Counselor educators are preparing an increased number of international students to become counselors via online and distance education programs. There are also increasing mental health needs within schools and communities and limited counseling programs in the People’s Republic of China. The focus on educating and training Chinese and international students in Western counseling theories and practices is potentially limiting and fails to address the cultural differences among Chinese individuals. We discuss the implications for counselor education preparation through distance education and offer counselor educators culturally appropriate strategies and suggestions to best prepare students.