Survey results on psychotherapists’ training knowledge and confidence in addressing racial trauma

The mental health field, particularly psychotherapy, has been shaped by Western and Eurocentric frameworks that often inadequately address the psychological impacts of racism experienced by racialized communities. Racial trauma, defined as the psychological harm caused by racism, remains underrecognized and insufficiently addressed in clinical training and practice. Despite growing attention to this issue, limited empirical research has examined whether psychotherapists, particularly in the Canadian context, receive adequate training or feel prepared to address racial trauma in practice. This study examines psychotherapists’ perceptions of their academic training related to racial trauma, as well as their self-reported knowledge and confidence in supporting clients who have experienced racial trauma. A cross-sectional, province-wide online survey was conducted with psychotherapists practicing in Ontario, Canada. Results indicate substantial variability in training experiences, with many participants reporting minimal formal education on racial trauma. Associations between training, knowledge, and confidence suggest that greater exposure to racial trauma content is linked to increased perceived preparedness. These findings highlight the need for more intentional integration of anti-racist and culturally responsive approaches into psychotherapy training. Enhancing training in racial trauma may improve clinicians’ capacity to provide effective and affirming care for racialized clients.