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Racialized trauma and racial enactments are ubiquitous and frequently emerge in our clinical work with marginalized patients. Both Shifa Haq and Lara Sheehi develop compelling and creative explications of “racial ghosts” in my essay “When Racialized Ghosts Refuse to Become Ancestors: Tasting Loewald’s ‘Blood of Recognition’ in Racial Melancholia and Mixed-Race Identities” and offer significant clinical insights in treating racial trauma. After framing the discussion with several key questions I struggle with in the clinic, I engage with both Haq and Sheehi’s essays and their relevance in treating patients with racial trauma.