Rupi Legha MD

Rupi Legha MD Serving adults, children, and families; providing a strengths-based approach to mental health throug

Too often, “care” in child psychiatry looks like control — surveillance, restraint, or even police intervention.But it d...
11/20/2025

Too often, “care” in child psychiatry looks like control — surveillance, restraint, or even police intervention.

But it doesn’t have to. You have the right to ask questions. Here are some that every parent and caregiver should ask before starting psychiatric treatment for their child.

💖 You deserve a provider who leads with compassion, not control. Learn more at RupiLeghaMD.com

 

11/19/2025

I had the honor of being chosen as the speaker for the Pitzer College Racial Justice Initiative Distinguished Scholar-Activist Lecture.

Everywhere I go, I meet young people who feel like the world is collapsing around them — and in many ways, it is.

Genocides are happening near and far. Systems of care are failing.
The planet itself is crying out.

And yet, in the face of this collective grief, we continue to treat despair as a pathology — something to diagnose, medicate, or “fix.”

But despair is not a disorder. It is a human response to witnessing a world in collapse.

The process of breaking down, of losing faith in the systems that harm us, is not failure. It’s part of the work of becoming.

What if mental health care made space for that?
For grief as wisdom.
For despair as truth-telling.
For healing as a collective, not a compliance-based, act.

Thank you to Dr. Marcus Rodriguez and Professor Ahmed Alwishah at Pitzer College for the generous honorarium and for inviting me to this space to instill in students that their despair is not something to hide, it is something to organize with.

             

Mandated Reporting is *supposed* to be about protection, but it *actually* causes more harm than good.I unpacked these o...
11/18/2025

Mandated Reporting is *supposed* to be about protection, but it *actually* causes more harm than good.

I unpacked these often-missed lessons at the Transcultural Nursing Society Conference in my talk, “From Biomedical Control to Cultural Liberation.”

✨True safety cannot exist without context—family circumstances, resources, stressors, strengths. Without context, we cause harm.

✨Advocacy is not defiance; for many families, advocacy is protection.

✨And most families need support, not suspicion

For more info + inquiries, visit RupiLegha.com/speaking

Biomedical model be damned. Let’s mount up!Spoke at the Transcultural Nursing Society Conference last month about shifti...
11/17/2025

Biomedical model be damned. Let’s mount up!

Spoke at the Transcultural Nursing Society Conference last month about shifting from Biomedical Control to Cultural Liberation—with “Regulate” by Warren G in the background—because let’s be honest: psychiatry has spent over a century regulating marginalized communities, not liberating them.

Colonial science, eugenics, racial control, modern surveillance… that’s the real lineage of “neutral” clinical tools.

Transcultural nurses know: you can’t offer justice-centered care if you don’t understand the system you inherited.

We’re not here to regulate people.
We’re here to liberate care.

Biomedical model be damned. Let’s mount up. 🎧💥

11/16/2025

What year did it come about?
What framework was it seen through?
Who developed it—and for whom?

These are the questions I ask my students, my colleagues, and yes…our entire field.

Because too much of what we call “mental health research” has been done on us, not with us.
And too many clinical standards were built without the people most harmed by them.

In No More Building Resiliency, I call this shift me-search → re-search → we-search.
It’s not just critique. It’s a roadmap.

When we trace the deep history of our tools—diagnoses, “evidence-based” protocols, crisis responses—we finally see the patterns: control over care, punishment disguised as treatment, and a refusal to name racism as a clinical risk.

My work now is about what comes next:
✨ Protective Care
✨ Mandated Supporting
✨ Clinically-informed abolition
✨ Practices that actually protect children and families

We aren’t here to make the old system gentler.
We’re here to build a different one.

Earlier this week I shared how antiracism gets edited out of our field—how often the pushback sounds like: “Too emotiona...
11/14/2025

Earlier this week I shared how antiracism gets edited out of our field—how often the pushback sounds like: “Too emotional.” “Too negative.” “Too harsh on the system.”

But here’s the part of the story we don’t name enough:

When you refuse to dilute the truth, people feel seen.
When you write with integrity, people feel validated.
When you center justice, people feel healed.

For every reviewer who says my work is “too much,” there are far more people who say:
“I finally have language for my experience.”
“I felt hopeful reading this.”
“Your work helped me feel understood.”

This is the side of antiracism that rarely gets platformed—the part where people recognize themselves in the work and feel less alone, less pathologized, more possible.

