In China, there is a stigma related to social-emotional and mental health issues; therefore, even though most universities and many (urban) primary and secondary schools have school counselors, many students are reluctant to seek counseling for issues such as anxiety and depression. There is no national system of certifying school counselors. Most are trained in Western-developed cognitive methods including REBT, Rogerian, Family Systems, Behavior Modification, and Object Relations. School Counselors also recommend Chinese methods such as qi-gong (deep breathing) and acupuncture, as well as music therapy. Chinese school counselors work within a traditional Chinese world view of a community and family-based system that lessens the focus on the individual. In Hong Kong, Hui (2000) discussed work moving toward comprehensive school counseling programs and eliminating the older remediation-style model.