A study examined the psychotherapy goals of two spirit, trans, and nonbinary Black and Brown clients before starting therapy with similar therapists. Fifty-one participants, averaging 28 years old, shared their goals prior to a 15-session intervention that combined radical healing concepts with strategies to combat internalized racism and transnegativity. Thematic analysis identified five main themes: embracing authentic self, managing mental health symptoms and developing coping skills, healing from trauma, fostering healthy relationships and belonging, and seeking a positive therapy experience. The study highlights the diverse therapeutic goals of these clients, emphasizing the need for mental health care that considers the impact of their intersecting identities. The findings suggest important implications for practice, education, and future research in counseling psychology.