Drawing on the contributions of psychoanalytic scholars as well as multicultural and feminist psychologists, Pratyusha Tummala-Narra presents a theoretical framework that reflects the realities of clients’ lives and addresses the complex sociocultural issues that influence their psychological health. Psychoanalytic theory proves to be particularly valuable in exploring unconscious processes, recurrent themes, and transference and counter-transference. In examining these questions, the author provides engaging case illustrations from her own clinical practice, as well as findings from her research with youth of immigrant origin.