BIDII is dedicated to educating the African Caribbean community on matters of health and well-being to stimulate our collective prosperity.
With great information available on food, health and beauty, Bidii aims to encourage a better and healthier lifestyle for both men and women.
This supplement on health is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of a trusted health advisor for any questions you may have regarding any specific medical conditions.
Credits:
Editor: T. Prendergast | Publisher: Bidii Ltd | Layout & Graphic Design: D. Palmer
Contributors:
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R&R
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Cherrelle Douglas
Lydia Okoibhole
Patricia Wharton | Green Beauty
Skincare | Lorna Jones
Tracy Achieng-Ouko | Mike Lawrence
Nourishing Herbs for Everyday Wellness Our Health
By Cherrelle Douglas - Medical Herbalist
Nutrient-rich herbs are a beautiful way to support overall health and wellbeing. Known as nutritives, these herbs are a type of tonic that contain high levels of vitamins and minerals that build, nourish and strengthen the tissues in our body, therefore enhancing physiological functions of our body systems. Nutritive herbs are readily available. In fact, in this part of the world, many nutritive herbs are actually considered to be weeds, regarded as safe for regular use, and can be relied upon for disease prevention, plus for supporting the treatment of more serious health conditions.
Our nutritional needs should firstly come from out diet, however, due to a variety of factors such as commercialised farming practices, which depletes nutrients from the soil, a lack of access to nutritional foods, and other health conditions that affect absorption and metabolism, etc., nutritional deficiencies are very common. Over time, these deficiencies can lead to disease. Some common signs of nutritional deficiencies include fatigue and low mood, brittle nails with white marks, flaky scalp and hair loss, skin breakouts, cracks in the corners of the mouth, and bleeding gums. This isn’t an exhaustive list, and it is important to remember that these symptoms are the
body’s way of communicating a potential deficiency. By including nutritive herbs into the diet and daily routine, an improvement in health and wellbeing can be seen through increased vitality and energy levels, a more efficiently functioning immune system, and better metabolism and detoxification.
How We Can Get the Most Out of Nutritive Herbs
One of the best ways to extract nutrients from herbs, is in the form of teas. An overnight infusion is best for nutritive herbs. An infusion is where near-boiling water is poured over dried herbs, covered and left to steep overnight. The general measurement for preparing herbal tea is 1-2 teaspoons of dried herbs per mug of water. The longer the herbs are left to steep, the more nutrients are extracted. They also become more concentrated and the nutrients more bioavailable.
Nutritive Herbs
Below are five accessible nutrient-rich herbs that can be added into the diet, as teas, on a regular basis. The common and botanical names are given.
Nettle
Urtica dioica
Known for its sting, this familiar plant, which is considered a weed, packs a nutritional punch. Nettle leaves are rich in vitamins A, E, and K, and contain generous amounts of calcium, chlorophyll, magnesium, potassium, and silica. Also abundant in iron, nettle is a blood building tonic that stimulates circulation. It is a herb that supports every body system, particularly the eliminatory organs including the liver and kidneys.
Safety: Avoid in advanced kidney disease, on kidney dialysis, and retention of fluid due to heart failure. Nettle may interact with anticoagulant medications.
Moringa Moringa oleifera
Ancestral medicine, moringa is often referred to as the ‘tree of life’. Moringa leaves are incredibly rich in chlorophyll, providing antioxidant, anti-inflammatory, and detoxifying properties. Also abundant in calcium, iron, potassium and protein; moringa contains all nine essential amino acids, and vitamin A and K, plus several B vitamins.
Red Clover
Trifolium pratense
Red clover not only provides deep nourishment to our bodies, but also to the soil. It is commonly used in agriculture as a cover crop to restore the health of the soil. As one of our most nutrient-rich herbs, red clover is packed with protein, an array of B vitamins, calcium, copper, magnesium, manganese, potassium, and zinc. Red clover is known as an alterative in herbalism, meaning it helps the body to restore proper function by enhancing metabolism and elimination. It gently stimulates the lymphatic system, enabling the body to clear waste . Healthy and free-flowing lymph is essential for good immune health.
Safety: Avoid in pregnancy, with breastfeeding, with hormone-related tumours, and with bloodthinning medications.
Oatstraw
Avena sativa
Deeply strengthening and restorative, oatstraw has a sweet and comforting taste and contains large amounts of B vitamins, and minerals such as calcium, iron, magnesium, and manganese. Regarded as a full-body tonic, oatstraw’s affinity is with the nervous system, nourishing the nerves themselves and improving communication between nerve cells. It is definitely a herb that is muchneeded for current times, as it helps to build resilience to stress and is supportive in the recovery from exhaustion and burnout.
Hibiscus
Hibiscus sabdariffa
Another of our important ancestral medicines, hibiscus (also known as sorrel throughout the Caribbean), is rich in vitamin C. Its deep red pigment comes from compounds called anthocyanins, a type of flavonoid that is anti-inflammatory and antioxidant and has a protective effect against cardiovascular disease, cognitive decline and type 2 diabetes. Hibiscus also contains chromium, which is an important mineral required for the body’s regulation of blood sugar.
Safety: Exercise caution with low and high blood pressure and if taking blood pressure medications. Hibiscus can lower blood pressure, which is an added benefit if blood pressure is high; however, it is important to monitor blood pressure if taking simultaneously.
Enjoying nutritive herbal teas can be an enjoyable and nourishing daily practice, as well as help to fill any gaps in nutritional deficiencies. Make sure to do your research into which herbs will be appropriate for you and any health challenges you may have. Try one herb at a time before blending any together, to note any interactions. Although many of these herbs are safe for long-term use, it is advisable to take breaks. If in any doubt, seek advice from a qualified herbalist.
Follow @cherrelle.douglas.herbalist on Instagram
Plant-Based Eating and The Black Diaspora
Embracing the Plant-Based Heritage of African and Caribbean Cuisines
by Lydia Okoibhole
When people think of veganism and plantbased eating, they often think of Whiteness and the West. But this is not the reality. Plant-based eating is on the rise in the black diaspora, but this is not a trend—it’s tradition. From Africa to the Caribbean, plant-based foods have always been a staple in our diets. It’s part of our culture, traditions and culinary heritage and has been for generations.
