes mental health professionals to counsel under a generalized, American impression of the “Asian” immigrant experience. Despite evidence showcasing the effectiveness of culturally conscious psychological interventions, there is a 65% nationwide disparity between Caucasian and Asian-American university mental health-care professionals. The impact of these transgressions translates to a virtually nonexistent rate of return for South Asian patients to recurring counseling appointments.

Younger generations have made valiant efforts in creating diversity-centric organizations dedicated to tackling the stigmas faced by South Asians when discussing their mental health. Groups such as MannMukti and Brown in Detroit utilize social media platforms like Facebook and Instagram to feature individuals openly discussing their personal mental health stories. Students have even gone so far as to begin using their respective campus organizations as resources to provide more culturally competent mental health counseling. At UT Austin, a student involved with the campus mosque began a fundraiser to support the eventual on-boarding of an on-site clinical therapist. Students at Earlham College pitched the creation of a multicultural center staffed exclusively by people of color to provide diversified counseling to minority students.

Though there is still progress to be made, this generation has shown nothing short of resilience in creating healthier spaces for South Asians to talk about their mental health.

[Read More: Mental Health and Stigma: Bridging the Generational Gap]


mental health Lekha is a senior at the University of Michigan, originally from Amarillo, Texas, studying Economics and International Relations. When she’s not attempting to solve utility maximization problems, she’s reading Yelp reviews in coffee shops, watching 90’s Yash Raj films, or eating In’ N’ Out burgers. She loves exploring new places and will be traveling for a bit after graduation and before starting work in Fintech, but, in an ideal world, she’d start her own chain of idli and dosa huts across Texas.
By Brown Girl Magazine

Brown Girl Magazine was created by and for South Asian womxn who believe in the power of storytelling as a … Read more ›

Celebrating the Spirit of Eid-ul-Fitr With Meaning and Fervor

Eid-ul-fitr

Eid-ul-Fitr is a special holiday that marks the end of Ramadan — the month of fasting — for Muslims worldwide. Ramadan is a time of gratitude, spiritual focus, forgiveness, celebrating community and helping the needy. Eid-ul-Fitr celebrations mark the conclusion of the holy month of Ramadan.

[Read Related: Tips and Resources to Teach Your Children About Ramadan]

This Ramadan, Brown Girl Magazine had the opportunity to connect with five popular immigrant moms and discuss how they make Eid celebrations meaningful and memorable for their children.

Rubab Bukhari 

Rubab Bukhari is a busy mom of five based in Calgary, Canada. She shared that Eid, for her family, is a day of gathering with loved ones and sharing a delicious meal together as a symbol for breaking fast. “Eid is celebrated as the most joyous occasion where we put up Eid decorations and exchange gifts with everyone in the house. New clothes are made for everyone; the girls get excited about getting henna on their hands and the boys get more excited about receiving their Eidi (gifts/money).” 

 

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While many family traditions are often passed down from generation to generation, these moms have added some newer customs to the Eid celebrations, giving the festival a personal touch.

Nazhah Khawaja

A published author, spoken word artist and dance fitness instructor, Nazhah Khawaja shares how she’s built new traditions with her two children and husband in Illinois, Chicago despite not being exposed to the “Eid flavor” herself while growing up. 

“My sister suggested decorating the house for Eid with the goal of getting the kids in the holiday mood,” she said. Regardless of the exhaustion that followed due to decorating while fasting, Khawaja realized that her sister “was onto something.” She added that “kids are very visual learners and interpreters — the visual display of decorations helps them to feel the festivity more. Forever grateful to my sister for encouraging this tradition that our family has embraced.”

 

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Another new tradition that she has embraced is celebrating Eid festivities with her husband’s family who are non-Muslim. Furthermore, she insists on taking photographs during Eid-ul-Fitr to keep memories alive because one never really knows if the people in the photos will be there next time around. She also includes that the “Eid nap is a must — which means adults are dozing off while the kids are running wild; ample heavenly chaos and beautiful noise.”

