Symptoms of racial trauma, Impact, and Why Ongoing Treatment Is Essential.

Can racism cause trauma in racialized individuals?
Yes. Racial trauma refers to the emotional, psychological, physical and collective impact of racism, racial discrimination, and race-based stressors on individuals and communities. This trauma isn’t limited to isolated incidents. It also includes chronic exposure to microaggressions (often compared to death by a thousand cuts), systemic discrimination, institutional bias (i.e. medical racism), and direct or vicarious experiences of racism.
Unlike what is considered “conventional” trauma that fits traditional diagnostic criteria as determined by the DSM-V (e.g. life-threatening events), racial trauma often results from ongoing, snowballing stressors that are deeply rooted in systemic and cultural racism. Many scholars, counsellors and psychologists argue that racial trauma and the impact of ongoing racism should be formally recognized beyond existing diagnostic frameworks because of its unique sociocultural and cumulative nature.
What does the research say?
- Research regarding the psychological and health impacts of racial stress highlights that it can generate PTSD-like symptoms, stress-related conditions, depression, anxiety, and other mental health challenges similar to post-traumatic stress.
- Canadian research with racialized populations, particularly Black individuals, shows a strong correlation between racial discrimination, racial microaggressions, internalized racism, and PTSD symptoms. In one Canadian sample, over two-thirds reported probable PTSD symptoms, closely linked to experiences of everyday racial discrimination.
But Canada is all about diversity, no?!
- Although Canada emphasizes multiculturalism, racism remains a significant lived experience and reality for many racialized and Indigenous communities, contributing to racial trauma through prejudice, microaggressions, and systemic barriers.
- Recent data from Statistics Canada shows that about 45% of racialized Canadians report experiencing discrimination within the past five years and these experiences are linked toalmost double the rate of fair or poor mental health compared to racialized peers who did not report discrimination.
Does racism still exist in major cities?
- Toronto and Vancouver are among Canada’s most diverse cities, with large racialized populations. For example, racialized individuals make up a substantial portion of the population in Toronto (~42.8%) and Vancouver (~49%).
- Local research, such as studies on everyday racism in Toronto’s healthcare system, confirms ongoing racism and health inequities that can contribute to racial trauma among racialized residents.
People might think that in diverse cities, racism doesn’t exist. And yet, the lived experiences and research continue to show that bias, microaggressions, health inequities and racial violence are prevalent even in highly racialized environments.
Signs & Symptoms of Racial Trauma
Racial trauma can show up in many ways: emotionally, psychologically, physically, socially, and behaviorally. Common signs include:
- Anxiety and depression
- Hypervigilance or vigilance in racially charged contexts
- Intrusive thoughts or memories related to racist encounters
- Avoidance of reminders (places, conversations) associated with past racial harm
- Negative beliefs about self-worth or safety
- Social withdrawal or isolation
- Heightened reactivity during discussions about race
- Avoidance of institutions perceived as discriminatory
- Difficulty trusting others
- Sleep disturbances
- Fatigue and exhaustion
- Somatic complaints (e.g. headaches) that correlate with ongoing stress
Why Racial Trauma Matters in Everyday Life
Racial trauma is not just an individual problem, it reflects pervasive societal patterns. Its effects can accumulate over time, deteriorating mental health, inhibiting community engagement, and affecting daily functioning (work, school, relationships). These impacts are compounded when individuals face repeated discrimination over time rather than isolated events.
Support Options for Healing Racial Trauma
Healing from racial trauma often requires a humane, complex and supportive approach.
1. Culturally Responsive Therapy
- Racial trauma therapy is mental health care that explicitly acknowledges the impact of racialized individuals’ experiences.
- Therapists trained in race-conscious practice can help individuals process trauma linked to discrimination and develop coping strategies.
At Healing in Colour, every therapist listed have lived experience of being racialized. They also understand the intersectionality of these trauma and have agreed to our Statement of Values, which includes being:
- Pro-queer, pro-trans, pro-Black, pro-Indigenous, and anti-colonial
- Non-pathologizing (respecting your dignity and agency in all intersections)
- Accountable to the communities they serve (not just extracting from them)
2. Trauma-Informed & Community-Centred Approaches
- Support that understands trauma’s roots in racism and systemic oppression is crucial, including groups, workshops, and programs grounded in anti-racism and cultural safety.
