This article addresses the stressors immigrants and refugees face upon coming to the United States. The importance of an in-depth assessment of the reasons for leaving their homelands and immigrating to a new country, premigration, and migration histories, as well as postmigration losses and psychological distress, have been emphasized. The article also highlights the concept that not all immigrants have the same migration experience or face the same degree of obstacles and challenges upon arrival.

This article addresses the various perceptions people from other cultures have regarding mental health and mental illness and the unique coping mechanisms they use based on their cultural beliefs and values. The various barriers to receiving mental health services and the reasons for such barriers are also discussed. In addition, the article stresses the importance of using and implementing culturally appropriate and sensitive assessments and therapeutic interventions.

This article addresses the acculturation process immigrants and refugees go through when immigrating to the United States, and the various factors that impact the process of acculturation for both the individual and the family as a whole. The nature of the acculturative stress, which groups of immigrants are mostly affected by it, and the psychological disorders caused as a result of going through this process have been discussed. Four strategies of coping with the acculturative stress process and the factors that impact the choice of a certain strategy have also been described.

This study examines the understudied mental health perceptions, treatment, and coping strategies of immigrants from the Republic of Albania to Southern California regarding themselves and their families. In-depth, semi-structured interviews with 12 Albanian immigrants residing in a large Southern California population center were conducted. The transcripts of these interviews were analyzed. The constant-comparative method was used to analyze the data obtained from the interviews. Thirteen themes describing the perceptions and attitudes of Albanian immigrants about coping strategies, mental health, and mental health issues emerged. Themes are discussed in the context of existing literature, and implications for practice, research, and limitations are presented.