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This 10-year review of Asian Americans focuses on factors that impede adequate psychiatric diagnosis and treatment. Asian Americans are the fastest growing ethnic group in the United States, with a high prevalence of domestic violence, alcohol abuse, and significant distress. However, Asian Americans consistently underutilize mental health services because of stigma, misconceptions of Western treatment, and cultural interpretations of mental health problems. Knowledge of the diversity of the Asian American population and an understanding of cultural interpretations of psychiatry will better prepare clinicians to treat and engage these patients.