Passing down familial customs from her mother, Khawaja remembers a story she had told her of how as soon as the dawn of Eid arrived, the villagers in Pakistan walked down unpaved streets welcoming Eid with a tune: “Mubarak Eid Mubarak/ Mubarak Khair Mubarak/ Saheliyon Eid Mubarak!” Khawaja’s mother used to sing it every time. “Growing up, my siblings and I would sing this tune in our not-so-refined Urdu, giggle at one another, create our own, often goofy lyrics, and even dance silly moves,” she shared.

Janan Sarwar

Meanwhile, Bengali shemai, Kashmiri kheer and ma’amoul are the favorite Eid desserts in Janan’s household! She is the founder and CEO of the publishing company, Global Bookshelves Intl., a pharmacist by profession and a mother of three young girls, based in Louisville, Kentucky. They look forward to dressing up their best for Eid prayers the most.

 

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“We love to create small gift bags for friends and to hand out to small children on Eid day,” Janan shared. 

Ursula Sarah Khan

Likewise, Ursula Sarah Khan who is a mom influencer and an accountant by trade, said that they fill their Eid-themed gift bags with all sorts of goodies like candy, bubbles and pencils. On Eid-ul-Fitr, her eight-year-old son, Ibrahim, distributes these bags amongst the boys after Eid prayers, while her five-year-old daughter, Eliyah, hands them to the girls. 

They also bake Eid cookies together in addition to swapping their Ramadan decor with Eid decor, while still in their Eid pajamas in their Northern Virginia home! 

Blending older traditions with some newer ones, Sarah carries on her mother’s age-old tradition of making sheer khorma — a Pakistani dessert made with vermicelli, milk, dates and nuts — in the morning. 

[Read Related:6 Muslim Content Creators Share Their Favorite Eid Recipes ]

She also explains to her children the importance of Zakat or charity, which is what her mother taught her: “I now take this same approach with my children to ensure they have a deep understanding of the generosity Islam teaches.”

Haffsa Rizwani

Speaking of home and family, Haffsa Rizwani — a Canadian, currently residing in Stockholm, Sweden, as a PhD candidate — said: “Living away from home, Canada, where my immediate family resides, we have a tradition of traveling from Stockholm to my aunt’s house in Oslo, Norway, every Eid. Especially to mark the celebration as a family event for my children.” Together with her aunt, Haffsa’s daughter gets her henna done and goes shopping for bangles! She goes on to explain how Eid-ul-Fitr is an opportunity to not only dress up, but also regain that morning ritual of chai and evenings with games like carrom board; “a game played till my uncle wins.”

As Rizwani so eloquently puts it, “While my children are still quite small, my daughter is now of age to appreciate and understand the meaning of gratitude, blessings, and giving back. She now has the empathy to comprehend the inequalities and injustices in the world. Ramadan is therefore a month of being thankful and making extra duas. Eid is a day of celebration with gratitude and blessings.”

What these moms wish for their children to learn from the spirit of Eid are the values of gratitude, generosity, compassion, togetherness and knowledge. 

By Rumki Chowdhury

Rumki Chowdhury was born in Bangladesh, but grew up in the USA. She has also lived in the UK and … Read more ›

Ramadan is My Spiritual Sanctuary for Healing in a Chaotic World

This story was published as a collaboration between Brown Girl Magazine and Reckon, a national news organization that covers the people powering change, the challenges shaping our time, and what it means for all of us.

This is a special year for Ramadan. For the first time in three years my mosque will fill to capacity, giving my community a chance to rebuild lost connections and overcome heartache. It reminds me of a simple truth: healing comes not when you expect it but when you need it.

For Muslims, Ramadan symbolizes the time of the year in which Islam’s prophet Muhammad first received the revelation of the Quran. Since Islam follows a calendar based on the monthly cycles of the moon, the start of the holy month of Ramadan is determined when a crescent moon is sighted in Saudi Arabia.

