Black Mental Health Matters | Phillip J. Roundtree | TedxWilmington 2018

Dr. Phillip J. Roundtree
6 May 202013:14

Summary

TLDRIn this powerful speech, the speaker highlights the intersection of Black identity and mental health, discussing personal experiences with depression, anxiety, and trauma. He reflects on societal expectations, the pressure to suppress emotions, and how mental health issues manifest differently in Black men. Sharing stories of family loss, institutional racism, and the journey toward healing, the speaker emphasizes the importance of addressing mental health within the Black community. He advocates for shifting from survival to thriving and calls for greater understanding and support for Black mental health issues.

Takeaways

  • 😀 The speaker is often perceived based on physical traits like being black, bearded, and strong, resembling famous figures like James Harden or 50 Cent.
  • 😔 Despite outward appearances, the speaker battles with depression, anxiety, and suicidal thoughts, which are not often recognized or acknowledged.
  • 💡 Black mental health is often overlooked in the larger conversation about mental health, where stereotypes about race and mental illness persist.
  • 🧠 Trauma plays a significant role in black mental health, including historical trauma (slavery, Jim Crow) and modern-day events (police brutality, violence).
  • 😢 The speaker shares personal stories of trauma, including witnessing his mother's nervous breakdown and the death of his brother from drug use.
  • 💥 The speaker highlights how black men’s mental health often manifests in anger and rage rather than traditional symptoms like prolonged sadness.
  • 👮‍♂️ A minor incident with a cup of juice led to the speaker being arrested, charged, and jailed, demonstrating how unresolved trauma and anger can escalate situations.
  • 📚 Therapy and medication have been crucial in the speaker’s journey to mental wellness, helping him move from survival to thriving.
  • ✊ The speaker urges the black community to seek help, reject the stigma around mental health, and embrace wellness and healing.
  • 💭 The speech is a call to broaden the understanding of mental health beyond the stereotypical images, including people of color who are often excluded from the narrative.

Q & A

  • What common perceptions does the speaker mention people have about him?

    -The speaker mentions that people commonly perceive him as black, bearded, strong, and resembling NBA player James Harden, hip-hop star Donald Glover (Childish Gambino), and Curtis Jackson (50 Cent).

  • What does the speaker emphasize people don't recognize about him?

    -The speaker emphasizes that people don't recognize his struggles with depression, anxiety, and being suicidal for 15 years, despite his external appearance.

  • How does the speaker describe the typical American view of mental health?

    -The speaker describes the typical American view of mental health as focusing on homeless individuals, white celebrities who die by suicide, and white mass murderers, rather than acknowledging people like him, a Black man with a family and education.

  • What does the speaker mean by 'Black mental health'?

    -The speaker defines 'Black mental health' as the individual and collective experiences shaped by trauma that affect the wellness of the Black community, including historical trauma like slavery, Jim Crow laws, and present-day violence.

  • What are the three personal traumatic experiences the speaker shares?

    -The speaker shares three personal traumatic experiences: his mother's nervous breakdown when he was in eighth grade, the death of his brother when he was 17, and an incident in college where he was arrested and jailed after being accused of stealing juice.

  • How did the speaker cope with the loss of his brother?

    -The speaker coped by crying and following cultural practices from hip-hop, such as getting a 'rest in peace' tattoo, though he later realized that these actions did not alleviate the pain of losing his brother.

  • How does the speaker describe the manifestation of depression and anxiety in Black men?

    -The speaker explains that depression and anxiety in Black men often manifest as anger and rage rather than the stereotypical image of someone lying in bed for days.

  • What lesson did the speaker learn from his psychology professor, Dr. Campbell?

    -Dr. Campbell taught the speaker that in life, you either change to get something or to keep something, a lesson that became the speaker's mantra in his journey toward mental wellness.

  • What has helped the speaker in his journey toward wellness?