As a British Nigerian who grew up eating and loving Nigerian foods, after going vegan, I remember being a little worried that I would no longer be able to eat the food I loved. I was convinced – and so were my family – that I would have to abandon the foods I grew up eating. But I soon realised, this was not the case. In fact, I enjoyed the foods I
grew up with even more, knowing that they were healthier, aligned with my morals and adjusted to my taste. It’s now been 5 years and I can honestly say that I enjoy Nigerian food, but also food from the wider diaspora like food from Ghana and Mozambique, Jamaican and Trini food, and soul food from the Americas even more. I also just enjoy food in general, so much more! I have a deeper appreciation and connection to what I am eating, to the flavours I am consuming, but I am also acutely aware that I am eating in a way that aligns with the actions of my forefathers: I am way more intentional and connected to food and what I am eating, and I have a greater appreciation for it and what it does for me.
Plant Based Eating in Africa
As we know, Africa is a huge continent with 54 countries and over 3,000 languages spoken. It brims with diverse histories, cultures, traditions and cuisines, but
one common thread is the emphasis on plant-based foods. Common foods like plantains, yams, cassava, beans and leafy greens are common in so many cuisines. These ingredients are at the heart of many traditional dishes.
For example, West Africa, where my family are from is home to jollof rice, a beloved dish made from blending a mix of tomatoes, onions, peppers and a variety of wonderful spices. I won’t get into who makes the best jollof but at its core, jollof is a dish that’s flavourful, filling, and entirely plant based.
Then there’s egusi soup, a rich and hearty stew made from melon seeds, greens, and spices that stems from Nigeria, but there are similar versions in other places like Ghana where it’s known as kontomire. It’s another fantastic example of how African cuisine turns simple plant-based ingredients into something extraordinary and incredibly tasty.
One of my favourite dishes is moi moi, a steamed bean pudding made from blending washed and peeled beans and onions, fresh red peppers and spices. Another is akara, koose in Ghana or acarajé amongst AfroBrazilians. These are fried bean fritters that are incredibly moreish. These were some of my favourites growing up and nothing changed when I went vegan. The only difference is that I eat them more frequently!
In East Africa, you’ll find staples like ugali and sukuma wiki. Ugali is a type of maize porridge that’s usually served with a vegetable stew. It’s simple, nourishing, and a cornerstone of the diet in countries like Kenya and Tanzania. Sukuma wiki, which translates to “push the week,” is made from collard greens and is a perfect example of how plant-based foods are used to create delicious, everyday meals.
Plant-Based Eating in the Caribbean
Similarly, the Caribbean is a melting pot of cultures, histories and traditions and its cuisine reflects that beautifully. There’s an abundance of fruits, vegetables, and legumes, which are central to many traditional dishes that are plant focused, nutritious and most importantly tasty.
In Jamaica, the Rastafarian movement has popularised “ital” food, which focuses on natural, plant-based eating. The term “Ital” comes from the word “vital,” reflecting the emphasis on foods that are essential for life and health. This movement began in the 1930s (Wikipedia). Ital cuisine avoids processed foods and meat, highlighting fresh fruits, vegetables, legumes, and whole grains. Ital food is more than just a diet; it’s a spiritual practice. Rastafarians view food as a source of life and strength, and they believe that consuming natural, plant-based foods helps
to maintain a pure mind, body, and spirit.
An example of a dish is Ital stew, made with a mix of vegetables, beans and coconut milk. This is a perfect example of this healthy and sustainable approach.
The Ital movement has been around for many generations, once again highlighting how plant-based eating is intuitive to many of us in the diaspora.
Another example is Trinidad and Tobago who have great examples of plant-based foods. Doubles, a popular street food, consists of curried chickpeas between pieces of fried flatbread. They’re so flavourful, filling, and entirely plant based. Another is Pelau, a onepot dish with rice, pigeon peas, coconut milk, and vegetables which showcases how the Caribbean uses plant-based ingredients to create hearty and satisfying meals. Other popular plant based Caribbean foods include
festivals (fried dumplings), callaloo (seasoned and stewed greens) and tostones (TwiceFried Green Plantains) just to name a few.
African American Plant-Based Traditions
In the United States, one of the hallmarks of African American cuisine is soul food, which has always included a significant number of plant-based dishes. Dishes like collard greens, cooked with onions, garlic, and smoked seasoning, black-eyed peas stewed with tomatoes and spices and baked sweet potatoes, are dishes that have been passed down through generations and highlight the rich, plant-based traditions within the African American community.
There is a growing plant-based movement within the African American community –approximately 8% or 1 in 12 African Americans are vegan (Essence) which is a higher percentage compared to other ethnic groups and this is expected to grow. Many are embracing vegan and vegetarian lifestyles for health reasons, ethical considerations, and environmental concerns. This modern resurgence is a return to traditional eating practices and a celebration of cultural heritage.
Benefits of Plant-Based Diets
The benefits of healthy plant-based diets are well-known. Research suggests when done well and with intention, it can lead to better health and lower risk of chronic diseases (Wang et al, 2023; Healthline) and it’s better for the environment (Guardian, 2003).
For the Black diaspora, these diets have always been a source of nourishment, healing and community. Flavourful food is essential for those in the diaspora and another benefit of plant-based food is that it’s delicious as well as healthy. Flavour is such an important
part of the eating experience, and this is not something that’s lost when eating plantbased. Traditional plant-based dishes are rich in nutrients and flavour, that connects us to our culture, tradition and to our ancestors. As veganism and plant-based eating
continues to gain popularity around the world, the contributions of the Black diaspora are finally getting the recognition they deserve with many black plant-based chefs and celebrities promoting the movement and showcasing how fantastic these foods can be.
Celebrating and preserving these culinary traditions honours the resilience, creativity, and knowledge of our communities and allows us to be more in tune with traditional ways of eating and living.
To conclude, plant-based eating in the Black diaspora is more than a trend; it’s a timeless tradition. Embracing these culinary practices means celebrating a rich heritage and continuing a legacy of health, sustainability, and cultural pride.
So next time you enjoy a plant-based meal, remember you’re taking part in a tradition that is part of our nature and that’s been thriving for generations.
Follow @lydiaeatsvegan on Instagram
Embracing Our Role In The Community
North London ambassador Patricia Wharton, born and raised in Brent to Caribbean parents Patricia comes from a large family with the community at the heart. After working in the corporate world for 30 years, Patricia has cut her ties to embark on community focused endeavours.
Patricia has become a radio station manager and presenting her own segment interviewing exceptional guests on the Let’s Talk show.
By raising awareness through events around diabetes, menopause, prostate cancer and taking it on the road and started doing some road shows has brought her work to the forefront.
With organisations across Brent approaching Patricia to take on roles working for projects funded by Macmillan, who are trying to address a common issue that the African Caribbean community can’t be reached, and it’s difficult for them to try and support us. With this said, Patricia is working to connect with 1,800 residents within the community.
