Differences in Mental Health Counselors’ Diagnoses Based on Client Race: An Investigation of Adjustment, Childhood, and Substance-Related Disorders

This study of mental health counselors' diagnoses of African-American and Euro-American clients (N=899) found that African-Americans were diagnosed disproportionately more often with disruptive behavior disorders whereas Euro-Americans were diagnosed more often with less severe adjustment disorders. These findings mirror those of researchers from other mental health professions considering different mental disorders. Implications for mental health counseling practice and future research are discussed, and pathways to account for the phenomenon are proposed.