Chinese Americans have been known for underutilization of mental health services and premature termination. This study explores these phenomena through Chinese cultural and psychoanalytical perspectives. Specifically, two sets of factors were identified: precipitating and receptivity factors. The precipitating factors include childrearing practices and pursuit of education by studying abroad at an early age. The receptivity factors include the lack of familiarity with psychoanalysis, the emphasis of efficiency in Chinese culture, shame and stigma associated with mental illness, and the seeming reluctance of this ethnic group to opening up to professional strangers. A brief review of studies on Asian American mental health was conducted. Early termination was further discussed through psychoanalytic concepts and theories including Bion’s maternal reverie, attacks on linking, and container and contained; Winnicott’s primary maternal preoccupation; and Meltzer’s apprehension of beauty and aesthetic conflict.