Burgeoning inequality in the United States over the last several generations has been linked to the changing political economy and the advent of neoliberalism. Inequality exerts a profound influence on mental health, disproportionally so for marginalized individuals and communities. This conceptual article will provide an overview of the concepts of political economy and neoliberalism and link these concepts to the work of mental health professionals. Connections between income inequality, social determinants of health, and the political economy will be made. Additionally, implications for social justice oriented professional counselors will be included.

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