The authors have used Gestalt empty-chair techniques in social work settings, helping Asian clients who may be nonexpressive to deal with bereavement issues, to confront parent–child relationship issues, and to express feelings toward personal losses. The applications of various empty-chair methods are based on four characteristics of many Asian clients: (1) connecting the meaning of “shame” in therapeutic interventions, (2) avoiding the loss of “face” in confronting relatives and friends, (3) using alternative and complementary means to replace traditional therapy and direct confrontation, and (4) using inner control and spirituality in resolving interpersonal guilt and conflict. From concrete evidence with their Asian clients, the authors illustrate specific therapeutic steps with practice dialogues to help practitioners develop culturally-sensitive skills in the process of using empty-chair techniques. These dialogues support positive outcomes in (1) responding to the therapeutic exercise, (2) engaging in therapeutic work on their issue, (3) responding to treatment within one session and showing progress within two sessions, and (4) expressing emotions or unresolved conflict throughout the therapeutic journey. Practice implications are drawn from the strength of Gestalt techniques to design culturally-sensitive principles with Asian clients and families.