The Ugly, Scary, Lonely Truth About Trans* Mental Health: Utilizing An “Afro-Jotx Consciousness”


The Ugly, Scary, Lonely Truth About Trans* Mental Health: Utilizing An “Afro-Jotx Consciousness”

“Trans* people are not human.” ~Reina

The ugly, scary, lonely truth about Trans* mental health is that Trans* people, especially Black Trans women, are systematically dehumanized in this society. We are in the throes of a Global Trans* Mental Health Crisis (GTM-HC), a crisis born from a society that refuses to acknowledge our humanity. The Western healthcare system, designed exclusively for cisgender people by businessmen, thrives on maintaining a steady flow of ill cisgender individuals and profiting from their suffering. This system's inherent disregard for the well-being, dignity, and humanity of its own people starkly underscores the catastrophic reality of the GTM-HC.

This literary analysis will reveal the roots of this crisis, utilizing the transformative theoretical frameworks of Afro-Jotería Studies. Developed by CÁMO to champion the visibility and liberation of Afro-Jotx people—Queer and Trans Afro-Latinx, Afro-Caribbean, and Afro-Indigenous individuals—Afro-Jotería Studies offers a vital lens through which we can understand and combat the GTM-HC.


Situating GMT-HC In The “Afro-Jotx Consciousness” 

Addressing this crisis through an Afro-Jotx Consciousness provides decolonial queer transfeminist insights into the origins of the GTM-HC, the authentic Trans* narrative, and potential solutions to re-imagine and reform the Western healthcare system. The Afro-Jotx Consciousness embodies a critical thinking and stoic existence journey rooted in self-discovery, collective healing, and spiritual activism. Guided by twenty-one tenets, it commits to multidimensional social justice and activism, total liberation of all Afro-Jotx people, and is deeply rooted in laughter, silliness, Black trans joy, and radical Black queer love.

The Afro-Jotx Consciousness insists that total liberation is imperative for Afro-Jotx and all oppressed people. It demands and dedicates itself to achieving the absolute, immediate, permanent, and total liberation of ALL Afro-Jotx people, with no exceptions. Applying this perspective to the GTM-HC necessitates identifying and analyzing primary sources from Afro-Jotx voices. This analysis will explore works by Dr. Dora Santana, Tito Mitjans Alayón, Alan Pelaez Lopez, and CÁMO (aka LA REINA TAÍNA). These Afro-Jotx scholars offer a glimpse behind the oppressive curtain that seeks to dim "las luces al final de Cristóbal" (CÁMO, 2024).


The Origins of the GTM-HC

The origins of the Global Trans* Mental Health Crisis (GTM-HC) are deeply rooted in systemic oppression and institutionalized discrimination. Historically, the medical community has pathologized transgender identities, treating them as mental disorders. This stigmatization was perpetuated by the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), which until recently, listed gender dysphoria as a mental health condition. The classification not only invalidated the identities of transgender individuals but also subjected them to harmful and unnecessary medical scrutiny and treatments. The systemic bias within the healthcare system, designed predominantly for cisgender individuals, further alienated trans people, denying them appropriate and affirming care.

Social, political, and economic factors have exacerbated this crisis. Transgender individuals, particularly Black trans women, face disproportionately high rates of violence, discrimination, and poverty, contributing to severe mental health challenges. According to Mental Health America, 71% of transgender and nonbinary youth have experienced discrimination due to their gender identity, and 40% have attempted suicide. The intersection of racial and gender oppression, known as poly-victimization, places Black trans women at an even higher risk for depression, PTSD, and other mental health issues. Anti-transgender legislation and social stigmatization further marginalize these individuals, stripping away their rights and access to necessary support systems​ (Yale School of Public Health)​​ (Mental Health America)​.

Understanding these origins is crucial for improving trans allyship and fostering a more inclusive society. Recognizing the systemic failures and historical injustices that have led to the GTM-HC allows us to address the root causes and advocate for structural changes in healthcare, social policy, and community support. By promoting affirming and inclusive environments, both within healthcare and society at large, we can begin to mitigate the mental health crisis affecting the transgender community.


The Manic Reality: An Afro-Jotx Analysis of CÁMO’s “HARTA/MANÍCA EN ‘MERÍCA” and the Global Trans* Mental Health Crisis

CÁMO’s track “HARTA/MANÍCA EN ‘MERÍCA” from the album IM ON AUX NOW poignantly articulates the mental and emotional turmoil experienced by Black trans individuals in America. The lyrics convey a raw expression of frustration and desperation, resonating deeply with the experiences of those living with bipolar disorders, ADHD, acute anxiety, PTSD, and suicidal ideation—conditions CÁMO herself grapples with. The repeated cry of “STOP!” and “I’M FED UP!” symbolizes the exhaustion and alienation faced by many in a society that constantly marginalizes and pathologizes their existence.

