Abstract
The special needs of growing numbers of international students and other sojourners in the US. can be addressed preventively. Confusion about American academics, customs, and interpersonal relationships may lead to loneliness and stress. Students often present to a medical provider with physical symptoms, but few accept referral to a counselor or clinician. Close teamwork among all staff serving international students is needed to lessen adjustment problems and prevent crises. Special issues of technique in counseling international students are discussed. A model for learning key aspects of an unfamiliar culture, using the student as teacher, is presented.

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