Patricia herself reminds us of the importance of her work, when she says:
“The project is important and I’m recruiting 72 volunteers to help me to have conversations with people who are living with cancer, and it’s also raising cancer awareness amongst the minority communities.
So, this is really an opportunity for communities who aren’t really heard. I think that’s probably a way to put it, and so I’ve got to have these much-needed conversations”
The work is to understand:
• Why is it the community have a lack of trust for health organisations
• How things can be made better
• What are some of the barriers for the community
• and raising awareness of the work being achieved
Through raising awareness people will have the opportunity to understand more and hopefully increase community engagement, which will support endeavours to make future sustainable investments for our care.
Photo Credit: Rudy Harding Images
Hair Meets Fashion with...
A great passion for sewing infinity scarves, headbands, scrunchies and turbans for women and bow ties for men is the creative outlet that allows VVB Bespoke to combine a great love for fashion and design with craftsmanship.
Each piece is a unique expression of style and creativity, incorporating vibrant colours, plus African cultural patterns, to enhance an individual’s outfit and elevate their look.
Taking pride in the attention to detail, quality materials, and intricate stitching that go into each scarf, bow tie, headband, or turban, ensuring that every piece is not only fashionable but also comfortable and versatile for everyday wear. Aiming to inspire men and women to embrace their individuality, express their personal style, and feel beautiful inside and out.
Visit: vvbbespoke.co.uk
Follow @vvb_bespoke on Instagram
Our Hair
The Benefits of Shea Butter by R&R Skincare
Shea butter has been around and used by our ancestors for centuries. It’s the secret to ageless skin!
Most beauty brands (if not all) use shea butter as a key ingredient in their formulations, especially in soap, oils, lip balm, and body lotion. You can pretty much find shea butter in any product which serves as a moisturiser. This is because raw shea butter is rich in Vitamins A, E and F – the needed nutrients to keep our skin looking (and feeling) healthy and hydrated.
First up, how is shea butter made?
The shea tree is indigenous to parklands in
the ”shea belt” which runs across the African Savannah, stretching from West to East Africa. From the shea tree, comes the shea fruit which then goes through 8 steps to become the butter that we all know and love.
Fun Fact: Did you know that handcrafted shea butter is exclusively farmed and processed by women? At R&R we support these amazing, hardworking women through our social arm – WSDP (The Women of The Savannah Project) - wsdproject.org
1. Shea-fruits
2. Husk nuts
3. Shea-nuts
4. Crushed nuts
5. Roasted nuts
6. Nut paste
7. Crude butter
8. Shea butter
Benefits of Shea Butter for Skin
Shea butter has a multitude of benefits for the skin, plus it is suitable for all skin types. There is often a misconception that shea butter is not suitable for oily skin, but that is false. Shea butter is non-comedogenic, which means it does not clog pores and it can actually help to prevent the build-up of oil in the skin, by balancing sebum production.
Shea butter is:
• A natural moisturiser – it is rich in fatty acids, which help to keep the skin well-moisturised and plump.
• Rich in antioxidants – shea has a high content in vitamins A, E and F, which promotes healing of damaged skin cells.
• ●Minimises the appearance of stretch marks and scars, using shea helps to increase skin elasticity and skin regeneration.
• Naturally anti-ageing – vitamin A helps to hydrate skin that is wrinkled or has experienced sun damage.
• Evens skin tone – shea butter use can help to reduce hyperpigmentation and create an even, balanced skin tone.
• Anti- inflammatory – Shea helps to minimise irritation of the skin and can soothe inflamed skin.
Benefits of Shea Butter for Hair
Many of us struggle with breakage, dryness, and itching, when it comes to our hair. You may have used just about every product on this planet, trying to find the best solution. We’re here to tell you that shea butter could be just the answer to your hair woes.
Shea butter:
• Softens hair
Rich in Vitamin E, fatty acids, and minerals, shea can soften your hair making it easy to detangle and style. No more ripping and pulling at your hair. Just add a little to your hair, massage, and began to work on your hair in sections. Those elements will make it easier for you and prevent breakage.
• Hydrates hair
Not only is shea filled with all the vitamins and minerals you did not know you needed, but it also has water-binding properties that give your hair the hydration it needs. Hydrating your hair treats and prevents damage from heat and chemicals, split ends, dryness, and frizz.
• Helps your scalp
What is hair love without pampering your scalp? With its anti-inflammatory properties, shea fights dandruff, improves scalp conditions, and gives your hair a healthier environment to grow in. Take a small amount to your scalp and massage, to awaken the hair follicles.
Other Interesting Benefits of Shea Butter
We bet that you didn’t know these additional uses of shea butter.
Hot weather (hello summer) usually means the mosquitoes and their friends will be ready to feast on us. Bug bites can be annoying, especially when they become irritated. Applying shea butter can reduce itching and any swelling from the bite.
Did you know that shea butter is edible? In parts of Northern Ghana, shea is used as a cooking oil to fry plantain and prepare stews. P.S.: Next time you buy a bar of made-inGhana chocolate, take a look at the ingredient list and you may just see shea butter as part of it.
Shea butter is the star ingredient at R&R, it is used in 90% of our skincare product formulations (basically every product except for our Repair Baobab Oil).
To view our range of products and shop shea-based solutions for your skin and hair, visit randrskincare.co
Follow @randrskincareco on Instagram
HEALTHY EDGES mai aining
Haircare for thin edges has evolved into an art form, particularly with black women. The trendiest natural hairstyles are enhanced by well-groomed edges, adding a touch of elegance to the overall appearance. Understanding the signi cance of well-maintained edges, we are here to guide you in achieving and preserving them. While it may require the right natural hair products, tools, and techniques, rest assured, you'll soon become an expert.
Essentials
The initial step involves securing the appropriate curly hair styling products and tools critical for achieving the desired look while keeping your edges healthy.
Choosing the Right Edge Control
Styling your edges involves the use of an edge control product alongside a small brush. Selecting the appropriate edge control product is crucial to avoid aking or excessive build-up, ensuring your delicate edges receive gentle care and attention. Opt for an edge control product that suits your hair type and texture. Keep in mind that not all edge control products are suitable for every hair type. For instance, for 4c hair, characterized by a coarse texture and delicate edges, opt for a product with a strong hold and a gentle formula to prevent damage.
Our Rosemary Mint Strengthening Edge Gel is designed to maintain the health and nourishment of your laid edges. This gel offers shine and hydration while supporting the well-being of your edges. Formulated with biotin, coconut, and babassu seed oil, this gel will keep your edges in place all day without drying out or aking.