This track aligns with several tenets of Afro-Jotx Consciousness, particularly Tenet 11, which rejects systemic oppressions such as transphobia, racism, and capitalism. The lyrics “Pensé que tu eras Democratica, pero en realidad, te falta técnica” critique the false promises of democracy and the systemic failures to protect and affirm Black trans lives. This resonates with the urgent need to prioritize trans mental health amidst the GTM-HC, as systemic injustices exacerbate mental health crises within this community.

CÁMO’s declaration, “Trans pride, but they call me ‘lunática,’” reflects Tenet 17’s emphasis on the sacredness of the Black trans perspective and the rejection of dehumanizing narratives. The societal tendency to dismiss and stigmatize Black trans individuals' mental health struggles is a significant contributor to the GTM-HC. By voicing these struggles through her art, CÁMO not only reclaims her narrative but also highlights the critical need for inclusive, affirming mental health care that recognizes the intersectional realities of Black trans lives.

“HARTA/MANÍCA EN ‘MERÍCA” serves as both a personal testimony and a broader critique of systemic failures. It underscores the importance of addressing the GTM-HC through an Afro-Jotx Consciousness framework, which advocates for holistic, decolonial, and intersectional approaches to mental health care. By centering the lived experiences and voices of Black trans individuals, we can work towards a more just and affirming society.


Juxtaposing Resilience and Crisis: Dr. Santana's "Mais Viva!" and the Global Trans* Mental Health Crisis

In analyzing Dr. Dora Santana's "Mais Viva! Reensamblando la Experiencia Trans, la Negritud y el Feminismo" alongside the Global Trans* Mental Health Crisis (GTM-HC), we gain profound insights into the systemic and intersectional challenges faced by Black trans women. Santana’s concept of "mais viva" (more alive, alert, knowledgeable) embodies an embodied knowledge of Black and trans resistance. This critical consciousness is crucial for building self-love and community resilience in the face of pervasive systemic violence and marginalization.

Santana draws on her conversations with Black Brazilian travesti activist Selen Ravache and the legacy of Black feminist Beatriz Nascimento to highlight the resistance and resilience within the Black trans community. She argues that the lived experiences of Black trans women, characterized by what she calls "Afro trans vivências," are vital for understanding and challenging the oppressive structures that underpin the GTM-HC. Santana emphasizes that these experiences are not merely about survival but also about thriving through collective care, joy, and spiritual activism. She states, “A luta é nossa! Viva a vida!” (The struggle is ours! Live life!), encapsulating the spirit of resistance and resilience that defines the Afro-Jotx Consciousness.

Santana’s work underscores the importance of recognizing and addressing these systemic failures through a decolonial queer transfeminist lens. Her concept of "papo-de-mana" (sista talk) as a methodological approach foregrounds the voices and experiences of Black trans women, advocating for their visibility and liberation. In essence, Santana’s "mais viva" offers a powerful framework for reimagining and reforming the Western healthcare system to be more inclusive and affirming of transgender identities, ultimately working towards mitigating the GTM-HC.

In sum, Santana's "Mais Viva!" provides a critical lens through which we can understand and address the systemic injustices that contribute to the Global Trans* Mental Health Crisis. Her emphasis on embodied knowledge, collective care, and spiritual activism resonates deeply with the principles of Afro-Jotx Consciousness, advocating for the total liberation of all Afro-Jotx people.


Intergalactic Journeys: Alan Pelaez Lopez’s "Intergalactic Travels" and the Global Trans* Mental Health Crisis

Alan Pelaez Lopez’s "Intergalactic Travels: Poems from a Fugitive Alien" offers a poignant exploration of identity, migration, and survival that intersects powerfully with the themes of the Global Trans* Mental Health Crisis (GTM-HC). Lopez's work vividly illustrates the compounded traumas faced by Black trans individuals through the lens of their own lived experiences as an undocumented, Black, trans person. The concept of being a "fugitive alien" underscores the perpetual state of fleeing and surviving in a world that relentlessly dehumanizes and marginalizes trans identities.

