Chapter 15 describes an integrative approach to psychotherapy with culturally diverse clients. Although the psychotherapy integration movement and the multicultural counseling movement have developed along parallel paths during the past few decades, there has been relatively little dialogue between the two groups. It also examines how both a client and therapist’s racial identity development has a crucial impact on their therapeutic interaction. It also embraces these themes of culture, identity, and integration by exploring two interrelated lines of thought related to psychotherapy with culturally diverse clients: multicultural therapy, and multicultural development.