In the middle of the night, my phone lit up and vibrated insistently on my nightstand until I answered. An agitated woman told me, in German, that her college-age daughter had had an accident in a Central American Spanish-speaking country. Friends had suggested to her that I could help translate the medical report and provide psychotherapy for her daughter. At first, I was startled by the noises emanating from my phone, and I noticed I was anxious. Because of my cultural background, I concluded that an unexpected phone call in the middle of the night was bad news. Once I realized this was a potential referral, however, my anxiety shifted to irritation. I was also curious at a request for psychotherapy that might involve all three languages in which I am fluent, which was something I had never encountered in my practice before. I agreed to do the translation of the medical report from Spanish into English and to treat the young adult patient if she wanted. Thus, the table was served for a multilingual, multicultural psychological adventure.