Lopez’s poetry navigates the intersections of race, gender, and immigration status, portraying a world where Black trans bodies are continually subjected to violence and erasure. In their poem "sick in america," Lopez writes, "the black body does not migrate... it is shipped," reflecting on the historical and ongoing systemic oppression that Black trans individuals face. This resonates with the GTM-HC, highlighting how the intersectional oppressions of race and gender exacerbate mental health crises. The trauma of displacement, combined with the societal devaluation of Black trans lives, contributes to the severe mental health challenges documented in the GTM-HC.

Lopez’s "Intergalactic Travels" also emphasizes the resilience and strength of Black trans individuals amidst relentless adversity. The poet reflects on their experiences of survival and the reclamation of identity, stating, "to survive fugitivity is to experiment with everyday forms of escape." This narrative of resilience aligns with the Afro-Jotx Consciousness, which advocates for the total liberation and joyous survival of Afro-Jotx individuals. Lopez’s work calls for a reimagining of existence beyond the oppressive structures that seek to contain and define Black trans bodies. The text insists on the necessity of crafting spaces of joy and resistance, even in the face of pervasive systemic violence.

By juxtaposing Lopez's "Intergalactic Travels" with the GTM-HC, we gain a deeper understanding of the intersectional forces that contribute to the crisis. The poems serve as both a testament to the ongoing struggles and a powerful call to action for trans allyship. Lopez’s exploration of identity, trauma, and resilience not only underscores the urgent need for systemic change but also celebrates the enduring spirit of Black trans individuals.


Transnational Black Feminisms: Analyzing Tito Mitjans Alayón’s Insights and the Global Trans* Mental Health Crisis

In his conference presentation on "Transnational Black Feminisms and Activism in Latin America and the Caribbean," Tito Mitjans Alayón offers critical insights into the intersectional struggles of Black trans individuals, which directly relate to the Global Trans* Mental Health Crisis (GTM-HC). Alayón, an Afro-Cuban trans masculine feminist activist, emphasizes the importance of a transnational perspective in understanding the compounded oppressions faced by Black trans people. He discusses how Black feminist cartographies help locate and affirm Black identities within a broader transnational framework, challenging the erasure imposed by dominant mestizo narratives in Latin America​ (CLACS)​​ (CLACS)​.

Alayón’s work resonates deeply with several tenets of Afro-Jotx Consciousness, particularly those emphasizing total liberation and the rejection of systemic oppression. Tenet 8 calls for the “absolute, immediate, permanent, and total liberation of ALL Afro-Jotx people, with absolutely no exceptions.” Alayón's advocacy for transnational Black feminisms aligns with this tenet, as he underscores the necessity of global solidarity in combating the marginalization of Black trans identities. By situating Black trans experiences within a larger transnational context, Alayón highlights the shared struggles and collective resistance of Black trans communities across borders​ (CLACS)​.

Furthermore, Alayón’s emphasis on community and collective care echoes Tenet 1, which is rooted in “laughter, silliness, Black trans joy, and radical Black queer love.” His discussion on afrotransfeminismo, co-imagined by Afro-Brazilian trans women activists, showcases how Black trans individuals create spaces of joy and resilience amidst pervasive systemic violence. This approach challenges the dehumanizing structures that contribute to the GTM-HC by fostering environments where Black trans people can thrive and reclaim their identities​ (CLACS)​​ (Revistas Javeriana)​. In essence, Alayón’s analysis of transnational Black feminisms offers a powerful lens through which we can examine the GTM-HC. His emphasis on intersectionality, community, and global solidarity aligns with the principles of Afro-Jotx Consciousness, advocating for a holistic approach to liberation and mental health care for Black trans people.


An Afro-Jotx Consciousness Analysis of "La Luz Al Final De Cristóbal"

CÁMO’s poem "La Luz Al Final De Cristóbal" weaves a powerful narrative of resistance and reclamation, drawing deeply from Afro-Jotx Consciousness. The poem metaphorically positions the speaker as the light at the end of Cristóbal, symbolizing a beacon of hope and resilience against colonial legacies. This aligns with Tenet 8, which emphasizes the total liberation of all Afro-Jotx people. The speaker's declaration, “Our tongues are chained to the mechanical wheel de capitalismo,” critiques the capitalist structures that perpetuate the erasure and commodification of marginalized identities, resonating with Tenet 11’s rejection of systemic oppressions such as capitalism and colonization.

The imagery of whales visiting in dreams and the call to “Take. Us. Home.” evokes a spiritual journey towards self-discovery and communal healing, reflecting Tenet 17’s celebration of the Black trans perspective and the sacredness of the Black trans body. The poem’s invocation of historical figures like Tubman and Lumumba situates the Afro-Jotx struggle within a broader context of global resistance, emphasizing interconnectedness and solidarity. This echoes Tenet 16, which encourages the re-imagination of society through Queer Afro-Futurism and Latinx Futurism.

