Traditionally, lower-class individuals who have sought psychiatric help have been hampered in their efforts by class-related inequities in the delivery of psychiatric services. A common explanation for this phenomenon has been that the treatment conceptions of lower-class individuals are "inappropriate." This report presents theoretical and research evidence challenging this notion. A review of the literature from 1954 through 1974 yielded no good evidence that lower-class patients need, expect, or want treatments incongruent with those of upper-middle class therapists. An experimental study of the requests for help made by two hundred seventy-eight walk-in clinical patients confirmed this observation. Patients' requests, as measured by an eighty-four term, self-rated questionnaire, were largely independent of social class. Strategies for minimizing treatment biases against lower-class patients and for maximizing treatment effectiveness with higher-class patients are suggested.