The Quran is said to have been received throughout the life of the prophet Muhammad, and Ramadan marks the days it took for him to receive its first verses. When Muhammad received this revelation, it is said that he isolated himself in a cave to reflect and devoted himself to endless worship. In the same way that Muhammad secluded himself to focus on gratitude and prayer, Muslims around the world use the time to distance themselves from daily distractions and focus on spiritual growth through a month of fasting.

Siyam in community

The Arabic word for fasting is siyam which translates to ‘be at rest.’ Abstaining from eating and drinking allows us to take the rest our body and soul so deeply crave and ground ourselves and one another in a physical, mental and spiritual reset.

When I was a child, Ramadan symbolized the one time it was normal to spend your entire weekend in the Mosque. It was my first experience of a sleepover, with pajamas hidden under my abaya and Pakistani kurtas. Beyond the gender divide of the prayer halls, children would take naps on parents laps as the community prayed throughout the night. The Mosque was a beautiful gathering space open to anyone who needed a meal, whether or not they were fasting.

During the pandemic, Ramadan was different. Endless nights in the Mosque filled with prayer and community were scaled down to Zoom hangouts. Programs that were once filled with intimate in-person conversations on the floor of the Mosque, were now faceless squares on a screen, their names barely visible.

[Read Related: How I Create Everlasting Ramadan Memories as a New York City Mom]

The Jummah or Friday prayers that were once so packed with people that the crowd spilled out onto the surrounding grass and sidewalks were conducted in parked cars. The mosque decorated the parking lot for drive-through visitors for the Eid Namaz, and community members waved from a distance to others with the same time slot.

I still remember when a friend’s mother died of COVID-19. What would have been a Janaza or funeral that surrounded the grieving family with community and prayer, turned into a Zoom call. Watching the tears of my friend’s family during the burial services, unable to visit her home and read the Quran together was heartbreaking. 

Even before the pandemic, the world was not always a safe place for me and my community. From my family and I being yelled at to “go back to our country” when we were on vacation, to the looks my mother received when she wore her hijab in public, I understood even as a young child the ways in which Muslims were perceived as outsiders in our own country.

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In many ways the pandemic compounded the islamophobia that my community began experiencing at heightened levels after 9/11.  During Trump’s time in office, the Muslim community—which in the US mostly consists of people who identify as Asian and Black—faced heightened racism and incidents of violence, in part due to misinformation about the coronavirus. In the racial justice uprisings of 2020, Black Muslims—which make up more than 20% of all Muslims in the US—were not only targeted for their race but their religious background. Mosques across the country were vandalized, and continue to experience increased threats to this day. 

Ramadan as a space to heal

These last few years made me realize how badly I craved the sanctuary of my Mosque, and to physically return to a space where I felt safe. I feel relieved and at peace to return back to nights where I am surrounded by familiar faces praying together side by side and breaking our fast without any fear of judgment. 

During Ramadan, I find myself closest to my faith and to myself. Just as the Quranic verse says, “so, surely with hardship comes ease”,  I am reminded of our resilience and how obstacles can be overcome through spaces of community and prayer. 

I believe that the healing we need in the world begins from within. My community needs the sanctuary of Ramadan now more than ever to reflect and rebuild, away from the violence. 

Reckon is a national news organization that covers the people powering change, the challenges shaping our time, and what it means for all of us.

Feature Image courtesy: Aysha Qamar

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By Aysha Qamar

Aysha Qamar is a writer, poet and advocate based in the tri-state area. She currently serves as BGM’s News and … Read more ›

‘The Black Rose’: British Asian Shweta Aggarwal Voices her Truth Against Colourism and the Battle to end her Skin Whitening Cream Addiction

Black Rose

I was a mere 14-year old on the fateful night of 22 April 1993. The night that witnessed black teenager Stephen Lawrence brutally murdered in a racially motivated attack as he waited for a bus. The night that cemented my fear, that the colour of my skin does matter. The same night that confirmed my indifference as a British Asian in the United Kingdom — were we really united? Fast forward to May 25 2020, the murder of African-American George Floyd by a white policeman was the turning point for British Asian author and my lovely friend, Shweta Aggarwal to finally break her silence and narrate her story of colourism, in her new book, “The Black Rose.” 

