Decolonising Therapy

Decolonising Therapy

Decolonising therapy


challenges Eurocentric frameworks, addressing systemic inequalities like racism, sexism, homophobia, and classism. It validates diverse lived experiences and provides culturally sensitive, affirming care.

For communities, this means:

  • BIPOC individuals receive care that acknowledges racial trauma.
  • LGBTQIA+ people access affirming, bias-free spaces.
  • Forced migrants find support for navigating systemic barriers.
  • Sex workers are respected, not stigmatised.

By fostering equity and inclusion, decolonising therapy creates healing spaces that empower individuals and strengthen communities. It’s essential for a more just and compassionate society.

Decolonising Psychotherapy: Embracing Collective Healing


Decolonising psychotherapy means moving beyond Eurocentric, individual-focused models to include diverse cultural practices like collective healing. Many BIPOC communities process trauma through shared experiences and mutual support, which resonate deeply with their lived realities.

In responses to tragedies and situations like the Grenfell Tower fire, terrorist attacks or COVID-19, statutory services have highly depended and focused on individual support—but there’s also a need forcollective healing especially when the traumas themselves were collective. Evidence-based approaches, such astrauma-informed group workandcommunity storytelling circles, narrative approaches, recognise individuals as part of a collective, fostering resilience through shared grief and meaning-making.

I'm not saying remove 1:1, I'm saying let's think past 1:1, Eurocentrism and NICE guidelines which do not always serve BIPOC interests.


By integrating these culturally sensitive practices, we can ensure mental health responses honour both individual and communal healing. Isn't it about time to rethink how we approach care in diverse communities?

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Decolonising Psychotherapy: Honouring Diverse and Consensual Relationships


Therapy often reinforces heteronormative and mononormative ideals, positioning heterosexual, monogamous relationships as the default or superior model. This perspective marginalises individuals in consensual non-monogamous relationships, such as open or polyamorous partnerships, as well as communities like the LGBTQIA+ community and some religous communities.


These biases can pathologise diverse relationship structures, mislabeling them as “trauma responses” and "fear of commitment" or minimising their importance. Decolonising psychotherapy means moving beyond these limiting frameworks to empower individuals through consent, communication, and affirmation.


This isn’t to deny compulsive sexual or romantic acts aimed to seek external validation or even the existence of coercive control, which can sometimes be present in non-monogamous relationships or structures (NB; coercion can also occur in monogamous relationships). However, it is critical to distinguish dynamics like these from healthy and consensual relational choices that reflect personal autonomy and mutual respect.


Consensual relationships—whether monogamous, non-monogamous, or otherwise—are valid expressions of love and connection. Therapists must adopt inclusive, culturally sensitive practices that affirm the diversity of relational choices and ensure every client feels valued and supported.


Wouldn't it make more sense to honour consent and thus consensual open relationships or any other consensual relationship structure rather than cling to coercive monogamy? Or will we let our moral beliefs hold our clients back?



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Decolonising Psychotherapy: Affirming and Supporting Sex Workers


Stigma often leads therapists to view sex work as inherently harmful, framing it as the source of a client’s distress rather than examining the systemic and societal issues at play. Decolonising psychotherapy involves affirming sex workers’ agency and dismantling biases, recognising that their challenges are often rooted in the environments and systems they navigate, not the work itself.


Sex work can indeed be traumatic, but this is often linked to how problematic their clients behave—driven by shame, sexism, homophobia, transphobia, misogyny, or other oppressive attitudes—or due to discrimination from legal and criminal justice systems shaped by systemic versions of the same discriminatory issues. By understanding these broader dynamics, therapists can focus on supporting sex workers in addressing the real sources of their distress.


Decolonised approaches require therapists to educate themselves on the socio-economic contexts of sex work, affirm the validity of consensual choices, and advocate for systemic change in sex work as well as the broader society.


Isn’t it time we move away from seeing sex workers as “broken” and instead recognise that it’s oppressive systems—not their work—that create or exacerbate their struggles? Shouldn’t therapy be a space where sex workers feel respected, validated, and empowered to navigate their realities—and not our prejudices in the room?



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