The Strong Black Women (SBW) schema has been suggested to correlate with poor health outcomes in Black women. The central aim of this study was to determine what mechanisms could result in mental distress, and if the perception of emotional support could intervene between the SBW schema and psychological distress. Evidence from 158 adult Black American women suggested partial mediation from perceived emotional support, and a clear link between the SBW schema and subsequent psychological distress and a perceived lack of emotional support. The SBW schema as a result has proof of being connected to psychological distress in Black women.