As a therapist, I work with many black women, from age 18 to retirement age. The one constant is the reality of the toll racism and misogyny have on their mental health. Mental health does not occur in a vacuum; it is either supported by one's environment or it is not. Combating onslaughts to one's worth socially, economically, medically, and virtually is exhausting and anger is more than justified. It takes real courage to stand against those twin evils, and such cowardice to make it the punchline of a joke.