The purpose of this study was to explore perceptions of mental illness (MI) and rehabilitation services among Chinese and Vietnamese Americans. A qualitative study design (face-to-face interview) was used and 40 Chinese and Vietnamese Americans/immigrants participated in the study. Results indicated that the participants' views of MI were multifaceted. The major themes included: (a) MI was a treatable disease that consisted of different types and varied from mild to severe; (b) the major cause of MI was stressful circumstances such as the Vietnam War and immigration; (c) MI was not positively perceived in the participants' communities; and (d) rehabilitation counseling services were almost unknown to the participants although some of them were aware of mental health services. Implications of the results for rehabilitation counselors and researchers are discussed in light of the impact of Chinese and Vietnamese cultures on the perceptions of various aspects or MI.