Although the concept of microaggressions is highly useful for social work, current discussions of this concept have failed to adequately address some of the complex clinical issues associated with the recipient's experience of microaggressions. The complexity of these issues is especially noteworthy in work with clients who have mental illness, and/or have experienced trauma. Our understanding of microaggressions and the assessment and treatment process can be enriched by applying a psychoanalytic lens, and in particular, an ego psychological framework.