Shared decision-making (SDM), the process of discussion and engagement in clinical decision-making, has been identified in multiple PTSD clinical practice guidelines as a best practice. SDM includes providing information, supported deliberation, and reaching an outcome that supports a patient’s preference and values. It has been found to have positive effects for both providers and patients including increased engagement in evidence-based treatments. Presenters will identify a model of SDM, how to implement it in clinical practice, and ethical implications of adding shared decision-making into treatment decision-making. We will discuss insights from surveying the field about a SDM tool that can support clinical application. Aspects of diversity will be discussed as it applies to the therapeutic relationship and clinical decision making.