Addressing the psychological health of Pasifika1 people in New Zealand continues to challenge clinicians and health professionals, particularly in the provision of therapeutic care that is both beneficial and culturally anchored. This article discusses the Uputaua Therapeutic Approach, a Samoan-based perspective in counselling psychology aimed at supporting clinicians and researchers in this important endeavour. A case-study example is provided to conceptualise this approach more specifically within a therapeutic setting.