    -The speaker has found wellness through a combination of medication that helped eliminate his suicidal thoughts and regular therapy sessions, which he attends weekly.

  • What message does the speaker give to Black and non-Black audiences regarding mental health?

    -To Black audiences, the speaker encourages them to seek help, thrive, and not just survive. To non-Black audiences, he asks them to reconsider their perceptions of Black individuals, recognizing their potential mental health struggles and the resilience required to succeed.

Outlines

00:00

💪 Overcoming Stereotypes and Confronting Mental Health

The speaker introduces how people often misinterpret his appearance, labeling him based on his race, beard, and strength, while comparing him to celebrities like James Harden and 50 Cent. However, he highlights that no one perceives him as someone battling depression and anxiety or who has been suicidal for 15 years. He discusses how black mental health is often ignored or misunderstood in society, contrasting it with stereotypical representations of mental health in America. He stresses that black mental health matters, especially in the face of historical and present-day trauma.

05:01

😔 The Impact of Trauma in Black Communities

The speaker explains how trauma, including historical events like slavery and the civil rights movement, impacts black mental health. He shares personal stories, such as witnessing his mother's nervous breakdown at a young age, and how he had to suppress his emotions to continue with life as expected. He reflects on how black people are conditioned to endure trauma and move forward without addressing their emotional pain, which can lead to deeper mental health issues.

10:02

💔 Coping with Loss and Cultural Responses

In high school, the speaker lost his brother to drug abuse, which he connects to the opioid epidemic prevalent in the black and hip-hop communities. Without proper support, he followed cultural norms, like getting a tattoo to commemorate his brother, but this did not alleviate his pain. His grief manifested as anger, leading to an outburst in class and subsequent suspension. This experience reflects how depression in black men often appears as rage rather than sadness, a critical point in understanding black mental health.

🚨 A Life-Changing Incident and Self-Reflection

The speaker recounts a pivotal moment during college when a misunderstanding over a cup of juice escalated into a serious confrontation with law enforcement, resulting in numerous charges and temporary expulsion from school. This incident led him to reflect on his unresolved anger and trauma. However, with the support of his professor, he began to seek help and focus on improving his mental wellness, realizing the importance of change for personal growth.

🌱 The Journey from Survival to Thriving

The speaker shares how therapy and medication helped him address his suicidal thoughts and improve his mental health. He emphasizes the long process of healing, particularly for black people, who often take longer to seek treatment due to cultural stigmas. His message is one of hope, urging others, especially black men, to seek help and go from merely surviving to thriving. He also calls on non-black people to recognize the struggles that black individuals face with mental health, encouraging empathy and understanding.

Mindmap

Keywords

💡Black mental health

Black mental health refers to the individual and collective experiences of the Black community that influence their psychological well-being. In the video, the speaker highlights the importance of differentiating Black mental health due to the unique historical and contemporary traumas that the Black community faces, such as slavery, Jim Crow, and modern-day police brutality. The speaker emphasizes that Black mental health issues are often overlooked or misunderstood in mainstream conversations about mental health.

💡Trauma

Trauma is defined as deeply distressing or disturbing experiences that can have lasting effects on an individual’s mental health. In the video, the speaker links trauma to historical events such as slavery, the Tuskegee Experiment, and the personal experiences of witnessing police brutality against Black people. This trauma deeply influences the mental wellness of Black individuals, and the speaker shares his own traumatic experiences, including his mother's nervous breakdown and his brother's death.

💡Suppression of emotions

The suppression of emotions refers to the act of holding back or ignoring one’s feelings instead of expressing them. The speaker talks about how, as a Black man, he was expected to suppress his emotions and continue with life after traumatic experiences, such as his mother’s breakdown and his brother's death. This is a coping mechanism that many Black people adopt, but the speaker argues that it only worsens mental health struggles, leading to anger and rage.

