Although racism has always been present in the therapy room, the recent political climate and flood of news stories highlighting racist narratives and behaviors have made race and racism more salient in our society. For white therapists who align with antiracism in their self-identity and practice, this may present a difficult ethical dilemma when race and racism enter the therapy office. Therapists have a duty to protect client autonomy and self-determination as much as possible. However, therapists also have a responsibility (...) to the communities in which they work and to not willingly condone activities of others that hold prejudice, both of which are threatened with unacknowledged racism. This article addresses the issue of whether to work with racism as a clinical and ethical concern with white clients who hold racist ideas and narratives, and then offers a concise clinical model for therapists to help guide their practice. (shrink)