In order to advance Chinese culturally-appropriate art therapy practice, a qualitative study identified key indigenous factors. The investigation documented contextual adaptations made by 7 Taiwanese "sojourner" art therapists. Inductive thematic analysis yielded six themes, which identified from the participants' descriptions of art therapy practice with native Taiwanese/Chinese clients relate to the key processes of (a) responding to clients' initial art therapy expectations, (b) orienting client to purposes of art making, (c) addressing client-art therapist roles, (d) understanding how cultural conceptions of art influences art therapy, (e) uncovering the client's culture as a strength, and (f) reducing personal and relational tension. The study's findings revealed ways to develop art therapy that are congruent with traditional Chinese clients' cultural backgrounds.