This article explores racism as a mental health issue. Given the historical and contemporary impact of racism on the well-being of both Black, Indigenous, and people of colour (BIPoC) and White people, it is important for counsellors to address important issues associated with this phenomenon in their clinical work with clients. First, the historical roots of racist ideas in the United States and how they have been broadly expressed in psychological thought are explored. Second, racism is examined from a trauma perspective with its impact on the mental health of both BIPoC and Whites. Third, antiracist perspectives on mental health counselling for Whites and BIPoC will be discussed. Fourth, antiracist counselling direction for BIPoC and Whites will be presented. Public Significance StatementGiven the historical and contemporary impact of racism on the mental health of both people of colour and White people, it is important for counsellors to address important issues associated with this phenomenon. This article presents counselling direction for helping people of colour and Whites process the trauma associated with racism and racist acts.