And Puerto Ricans and African Americans are similar in that they are more likely to seek services from the state. Mexicans seem to be less likely to view state services as an option. I've found that in comparison with Whites, Blacks tend to wait until they're in a crisis situation. Depression, anxiety, and phobias are not frequently diagnosed until it's very late. So Blacks often end up using emergency services and have a high likelihood of needing hospitalization.
Blacks also are usually uncomfortable working with White therapists.
Compared to my White patients, Blacks have been more likely to come into therapy through personal contacts. It's more culturally appropriate for them to go to a doctor with physical symptoms that are really a manifestation of mental and emotional problems. I've worked with Southeast Asians who had depression, which was expressed through headaches and sleeping difficulties. So they would seek out a physician to get relief for those symptoms. Asians and Pacific Islanders don't turn first to the Western approach of talk therapy.