The Link Between Internalized Racism and Complex PTSD

By Leonica Riley Erwin, LMSW I The Social Work Concierge, LLC
By Leonica Riley Erwin, LMSW | The Social Work Concierge, LLC

When we talk about trauma, the conversation often focuses on single, life-threatening events — an accident, a violent assault, a natural disaster. But for many Black people and other people of color, trauma doesn’t come in a single blow. It comes in relentless, repeated exposure to racism, discrimination, and systemic inequities. Over time, these experiences can cause Complex Post-Traumatic Stress Disorder (C-PTSD) — and one of its most damaging layers is internalized racism.


Understanding Complex PTSD

Complex PTSD develops from prolonged or repeated trauma, especially when a person feels trapped and unable to escape it. While PTSD often stems from one specific event, C-PTSD is rooted in chronic experiences of harm. Symptoms often include:

  • Hypervigilance — constantly scanning for danger or rejection
  • Emotional dysregulation — difficulty managing strong emotions
  • Negative self-perception — deep feelings of worthlessness or shame
  • Relationship struggles — difficulty trusting others or feeling safe in connection
  • Persistent fear and hopelessness

For Black individuals, these symptoms can be compounded by the reality that racism — whether overt or subtle — is ongoing, not a “past event.”


How Internalized Racism Develops

Internalized racism happens when people absorb and believe racist messages about their own racial group. These messages can come from:

  • Generational trauma passed down in families
  • School curricula that erase or distort Black history
  • Media portrayals that stereotype or demean Black people
  • Everyday interactions that communicate you’re “less than”

When this happens over years or decades, those messages start to feel like truth, even though they are lies rooted in oppression.


Where C-PTSD and Internalized Racism Intersect

The connection between the two is both psychological and physiological:

  1. Chronic Exposure to Racial Trauma
    Microaggressions, workplace discrimination, medical bias, and racial violence are ongoing stressors. Living under constant threat reinforces the same fear-and-survival patterns seen in other forms of prolonged trauma.
  2. Negative Self-Image
    One of the hallmarks of C-PTSD is a damaged sense of self. Internalized racism amplifies this by making individuals question their intelligence, worth, beauty, or capability based on racial identity.
  3. Shame and Self-Blame
    Survivors of chronic trauma often blame themselves for what happened. Internalized racism feeds this shame — leading people to believe that they are responsible for the discrimination they face.
  4. Avoidance and Disconnection
    Some cope by distancing themselves from other Black people or Black culture to “blend in” or avoid discrimination. While this may offer short-term safety, it often deepens feelings of isolation and disconnection from identity.
  5. Nervous System Dysregulation
    Racial trauma triggers the body’s fight-flight-freeze response repeatedly. Over time, the nervous system becomes stuck in a heightened state of alert, making everyday life feel exhausting and unsafe.
Photo by Jacob on Pexels.com

The Mental Health Toll

When internalized racism and C-PTSD combine, the impact can include:

  • Severe depression and anxiety
  • Low self-worth and hopelessness
  • Difficulty forming healthy relationships
  • Self-destructive coping mechanisms (substance misuse, overwork, self-isolation)
  • Increased risk of physical health problems linked to chronic stress

Healing Requires Both Trauma and Cultural Work

Addressing C-PTSD without addressing internalized racism is like treating only half the wound. True healing involves:

  1. Culturally Affirming Therapy
    Work with a therapist who understands racial trauma and can integrate cultural strengths into the healing process.
  2. Reclaiming Identity
    Reconnecting with Black history, art, language, and community to counter internalized messages of inferiority.
  3. Somatic Practices
    Trauma lives in the body. Techniques like breathwork, EMDR, yoga, and grounding can help regulate the nervous system.
  4. Community Support
    Healing in connection with others who validate your lived experience helps dismantle shame and isolation.
  5. Challenging Harmful Beliefs
    Learning to identify and reject internalized stereotypes is essential for rebuilding self-worth.
Photo by Godisable Jacob on Pexels.com

Closing Thoughts

Internalized racism is not a personal failing — it’s the predictable result of living under systems designed to devalue Blackness. Combined with the symptoms of complex PTSD, it can leave deep emotional scars. But with culturally aware mental health care, community connection, and intentional self-reclamation, it’s possible to unlearn the lies and replace them with truth:

🖤 You are worthy. You are whole. And your story is worth reclaiming.

At The Social Work Concierge, we understand that healing isn’t just about managing symptoms — it’s about addressing the deep-rooted systems, experiences, and beliefs that have shaped how you see yourself and the world.

When it comes to internalized racism and Complex PTSD (C-PTSD), our approach combines trauma-informed care with culturally responsive therapy to help you reclaim your sense of worth, identity, and safety.

Our Philosophy: Healing from internalized racism and C-PTSD isn’t about “getting over it” — it’s about unlearning the lies you were told and replacing them with truth, self-love, and empowerment.

📍 Serving clients virtually across Michigan
📞 Call/Text: (616) 345-0616
🌐 http://www.socialworkconcierge.com

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