Not only will it cause harm, it will push them to terminate the session. This is why the DSM-5 has formulated a cultural formulation interview (CFI). The APA (2013) states, “The CFI was designed to aid the clinician in understanding the client’s perception of the problem issue from his or her cultural context, perceptions of etiology (cause of the problem issue), context for the problem issue, perceived support, and cultural factors affecting self-coping and past/present help-seeking behavior” (p. 379). Essentially, without the proper assessment what a counsel may think is one thing it could be another. Therefore, understanding the client’s cultural will bring more accuracy to the sessions. Moreover, the cultural validity of diagnosing multicultural clients requires you to understand their worldview, in addition, to understanding their