In this paper, I examined three counseling cases of international students using McWilliam’s clinical case study for a qualitative method, and the systemic approach of Smith & Riedel–Pfaefflin’s for a pastoral theological reflection. This study found out that all three students suffered with serious anxiety issues which could negatively affecting their academic success and relationships with others. Intervention has been made by the integrative method of psycho dynamic approach exploring client’s early object relationships and cognitive behavior therapy to deal with psychological issues. It was clear that their psychological issues inter–related with cultural self understandings and identity development processes as well as their theological understandings. To provide systemic intercultural care for international students, counselor should explore one’s own cultural identity first. Case conceptualization and intervention should investigated in psychological, cultural, theological levels. Further more, the cultural resources found in both counselor and clients by intercultural reflection, should be used for church and local community to challenge cultural prejudices and discrimination.