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In this paper, we contribute to an agenda of developing culturally informed practices, centering specifically on working with Asian Indian and Asian Indian American families. We report the results of a modified Delphi study in which we asked advanced members of the counseling field who are of Asian Indian origin to share their insight relative to family therapy with those who identify as Asian Indian or Asian Indian American in the U.S. Panelists offered a multitude of recommendations, including the importance of: careful assessment that acknowledges within group similarities and differences; attention to extended family ties and intergenerational dynamics; understanding issues of immigration, acculturation, and discrimination; and development of treatment approaches that are congruent with Asian Indian cultural values, beliefs, and practices.