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Therapeutic boundary considerations are fundamental in the care of refugees and asylum seekers. Research on the experiences of therapists navigating such boundaries is sparse and warrants further exploration. The aim of this qualitative systematic review was to thematically synthesise literature regarding therapists' (psychologists, psychotherapists, counsellors) experiences of implementing flexible therapeutic boundaries with refugee and asylum seeker clients and determine how such applications have been helpful for therapeutic interventions.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>Six databases were searched. Following full\u2010text screening, 21 papers were included in the analysis. Boundary theory underpinned the analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Three major themes were developed: (i) <jats:italic>Changes to Therapeutic Practice &amp; Therapeutic Intervention<\/jats:italic>, (ii) <jats:italic>Re\u2010Conceptualisation of Therapy as \u2018Clinical Political\u2019 and Re\u2010Conceptualisation of Therapist Identity<\/jats:italic> and (iii) <jats:italic>Careful Monitoring of Personal Boundaries\u2014Not becoming \u2018Hardened\u2019 or \u2018Haunted\u2019<\/jats:italic>. Papers described how, when used in a reflective, considerate way, flexible therapeutic boundaries can strengthen the therapist\u2013client alliance and positively impact therapeutic interventions. Many therapists acknowledged making conscious efforts to re\u2010conceptualise therapeutic work with refugee and asylum seeker clients from advocacy standpoints. However, systemic constraints, and lack of guidance, made this difficult to navigate and contributed to therapist burn\u2010out.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Boundary considerations manifested as interpersonal, structural and cultural changes to practice. These have implications for clinical practice and developing guidelines on boundary practices with refugees and asylum seekers. 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