Every health professional interacts with patients from different cultures to their own not just those from different countries ethnic or religious groups but also those with cultural differences due to sexual orientation lifestyle beliefs age gender social status or perceived economic worth. The potential for confusions in communication and consequent problems are even greater in primary care mental health than in other areas. This guide for all health professionals provides a model for working in mental health across cultures and outlines practical ways of using psychotherapy skills across cultures. It can be used as personal preparation by individuals in any primary care setting at home or abroad or as a teaching tool for use with health professionals travelling to another culture including overseas aid workers and those moving to a new country. It is also of great value to everyone interested in transcultural medicine. 'Wherever we work whoever we are we are working across cultures often without realising it. The first step is to become conscious of this fact. The next step is to read this book." Jill Benson and Jill Thistlethwaite