When clients from diverse backgrounds seek professional mental health services, several concerns may arise: Will this therapist respect my beliefs and values? Will this therapist promote mainstream [White/European American] worldviews and solutions? Can I truly be myself in therapy? Clients may not verbalize these specific concerns, but these are among many that may adversely impact client outcomes in traditional therapy (Sue & Zane, 1987; Sue et al., 2006). Thus clinicians should ask this critical question: To what extent does the therapy I provide align with the cultural beliefs, values, and goals of this client? Although mental health treatments have proliferated in recent decades, most treatments are based on theories that reflect European and European-American ideals and values (e.g., psychodynamic, client-centered, cognitive behavioral). As such, these traditional mental health treatments have frequently ignored or minimized contextual variables such as culture, gender, race and ethnicity, socioeconomic status, and religious and spiritual values (Hall, 2001; Ibaraki