This reflection draws from my experience as a Ghanaian graduate student navigating life and learning in the U.S. My article looks closely at how my cultural upbringing, expectations, and internalized beliefs shaped how I and potentially other international students, particularly those from African backgrounds, may view counseling and emotional support. What may seem like resistance or avoidance to some staff is often rooted in deeper cultural realities.
I share my perspective on counseling to highlight aspects of student well-being that are often underdiscussed. This piece invites student affairs professionals, particularly academic advisors and counselors, to think more intentionally about engaging culturally diverse students who may not express distress in familiar ways. My reflection and guidance in this article align with the ACPA/NASPA Advising and Supporting competency by encouraging a more culturally aware approach. I hope that this article will help student affairs practitioners see beyond the surface and allow students to access support in ways that feel safe, respectful, and authentic to who they are.
Akan Cultural Norms and Emotional Expression
The identity of many Akan men, mainly from Ghana, has been shaped by culturally embedded values that emphasize strength, self-control, and endurance as essential components of respectable masculinity. Among the Akan, socialization practices often reinforce the expectation that men remain composed and emotionally restrained, particularly in public and familial settings (Dzokoto, 2018). Proverbs such as “Barima nsu” (“a man does not cry”) crystallize broader norms that encourage boys to internalize distress, resolve challenges independently, and avoid behaviors that might be interpreted as weakness. Scholarship on Ghanaian masculinity also highlights how emotional restraint is linked to notions of adult competence and social reputation, with emotional vulnerability often relegated to private or nonverbal forms of expression (Dzokoto & Adams, 2007). Within many Akan households, emotional struggles are more likely to be interpreted through moral, communal, or spiritual lenses rather than through direct emotional discourse (Dzokoto et al, 2018). These cultural scripts do not deny the existence of emotional pain but instead regulate how and where it can be expressed, shaping how Akan men learn to communicate distress indirectly through tone, action, or silence rather than explicit verbalization.
Cultural Narratives Around Counseling
With my intersecting identities as a Ghanaian, an Akan, an ethnolinguistic group native to Ghana and parts of Côte d’Ivoire with shared cultural, historical, and linguistic traditions, and a man, counseling was never something I openly discussed. Sitting down with a stranger to share my feelings felt unnecessary at best. With my experience in a Ghanaian Akan home, I think emotional distress was often understood within Akan cultural frameworks that primarily emphasize endurance, communal responsibility, and emotional restraint. Within many Akan families, seeking formal mental health counseling might sometimes not be viewed with much importance, as it is supposed to be, unless distress becomes visibly severe, with greater reliance placed on family guidance, spiritual interpretation, or personal resilience.
These cultural expectations can shape how emotional pain is expressed, interpreted, and addressed, particularly for men, for whom norms around strength and self-control may further constrain openness about mental health challenges. From a masculine perspective, struggling emotionally was valid, but in my community, it was often interpreted as a sign of weakness. Gender norms further amplified the stigma as showing vulnerability, especially for men, was frequently a failure. Our Akan community did not necessarily intend to harm us with these messages as boys growing up. However, I inherited survival strategies, passed down through generations, shaped by colonial legacies, economic uncertainty, religious influences, and deeply held social norms.
Historical and Societal Considerations
I was raised in a patriarchal Ghanaian society in which gender roles were clearly defined and reinforced through family, community, and cultural expectations. Historically, patriarchal societies equated emotional restraint among African men with resilience and leadership, expecting them to carry the weight of familial and communal responsibilities without complaint (Ezeugwu & Ojedokun, 2020). During and after colonial rule, African masculinity became closely tied to ideas of discipline, stoicism, and productivity, qualities promoted through colonial education systems and missionary doctrines that positioned emotional vulnerability as weakness or moral failure (Amadiume, 1987; Lindsay & Miescher, 2003). These values were not neutral but were actively shaped through colonial education and missionary systems that promoted Western ideals of manhood, discipline, and emotional restraint as markers of maturity and leadership (Miescher, 2007). Boys were taught in the colonial education systems to be “future leaders” by suppressing emotions, focusing on labor and obedience, and distancing themselves from anything seen as weak or overly expressive (Lindsay & Miescher, 2003).
