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To bridge the communication gap, multilingual health professionals and professional interpreters are target-orientated solutions. This study was conducted to assess the multilingual resources, attitudes and needs of psychotherapist trainees in Germany. A cross-sectional nationwide online survey was conducted on psychotherapists-in-training. The 48-item survey consisted of a self-developed instrument to assess \u2018Attitudes towards working with an Interpreter in Health Care Services (AIHC-20)\u2019 with partly reasonable psychometric properties. Psychotherapists-in-training were reached via 238 institutes for psychotherapy training in Germany. Some 803 psychotherapists-in-training completed the survey, of whom 27% had a migration background and 76% would treat patients in a language other than German. According to the participants, on average, 7.5% of their treated patients had limited German skills. The likeability of treating patients with limited German skills and of working with professional interpreters was positively influenced by a personal migration background, cross-cultural encounters in everyday life and previous work experience. Some 52% of all trainees had experience in working with an interpreter and 72% of them stated a training on \u2018psychotherapy with an interpreter\u2019 to be useful. The linguistic diversity among future psychotherapists is not able to fully cover the patients\u2019 actual multilingual needs. Therefore, qualified interpreters need to be integrated into mental health care services. In addition to adequate funding and minimal qualification standards for interpreters, psychotherapists need to be trained to overcome cultural barriers.<\/jats:p>","DOI":"10.1177\/13634615261452817","type":"journal-article","created":{"date-parts":[[2026,6,23]],"date-time":"2026-06-23T12:18:24Z","timestamp":1782217104000},"page":"443-454","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Multilingualism in Psychotherapists in Training in Germany: Results of a Nationwide Cross-Sectional Study"],"prefix":"10.1177","volume":"63","author":[{"given":"Paula","family":"Bachmann","sequence":"first","affiliation":[{"name":"University Medical Center Hamburg-Eppendorf"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4105-991X","authenticated-orcid":false,"given":"Vera","family":"Mohwinkel","sequence":"additional","affiliation":[{"name":"Ulm University"},{"name":"Department for Psychiatry, Social Psychiatry and Psychotherapy, Medical School Hannover, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mike","family":"M\u00f6sko","sequence":"additional","affiliation":[{"name":"University Medical Center Hamburg-Eppendorf"},{"name":"Magdeburg-Stendal University of Applied Sciences"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,6,23]]},"reference":[{"key":"e_1_3_2_2_1","doi-asserted-by":"publisher","DOI":"10.5001\/omj.2020.40"},{"key":"e_1_3_2_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/MLR.0000000000001245"},{"key":"e_1_3_2_4_1","doi-asserted-by":"publisher","DOI":"10.1186\/1472-6963-8-82"},{"key":"e_1_3_2_5_1","unstructured":"BAfF e.V. 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