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The groundbreaking book that exposed the intergenerational health effects of systemic racism returns, 50% updated to meet the demands of our post-2020 reality. This updated edition offers urgent tools to overcome these challenges, including four new chapters, updated research, case studies, and real-world examples. Black people are suffering from burnout. The burden of living under systems designed to exclude them destroys their minds, bodies and spirits. Award-winning diversity, equity, and inclusion leader Mary Frances Winters addresses this ongoing crisis with an urgent update to her bestselling book, now joined by Marisha Winters-Rees. Winters and Rees add new data, updated case studies, and expanded tools to reflect today's reality. With 50% new content, this edition includes: - Four new chapters that address current challenges facing Black communities - Updated research on the health impacts of racism in a post-COVID-19 world - New stories and case studies that highlight lived experience - Updated models that reflect today's most important findings With unrelenting honesty and practical vision, Winters and Reese document the enduring impact of “living as Black” and provide readers with strategies for personal recovery and institutional change. The research is current, the case studies are real, and the tools are designed to create transformative, sustainable change.