Hwa-byung, literally “anger illness,” is recognized as a Korean culture-bound syndrome listed in the DSM-IV. Often times,hwa-byung occurs in middle-aged Korean women in response to repressed, life-long, multi-layered emotions, namely han.Hwa-byung and han are also prevalent in Korean American women because of acculturation difficulties, clashing genderroles, and racial discrimination while living in the U.S. As a consequence, Korean women with hwa-byung exhibit one ormore psycho-behavioral-somatic symptoms such as anxiety, depression, and/or headaches. However, there are few studiesof Korean American women’s hwa-byung and its treatment process in counseling practice. Illustrating the case of a KoreanAmerican woman, this study demonstrates how this individual develops and exhibits the hwa-byung syndrome anddisentangles her repressed multi-layered emotions through hanpuri, which is a traditional healing process in Korea. Fromthis case illustration, counselors may gain insight into culturally competent counseling practices with reference to Koreancultural values.