This is how antiracism heals.
This is why I keep writing and teaching.
This is why I don’t soften the truth.

💖 Thank you to everyone who has shared how this work has landed for you. Your reflections keep me grounded in what matters.

We like to believe our clinical tools are neutral.But neutrality doesn’t exist in systems built on hierarchy.These tools...
11/13/2025

We like to believe our clinical tools are neutral.

But neutrality doesn’t exist in systems built on hierarchy.

These tools were designed within (and continue to reinforce) a narrow worldview that equates whiteness with health, English fluency with intelligence, and compliance with worthiness of care.

In my talk, From Diagnostic Condemnation to Racial Equity, I invite us to recognize how “objective” measures often pathologize difference, and how reimagining them is part of the work of racial equity in medicine.

Transformation begins when we stop mistaking standardization for fairness and start designing tools that see people, not pathologies.

Grateful to the California Department of State Hospitals for engaging deeply in From Diagnostic Condemnation to Racial Equity.

Let’s keep transforming systems from control → care.

🎤 Bookings: RupiLeghaMD.com

Almost every time I submit a paper that interrogates racism in medicine, the feedback sounds something like this:“Too on...
11/11/2025

Almost every time I submit a paper that interrogates racism in medicine, the feedback sounds something like this:
“Too one-sided”
“Inflammatory and sensational”
“Overly emotional”

These aren’t just critiques — they’re reminders of how deeply our systems resist naming harm.

When you write about antiracism in healthcare, you’re often asked to soften, to neutralize, to make the truth more “palatable.”

But I’ve learned that the discomfort is part of the work.

Some of my papers have required a half dozen submissions to different journals and taken years, while others have stalled out completely (for now). In all honesty, I usually reach my limit at six journals turning them down...

💖But I keep writing because our field must move toward care rooted in trust, justice, and accountability rather than fear.

I’m deeply grateful to the editors, reviewers, and colleagues who did believe in this work and who pushed with care instead of defensiveness, who helped make sure these ideas found their way into publication. Thank you for seeing the purpose behind the pushback.

For every “too emotional,” there’s a community who knows that love is the most radical evidence we have.

✨Click the link in my bio to read a few of my most recent publications.

             

11/06/2025

Children are suffering.
In Gaza.
In ICE detention.
Under police surveillance.
And still, it’s not a topic of conversation in mental healthcare.

Silence from child mental health professionals isn’t neutrality—it’s complicity.

If we stand for children, we have to stand for all children.

             

We are witnessing young people in the U.S.carry climate grief, state violence, campus policing, generational trauma, and...
11/04/2025

We are witnessing young people in the U.S.
carry climate grief, state violence, campus policing, generational trauma, and the ongoing afterlives of colonization and slavery.

To feel despair in these conditions is not disorder.
It is awareness. It is evidence of care.
It is your nervous system telling the truth.

This lecture explores how we can honor that truth,
and build forms of care rooted in racial justice, not punishment. For ourselves and for the world around us.

Huge thanks to Dr. Marcus Rodriguez and for making this happen.

I want to be clear:Despair is not something to celebrate, romanticize, or encourage.It is painful. It can be terrifying....
11/04/2025

I want to be clear:
Despair is not something to celebrate, romanticize, or encourage.
It is painful. It can be terrifying. I have lived it.

What I am saying is this:
When young people are struggling, it is not because they are “disordered.”
It’s because they are living through racism, violence, uncertainty, and a world that often refuses to care for them.

The crisis is not in the young person.
The crisis is in the conditions.

This lecture is about:
• naming the harm honestly
• reducing shame
• and building ways of caring that don’t punish people for hurting.

If you are in despair, you are not alone.
Your pain deserves care, community, and dignity.

Cannot thank Dr. Marcus Rodriguez and enough for making this happen.

NEW PUBLICATION AVAILABLE ONLINE — When Protection Becomes Punishment in Health Affairs!“Mandated supporting offers an a...
11/03/2025

NEW PUBLICATION AVAILABLE ONLINE — When Protection Becomes Punishment in Health Affairs!

“Mandated supporting offers an alternative to the rigid binary of ‘report or don’t report.’ ...[I]t encourages providers to intervene with care, rather than control, especially in cases rooted in poverty, disability, or systemic oppression.

Antiracist and harm-reductionist, it centers family dignity while acknowledging risk and legal responsibility. It urges better questions:
👉🏾What does safety look like in context?
👉🏾What would protection without punishment require?”

Read the full text at the link in my bio!

             

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