💡Cultural expectations

Cultural expectations refer to the norms and behaviors that are expected of individuals within a particular community. In the context of Black men, the speaker explains that society often expects them to be resilient and suppress emotions. These expectations can prevent Black men from seeking mental health help, as they are expected to be 'strong' and unaffected by emotional distress, leading to deeper psychological struggles.

💡Resilience

Resilience is the ability to recover quickly from difficulties and continue moving forward. The speaker mentions that Black people are often seen as resilient, capable of surviving traumatic situations and systemic oppression. However, this resilience sometimes leads to the harmful assumption that Black individuals do not need mental health support, masking the emotional struggles they face beneath the surface.

💡Historical trauma

Historical trauma refers to the collective emotional and psychological injury experienced by a group of people over generations as a result of significant historical events like slavery and segregation. In the video, the speaker discusses how the Black community continues to face the impacts of historical trauma, which shapes their mental health challenges today. This kind of trauma is passed down through generations, influencing the way Black people experience and cope with mental health issues.

💡Mental health stigma

Mental health stigma is the negative perception and discrimination faced by individuals dealing with mental health issues. The speaker highlights that mental health stigma in the Black community is heightened due to cultural expectations and the lack of open discussions about mental health. He explains that Black men, in particular, are often not seen as individuals who could struggle with depression or anxiety, which exacerbates the problem.

💡Suicide

Suicide is the act of intentionally causing one’s own death. The speaker bravely shares his personal experience of being suicidal for 15 years, having suicidal thoughts multiple times a day. He discusses how these thoughts were linked to unresolved trauma and emotional suppression, and how they were compounded by the stigma surrounding mental health in the Black community.

💡Coping mechanisms

Coping mechanisms are strategies people use to deal with stress, trauma, or mental health challenges. The speaker describes unhealthy coping mechanisms he and others in the Black community have used, such as drinking alcohol or getting tattoos to deal with the pain of loss. He also mentions healthier alternatives like therapy and medication, which have helped him overcome his suicidal thoughts and work on his emotional well-being.

💡Representation in mental health

Representation in mental health refers to how different racial and ethnic groups are depicted in discussions and treatments of mental health. The speaker points out that Black individuals are rarely considered in mainstream mental health conversations, which tend to focus on white celebrities or stereotypical depictions of mental illness. He argues that it’s important to recognize the mental health struggles of Black people, such as himself, and include their experiences in the broader mental health narrative.

Highlights

Speaker introduces how people perceive him as strong, black, and compared to celebrities, but no one assumes he lives with depression and anxiety.

Describes his experience of being suicidal for 15 years, with multiple daily suicidal thoughts.

Challenges societal stereotypes about mental health, explaining that mental health issues in America are often attributed to white individuals or mass shooters, but rarely discussed in the context of black men.

Defines black mental health as the collective experiences of a community, with trauma being the biggest influencer.

Details historical and ongoing traumas affecting black communities, including slavery, Jim Crow, police violence, and intra-community violence.

Shares personal trauma, including witnessing his mother’s nervous breakdown when he was 13 years old and feeling helpless in the situation.

Recounts the loss of his brother to the opioid epidemic and how it affected his mental state.

Discusses how black men's depression and anxiety often manifest as anger and rage, rather than the stereotypical image of sadness and isolation.

Narrates his encounter with the police over a cup of juice, leading to 20-plus charges and his eventual expulsion from university.

Explains how the university incident became a turning point in his life, making him realize the need to change his approach to his mental health and behavior.

Highlights the importance of therapy and medication in managing his mental health, leading him from merely surviving to thriving.

Encourages black individuals to seek help for mental health issues, rejecting the idea of needing to 'wear a mask' or suppress emotions.

Calls on non-black individuals to recognize that black people may have gone through significant trauma and to be aware of the challenges they face.

Contrasts how mental health is perceived in America, citing examples of high-profile suicides among white celebrities like Anthony Bourdain and Robin Williams, while asking for similar attention to black lives affected by mental health struggles.

