<p>Puerto Rican male partners who experience termination of pregnancy due to fetal anomaly (TOPFA) frequently encounter disenfranchised grief, compounded by cultural expectations of stoicism, religious stigma, and limited access to culturally responsive mental health care. While research on perinatal loss has increased, the grief experiences of Puerto Rican men remain underrepresented in clinical literature. This case study introduces the CARE model, a culturally attuned intervention grounded in mindfulness-based stress reduction (MBSR) and dialectical behavior therapy (DBT), to support Puerto Rican male partners navigating reproductive grief. Through the case of Mateo, a bilingual Puerto Rican father, the study explores how culturally grounded practices such as storytelling, spiritual integration, and collectivist engagement supported the therapeutic alliance and grief processing. Although Mateo’s experience benefited from cultural and linguistic alignment with his clinician, the CARE model is not limited to culturally matched providers. Instead, it emphasizes Cultural Attunement, Authentic Engagement, Relational Accountability, and Empowered Collaboration principles that guide all clinicians toward culturally congruent practice when paired with humility and intentional adaptation. Findings highlight the need for grief interventions that consider acculturation, socioeconomic disparities, and systemic inequities that impact Puerto Rican men’s access to care. This study advocates for further research and training to ensure that reproductive grief interventions are both evidence-based and culturally resonant for Puerto Rican communities.</p>