This book attempts to address issues that generally impacts on the lives of black women, of Caribbean descent in Britain. These were examined through life history approach, which bring to the fore their experiences that laid dormant, gone unnoticed, while in appearing to be missing from history. Yet these factors are of great significance in understanding the major obstacles that is known to be an historical factor in the life and the understanding of black people's experiences. The correlation in terms of mental health and related social issues gathered from data, are measures of Childhood experiences, cultural transition, social and psychological factors that can easily interfere with one's life performances especially if that is allowed. Black women are especially at risk from poor mental health due to those multilayered realities that include the lack of prestigious occupation, associated with unequal access up the promotional ladder, together with other multifaceted realities that may have affected their performance in compromise to their health and their ability to withstand outside influences that deter progress. The determinants factors with women and their aspirations to achieve in life despite the dilemmas of social issues as, racism and discrimination is one that permeates if not all, the chapters of the thesis. The study hope to provide answers that is not commensurable with other studies, but should be a useful tool for those within the black community, policy makers and organisation that are responsible and committed to providing an ethical sensitive service from black perspectives.