By juxtaposing the poem’s themes with the GTM-HC, we see how the systemic erasure and historical traumas faced by Black trans individuals contribute to the mental health crisis. The poem’s call for collective action and recognition of Afro-Jotx identities serves as a powerful reminder of the importance of inclusive and affirming spaces that honor the complexities of these experiences. "La Luz Al Final De Cristóbal" ultimately serves as a testament to the enduring spirit of Afro-Jotx resilience and the transformative power of Afro-Jotx Consciousness in addressing and overcoming the Global Trans* Mental Health Crisis.

Where Do We Go From Here? 

(W.D.W.G.F.H?)

In closing, the Global Trans* Mental Health Crisis (GTM-HC) is deeply rooted in systemic oppression and institutionalized discrimination. The DSM-5's pathologization of transgender identities, coupled with societal devaluation, exacerbates the mental health crisis within the trans community. By examining the works of Afro-Jotx scholars and activists, such as Dr. Dora Santana, Alan Pelaez Lopez, and Tito Mitjans Alayón, alongside the poignant expressions of CÁMO, we see a powerful call for inclusive, affirming, and decolonial approaches to mental health care.

The statistics are stark and urgent: 71% of transgender and nonbinary youth experience discrimination, and 40% have attempted suicide. Disturbingly, 47% of Black trans women have been sexually assaulted, and they are more likely to experience human trafficking and domestic violence, with over 80% of anti-transgender homicides in the U.S. involving Black women. Nearly 1 in 2 transgender people report being sexually assaulted at some point in their lives, and transgender people are at higher risk for sex trafficking.

As Patrice Lumumba once said, "The day will come when history will speak...Africa will write its own history...it will be a history of glory and dignity." Similarly, the history and future of trans mental health must be written by those who live it. The call to action is clear: advocate, support, and stand in solidarity with the trans community. The fight for mental health justice is a fight for humanity, dignity, and total liberation. Let us be the light at the end of Cristóbal, illuminating a path toward a just and affirming world for all trans individuals.


“Trans* people are not Human.” ~Reina


Researched and Authored by CÁMO (aka LA REINA TAÍNA)

Published by Reina (2024), www.lareinataina.com 

REINA’s/CÁMO’s life motto: “to re-imagine and challenge the ‘self’ via art.” 

P.S. If you or a loved one needs help/support/guidance, please visit my website’s emergency hotline page at www.lareinataina.com/sos.

Cashapp: $camoisnotdead 

Venmo: ctsmooth 

Paypal: CÁMOCemi’no

Trans* Mental Health Resources

  • The Trevor Project: Provides crisis intervention and suicide prevention services to LGBTQ+ youth. thetrevorproject.org

  • Trans Lifeline: Peer support and crisis hotline run by and for trans people. translifeline.org

  • National Center for Transgender Equality: Advocacy organization promoting transgender equality. transequality.org

  • GLSEN: Works to ensure safe and affirming schools for LGBTQ+ students. glsen.org

  • Human Rights Campaign: Advocacy and support for LGBTQ+ rights. hrc.org

  • Transgender Law Center: Legal advocacy organization for transgender rights. transgenderlawcenter.org

  • It Gets Better Project: Support and storytelling for LGBTQ+ youth. itgetsbetter.org

  • GSA Network: Connects LGBTQ+ youth through GSA clubs in schools. gsanetwork.org

  • PFLAG: Support for LGBTQ+ people, their families, and allies. pflag.org

  • Additionally, visit my SOS resource page at www.lareinataina.com/sos for more support!

Credible LGBTQ+ Sources

To counter misinformation and promote understanding, it is essential to rely on credible sources. Here are some trusted websites, organizations, activists, thought leaders, and influential books:

Websites and Organizations

  1. GLAAD: Works to accelerate LGBTQ+ acceptance and create meaningful change. glaad.org

  2. The Trevor Project: Provides crisis intervention and suicide prevention services to LGBTQ+ youth. thetrevorproject.org

  3. Human Rights Campaign (HRC): Advocates for LGBTQ+ equality and provides resources on various issues. hrc.org

  4. National Center for Transgender Equality (NCTE): Focuses on changing policies and society to increase understanding and acceptance of transgender people. transequality.org

  5. Lambda Legal: Fights for the civil rights of LGBTQ+ people and those with HIV through impact litigation, education, and public policy work. lambdalegal.org