Aggarwal’s gripping memoir emits so many emotions; that of an awakening, a voice that has been suppressed for years, filled with anger, mistrust and guilt. But most importantly, “The Black Rose” successfully disrupts the narrative that consistently allows society to box someone as indifferent based on a visibility factor. For Shweta, this factor was the colour of her skin. The injustices she consistently endured via some family members and fellow South Asian peers throughout her life, was as a result of her skin tone failing to qualify as ‘acceptable’, or as she often quotes in her book, not ranking high enough on the ‘fairometer.’ Whether she was in India, Japan or London, the scale was never too far behind. 

[Read Related: Liam Neeson’s Week of Rage is Every Person of Colour’s Truth]

Within the first chapter, she recalls as a child in India, the distinct lack of subtlety displayed by certain family members through direct taunts of her duskier appearance in comparison to her parents. She realised that she wasn’t in complete isolation from this prejudice, as her maternal aunt and uncle were also harshly nicknamed on the basis of their skin colour — Kaali (black) and Savla (wheatish). Aggarwal was left mortified by what many South Asians sadly still continue to casually exercise. Echoing similar incidents within my social proximity, it’s infuriating witnessing the recipients of such remarks surrender to laughing at themselves too. 

Except it isn’t funny. Born into a culture where conversations on religion, caste and hierarchy in India are still so prominent, the comparison of Aggarwal’s skin colour being as dark as that of the domestic help (often from poorer families), prematurely planted seeds in her mind that she simply didn’t belong with her family, especially  when she was sent to boarding school. Her lack of self-worth coupled with these taunts, gave her a whole new vocabulary for the letter B, that grew in parallel with the ongoing prejudice and anxiety. B for blackie, beggar’s child, bedwetter! Not funny, but derogatory. Post her book launch that Brown Girl Magazine attended, she tells me,

I personally feel we are way behind when it comes to understanding the importance of mental health. Name-calling was normalised and if you objected, you were ridiculed further with remarks such as ‘So sensitive! Can’t you take a joke?’ Body and colour shaming can lead to a feeling of inadequacy in the victim, which can further lead to depression and much worse mental illnesses.

During the 1984 Hindu Sikh riots in India, where over 3000 Sikhs lost their lives, Aggarwal recollects the frightening moment when she and her classmates fled into hiding to escape the violence during a school trip. As a means to save all the students from harm, the Sikh boys were forced to remove their turbans and long hair — their visible identities stripped to keep them alive. Yet, ironically, even in this horrifying situation, Aggarwal felt least at risk, attributing this self-assurance to her darker appearance. 

The crux of her self-loathe was the love-hate relationship she formed with skin whitening creams. The birth of Fair and Lovely, India’s most renown brand (now known as Glow and Lovely following a backlash) was notorious for selling the damaging message that fairer skin equated to a happier and fulfilling life. For it was fairer skin women that would qualify for marriage — clearly their only sole purpose! 

Tactfully using famous fair-skinned Bollywood actresses in television ads and posters, their so-called perfection would scream out to vulnerable young girls. (Men were targeted much later on, but the importance seemed less). Akin to the wretched beach body posters plastered on every corner in January — because apparently bikinis only look good on a certain body type —  the damaging message remains the same. Social acceptance comes at a cost, and that cost is to look a certain way. 

