Health care professionals experience ethical dilemmas in the treatment of asylum seekers. Political discussions, depiction and the intertwining of medical and judicial parameters play a role. From a theoretical position on ethics and human rights, we discuss the ethical dilemmas within mental health care where health care professionals fnd themselves at odds in fnding viable solutions for underlying con?icts in fundamental values. This article is based on interviews and focus groups with health care professionals in mental health care about ethical dilemmas with and concerning asylum seekers. The data are analyzed with a discourse analysis on three (3) themes, namely the conditions in which asylum seekers fnd themselves, the sharing of information with other institutions and the role of advocacy.