All Shades of Anxiety : A Review of Therapeutic and Psychotropic Considerations for Child and Adolescent Youth of Color - 17/05/23

Doi : 10.1016/j.chc.2023.02.007

Michele Cosby, PsyD, LCP ^a,^⁎,^{^{1
Present address: PO Box 980489, Richmond, VA 23220.}} , Dimal D. Shah, MD ^a,^{^{1
Present address: PO Box 980489, Richmond, VA 23220.}}, Stella Lopez, PsyD, LCP ^b,^{^{1
Present address: PO Box 980489, Richmond, VA 23220.}}, Jlynn Holland-Cecil, MS ^c,^{^{2
Present address: 3707 Morgan Trail Drive, Chesterfield, VA, 23832.}}, Michael Keiter, BS ^d,^{^{3
Present address: 1235 Prosperity Road, Virginia Beach, VA 23451.}}, Crystal Lewis, BS ^d,^{^{4
Present address: 1205 Redwood Valley Lane, Knightdale, NC 27545.}}, Cheryl S. Al-Mateen, MD, DFAPA ^a,^e,^{^{1
Present address: PO Box 980489, Richmond, VA 23220.}}
^a Department of Psychiatry, Virginia Commonwealth University, PO Box 980489, Richmond, VA 23220, USA
^b Virginia Treatment Center for Children VCU Health, Richmond, VA, USA
^c Virginia State University, Petersburg, VA, USA
^d Virginia Commonwealth University, Richmond, VA, USA
^e Department of Pediatrics, Virginia Commonwealth University, Richmond, VA, USA

^∗Corresponding author.

Résumé

The literature on anxiety in Black, Indigenous, and other persons of color youth is a developing area. This article highlights distinct areas for the clinician to consider in working with these populations. We highlight prevalence and incidence, race-related stress, social media, substance use, spirituality, the impact of social determinants of health (including COVID-19 and the Syndemic), as well as treatment considerations. Our aim is to contribute to the readers’ developing cultural humility.

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Keywords : Anxiety, BIPOC, Implicit bias, Inequities, Intersectionality, Youth of color