Abstract
This article discusses therapy and the Native American client. A brief review of the mental health needs of Native Americans and the response of the psychological community to date is provided. It is argued that a culturally sensitive approach to working with this special population is a professional and ethical necessity, and it is suggested that a congruence exists between the cognitive-behavioral approach to therapy and the needs and preferences of Native Americans. Key therapeutic issues and problems presented by working with this population are discussed, and guidelines for dealing with them are suggested. Suggestions for future directions that can be taken toward better serving Native Americans are provided.
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