This chapter demonstrates how collaborative concepts allowed us to connect therapeutically across differences in our work with women and children refugees who had experienced atrocities of war in their home country or spent time in refugee camps, and were now adjusting to a new culture in Houston, Texas. Using the philosophical underpinnings of collaborative therapy, including the creation of a dialogical space, the concept of client as expert, and the not-knowing stance, we were sensitive to the needs of the refugee women and children and successfully established a therapeutic alliance and collaboratively developed goals for group therapy, keeping in mind the needs of the population in the course of therapy.