Understanding psychotherapy goals of two spirit, trans, and nonbinary people of color in a culturally responsive psychotherapy.

The present study explored the psychotherapy goals of two spirit, trans, and nonbinary Black and Brown clients of color prior to beginning therapy with two spirit, trans, and nonbinary Black and Brown therapists of color. Fifty-one participants (M = 28.24 years) were interviewed about their therapy goals prior to a 15-session intervention integrating the psychological framework of radical healing and strategies addressing internalized racism and transnegativity. Thematic analysis revealed five primary themes: (a) accessing and embracing authentic self, (b) addressing mental health symptoms and learning adaptive intrapersonal coping skills, (c) healing from trauma, (d) cultivating healthy relationships and a sense of belonging, and (e) gaining a corrective and positive experience in therapy. The findings show a range of therapeutic goals that two spirit, trans, and nonbinary Black and Brown clients of color desire to address in culturally responsive therapy, underscoring the importance of mental health care that acknowledges how their intersecting identities shape their needs and experiences. We provide implications for practice, training, and future research in counseling psychology. (PsycInfo Database Record (c) 2025 APA, all rights reserved).