A Qualitative Exploration of Black Women’s Strategies to Achieve Emotional Well‐Being From Symptoms of Perinatal Mood and Anxiety Disorders

Abstract

Numerous U.S. states mandate perinatal mood and anxiety disorder (PMAD) screening for pregnant and postpartum individuals, yet despite these regulations, Black women have low screening rates even with regular perinatal care, resulting in undiagnosed and untreated symptoms. Factors contributing to this disparity include societal norms and concerns about potential repercussions, influenced by expectations of strength and historical mistreatment within healthcare settings. While clinical research typically focuses on barriers to Western mental health treatments, Black women have found emotional well‐being through alternative avenues. This phenomenological qualitative study explored how 12 Black cisgender women achieved emotional well‐being from PMAD symptoms and identified barriers and facilitators to wellness. Using semistructured interviews, five themes emerged as follows: (1) DIY Healing, including physical activity and spirituality; (2) Collective Healing through community support; (3) Clinical Pathways, highlighting mixed experiences with therapy; (4) Structural and Cultural Hurdles, such as systemic racism and bias in healthcare; and (5) Catalysts to Healing, emphasizing internal attributes. Findings suggest that Black women’s pathways to emotional well‐being are multifaceted and often extend beyond healthcare systems, underscoring the need for culturally responsive and holistic approaches to mental health support during the perinatal period.