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Multicultural Mental Health Storytelling; Reflections on Silence and Survivorship

  • Writer: Michael Elwan
    Michael Elwan
  • Nov 16
  • 3 min read
Award-winning social worker, national advisor, and PhD researcher Michael Elwan reflects on multicultural mental health storytelling and the lessons held in silence.

Stories carry weight in every community; silence often carries even more. In the ALIVE National Centre piece, I explored how multicultural mental health storytelling helps us understand what sits beneath that silence, and why some families speak in pauses rather than sentences. These stories are not simply personal reflections; they reveal how culture, migration, and systems shape the way distress is shared or hidden.


Sharing it brought a familiar mixture of vulnerability and purpose. These stories are not simply memoir; they are mirrors held up to our systems, our cultures, and our assumptions about who is allowed to speak and who is expected to stay quiet.


Silence, especially in multicultural families, is frequently misunderstood. Some view it as avoidance; others interpret it as lack of insight. What I’ve learned is simpler. Silence is communication. It can be grief, shame, fear of discrimination, exhaustion, or the memory of a first encounter with a health system that frightened rather than supported.


In my early years in Alexandria, conversations about mental illness slipped behind closed doors. Care took place quietly, with families carrying burdens that were never designed to be held alone. When I migrated to Australia in my late twenties, I encountered a different kind of silence. This one sat between forms, procedures, intake assessments, and short-term care plans. Systems looked more advanced, yet many families still felt unseen; their knowledge sidelined, their cultural context missing from the room.


Reflecting on this contrast has deepened my commitment to multicultural mental health transformation. Silence is not a gap to fix; it is a sign to pay attention. It tells us where trust has been broken, where power has been uneven, and where care can be made more human.


The ALIVE piece sat with three core lessons that guide much of my current work. First, relationships matter; continuity is protective. Second, families hold knowledge that services need, especially early in distress. And third, cultural humility must sit at the heart of safety; compliance alone cannot keep people safe.


These ideas shape LEXs every day. Whether offering therapy or supervision, working with organisations, or contributing to policy through national committees, the aim is simple: create spaces where people from multicultural backgrounds are heard without judgement, where their silence is respected, and where their stories guide systems toward compassion rather than constraint.


The article also reminds me that healing does not belong only in clinical rooms. It grows in families, communities, faith settings, workplaces, and in the shared language we build when we slow down long enough to listen.


For anyone who has carried silence across borders, generations, or service encounters, your story is not absent; it is waiting for conditions that make it safe to speak. As Australia builds a more inclusive mental health system, these stories deserve room, attention, and genuine partnership.


You can read the full ALIVE National Centre piece here:

https://alivenetwork.com.au/a-son-after-suicide-lessons-in-silence/ Based in Perth, WA, LEXs provides telehealth counselling across Australia for individuals, couples, and NDIS participants. Services extend to Social Work supervision, Peer Work supervision, training, and keynote speaking on men’s mental health, CaLD community wellbeing, and culturally responsive suicide prevention; helping people and organisations make mental-health care more compassionate, inclusive, and effective. LEXs provides services across Australia, supporting clients in Perth, Melbourne, Sydney, Brisbane, and beyond. To learn more about our work across Australia, visit LEXs' services page.

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Together, transforming Australian multicultural mental health through

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Lived Experience Solutions (LEXs) acknowledges the Traditional Owners of Country throughout Australia and recognises their continuing connection to land, waters and community. We pay our respect to them and their cultures, and to Elders past, present and emerging.

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