Eating disorder stereotypes ignore the fact that they can affect all genders, races, sexual orientations, ages and socio-economic backgrounds. Unfortunately Black, Indigenous, and People of Color (BIPOC) communities often face significant barriers to diagnosis and treatment. These barriers include systemic racism, cultural stigmas, and a lack of representation in healthcare.
Clinicians must understand these unique challenges to provide culturally competent care that resonates with and supports BIPOC clients on their eating disorder recovery journey.
Why Cultural Competence Matters
Eating disorders in BIPOC populations are frequently under-diagnosed and under-treated due to misconceptions about who these disorders affect. The stereotype that eating disorders are a "white issue" has contributed to delayed treatment and poor outcomes for BIPOC clients.
In addition to systemic biases, cultural norms, stigmas and misunderstandings around mental health can prevent individuals from seeking help when they need it most. Without an inclusive and culturally sensitive approach, clients may feel misunderstood or alienated, increasing their struggles.
Cultural competence allows clinicians to address these barriers, ensuring that every client feels seen, heard, and supported.
Strategies for Inclusive Care
Recognize the Impact of Systemic Racism
Acknowledging how systemic racism influences the development of eating disorders as well as access to care is a crucial first step. Clinicians must be aware of biases in diagnostic criteria and adjust assessments as needed to avoid perpetuating harmful stereotypes.
Learn About Cultural Norms and Stigmas
Understanding different cultural perspectives on mental health and body image can help clinicians tailor treatment to meet each clients' needs. Specific cultural values and practices can substantially influence attitudes towards appearance, food, weight, exercise and health, so an emphasis on understanding a client’s lived experience is paramount to helping clients reach recovery.
Provide Representation and Advocacy
BIPOC clients often feel isolated in treatment due to a lack of representation among healthcare providers. Collaborating with organizations that support BIPOC mental health can help expand available tools, knowledge and resources so clinicians can better support their clients.