Black patients have reported experiencing disrespect in healthcare settings, yet the specific behaviors contributing to these perceptions remain underexplored. This study aimed to identify clinician behaviors and language that lead Black patients to feel disrespected. We hypothesized that unconscious provider actions may contribute to these perceptions and strain patient–provider relationships.  This qualitative descriptive study included interviews with 25 Black patients with hypertension, conducted through in-person and Zoom-based focus groups.  Each two-hour session was led by race-concordant facilitators, audio-recorded, and transcribed verbatim. Transcripts were analyzed in NVivo using an inductive approach. A team of coders developed a codebook through independent transcript review, and remaining transcripts were coded with conflicts resolved through discussion. Codes were organized into themes.  Participants described disrespect as extended wait times, rushed visits, clinician word choice, unfriendly tone, and provider verbal dominance. Long waits followed by brief appointments were often interpreted as discriminatory, particularly when patients perceived that other patients received more time. Condescending language and cold or unwelcoming tones further contributed to feelings of being undervalued. Many participants also felt they had to compete for speaking time, limiting opportunities to voice concerns. Both verbal and nonverbal clinician behaviors significantly shaped perceptions of respect. Strategies to improve patient experience include timely appointments, transparency about visit length, standardization of care processes, and active listening. Future efforts should focus on equipping healthcare professionals with communication skills to promote respectful interactions and evaluating the impact on patient satisfaction and quality of care.