Religious values might also be a significant cause for my feelings about therapy. As John S. Mbiti famously observed, “Africans are notoriously religious” (Mbiti, 1969, p. 1). In many African households, and specifically Ghanaian households, faith is not just a private belief but a guiding framework for understanding life’s experiences. In my experience, religion often provides comfort, meaning, and communal strength. However, this deep spiritual orientation can sometimes lead to emotional or psychological struggles being interpreted primarily through a religious lens. For instance, distress or mental health challenges may be viewed as spiritual battles, seen as tests of faith, punishment for wrongdoing, or evidence of demonic influence. As a result, individuals may be encouraged to seek prayer, fasting, or deliverance rather than psychological support or counseling.
While these religious responses can be significant and valid within their context, they may also unintentionally delay or dismiss interventions that are more suited to emotional or mental health needs. This highlights the importance of integrating spiritual sensitivity with psychological literacy, ensuring faith remains a source of strength without becoming a barrier to holistic care (Abood et al., 2021). Over time, these externally imposed ideas blended with existing patriarchal norms, creating deeply rooted expectations that “real men” must be emotionally self-reliant, unshakable, and uncomplaining. This historical shaping of masculinity continues to influence how many Ghanaian men today, including students, view mental health, counseling, and the act of seeking help.
Internalizing the Narrative: How the Messages Shaped Me
These cultural narratives did not just exist around me; they lived in me. I carried them silently, often without knowing. If I were hurt, I wanted to get over it myself. If I felt isolated, I wanted to tough it out. No one explicitly told me seeking support was wrong, but the silence around the idea of support or counseling spoke loudly. At funerals, I could see many women wailing through different forms of expression, rolling on the floor, speaking poetically. I saw sadness on men’s faces as they sat silently, nodding heads and holding cheeks, but explicitly exhibiting sadness through crying or wailing was rare.
I heard the popular phrase, “Barima Nsu,” which means men do not cry, very often. I gradually interpreted this to mean that strong men must swallow any form of emotional expression and become consolers of women. This was a strength; my community needed this form of masculinity from me. I then decided to figure things out independently and believed that any public display of distress would make me seem weak or unreliable.
As I carried these messages into adulthood, I began to internalize my struggles. Instead of reaching out when I felt overwhelmed, I turned inward. I would sit with my emotions in isolation, convinced that if I could process them quietly enough, they would go away. I did not realize that what I thought was strength was emotional suppression. I had trained myself not to ask for help when experiencing any emotional rollercoaster, not because I did not need help, but because I did not believe I should need it.
As I carried these messages into adulthood, I began to internalize my struggles. Instead of reaching out when I felt overwhelmed, I turned inward. I would sit with my emotions in isolation, convinced that if I could process them quietly enough, they would go away. I did not realize that what I thought was strength was emotional suppression. I had trained myself not to ask for help when experiencing any emotional rollercoaster, not because I did not need help, but because I did not believe I should need it.
How My Perspective Shifted
When I began graduate school in the U.S., I did not imagine that counseling or even conversations about counseling would become such a central part of my personal development. Coming from a background where I quietly endured emotional issues, I saw counseling as something far removed from my reality. However, my understanding shifted over time through my involvement in student support roles, my transition period, classes, and conversations with peers.
In those early months of graduate school, I often found myself in random conversations with other Ghanaian international students. We mostly unpacked the quiet struggles of transitioning to life in the U.S., including the unexpected loneliness, the cultural disconnection, and the silent battles with anxiety and self-doubt. We would mostly laugh, not because it was funny, but because humor was the safest way to talk about our pain. We joked that we were “too strong” for depression, that therapy was for people who did not grow up with strict mothers, morning devotions, or hardship as a regular part of life. We respected each other for surviving, but in retrospect, I see how our conversations were laced with a resistance not just to therapy itself, but to the idea that emotional vulnerability had any place in our definition of strength.
