Recent work on psychotherapy with migrants concentrates on two main topics. The more sociologically oriented studies focus on psychodynamic working-through of the migration process, including grieving for lost relationships, establishing new relationships, allowing identification with new objects, sometimes overcoming traumatic experiences. Other studies, closer to ethnological thinking, consider psycho- dynamic implications of living in a different cultural environment and describe the further development of cultural identity. Many factors – reasons for migration, experiences before leaving the country of origin, acceptance in our country, length of exile – influence the kind of psychic distress of our patients and will determine the focus of therapy.