Research has shown that international students experience acculturation stress while adjusting to life in the U.S., resolving over time. However, acculturation stress can be exacerbated by several factors, leading to a negative impact on academic performance and general wellness. Asian international students traditionally underutilize counseling services on campuses. This article reviews the literature of the experiences of Asian international students studying in the U.S. The author offers Confucianism as a cultural consideration to explain cross-cultural challenges experienced by Asian international students and their campus community. Suggestions to support Asian international students are made based on findings of the literature review.