These high levels of oestrogen are also responsible for that infamous “glow” we have during pregnancy. Because the hair stage is prolonged, there’s less hair “resting” and you manage to hang on to more hair while
An Edge Brush
But don’t get too attached. Normally, once a woman gives birth and those hormone levels take a dive, so does all that “extra” hair! It may be a bit scary at rst and you may wonder if you’re gonna be bald but this is just your
You can purchase an edge and comb brush at a beauty supply store or utilise a toothbrush for this purpose. It is recommended to use a brush with semi- rm bristles for optimal application, avoiding excessive tension that may lead to breakage.
Extra Tips for Healthy Edges
To maintain healthy and beautiful edges for any hairstyle, consider these expert tips:
• Damp edges aid the product in settling and maintaining a sleek appearance.
• Apply a light cream like our Rosemary Mint Daily Styling Crème or a leave-in conditioner like our White Peony Leave-in before using an edge gel to lock in moisture and prevent breakage.
How to Style Your Edges
Now equipped with the right products, you are prepared to style your edges for a awless nish. Here's a 4-step guide to mastering this art:
Begin by using a rat tail comb to separate the baby hairs along your forehead from the rest of your hair.
Apply the gel evenly using your nger or brush.
Use the brush to smooth the hair in your preferred direction, ensuring it stays in place by gently holding it down.
Once you achieve your desired look, wrap your hair with a silk scarf for at least 10 minutes to allow the product to set and atten your edges.
atten your edges, reducing friction and preserving the style.
• Avoid using blow dryers and at irons, as heat can damage fragile edges.
• Refrain from applying products consecutively without rinsing, as build-up can deplete moisture and weaken your hair over time.
So, Queen, go conquer and rock those edges!
“Success in life largely depends on how you handle your failures”
Sticking To The Facts For Naturals
Information to help us understand our hair and scalp health is paramount, as the natural haircare industry evolves. Founded in 2012, GreenBeauty is a natural hair resource and haircare brand with thorough research at its core. BIDII speaks with founder Nikky who has immersed herself in research to help the community thrive.
Q: Tell us about your hair journey and the products that you’ve gone on to create.
A: Well, I was a weave girl, you know. I had the tracks. I had to make the parting and make it blend with the weave. I did that religiously, I think every two weeks, and I was always in the shop getting my hair done, you know. I remember I was, actually, also relaxing my hair as well because, again, it’s one of those unconscious things we just did, even when we don’t need to.
So then eventually, I thought why am I relaxing my hair, I wear a weave? So, I stopped relaxing my hair, and I was just continuing with weaves, and I was flat ironing the part to make it blend. I was going to the same hair salon since I was in high school, you know, and I was in grad school at the time and the lady really knew me. She was my aunty. She was like family.
I would take out my weave and give it a couple of days before I put a new one in so my scalp can rest. I was at the salon and I remember she took out my weave and I just noticed like
“whoa!” my hair is huge. I was kind of feeling myself. I had stopped relaxing my hair for so long I never really paid attention to my hair, and I remember I just looked at the mirror and I was like wow, I felt like I could see myself and what I really looked like and I liked it you know!
I remember I said something like “I think I might go natural” and I remember her, like it was yesterday, she was laughing and everybody started laughing. She said “Girl, you know you’re going to be back here next week”. You know to get my fix like I’m a drug addict! They were all laughing at me, and it made me more defiant, like I’ll show them. So, I got home, and I remember that night I went on YouTube and I started looking at stuff like how do I go natural.
I didn’t even know my hair. I don’t think I had even combed my own hair through before, so I was researching - while I was in grad school for statistics. A lot of people don’t really know statistics, but it’s basically research all day. So, I got really into natural hair research, and I went down this rabbit hole. I was reading research papers like heavy hardcore science.
That stuff is not easy to read, and I have the skill to read it because that’s all I do for statistics on my grad programme. So, I was researching and then watching YouTube videos and I realised that there was a lot of misinformation or like a lot of things that were not very relatable. People were talking about
their personal experience and it’s not something that I can really pick up. Also, to be honest with you, a lot of girls back in those days didn’t have a hair type like mine. I knew that I couldn’t follow what they were saying. I can’t brush my hair like that, it’s going to be gone.
That was how I started going natural and it was through research, you know, I started really studying myself and understanding myself and it led to me making the YouTube channel, and I really wanted it to be a reference source that people can then use for their own videos and spread it, because its, purely, research based.
I don’t really talk a lot about my own experience. I talked more about research papers and specific actual studies that have been done and how it relates to us, because a lot of the studies are also very one sided.
So, you have to really dig and that’s how my channel came about and then I was automatically making my own products, because the products out there were not working for me. They weren’t moisturising enough, or they over cleansed. It was too much, so I started making my own products and I started selling them. It was doing well. My channel was growing, everything was doing well. I found my passion and my passion was myself. It was my ethnicity, being a black woman. I felt special and so blessed, you know, and it’s something that I wanted all black women to experience.
I was telling my husband I have this dream that when I walk down the street, most black women have natural hair. It’s so unique and we all carry our hair differently, you know, because our hair is alive. So, it’s something that I’m really passionate about.
So, every single thing I’ve done, from going natural, starting a YouTube channel, starting a product line, were all from research. Research is what led those things. Still today, I will read a whole book just to make a video. I put a lot of work into my videos. They’re there to stay. I want to make sure they’re really backed by real information. Everything that I do is through research. It just grows and grows. I just finished looking into our sebum and how special it is.
We have the highest quality out there. It’s just amazing and I have a real passion. This stuff is real!
Q: There is a desire to have long hair, is this realistic only in protective hairstyles?
A: OK yes and no. Our hair grows and it grows pretty fast, but it breaks pretty easy. Just a side note, our hair dries really easily, is actually a genetic like advancement. Back in the day when life expectancy was like 35. Disease was rampant; and a lot of ways people get ill and get diseases is through their hair. Remember your scalp is an ecosystem and there’s all types of critters on your scalp. So, if your hair is wet for too long, it causes real health issues, and your brain is right there. All this hair is to protect your brain, from the sun, too much radiation. My hair is in a ponytail right now but look how thick it is. This is on purpose. It’s to protect our brain.
We’re now in 2024 and it’s OK we can have shampoos, conditioners. We can do that. We want our hair to be long now. So, we got to keep it from drying out. That’s why protective styles come in, you know, when you have your hair tucked away - it keeps moisturised for longer.
