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<p>Interesting. When I did bx therapy w/ Spanish-speaking clients it was often quite difficult to communicate symptoms with them and arrive at an understanding of treatment goals, meanings of diagnoses, etc. and I would consider myself semi-fluent (according to native speakers). While saying “hi” isn’t hard, explaining a diagnosis to someone who speaks another language wasn’t so easy. Maybe I was making it too hard (or maybe psych dx’s are simply harder to describe…), but my own feeling would be that you might be exaggerating just how attainable such a goal (i.e., conducting focused assessments in Spanish) would be with only a few years of in-class Spanish instruction. Most people at that point can barely keep a conversation going about academic and personal life types of topics (the ones for which vocab is generally taught in a classroom), much less discussions about “types of pain,” medical Hx, etc.</p>