This study expands the literature on multicultural counseling competencies (MCCs) in school psychology by outlining the relationship between client satisfaction, treatment approaches, and critical clinician variables such as clinician MCC. With growing emphasis on the integration of cultural considerations in evidence-based treatments (EBTs), this study specifically highlighted the differential impact of culturally adapted EBTs on counseling clients. In this nonrandomized repeated-measure study, two groups of clinicians were trained to deliver either culturally responsive cognitive behavioral therapy (CR-CBT) or traditional CBT to adolescent clients with depression symptoms. Clients rated therapy satisfaction on the Satisfaction Evaluation Questionnaire (SEQ)-Form 5 (Stiles and Snow 1984). The results indicated improvement on all four SEQ dimensions for both groups with differential effects appearing more rapidly in the therapeutic process when CR-CBT was used. These findings support the need for client perspectives in treatment efficacy evaluations and continued efforts to study culturally adapted EBTs in school psychology.