Can you grow out your hair long, without protective styles? Yes, you can. There’s a lot of women that do that. But it’s one of those things you have to be conscious about. If I had my hair out in a twist out, I’m taking; when I have it in a protective style, I’m giving. So, let’s change the language so when I have my hair in a protective style, I’m preserving. It’s not breaking. When I have my hair in a twist out, I’m not going to do this every day or four days in a row. I’m going to tuck the ends eventually and make it into a bun.
It’s just one of those things of balance. You don’t have to have your hair in a protective style 24/7. Actually, if you do it too much that can actually cause breakage. Your hair wants to change up a little bit you know. It’s a balance. You have to be aware, you know, I’m not going to have my hair flat ironed and out every day.
When a lot of people go natural, they go hard. They want to get to that result ASAP. They’ll just put their hair in protective styles like 24/7, nonstop and stay on their wash day, and they’ll get there quick because of that. But if you’re just trying to maintain your hair or grow it out and you’re not really like pressed about doing it like quick and still want to enjoy your hair, you can do that. You just have to stay on top of your wash day regiment.
If you want to have your hair out more often, staying on top of your washday regiment, if you wash once a week do not skip a weekbecause what wash days do is that they get rid of the old and they put in new. It’s really a moisturising thing: you don’t want product to dry up on your hair. That’s a no no! If you’re going to wear your hair out, make sure you stay on top of the wash day regiment. It’s very important. But yes, to answer your question, you can totally grow out your hair and still wear it out.
Q: Some believe hair is dead once it is visible from the scalp. So, what tips do you have when it comes to nutrition for healthy hair? Does nutrition affect the hair in the scalp (hair follicle) or can nutrition affect the entire hair shaft?
A: I personally believe that it can affect the hair that is already out your head because one thing that’s special about our hair is we have a layer of the hair called the medulla, and no other hair type has this layer. It’s a layer that has actual live cells in it, so that’s why our hair is referred to as alive; whereas, most other people’s hair is seen as dead - because they don’t have a medulla layer.
If you look under a microscope, they may have little specks of it trying to form - but there’s no fully formed cells yet. So, I personally believe that because of that it does affect the hair that’s already out, especially the new growth.
But at the end of the day, your hair is always growing. It’s not like it only grows in the summertime, or only grows when you’re sleeping. It’s always growing, so it’s a cycle:
you eat well, you go outside, you ground, you socialise, you’re happy, healthy and stress is lower, yeah, it’s going to totally affect the new growth that comes out. But new growth is always coming out, so it’s not really something to look for.
I think you should look at this kind of like, it’s like a cycle. They say our hair does have a mind of its own and it has its own personality. It will respond to having more nutrition and a better lifestyle. I really do believe that and I’ve seen it for myself.
When I’m not doing what I need to do, and I’m not being as healthy as I need to be, or I’m sad and anything like that, my hair looks like crap! It does not respond the same: it’s drier, my scalp feels funny. It really is more of a cycle, because it’s constantly growing, constantly at different rates, every single follicle. I don’t think it’s really right to look at it like this is already on my head, so if I eat healthy its not going to affect it. I don’t know. I don’t think that’s the way to look at it.
Also, about stress, I think stress is a big deal especially after lockdown and not being around people.
Stress is not just this existential thing where your kids are driving you crazy, and your job.
You know, the stuff we think about when we talk about stress. Stress is also your gut, and what you eat. If you’re eating things that are hard to break down like starches and pasta, creates stress in your body. So, you can have everything else you’re doing right, but if your gut is stressed out or inflamed that is a very, very powerful form of stress. If you want to reduce your stress, start there!
Visit: greenbeauty.com
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Watch: youtube.com/watch?v=EaOSKKFiHKc&t=174s
Importance Of Caring For Our Hair
BIDII speaks with trichologist Lorna Jones founder of Caring for Hair, an organisation dedicated to helping our community understand how to cope with cancer related hair loss.
Q:How did Caring for Hair start and what made you focus on cancer related haircare for our community?
A: Ten years ago, I decided to study and learn about trichology because there was lots of hair loss that I was reading and seeing. I realised when I learned so much, not so many people knew about this.
So, I became qualified, opened up the clinic and started talking. Then within six months, I wrote a book ‘If Only Hair Could Talk’, which talks about what would your hair and scalp say if it could speak about the harsh treatment
and damage we often cause with styling.
Trichology teaches the science of hair and the scalp, but haircare is a very important part of the management. When someone losses their hair, they don’t loss all of it at once. It will be in stages and you have to take care of what you still have and that is what I realised people wanted to hear about.
I did a talk at the House of Commons in 2019 on the epidemic of hair loss in black women. There was a study in the US which stated that 1 in every 2 women had some form of hair loss. The most common being traction alopecia from tight braids and tight weaves, which is non-scarring.
There are 2 types of hair loss, scarring and nonscarring. Non-scarring is reversable, if caught early enough, and scarring is permanent.
With black women, the most common scarring is Central Centrifugal Cicatricial Alopecia CCCA
Caring for hair PDF
As a trichologist, when people come to the clinic they are losing hair or have scalp concerns, our job is to diagnose what type of hair loss it is. As there are 15 types of hair loss, we have to try and understand what type of hair loss it is and then you begin to treat it.
With cancer related hair loss, it is completely different. We know that it’s caused by the treatment and drugs. As soon as the chemotherapy treatment is administered, within 2 weeks, people start losing their hair. It’s almost immediate. It just breaks off!
In terms of styling, our services are important because once newly diagnosed patients, people have an opportunity to meet with us and go through treatment consultations to look at options like scalp cooling.
I know when speaking with some women, they were not offered any support around looking after their hair, or they were not given the right advice on how to manage their hair. The clinical staff in the hospitals are trained in scalp cooling but we know with new staff and the pressure on the NHS, in the hospitals not everyone will understand the preparation techniques prior to scalp cooling for women with afro textured hair.
You need to know how to prepare the hair and fit the cap properly. So, I wanted to educate the women who are wearing it and they can be informed rather than people resorting to perhaps needlessly cutting off their hair.
People need to know that with scalp cooling it is not to prevent hair loss, but to reduce the amount of hair that is lost. And even if they do lose hair during the scalp cooling process,
studies have shown that it tends to come back thicker than if they hadn’t used it.
So, we want to re-educate people and give women options for styling, while losing their hair, such as head wraps etc. We are also looking at hair loss effects on eye lashes and eyebrows. There are women who make eyelashes and eyebrows for cancer patients. It is about giving people options they can use.
Q: The salon is the place where the community gathers purely to focus on hair and beauty. How are organisations working alongside stylists to support the community in tackling cancer related hair loss?