Concludes with a message of hope and empowerment, advocating for the importance of addressing mental health and supporting one another to move from survival to thriving.

Transcripts

play00:08

[Applause]

play00:10

when you look at me what do you see now

play00:17

I'm gonna go through some of the things

play00:18

that I typically here to the very astute

play00:22

I usually get I'm black I'm bearded and

play00:26

I'm strong I also get I look like NBA

play00:31

superstar James Hart I'm most definitely

play00:35

the poor version I get hip-hop superstar

play00:40

Emmy Award winner Donald Glover aka

play00:43

childish gambino yeah that's you right

play00:47

and last but not least I get Curtis

play00:51

Jackson aka 50 cent now one of my goals

play00:55

is definitely to get rich or die trying

play00:57

I think Sallie Mae is putting the

play00:59

emphasis on or die trying

play01:01

right but see what I don't hear is Phil

play01:06

you look like somebody that lives with

play01:08

depression and anxiety Phil you look

play01:11

like somebody that was suicidal for 15

play01:14

years every day five to six times a day

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they don't say Phil you look like

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somebody that was driving on Interstate

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95 wanting to crash your car to end your

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life no because see here in America when

play01:31

we think about mental health we think

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about the homeless man who's walking the

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streets talking nonsensically to

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themselves we think about the the white

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celebrity who takes their life via

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suicide we think about the the white

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mass murderer who goes into a high

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school and takes the lives of innocent

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children or beasts usually your

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president who loves the tweet venom from

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the hip but see rarely does the

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conversation speak of a father of two

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kids someone who possesses a master's in

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exercise science a Masters in Social

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Work somebody pursuing a doctorate

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rarely is it a person of color rarely is

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it a black man like myself

play02:24

until now because black mental health

play02:26

matters now you may be asking yourself

play02:29

what is black mental health and why is

play02:32

it differentiated amongst racial and

play02:34

ethnic lines black mental health are the

play02:37

individual and collective experiences

play02:39

that influence the wellness of a

play02:41

community trauma is the biggest

play02:44

influencer of black mental health we're

play02:47

talking about historical trauma slavery

play02:51

Jim Crow the civil rights movement the

play02:55

Tuskegee Experiment up until present day

play02:58

trauma when you see somebody that looks

play03:01

like you get killed in their home

play03:04

resting peas both them gene when you see

play03:07

somebody who's living with mental

play03:09

wellness issues get killed by the police

play03:11

rest in peace laQuan McDonald of Chicago

play03:15

Illinois or when you see somebody let

play03:18

looks like you get killed by somebody

play03:20

that looks like you rest in peace xxx

play03:24

fantasy owned see when we talk about

play03:27

trauma trauma is unique to the

play03:29

individual and I'm no different there

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were three impactful traumatic

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situations that I've experienced in my

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life outside of the genetic

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predisposition because my grandmother

play03:41

lived with schizophrenia i harken back

play03:46

to being an eighth grade 13 years of age

play03:48

on the way to school

play03:50

my mother has a nervous breakdown she's

play03:53

crying she's pulling at her clothes in

play03:56

her hair she's cursing I felt helpless

play03:59

because I couldn't help her or I

play04:02

couldn't and I couldn't help myself and

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see I was expected to continue to go

play04:07

into school that day and achieve it's

play04:10

funny when I when I first started

play04:12

telling this story I told my mother

play04:13

listen I'm telling the story of when you

play04:15

had a nervous breakdown and she said so

play04:18

that didn't happen now I know I'm

play04:20

getting older I have a few grades right

play04:22

but I swear I remember that and then she

play04:27

called me a week later and she said Phil

play04:29

I didn't know you remembered that as if

play04:32

I wouldn't remember the most traumatic

play04:34

situation that I've experienced them

play04:37

life and that typically happens we're

play04:39

often expected to just continue on

play04:41

because we are so resilient as a people

play04:44

because we do survive and we survive for

play04:47

hundreds of years and I was expected to

play04:49

survive and go into school that day and

play04:51

perform and I did because like many of

play04:55

us I learned how to suppress my emotions

play04:57

and my feelings but what if I didn't

play05:01

what if I went into school and I started

play05:03

arguing with peers and fighting what if

play05:06

I started arguing with the teachers what

play05:09

if I did criminalistics within the

play05:12

community would I be deemed and courage'