At first, some of my cohort members and professionals at my graduate assistantship office casually mentioned going to therapy or described their breakthroughs with their counselors. These were not dramatic stories of crisis, but small reflections on how talking to someone helped them process a tough week, confront imposter syndrome, or reflect on their growth. Hearing my peers speak so openly and without shame challenged my mental picture of who and what counseling was for.
What truly began to shift my internal narrative was my role as a peer mentor supervisor. Working closely with our peer mentors, some of whom were international, meant I had to show up with empathy, patience, and presence. I would hold space for my peer mentors struggling with homesickness, academic pressure, identity questions, or isolation. I saw the power of simply listening without fixing as they opened up to me. I saw how much strength it took for them to be vulnerable and honest, especially those who came from cultures or family systems where expressing mental or emotional struggles was taboo.
Ironically, while creating a safe space for others, I realized I had not created that space for myself. I encouraged students to reflect, seek help, and consider campus counseling resources, yet I had not considered doing the same. I played the supporter role but never allowed myself to be supported. The gap between what I offered to others and what I allowed for myself became increasingly hard to ignore.
Furthermore, my “Helping Skills” course brought that realization closer to my own experience. In the class, we did not just read about soft skills needed to help students in different situations, but we practiced them. Active listening, open-ended questioning, reflecting feelings, and affirming experience were tools we learned. As part of the course activities, we were supposed to make videos of us implementing the soft skills we learned as helpers and helpees in our colleagues’ videos.
At first, I struggled to let myself be “the client” in my colleague’s practice sessions. I gave short answers, avoided going too deep, and often used humor to deflect discomfort. It felt so unnatural and uncomfortable at the start. However, as the semester progressed, I saw something shift. There was something disarming about being genuinely listened to without judgment, without a rush to solve, without the weight of cultural expectations. It did not feel like weakness. It felt like relief.
The more I interacted with my peers in the HESA program, the more I began to see that seeking help did not mean weakness. It was a tool that could coexist with everything I already believed in. I did not have to stop being a man to acknowledge when I was tired, unsure, or needed help.
From Lived Experience to Practice
Now, I find myself in a different space emotionally. Counseling, something I viewed as more foreign and even unnecessary, has become a method I deeply respect and have slowly embraced. While I have not entirely gone through formal therapy myself, the openness I now feel toward it is a significant shift from where I started. I no longer see therapy as something that indirectly undermines my strength, but rather as something that can exist alongside it. Therapy adds language, tools, and practices that allow me to move through the world with more awareness, balance, and compassion. Moreover, more importantly, it permits me to care for myself.
This change has had a significant impact on how I approach my work with students now, especially those whose identities (such as international, first-generation, queer, religious) intersect in ways that can make it harder to be vulnerable or seek support. As a prospective student affairs professional, I now encourage students to reflect openly and see strength in vulnerability. Thus, when I support students now, I do it with gentleness, knowing how hard it can be to unlearn those deep-rooted narratives.
I have also learned not to push counseling onto students, as some derive support back home, but to remind them it as an option. Sometimes this means normalizing therapy through everyday conversation, as my cohort members did for me. Other times, it means validating a student’s spiritual or cultural beliefs while gently introducing the idea that emotional support can take many forms, including counseling. I have also come to understand that for many international students, especially from Africa, counseling is not just about treatment but also about trust. Trust in the system, in the practitioner, in the process. That is where I see student affairs professionals come in, not as experts with answers, but as bridges. I have realized how powerful it is when students hear someone they relate to speak openly about mental health and support-seeking.
In some cases, students are not looking for advice; they are looking for permission to admit they are not okay, to rest, and ask for help. I will still offer that permission by being honest about my journey. We should help students translate their experiences into language and frameworks that feel accessible and affirming.
