Without a thorough understanding of culture and its nuances on part of the mental health service providers, alienation, stigma, and culturally based impediments rule. While concerns for diversity have been raised on numerous occasions, with increasing frequency over the past four decades, little progress has been made in implementing such concerns in clinical practice. Over two-thirds of Americans receive treatment for depression, anxiety, substance abuse, and related disorders. Comorbidity is rarely diagnosed. These trends are greatly exacerbated among members of ethnic, cultural, and linguis |