The United States is in the process of changing demographically. As a result, there is an increasing demand for culturally appropriate counseling services for minority groups. However, little research about counselors' ability to deal with issues stemming from bilingualism is available. As language is used to establish the relationship in counseling, the importance of counselors' understanding regarding how a second language may influence the counseling process is vital. Although numerous studies have thus far emphasized the significance of cultural knowledge and the need for bilingual counseling services, culturally diverse populations continue to be underserved due to language barriers (Gushue, Constantine, and Sciarra, 2008). The American Counseling Association's (ACA) Code of Ethics (2005; 2014) provides best-practice guidelines for appropriate bilingual support during the counseling session. However, few studies have explored the role played by a second or additional language during the counseling session (Marcos and Urcuyo, 1979; Oquendo, 1996; Ramos-Sanchez, 2009; Santiago-Rivera, Altarriba, Poll, Gonzalez-Miller, and Cragun, 2009; Tehrani and Vaughan, 2009).

This study adds to the existing body of knowledge about bilingual counselors' experiences providing counseling services in a language in which they have not had professional training. Chapter One provides an overview of the problem, Chapter Two delivers an in-depth literature review, Chapter Three describes the methodology, Chapter Four provides findings of the study, and Chapter Five discusses the results and offers implications for bilingual counselors and counselor educators and supervisors as well as makes suggestions for further research.