3. Social Support & Relationships
- Strong connections with family, friends, and supportive communities can buffer negative mental health outcomes linked to discrimination.
4. Mindfulness & Empowerment Practices
- Practices such as mindfulness, grounding exercises, and values-based goal setting may help reduce stress and regain a sense of agency.
5. Advocacy & Collective Healing
- Participating in anti-racism advocacy or community equity initiatives can create collective meaning and address systemic roots of racial trauma.
Final Thoughts
Racial trauma affects countless individuals and communities, especially in diverse urban centres like Toronto and Vancouver. While racial trauma is deeply personal, it is also shaped by broader systems of power, history, and social inequity. Recognizing it, validating experiences, and ensuring access to racial trauma therapy and supportive resources are essential steps toward healing and long-term wellness.
FAQ:
Can racial trauma affect physical health as well as mental health?
Yes. Racial trauma is associated with chronic stress, which can impact physical health over time. Prolonged exposure to racial stress has been linked to high blood pressure, sleep disturbances, weakened immune functioning, and other stress-related health concerns. This highlights why racial trauma is both a mental and physical health issue.
Who experiences racial trauma?
Racial trauma primarily affects racialized and Indigenous individuals, but experiences vary based on identity, history, and social context. People may experience racial trauma differently depending on factors such as immigration status, gender, sexual orientation, religion or spiritual practice, language, or the visibility of their racial identity. Importantly, experiencing racial trauma is not a sign of weakness, it is a natural response to harm.
How does racial trauma show up in cities like Toronto and Vancouver?
In diverse cities like Toronto and Vancouver, many racialized individuals report experiencing discrimination in workplaces, schools, healthcare settings, and public spaces. While diversity is a strength, it does not eliminate racism. Ongoing exposure to subtle and overt discrimination in daily life can contribute to racial trauma, even when individuals outwardly appear to be coping well or functioning.
What is racial trauma therapy?
Racial trauma therapy is a form of mental health support that explicitly acknowledges the role of racism, discrimination, and systemic oppression in a person’s life. It is often culturally responsive, trauma-informed, and grounded in an understanding of how race and identity shape lived experience. This type of therapy creates space to process pain, build coping strategies, and restore a sense of safety and empowerment.
How is racial trauma therapy different from traditional therapy?
Traditional therapy does not address racism directly or effectively. Therapy with an understanding of racial trauma, on the other hand, centers race and culture as essential parts of healing. It validates lived experiences of racism, does not minimize or dismiss racial harm, and recognizes how systemic inequities affect mental health. This approach can feel especially affirming for clients who have felt unseen or misunderstood in other therapeutic spaces.
Can racial trauma be healed?
Healing from racial trauma is possible, though it is not always linear. Healing often involves a combination of therapy, community support, self-care practices, and empowerment. While racism may continue to exist, individuals can develop tools to reduce its emotional impact, strengthen resilience, and reconnect with a sense of agency and self-worth.
When should someone seek support for racial trauma?
If experiences of racism are affecting your mental health, relationships, work, sleep, or sense of safety, it may be helpful to seek support. You do not need to be “at your breaking point” to access care. Many people benefit from racial trauma therapy simply to process experiences, gain validation, experience connection and understanding, and build sustainable coping strategies.
Ready to Find Your Therapist?
Search the Healing in Colour directory now for therapists who specialize in racial trauma:
Use the search on our site (magnifying glass) to search for folks who have expertise and use the “racial trauma” filter to find therapists who work with racialized folks.
Check out Healing in Colour to get connected to a therapist who truly gets it.
Additional Resources
Not ready for therapy yet?
- Explore our Resources page for community organizations and mental health tools
- Follow us on Instagram for racialized individuals health content
- Join our newsletter for monthly mental health resources
About Healing in Colour
Healing in Colour is a directory of BIPOC therapists and allied professionals across Canada who are committed to anti-oppressive values. We envision a world where BIPOC, in all our intersections, have access to therapy that supports our healing and liberation.