In the Yoruba language of the West African ancestors of many American Blacks, bami soro means “talk to me” in a way that’s soulful, honest, and deep. The first step in any effective therapy or counseling situation is to establish a relationship where that kind of talk can happen. It requires a degree of mutual understanding and respect. But if you work in the field of substance use as a therapist, counselor, or teacher, there’s a better than even chance that you’re White and that many or most of your clients aren’t. In this country, that means that your clients’ experiences don’t overlap yours nearly as much as you might believe—even if you come from similar economic backgrounds and have dealt with substance use yourself.