Immigrants face particular challenges when seeking assistance from psychotherapy services, not least their belief that such services may not apply to them, or be useful for them. This chapter describes the influence of culture on the role of a therapist and how the therapist can best present himself to members of an ethnic minority to develop rapport and promote a useful therapeutic alliance. The chapter explains how cultural, racial and ethnic differences between therapist and patient can affect therapy with both individuals and couples. It concentrates on the specific problems that can arise when dealing with traumatised populations such as refugees and asylum seekers. The chapter focuses on two short-term interventions that can be effective in assisting patients to address specific problems which they bring to therapy: cognitive behavioural therapy (CBT) and group psychotherapy. Finally, the chapter discusses the issues concerning heterosexual individuals and couples from ethnic minority groups.