Current Activists and Thought Leaders

  1. Angelica Ross: Advocate for transgender rights and inclusion. Instagram: @angelicaross

  2. Laverne Cox: Actress and advocate for transgender rights. Instagram: @lavernecox

  3. Indya Moore: Actor and advocate for transgender and non-binary rights. Instagram: @indyamoore

  4. Jeffrey Marsh: Non-binary author and advocate. Instagram: @thejeffreymarsh

  5. Dominic Rainsford (Lolhidominic): Advocate for LGBTQ+ rights and mental health. Instagram: @lolhidominic

Top 5 Most Influential LGBTQ+ Books

  1. "Gender Outlaw: On Men, Women, and the Rest of Us" by Kate Bornstein

  2. "The Gay Revolution: The Story of the Struggle" by Lillian Faderman

  3. "Stone Butch Blues" by Leslie Feinberg

  4. "Redefining Realness: My Path to Womanhood, Identity, Love & So Much More" by Janet Mock

  5. "Sister Outsider: Essays and Speeches" by Audre Lorde

Instagram Handles

References

Alleyne, Armando. N/A. Notable for contributions in painting and poetry.

Amisial, Edgie. 

Brown, Ariana. Sana Sana. Button Poetry, 2020.
---. We Are Owed. Button Poetry, 2021.


CÁMO. "HARTA/MANÍCA EN 'MERÍCA." IM ON AUX NOW, CÁMO, 2024. Music Video. 


CÁMO. "La Luz Al Final De Cristóbal." Collected Works of CÁMO, CÁMO, 2024.

Carlos Fregoso, Gisela. “Blanquedad, Blanquitud, Blanqueamiento.” Revista Mexicana de Ciencias Políticas y Sociales, vol. 60, no. 225, 2015, pp. 133–150.

Herrera, Adriana. Finding Joy. Carina Press, 2020.

Hicks, Faylita. HoodWitch. Acre Books, 2019.


Holnes, Darrel Alejandro. Stepmotherland. University of Notre Dame Press, 2022.

Lara, Ana-Maurine. Queer Freedom: Black Sovereignty. State University of New York Press, 2020.

"LGBTQ+ Mental Health and Anti-Transgender Legislation." American Psychological Association, www.apa.org/topics/lgbtq/mental-health-anti-transgender-legislation. Accessed 25 May 2024.


Marte, Melania Luisa. Plantains and Our Becoming. Haymarket Books, 2023.

Mitjans Alayón, Tito. “Transnational Black Feminisms and Activism in Latin America and the Caribbean.” Journal of Black Studies, vol. 50, no. 8, 2019, pp. 789–804.


Monet, Aja. My Mother Was a Freedom Fighter. Haymarket Books, 2017.


Montilla, Yesenia. Muse Found in a Colonized Body. Four Way Books, 2022.


Pelaez Lopez, Alan. Intergalactic Travels: Poems from a Fugitive Alien. The Operating System, 2020.


Santana, Dora. “A Black Trans Daughterhood of Story-Telling Literacy.” Transgender Studies Quarterly, vol. 6, no. 1, 2019, pp. 40–50.
---. “Transitionings and Returnings: Experiments with the Poetics of Transatlantic Water.” TSQ: Transgender Studies Quarterly, vol. 4, no. 2, 2017, pp. 267–284.

"Transgender+ Communities and Mental Health." Mental Health America, www.mhanational.org/issues/transgender-communities-and-mental-health. Accessed 25 May 2024.

"Transgender Individuals at Greater Risk of Mental Health Problems." Yale School of Public Health, ysph.yale.edu/news-article/transgender-individuals-at-greater-risk-of-mental-health-problems/. Accessed 25 May 2024.

Vázquez, Irene. “Take Me To The Water.” Feminist Press, 2023.


Vizcaíno Rivera, Yamilette. “Little, Little, Little, Big, Big, Big.” Anomalous Press, 2014.


Zapata, Aneiry L. “Black LGBTQIA+ Migrant Project (BLMP).” Movement Maker Profiles, 2020.
---. “Movement Maker Profiles.” Black LGBTQIA+ Migrant Project (BLMP), 2020.

CÁMO (aka LA REINA TAÍNA)

SHHHH!!!! Mother is arting…

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La fea, aterradora y solitaria verdad sobre la salud mental Trans*: Utilizando una “Conciencia Afro-Jotx”

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Una Introducción a los Estudios de Afro-Jotería y la Identidad y Conciencia Afro-Jotx