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ALMA: Beyond the Mask; Supporting High: Functioning Women of Color in Therapy


High-functioning women of color often enter therapy presenting as competent, successful, and emotionally contained, while carrying significant internal distress shaped by trauma, perfectionism, and chronic over-responsibility. These presentations are frequently misunderstood or under-assessed in traditional clinical frameworks, leading to missed diagnoses, misattunement, or an overemphasis on symptom management rather than root causes.

This foundational training focuses on helping clinicians accurately conceptualize and assess high-functioning women of color through a trauma-informed and culturally responsive lens. Participants will explore how racialized expectations, gendered socialization, and systemic stressors shape symptom presentation, coping strategies, and help-seeking behavior. The training will examine common diagnostic considerations, including anxiety disorders, depressive disorders, and complex trauma, with particular attention to masked, over-regulated, or “high-performing” presentations.

Clinicians will learn how to differentiate resilience from survival, understand perfectionism as a trauma adaptation, and assess for underlying emotional, relational, and developmental wounds that may not be immediately visible in session. Emphasis will be placed on assessment, intake formulation, and clinical conceptualization rather than intervention. By the end of this session, participants will have a clearer framework for identifying the unique needs of high-functioning women of color, conducting more attuned assessments, and laying a solid foundation for effective and ethical treatment planning.

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February 6

NYMHCA: Beyond the Mask: Assessment, Diagnosis & Treatment of High Functioning Women of Color