
Mental health is an essential part of wellbeing, yet it is deeply shaped by cultural, historical, and community contexts. For Indigenous peoples, mental wellness is connected to culture, identity, family, community, and the land. At the same time, the ongoing legacy of colonization, systemic inequalities, and intergenerational trauma can increase the risk of stress, anxiety, and other mental health challenges. Supporting mental health in culturally sensitive ways promotes healing, resilience, and balance.
Understanding Mental Health Holistically
Indigenous approaches to mental wellness emphasize balance and connection rather than only symptom reduction. Research by Indigenous scholars highlights that cultural connectedness, such as participating in dancing, drumming, singing, traditional crafts, or spending time on the land, can protect mental health and reduce the effects of historical trauma. These practices reinforce identity, belonging, and resilience in Indigenous communities.
Indigenous health experts also highlight concepts like survivance, which recognizes not just resilience but active cultural survival and strength in the face of adversity. This perspective encourages mental health approaches that build on community strengths rather than focusing solely on deficits.
How Culturally Grounded Therapy Can Help
Therapy can be a supportive space when it respects and integrates Indigenous worldviews. It does not replace cultural practices, it works alongside them. Renowned Indigenous psychologist Dr. Joseph Gone emphasizes the importance of blending traditional healing practices with contemporary therapeutic approaches. His work advocates for community-based services that honor culture, spirituality, and knowledge, rather than imposing Western models that may not reflect Indigenous worldviews.
Culturally responsive therapy can include approaches such as:
- Cognitive Behavioral Therapy (CBT): Helps recognize and manage unhelpful thought patterns.
- Holistic or culturally integrated therapy: Incorporates storytelling, community connection, ceremony, and traditional practices.
- Supportive counseling: Provides a safe space to share emotions, experiences, and challenges.
Therapy can be provided individually, with family, or in community groups. Combining professional support with cultural practices often strengthens the healing process.
Supporting Mental Health Through Culture and Practice
In addition to therapy, culturally grounded practices can support mental wellbeing:
- Community and family connection: Spending time with elders, participating in ceremonial gatherings, and sharing stories strengthens emotional support.
- Land-based practices: Activities on the land — such as harvesting, fishing, or walking ancestral grounds, promote emotional and spiritual balance.
- Creative expression: Artwork, music, storytelling, and crafts provide ways to process emotions and strengthen identity.
- Traditional practices: Ceremonies, prayer, and smudging offer grounding and connection that bolster mental health.
Conclusion
Mental health is an integral part of overall wellbeing. For Indigenous peoples, healing is most powerful when culture, community, and professional support come together. Research by Indigenous scholars shows that culturally grounded practices can protect mental health, strengthen identity, and support resilience. Whether through therapy, community, or traditional practices, support is available, and taking steps toward healing can restore balance and wellbeing.