Contemporary scholars continue to broaden our understanding by proposing that we also attend to marginalized identities and experiences with systemic oppression and how they manifest in the course of treatment. While the question on how intersectional identities help or hinder psychotherapy, related to identity, is certainly relevant in the early engagement phase of treatment, the remaining two are more likely to emerge later on; thus, presenting opportunities to work through racialized enactments in the middle phase of therapy as will be illustrated in the case material which is presented in this chapter. The task for therapists in the middle phase of treatment is to provide an environment in which it is safe to express and process the complex emotions that arise when exploring feelings of marginalization and the ambivalent emotions inherently connected to the internalization of negative images and messages.