play05:14

balandin unable to be in the school

play05:18

setting in a community setting or would

play05:21

anybody care that I just experienced

play05:23

this traumatic situation that has

play05:24

impacted me fast forward to my 12th

play05:28

grade year 17 years of age January 2001

play05:33

my mother said Phil come downstairs

play05:36

she said Phil your brother Bobby died

play05:40

and I started crying that was probably

play05:44

the only healthy coping skill that I had

play05:46

at the time right because being a

play05:49

product of the hip-hop culture

play05:50

hip-hop tells me when somebody dies you

play05:53

either go out and get some liquor or you

play05:56

go get a rest in peace' tattoo well I

play05:59

wasn't old enough to drink that would

play06:01

happen once I got to college right but I

play06:04

went out and I got this rest in peace'

play06:06

tattoo as if that was going to do

play06:09

something if that was want to take away

play06:10

the pain of losing a primary

play06:13

relationship it didn't and people asked

play06:17

me feel well how did your brother die

play06:19

say the opioid epidemic is as popular

play06:22

now but in the black community in the

play06:25

hip-hop community especially amongst

play06:27

black male it's always existed he was

play06:32

one who liked to use coding and san-x

play06:36

I don't know what he was trying to cope

play06:38

with I will never know I went to school

play06:44

that Monday because I didn't have

play06:45

anybody to say Phil stay home because my

play06:47

mother was was going through it because

play06:49

she just lost her only child

play06:50

and I went to school feeling all of this

play06:54

emotion and I remember it like yesterday

play06:56

I was sitting in computer class mrs.

