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iAbstract In recent decades the number of persons in the US with limited English proficiency (LEP) has significantly increased. Research shows that persons with LEP experience higher rates of psychological distress and that LEP poses a significant barrier to accessing mental health treatment. As such, there is a growing need for psychotherapists to integrate foreign language interpreters into treatment. However, research is extremely limited on the use of interpreters in psychotherapy. Existing research focuses on challenges in treatment related to interpreter factors. Therapist factors and their effect on interpreter-facilitated treatment remain relatively unexamined. This study was undertaken to investigate how integrating interpreters into psychotherapy shifts the therapeutic process, with particular attention to therapist factors. A qualitative research design combining ethnographic and grounded theory was used. Eleven semi-structured interviews were conducted with psychologists experienced at conducting interpreter-facilitated therapy. Five major research questions were addressed: (1) How do therapists conceptualize interpreter-facilitated therapy in terms of the interpreter’s role, their relationship with the interpreter, and the interpreter’s relationship with the patient? (2) To wha