Guatemalans were the sixth-largest Hispanic group living in the United States in 2017, and along with Venezuelans and Dominicans, had the fastest population growth since 2010. Guatemalan Mayas living in the United States have suffered immigration stress and cumulative trauma, strongly associated with depression, anxiety, alcohol-related disorders, and post-traumatic stress disorder (PTSD). The purpose of this factsheet is to create awareness of the Mayan population's cultural and social factors that might affect the level of engagement in mental health treatment.