In addition, I have started recommending campus wellness resources more often as options for students and one of many tools students can use to stay grounded. I will continue sharing stories of how counseling has helped others. As I continue this path in student affairs, I want to keep learning how to help students who sit at the crossroads of multiple identities, who, like me, may struggle with whether or not it is acceptable to talk to someone about their pain. Whether through mentorship, programming, workshops, or one-on-one conversations, I want to continue dismantling the belief that strength means silence. I want students, especially those from backgrounds like mine, to know that caring for their mental health is not a foreign practice but a human one.
Recommendations for Student Affairs Professionals
Supporting international students, particularly those from African backgrounds, requires more than offering generic mental health referrals. It requires cultural humility, patience, and understanding of how identity and upbringing shape help-seeking behavior. Based on my evolving reflections on counseling and my work supporting students, I offer the following strategies for student affairs professionals, especially advisors and counselors.
- Gradually normalize conversations about mental health. Weave mental health into everyday interactions rather than assuming every student feels safe or comfortable talking about emotional struggles. Mentioning therapy casually without framing it as only for crises helps shift perception. Students often listen closely even when they do not respond immediately. Your tone can either reinforce stigma or help dismantle it.
- Avoid one-size-fits-all referrals. Telling students to “go to counseling” may feel dismissive if they have never encountered therapy in their home culture. Instead, consider asking: “How do you usually process stress?” or “What kind of support feels safe?” From there, gently introduce campus resources as options, not solutions.
- Use peer influence as a bridge. Many international students open up more readily to peers. So, consider building peer-led wellness discussions or panels where students from similar cultural backgrounds share how they have navigated therapy or emotional self-care. Representation matters, as research has proven the effectiveness of even group counseling and therapy (Yalom,2020).
- Create culturally responsive spaces. Ensuring that the emotional support services on campus are visibly inclusive is also a good way of tackling the issues raised. This includes hiring diverse staff, partnering with international student offices, and offering wellness materials in a culturally relevant language. Even small cues like office posters or program titles signal whether a space is safe.
Reflection Questions
- How might your cultural assumptions about help-seeking influence the way you support international students who are hesitant to use mental health services?
- In what ways can your office or campus create spaces where students from different cultural backgrounds feel emotionally safe enough to be vulnerable?
- What steps can you take to integrate culturally responsive advising practices that validate and respect alternative coping and healing methods?
Author Bio
Osei Akomeah (he/him) is a Higher Education and Student Affairs graduate student at the University of Iowa and a graduate assistant with the First Gen Hawks program. His research interests focus on cultural perceptions of mental health, and student services, globalization of U.S. higher education and its impacts, and the experiences of queer international students.
References
Abood, J., Woodward, K., Polonsky, M., Green, J., Tadjoeddin, Z., & Renzaho, A. (2021). Exploring the barriers to mental health help‑seeking among African migrants in Australia: A qualitative study. International Journal of Social Psychiatry, 71(6).
Miescher, S. F. (2007). Making men in Ghana: Cultural change and colonial modernity in the early twentieth century. The Journal of African History, 48(1), 29-55.
Amadiume, I. (1987). Male daughters, female husbands: Gender and sex in an African society. Zed Books.
Dzokoto, V. A. (2015). Culture and emotional expression: Implications for mental health in Ghana. International Journal of Psychology, 50(5), 372-378.
Dzokoto, V. A., & Adams, G. (2007). Understanding emotions in African contexts: Toward a cultural psychology of emotional expression. Journal of Black Psychology, 33(1), 5-30.
Lindsay, L. A., & Miescher, S. F. (2003). Men and masculinities in modern Africa. Heinemann.
Mbiti, J. S. (1969). African religions and philosophy. Heinemann.
Yalom, I. D., & Leszcz, M. (2020). The theory and practice of group psychotherapy (6th ed.). Basic Books.
Ezeugwu, C. R., & Ojedokun, O. (2020). Masculine norms and mental health of African men: What can psychology do? Heliyon, 6(12).

