Between Sessions

Reflections on Life, Learning, & Leadership in Mental Health Counseling

What Representation Makes Possible

Representation in therapy is often reduced to one question: should clients and therapists be matched by race or ethnicity? This essay invites a different conversation. Through personal reflection, research, and clinical experience, Toni Rose Mieses explores how representation can foster trust, belonging, and culturally responsive care—not because it guarantees better outcomes, but because clients shouldn't have to spend therapy proving their humanity before healing can begin.

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