Cross-cultural and Christian factors are examined in working with Hispanics in therapy. Cross-cultural concerns involve language difficulties, acculturation assessment, family dynamics, gender issues, attitudes toward authority figures: and expectations in therapy. Christian mental health professionals are in a unique position to increase adequate mental health care to this underserved population. Sensitive treatment can reduce the resistance many Hispanic evangelicals have to psychotherapy. In addition, the training of paraprofessional counselors in Hispanic churches would enable many Hispanics to obtain therapy who could not otherwise afford it.