A: The Macmillan project does have some crossovers with my own. They have a nurse who comes in to explain about the resources available, so people can signpost. Hair stylists are not now “the cancer person”, because that is a lot of responsibility. It’s just to help them signpost and identify that they understand what a customer might be going through, and how they should speak it over with their health team. Macmillan normalise these conversations. Years ago, we never said the big C. People never said the whole word because there were so many bad connotations. Macmillan are normalising these conversations for stylists now and explain how catching it early is key. Since the hair stylist are our confidants, and people will speak to them, it is important to work alongside them!
Similarly, the Caring for Hair work provides training for hairstylists; it’s being rolled out and will be speaking with salons on how to handle hair loss conversations sensitively. For example, looking at the salon layout, to discuss use of a private room or screening people off. Providing people who might need a private space or time to take off their hats, wigs.
We do so much with our hair now.
People may want to colour or relax their hair. The conversations I have with these stylists will be making them aware of what we know, what is happening. For example in the US, there are class action lawsuits against the big companies for relaxers, which they blame for causing infertility and cancer. The endocrine disrupting chemicals (EDC’S), which mimic certain hormones causing cancers.
These are the considerations that we must be aware of. If someone just had treatment and they ask for relaxer, the stylist needs to know how to handle this. I do not want stylists to refuse customers who request relaxer treatments, but it is to explain it is a really sensitive conversation to be had here.
Same for colouring. When you colour your hair, it damages it.
After chemo, the hair is very weak so colouring and relaxing is damaging. People will still decide to do it which is their choice. They just need to know all the facts so they can make informed choices.
Q: You mentioned the endocrine disrupting chemicals being linked to cancer, but how can we be more conscious of what to look out for when buying products?
A: That’s exactly it, it is said that you can get EDC from a number of products. We are not chemists. We are not going to buy a product and look at the back to know what will cause cancer. This is what the lawsuits are arguing, but in the US, they believe that they have found a link, so people would need to be aware of it; however, much more research is necessary.
The relaxers are really strong. Some are as strong as drain cleaner!
clinics to cover issues related to cancer and afro haircare but what are the aims for your work moving forward?
A: We are starting to work with hospitals because this is where women are given their diagnosis. They get a few leaflets, go home and do not know what to do after that. Firstly, they need to take in the diagnosis and dealing with the emotions that come with that. My wish is to work more with the hospitals, as we recognise that due to the pressure on the NHS, they may not have the time to talk about hair like we need to. Plus, we want to provide the support groups, who were really important, especially during lockdown.
Q: Your work tends to focus on black women. But for our men how have you found their hair loss experience. For example, if a man has had locks for decades would you adjust the support he needs for cancer related hair loss?
A: Men are really important to me in terms of their hair loss. The most common is androgenetic alopecia (male pattern baldness) and many men have this. It can start as early as late teens and early twenties. Women can wear wigs and head wraps, but men can only wear their cap. So, if a man has a style like locks for years, receives a cancer diagnosis and starts chemotherapy, and then this goes, people will say “why did you cut your locks!” I saw a fantastic picture of a lady with locks before and after scalp cooling. She looks as though she has not lost a single lock, and men need to know this too. Mostly, Women come through the door to my events, but I do try to speak to the men too because women can mask losing hair easier than men. We all need support!
Visit: caringforhair.org
Follow: @careforc_hair
Q: You’ve delivered a lot of work in your
Book Reviews
‘The Story Of Afro
Hair: 5,000 Years Of History, Fashion And Styles’
Published in 2021, ‘The Story of Afro Hair’ is a children’s book by Kandace Chimbiri, inspired by the 4-month summer exhibition of 2013 on the ‘Origins of the Afro Comb’ Showcasing combs from the Nile Valley and combs from colonial era Africa to the present black fist comb of today. Accompanied by Kandace’s informative children’s book, the ‘Secrets of the Afro Comb’ to support the exhibition, giving children the opportunity to engage with their past.
During the research process for ‘Story of Afro Hair’, the need for education on hair was something to focus on, with a period of school expulsion and workforce politics being played out as black people embraced their natural hair in different spaces.
In 2021, the book ‘Story of Afro Hair’ was published giving a deep dive into our hair intertwined with phases of fashion.
“I wanted to help children to think a little bit about the choices they make, why we do
things, how we are influenced by society in the choices that we make, and also what are the consequences of some of the choices or the impact on ourselves” - Kandace Chimbiri
Colourfully illustrated, with each chapter providing an opportunity to have a discussion, even create lesson plans and homework, making this book an ideal educational resource for children of all ages.
Purchase on Amazon: amazon.co.uk/Story-Afro-Hair-K-Chimbiri/ dp/0702307416
Price: UK £9.99
Ovi King is known for his specialism in curly and afro textured hair care. King provides leading events and business networks, including Hair Care Revolution UK and the founder of Cosmetrics Ai, a tech-driven cosmetic care start-up, aiming to empower consumers.
Now Ovi King launches his eagerly anticipated book: ‘Hair Identification’.
Based on 8 years of researching hair, analysing products and learning from global consumers and professionals, ‘Hair Identification’ effortlessly explains healthy hair based on knowledge derived from hundreds of hair professionals giving a holistic approach to hair care, exploring nutrition, health, lifestyle, and the latest scientific discoveries.
‘Hair Identification’ teaches the importance of understanding hair types, giving insight and remedies to help your hair care issues and concerns, including:
• Where You Live, What You Eat And How Your Feelings Impact Your Hair
• Why Personalised Hair Care Routines Help.
• How To Stop Wasting Money On Products That Do Not Work
• Navigating Hair Care With Menopause
Visit: hairid.systeme.io
Follow @ovikingofficial on Instagram
Purchase on Amazon: amazon.co.uk/Hair-Identification-insights-Curly-haircare/dp/B0D8QQWX1D
Price: UK £14.99
Our Sisters Fibroids: The Silent Suffering & Burden on Black Women
by Tracy Achieng-Ouko
“Soooo EVERY black woman has fibroids… and no one knows why?!” - a tweet by comedian Dulcé Sloan in 2023.
Black women can’t afford to push through silently. It’s time to fight, starting with our own health, and courageously spark conversations within and beyond our circles. Why? The reality below will continue to perpetuate for our sisters, daughters, cousins, nieces and granddaughters.
Fibroid Composition and Characteristics
Fibroids are comprised of smooth muscle cells and fibrous tissue that appear as hard, round non-cancerous-tumours in the uterine wall affecting about 1 in 3 menstruating women according to the NHS. They may be singular (rarely) or clustered, ranging from tiny to a rice grain or as big as a melon.