play07:00

Williams my computer teacher came up to

play07:02

me and I don't know what she said she

play07:05

said Phil she could have said Phil what

play07:08

was the score of the Eagles game last

play07:10

night I let her have it I blacked on her

play07:16

I cursed her out

play07:17

why because I had all this built-up

play07:19

anger all this built-up rage because see

play07:23

when we're talking about depression and

play07:24

anxiety for black men especially it

play07:26

doesn't look like somebody laying in bed

play07:28

for six and seven days on end

play07:30

no it manifests itself through anger and

play07:33

rage I ended up getting suspended that

play07:36

day and Miss Williams and I were able to

play07:38

laugh at the situation years later

play07:40

because I was able to cope with it and

play07:42

understand what I was feeling but again

play07:45

it was a moment in time that impacted my

play07:47

life my third and final story happened

play07:52

at Bloomsburg University in Bloomsburg

play07:53

Pennsylvania again we remember dramatic

play07:56

situations and I remember it like it was

play07:58

yesterday I call it the juice story

play08:00

right because when I go fill out job

play08:02

applications and it says have you ever

play08:04

been convicted of a crime as long as it

play08:07

doesn't say misdemeanor or felony I can

play08:08

I can ignore it if it says that but if

play08:11

he says have you ever been convicted of

play08:12

a crime I have to check it off and then

play08:13

I put well it all started with the cup

play08:15

of juice and then the employers they

play08:18

laugh like oh man and I laugh like haha

play08:23

that's my life so the true story is I

play08:28

was coming from the gym to go get me

play08:31

something to eat I got my food I paid

play08:34

for it emphasis on pay and you know how

play08:37

you go to McDonald's they give you a cup

play08:38

and you can go through there it fell in

play08:39

and get whatever drink you want and I

play08:41

did that and I tasted it to see water

play08:43

and see if it was water down but see

play08:45

when you go to a predominantly white

play08:46

institution like Bloomsburg University

play08:49

it seems like they have all the

play08:52

minorities names on a list and she's the

play08:56

school police officer said Phil that

play08:57

stealing mind blown

play09:01

and me having this anger this

play09:03

frustration has built up over years of

play09:05

trauma and me not being able to express

play09:07

myself in a healthy way I blacked on her

play09:10

just like I dead miss Willy did miss

play09:12

Williams unbeknownst to me that would

play09:14

lead to 20-plus charges I ended up going

play09:18

to jail that night I ended up getting

play09:20

expelled from school I ended up doing a

play09:23

weekend in jail because listen they say

play09:26

you'll get judged by a jury of your

play09:27

peers with the average age in that

play09:30

community being 60 and over it wasn't

play09:33

going to be a jury of my peers but I

play09:36

needed that experience I needed it and

play09:39

III needed it because it told me that

play09:42

Phil I have to do something different I

play09:43

ended up appealing to get back in the

play09:45

Bloomsburg University and people knew me

play09:47

so people wanted me back and so I got

play09:50

back and I was focused one day my

play09:53

psychology professor dr. Campbell camara

play09:55

god blessed the dead he said Phil come

play09:59

talk to me about anything anytime and I

play10:02

took him up on that I wouldn't talk to

play10:04

him not to talk about school I would to

play10:07

talk to him about a young lady I had

play10:08

been courting right and I wanted to

play10:10

understand why did she want me so I went

play10:14

to his office I'm like listen I bought

play10:17

her sneakers I took her to the movies I

play10:20

took it a dinner well my mom took her to

play10:23

dinner and all those things because I

play10:25

didn't have a job thanks mom

play10:27

but he said to me Phil in life you

play10:31

change to get something or to keep

play10:33

something what are you talking about

play10:37

little did I know that that will become

play10:39

my mantra that I realized I had to

play10:41

change I had to work on my wellness so I

play10:44

can be whole it took approximately 10

play10:48

years because that's the average length

play10:49

of time that they say somebody who lives

play10:51

with mental wellness issues that's the

play10:53

time that it takes for them to come to

play10:55

grips with it and to seek treatment for

play10:57

black people I think it's much longer

play10:59

and so within those 10 years I've been

play11:02

on a medication which quelled the

play11:04

suicidal ideations there no more I go to

play11:07

therapy every week hi dr. Val it's been

play11:11

so critical for me and my wellness

play11:14

because I decided to go from living to

play11:18

thriving to my black brothers and

play11:20

sisters you two deserve to go from

play11:22

living to thriving we no longer have to

play11:32

wear the mask we're survivors there's

play11:37

help now we can get help and walk out

play11:41

there with our heads held high and get

play11:44

the treatment that we need so we can go

play11:46

from living to thriving to my non black

play11:50

brothers and sisters will you now view

play11:53

the black person that you come in

play11:55

contact with and it might be in a

play11:57

negative way and recognize that you know

play12:00

what they might have gone through

play12:01

something or to see them when they excel

play12:04

what they had to go through to get to

play12:05

that point or will mental health

play12:09

continue to be viewed in America as Kate

play12:12

Spade as Anthony Bourdain as chester

play12:15

bennington as Robin Williams would it

play12:19

now include actor Sam Sarpong Lee

play12:22

Thompson young will it now include

play12:26

ten-year-old Ashanti Davis who took her

play12:29

life because of bullying when now

play12:33

represent a manual Sloane who's the

play12:36

reason why I'm here because in 19 years

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of age he decided to take his life by

play12:41

jumping in front of a train this isn't

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an indictment on you or on America this

play12:48

is just a public service announcement

play12:50

that's stating that we're here and we

play12:54

deserve to live and to thrive thank you

play13:02

you

play13:03

[Applause]

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