[Read Related: Dear Priyanka Chopra, Endorsing Colorism and Discrimination is not ok. It Never was and Never Will Be]

It’s an extension of the dated methods imposed on women from the womb, where mothers are lectured on drinking milk with saffron to ensure the baby is fair, traditional matrimonial sites asking women to specify skin colour, and women being told to stay out of the sun. These socially ingrained views are eventually developed into modern day methods in the form of cleverly marketed consumables. Aggarwal admits, 

Most people only use the cream on their face just as I did. At that time, I didn’t even think about the rest of the body. I felt that if the face becomes fairer, that will be enough for acceptance. My mum noticed the difference for sure and I was lighter by the time I met my husband, Amit. I must admit the addiction is a combination of three factors: the justification in your own head, the strong marketing message that ONLY fair is beautiful, and the ‘compliments’ from those around you. 

I admired Shweta’s honesty on admitting what essentially was a dangerous obsession that she remained faithful to throughout her teenage and adult life. A ritual that, whilst prompted gradual results in her appearance, was never going to eliminate the insecurities she felt within herself. Moments of joy with her husband and children on holidays abroad, would be broken up by the need to ‘fix’ any damage the sun may have inflicted i.e. reverse her tan. The booming tanning industry in U.K., her now home, and admiration of her ‘sun-kissed’ look by Brits initially surprised Aggarwal — as if her colour had now gained acceptance. 

But who are we seeking acceptance from? A society that is still deep rooted in patriarchy forcing women even now to adhere to dated rites of passage that holds no relevance? Or a society that seeks to point out one’s indifference because of how they look — their skin, their religious attire, their weight? Or a society that passes judgement on a woman’s self-worth, and continues to abuse that same woman behind closed doors under the eyes of Goddess Kali? Aggarwarl goes on to explain,

The more damaging perceptions of colourism, are that ‘fair is rich’, ‘fair is successful’ and ‘fair is better educated’. Essentially, ‘fair is supreme’ in every sense. And if that’s the case, where does that leave dark-skinned people? In Ukraine, for example black and brown people were discriminated against and  not given a fair chance to save their lives. Is it fair to be denied a basic human right — survival — based on your colour? 

I personally was curious to know from my family what the definition of prejudice in the Hindi vocabulary is and how it is/was applied to in India. “Pakshappat” (taking sides) or “poorva dhaarna”, were the closest pure Hindi definitions known to my cousin, yet rarely used. However, my dad stated that “hum bedh bhau nahin hai” was the common term used to state amongst family and friends when someone was not biased and believed in equality. Somehow, colourism never really came under that category. A sentiment echoed by some of my Chinese and black friends . Even in parts of China and Africa, the belief that darker skin is perceived as inferior, is accredited to stereotyping certain groups of people as manual labourers working under the sun, and therefore of a lower class or caste. Does Shweta believe we can change this attitude?  

A couple of my aunts are still reluctant to help me with my mission. One even said ‘it’s pointless fighting it’, while one said, ‘everyone has the right to define beauty for themselves and being fairer is what beauty is for some.’ The problem with this is that people then start to look down on people who aren’t. Colourism, casteism and classism divide people, creating more unrest in society. If we continue to aspire to be fairer, we’re still encouraging white skin privilege, and encouraging colonial values. The more we allow ourselves to succumb to these social constructs, the more enslaved we feel internally. Melanin is crucial for protecting our skin against the harmful radiation of the sun. Feel blessed that you have it and wear it with pride! 

I wonder how we can dare to walk shoulder to shoulder with our black friends in the Black Lives Matter movement, if we refuse to face up to our own biases against colour? We seek equality in the U.K., but deny our deep-rooted prejudice, whilst a white privileged man lectures the world on the difference between racism and unconscious bias (yes Prince Harry, I’m looking at you!). “The Black Rose” has paved a way for many more voices to speak out against the damaging impact of colourism, and in my view, rightly belongs under the definition of prejudice in the collective South Asian vocabulary.

“The Black Rose” is available to purchase on Amazon.

 

Photo Courtesy: Shweta Aggarwal

By Sejal Sehmi

Brown Girl Magazine’s U.K. Editor Sejal Sehmi is an IT consultant by day, whose passion for writing stemmed from challenging … Read more ›