Diagnosis usually involves ultrasound scans, either abdominal and/or transvaginal, to detect their presence, size, and location. Results would then guide treatment planning.
Types of Fibroids
Fibroids can be intramural, subserosal, or submucosal, depending on their location. Intramural fibroids develop within the muscle wall of the womb and are the most common type. Subserosal fibroids grow outside the womb’s wall into the pelvis and can grow very large. Submucosal fibroids form in the muscle layer beneath the womb’s inner lining and grow into the womb’s cavity. Occasionally, subserosal or submucosal fibroids are connected to the womb by a narrow stalk of tissue, known as pedunculated fibroids. The location of fibroids influences symptoms and treatment options.
What Causes Fibroids?
The precise cause is not clear. The female reproductive hormone oestrogen has been implicated. Oestrogen levels are at their highest around ages 16-50. It is in these reproductive years that fibroids tend to develop. Being overweight increases the level of oestrogen in the body and so fibroids are thought to occur more often in women who are overweight or obese. After menopause, when oestrogen levels are low, fibroids will tend to shrink.
Other Risk Factors
Literature reviews identified multiple risk factors for fibroids, including early onset of menstruation, nulliparity, family history of fibroids, diet, physical activity, use of oral contraceptives, hormone replacement therapy, exposure to high levels of oestrogen and progesterone, vitamin D deficiency. Smoking was unexpectedly found to lower the risk of
fibroids by reducing oestrogen levels, but this does not justify smoking. An increased risk of fibroids was associated with the consumption of sweeteners, food additives, soya milk, and dietary fats.
Interracial Differences in Fibroid Presentation
Fibroids occur in women of all ethnicities but are more prevalent among African-Caribbean women. US Studies have shown African American women suffer fibroids 2 to 3 times more than white women. One estimate is that 25% of African American women will suffer from fibroids by the age of 25 and 80% will have them by age 50 (compared with 70% for white females). Women of African descent are reported to have both a higher number of fibroids and larger fibroids and therefore tend to have fibroid surgery more.
Symptoms
Not all women experience symptoms, which can vary widely and include heavy bleeding, blood clumps during period, pain, pelvic pressure, anaemia, longer or more frequent periods, frequent urination or trouble urinating, growing stomach area that can look like a pregnancy, constipation, pain in the stomach area or lower back, pain during sex, bloating or swelling in the lower abdomen, weight gain, fertility challenges and pregnancy complications in some women. Symptoms vary individually, affecting each woman’s life uniquely and, thus, requiring a tailored management approach. One size does not fit all.
Adjustments to Fibroid
Women with fibroids frequently adjust their lifestyles to cope with their symptoms. Heavy bleeding might cause them to cut back on social activities. Pain can discourage them from going out, including time off work. Anaemia-related fatigue can limit their activities,
even if they want to stay energetic. Pain during sex might affect their relationships, and bloating or an enlarged abdomen can lead to wardrobe changes, which can be mistaken for pregnancy. These issues highlight the importance of empathy and support in managing fibroids.
Why Do Fibroids Matter?
Fibroids profoundly impact a woman’s life despite being invisible externally. Symptoms can lead to substantial mental, financial, and physical stress, creating a vicious cycle. Fertility concerns and pregnancy complications, especially with submucosal fibroids, add to the burden because they are said to reduce fertility by up to 70%, may lead to recurrent miscarriages, and may also interfere with normal embryo implantation. The physical & emotional relief after surgery shows how much suffering was experienced beforehand.
A literature review of sub-Saharan Africa showed that fibroids significantly contribute to morbidity and mortality, often related to surgery. Economically, according to the review, the annual cost of diagnosis and treatment ranges from $11,717 to $25,023 per patient, with an estimated economic impact of $5.9 to $34.4 billion.
Can You Shrink Fibroids Naturally?
Natural remedies lack strong evidence, highlighting the importance of evidence-based approaches. In managing and minimizing symptoms there are natural ways like losing weight and eating healthy. Some studies have suggested calcium, magnesium, phosphorus, vitamins D and A supplements may help shrink fibroids. It is important to research products claimed to shrink fibroids and discuss them with your GP to see if they suit your fibroid type and overall health. Also check with your GP or pharmacist before taking any unprescribed medicines, if you’re on medication.
Can Fibroids Be Prevented?
Unfortunately, based on what is currently known, fibroids cannot be prevented. Recognizing symptoms and understanding when your body is “off” is crucial. Maintaining a healthy weight is one way to potentially reduce your risk, as obesity is associated with higher oestrogen levels, which can increase fibroid risk. While certain lifestyle adjustments may help manage symptoms, the development of fibroids depends on various factors beyond your control. Certain foods and beverages, such as alcohol, red meats, non-organic dairy, sugary foods, and caffeine, have been linked to an increased risk of fibroids or worsening symptoms, so limiting or avoiding these may be beneficial.
Fibroid Treatment
If symptoms are mild or absent, treatment may not be necessary. Treatment options are tailored to individual needs.
Your GP will support you or refer you to a gynaecologist. Options include medication for heavy periods like the contraceptive pill. To shrink fibroids especially before surgery, Zoladex may be considered. Other options include surgical procedures like myomectomy or hysterectomy, and non-invasive options like uterine artery embolization. Early diagnosis can help avoid a total hysterectomy. Black women have higher hospitalization rates and more frequent blood transfusions from fibroid surgery compared to white women. Each treatment has risks, which your gynaecologist will discuss to help you make an informed decision that aligns with your preferences and future life desires.
The Challenge for Black People
Various studies have identified key factors that contribute to the higher occurrence of fibroids in Black women, including:
Racial Bias in Healthcare: Black patients often report being dismissed by medical professionals, leading to delays in diagnosis and treatment, which exacerbates health disparities.
Exposure to Toxins: Black women are more frequently exposed to toxins like pesticides, mercury, arsenic, phthalates (found in plastics, hair relaxers—more risk with frequent use and if you burn, and medical devices), which can affect hormone levels and contribute to fibroid development.
Vitamin D Deficiency: Black people are more likely to be deficient in vitamin D, which is known to interfere with oestrogen’s role in cell growth, potentially aiding in fibroid formation.
Stress: Higher stress levels from racial discrimination increase cortisol (stress hormone) levels, which can promote fibroid growth. Anger suppression and unhealthy stress coping methods, such as increased alcohol intake and unhealthy eating, further contribute to this risk.
Delayed Treatment and Misdiagnosis: Black women often face delays in receiving proper diagnosis and treatment. Incorrect diagnoses, such as mistaking fibroid symptoms for sexually transmitted infections or pregnancy, and the misconception about Black women’s pain tolerance, can lead to inadequate care.
