The mental toll of microaggressions is something many Black women and women of color in healthcare experience—but rarely talk about openly. In this episode, I break down what it actually feels like to carry these interactions day after day, how it impacts your confidence, and how it can quietly shift how you see yourself as a provider. This is not just about what happens in the moment. It’s about what happens after—when you replay conversations, question yourself, and start internalizing things that were never yours to carry. I also share my personal experience, including how this led me to question my career and how I had to rebuild my mindset to stop the spiral. Most importantly, I walk you through exactly how to handle these situations using my Decode–Detach–Deliver framework so you can maintain your composure, protect your mental space, and move with authority. If you’ve ever left work feeling drained, replaying conversations, or questioning yourself—this episode is for you. Key Takeaways • The mental exhaustion from microaggressions often comes from replaying interactions—not the interaction itself • These experiences can lead to imposter syndrome, overcritical thinking, and decreased performance • Microaggressions can contribute to anxiety, depression, hypervigilance, and social isolation over time • You are not imagining it—these patterns are real and documented • Internalizing these moments is what creates the long-term mental toll • You cannot control what others say, but you can control your response • The Decode–Detach–Deliver framework helps you respond with clarity and authority • Not every situation deserves your energy—discernment is power • You belong in every room you step into Podcast References: References Burke LA, Chijioke S, Le TP. Gendered Racial Microaggressions and Emerging Adult Black Women’s Social and General Anxiety: Distress Intolerance and Stress as Mediators. Journal of Clinical Psychology. 2023;79(4):1051–1069. Auguste EE, Cruise KR, Jimenez MC. The Effects of Microaggressions on Depression in Young Adults of Color: Investigating the Impact of Traumatic Event Exposures and Trauma Reactions. Journal of Traumatic Stress. 2021;34(5):985–994. Burton WM, Paschal AM, Jaiswal J, Leeper JD, Birch DA. Gendered Racial Microaggressions and Black College Women: A Cross-Sectional Study of Depression and Psychological Distress. Journal of American College Health. 2024;72(8):2811–2818. Watson-Singleton NN, Lewis JA, Mekawi Y. Do Gendered Racial Microaggressions Predict Hypervigilance Over and Above Racial Microaggressions Among College-Aged Black Women Over Time? American Journal of Orthopsychiatry. 2026. Lewis JA, Neville HA. Construction and Initial Validation of the Gendered Racial Microaggressions Scale for Black Women. Journal of Counseling Psychology. 2015;62(2):289–302. Loyd AB, Kürüm E, Crooks N, et al. Investigating Longitudinal Associations Between Racial Microaggressions, Coping, Racial/Ethnic Identity, and Mental Health in Black Girls and Women. Journal of Research on Adolescence. 2022;32(1):69–88. Nelson T, Brown MJ, Garcia-Rodriguez I, Moreno O. Gendered Racism, Anxiety, and Depression: The Mediating Roles of Gendered Racialized Stress and Social Isolation. Ethnicity & Health. 2023;28(1):12–28. Ezemenaka CJ, Burton WM, Newman S. Exploring Gendered Racism and the Mental Health of Rural Black Women. Frontiers in Public Health. 2025;13:1525165.