Mental Health

Interview With Dea Rabon Montgomery, Ph.D.

By April 27, 2026No Comments

Introduction

Many individuals living with sickle cell disease carry not only physical pain, but emotional weight that often goes unseen. That is why Cayenne Wellness Center offers mental health counseling at no cost for California residents diagnosed with this condition. These services are designed to provide a safe, supportive space where individuals can process their experiences, build coping strategies, and prioritize their overall well-being.

Cayenne Wellness Center Mental Health Counseling

At Cayenne Wellness Center, licensed professionals who understand the unique challenges of sickle cell disease lead each session with care and cultural awareness. Whether navigating chronic pain, medical trauma, or the daily stress of managing a lifelong condition, participants are met with compassion and practical tools. Access to mental health support should not be a privilege, but a standard part of care. Through this program, Cayenne Wellness Center continues its commitment to treating the whole person, not just the diagnosis.

Services & Approach

1. What inspired you to begin working with individuals living with Sickle Cell Disease, and how has that shaped your approach to mental wellness? I began working with children with chronic medical illnesses early in my career as a clinical psychologist.  I became drawn to this particular population when I realized that many practitioners were very unfamiliar with the disease and unfortunately still operating under some fallacies such as the concern that it was somehow contagious and thus encouraging isolation of these children, using protective gear or being reluctant to physically interact with the children while they were on the ward.

2. When supporting someone who lives with chronic pain or fatigue, what therapeutic tools or strategies do you find most grounding and effective?  Cognitive Behavioral Therapy (CBT) techniques to aid with processing emotions, managing any elevated anxiety or emerging depressive feelings and building resilience and coping.

3. How do you help clients build emotional resilience when their health journey feels unpredictable or overwhelming?  Using CBT to aid clients with positive reframes, refocus, learning to manage what is manageable and release what is not, proactive coping and maintaining their regular positive management to aid in coping with times that as a part of the illness can be unpredictable and feel overwhelming at times.  It is also very important to include the parents and family members in this process to support and model for the client.

4. In your sessions, what are some common themes or concerns SCD clients share, and how do you gently guide them through those challenges?  Often the challenges with children are the sense of being different from their peers, feeling concerned or embarrassed regarding how others will react, and feeling frustrated where they feel they have restrictions connected to their SCD especially in activities.  Therapy often includes helping them not focus on their perceived weaknesses but instead the commonality of their strengths with others such as interest in creative outlets, academic interest, hobbies or other areas where they feel they excel to put any real or perceived limitations from SCD into perspective versus as the highlight.

5. How do you incorporate cultural sensitivity and lived experience into your counseling approach, especially within Black and Brown communities impacted by SCD?  As an African American, I feel I understand where cultural sensitivity or insensitivity can come into play with disease management.  Through my own experience of being raised in a less diverse environment with few representations of persons of color, I have come to realize and feel comfortable educating others about cultural sensitivity and appreciation.  I encourage clients to not rest in feeling discriminated or different but instead to first accept and embrace themselves, their differences with others and to feel empowered to appreciate the perspectives of all cultures while educating others about them and any needs or feelings specific to their culture.

6. For caregivers and families supporting someone with Sickle Cell Disease, what mental health practices do you recommend to strengthen connection and reduce burnout?  I recommend that families and caregivers regularly participate in the therapeutic interventions with the child and sometimes as a separate support with the mindset of “put the airbag on yourself first” to then be a better help and support to the child.  I further encourage families and caregivers to participate in support group therapy and education to avoid or reduce burnout feelings that may come especially from feeling isolated, uninformed and unprepared.

7. What is one message of hope or encouragement you wish every Sickle Cell Warrior could hear about their mental and emotional well-being?  I love the term Sickle Cell Warrior and hope that all will understand for their emotional and mental well-being to be encourage to be in the battle to move beyond symptom  management towards advances where S.CD treatment has had improved commitment to understanding the disease course and moved towards promising researching means of addressing underlying genetic causes and long-term remission or cures for many.

Leave a Reply