Cultural Attitudes: Cultural attitudes of being strong and pushing through symptoms without seeking help can delay treatment which can then worsen symptoms, reducing the quality of life.
Why is it unclear why Black women get fibroids more often?
1. Insufficient funding for conducting comprehensive research on fibroids.
2. Scarcity of Black professionals in the fields of biomedical research and clinical practice.
3. Inadequate epidemiological studies examining the prevalence, incidence, and risk factors associated with fibroids.
General Lifestyle Tips to Support You in Your Fibroid Journey
The fibroid journey is about managing what is in your control. Consider these lifestyle adjustments:
Energy Boost: opt for a nutrient-rich diet with proteins, whole grains, leafy greens and reduce starchy carbs. All these will sustain your energy levels, leaving you feeling full of vitality.
Stress Relief: Combat stress proactively by, e.g., activating the vagus nerve through methods like deep breathing, walking, or cold-water therapy.
Sleep Quality: Prioritize consistent sleep patterns, moving your body regularly, a relaxing bedtime routine to enhance your body’s repair process and overall well-being through restful sleep.
Other Support
Various professionals play crucial roles in supporting women during their fibroid journey. Therapists offer emotional guidance. Health coaches assist in developing healthy habits to help you sustain a healthy lifestyle.
Gynaecologists provide medical expertise and treatment options. Fertility specialists address both fibroids and fertility concerns. Support groups and online communities offer camaraderie and understanding. Your GP should also be consulted for any health concerns or symptom changes.
Fibroid Activism: What Can You Do?
Raising awareness, discussions within your circle, engaging with healthcare authorities, advocating for policy changes, and participating in research initiatives, drive progress in fibroid management and support. An encouragement to participate in research is this: “Research has taught us that if you’re not included, then you’re not represented…”
Erica Marsh, M.D.
Summary
Fibroids disproportionately affect Black women, highlighting the need for proactive management and advocacy. While their exact cause remains unknown, addressing racial biases, ensuring equitable healthcare, and fostering strong support systems can empower women to navigate their fibroid journey with strength and confidence. It’s crucial to challenge what you perceive as normal, as you may be pushing through with something you don’t have to push through with, thus limiting your quality of life unnecessarily. Seek medical guidance to clarify what is normal for you. Advocating for yourself is essential. Despite the challenges posed by fibroids, the good news is that women can empower themselves, be in control of their lifestyle choices and continue to take steps towards their overall health and well-being.
Visit: tracythehealthcoach.com
Follow @tracythehealthcoach on Instagram
Our Brothers Breaking Barriers to Mental Wellness
BIDII speaks with mental wellness advocate and consultant Mike Lawrence as we discuss the barriers to therapy and our understanding of the importance of therapy, plus points we should be checking in with ourselves.
Q: Tell us about your journey to become a therapist?
A: It’s been my passion for a long time! I think we all have a passion in life. There are some things that get in the way of our passion, and I think, in particular, around things like health and well-being, the passion tends to be neglected because people think I’m not going to be able to earn an income from it.
I remember when I first wanted to move into that space and somebody who was doing marketing/PR, when I told him about this occupation and even he said not to bother.
Also, working full-time in different sectors, I tended to gravitate to helping people and I really enjoy helping people.
I started in 2018 but my journey in mental health and well-being probably started about 12 years ago when I went through a divorce. There’s a lot of challenges that are faced when you go through divorce and I was given some really good advice, at the time, by somebody else who’s been through that. The tips he gave me were to learn something new, have fun and keep fit!
Since 2018 has been challenging for us all, being a small business sole trader, it’s a huge challenge. Having to evolve and change every year. It’s hard, but worth it!
Q: For black men mental health can be hard to discuss. Have you found it hard to reach men from our community?
A: The amount of black men that come and speak to me is low. It’s not because I have a sign on my door that says no black men
allowed. I find that black men do not yet put a value to it. Many will buy gold necklaces and rings and fast cars and designer clothes, but not their own well-being. This is being addressed though I think. There’re various initiatives and there’s been more talk. I go to the Black Business Show and there are lot more black men and women there, and it’s great when you see black men network, communicating and talking. There are specific groups that are being setup throughout the country now, as well, to move that forward which is great!
Q:What message do you have to men on the need to check in with themselves?
A: Really the message is straight forward! Check in to feel comfortable with someone you know. Whether it’s somebody that’s close to them or not. It’s critical!
Q:Is budget also a barrier to therapy for our community? If so, what can be done about that?
A: Budget is. But I think you got to flip it around and it’s what is your real priority. Because there is a rising cost of living that’s affecting everybody, and it’s what your priority is. If you’re on low income, some people will still possibly support people on low income.
There are initiatives available on a budget, but I think it is mainly my budget impact but you can find people who will support you on a budget because when it comes to well-being they’ve got some people who do it as a side hustle and are really good. They might be charging rates which are affordable. Therapy goes all the way up to executive level, which may not be affordable. But for me, it’s down to how much do you prioritise.
Q:How do we know at what point people should think I need to check in with somebody?
A: As soon as it comes into mind. As soon as it becomes a worry or concern in the same way that we’ll watch a football match, and debating if he is off-side or on side!
Or watching Apprentice and you think that person shouldn’t have got throughout. As soon as it becomes a thought or conversation, that’s the time to talk about it.
If you know you’re struggling… with my finances, or I’m depressed all the time, or tired all the time. I’m finding it difficult to sleep, that’s the point. That’s the point.
But we all have mental health and then it goes to poor mental health. If you know the stress anxiety of work, lack of work, lack of money, might be that you’re not sleeping. You can’t afford to buy in the shop. It’s impacting on your work. It’s impacting your relationships. Then, it goes ill health impacting on how you think, feel and behave. Then, over a longer period of time to the point whereby we might be getting a diagnosis by a doctor, but we have not been yet. If that’s going on for weeks, months and dare I say years, that’s the point when you hit crisis and that’s when you end up in A&E, and that’s what’s happening. We are missing out on all those stages, because we’re not picking up and we’re missing out on all those points, along the way. And it’s only time it was looking at things or getting that help is when we’ve actually fallen, when we are in crisis.
Q:What are your thoughts on cultural competency in therapy?
A: In my experience I do not think it’s irrelevant in therapy. But I can understand how much some people might feel that it’s important to them. People will come to see me, one if they like me, secondly, if they trust me and, thirdly, they feel it will work for them.
When I look for therapy, I am looking for someone in those three areas as well. But we are all different and it depends on our backgrounds and beliefs.