Pastoral Counseling
A History of Pastoral Counseling
What sets Pastoral Counseling apart is the way faith, spirituality, and theology are incorporated into the model. Pastoral counselors believe this incorporation of spiritual exploration and support can foster wholeness, healing, and growth in those who are seeking help.
Beyond providing psychotherapy, pastoral counselors utilize resources such as prayer, scripture study, and participation in the congregation community to help guide people on their journey toward transcendence, transformation, and greater connection to others.
People have long turned to religious leaders for support, guidance, and solutions related to mental health issues, and ministers of all denominations traditionally provide counseling to members of their religious communities. Pastoral counseling was born from the idea that, although this kind of support is valuable, some issues may require a more professional level of help.
In the early 1900s, Reverend Anton Boisen, one of the founders of the Pastoral Education Movement, pioneered a unique enrichment program in which he connected theology students with hospital patients who were also experiencing concerns of a psychiatric nature. In the early 1930s, minister Norman Vincent Peale and psychiatrist Smiley Blanton formed the American Foundation of Religion and Psychiatry, known today as the Blanton-Peale Institute. Clinical pastoral education programs like these laid the foundation for the development of the pastoral counseling field, which evolved over the next several decades as more and more members of the clergy sought formal training in psychology.
In 1963, the American Association of Pastoral Counselors (AAPC) was formed to provide certification, accreditation, and training in the field of pastoral counseling. According to the AAPC website, “pastoral counseling evolved from religious counseling to pastoral psychotherapy, which integrates theology and other faith traditions with knowledge, spirituality, the resources of faith communities, the behavioral sciences, and in recent years, systemic theory.”
In 2019, the AAPC united with the Association for Clinical Pastoral Education (ACPE) and the two entities now operate as one under the ACPE name.
Who Might Seek Pastoral Counseling?
According to a 1992 Gallup poll, 66% of survey participants reported a preference for a mental health professional who held spiritual beliefs and values, while 81% of people seeking mental health treatment stated a preference for a counselor with values similar to their own. This data may explain why some people seek help from religious leaders or counselors who share their faith. Pastoral counseling may offer benefit to people of all backgrounds, but it may be best suited to those seeking mental health support or guidance grounded in a theological or spiritual perspective.
People might choose pastoral counseling when they:
- Want to approach mental health issues from a faith-based perspective
- Are not comfortable in a formal counseling setting
- Are facing end-of-life issues
- Have concerns that secular counselors will not validate their religious beliefs
- Have had negative experiences with secular mental health professionals
Benefits of Pastoral Counseling
As pastoral counseling can provide specialized treatment to those seeking such but also meet more general counseling needs, it can be considered a versatile mode of therapy. Pastoral counselors are uniquely positioned to offer a professional level of mental health treatment, thanks to graduate training and education, while also providing spiritual guidance from a faith-based perspective.
Pastoral counseling can offer support to those seeking family, relationship, premarital, or individual counseling. More specifically, it may be helpful to individuals working through or challenged by any of the following situations:
Pastoral counselors are uniquely positioned to offer a professional level of mental health treatment, thanks to graduate training and education, while also providing spiritual guidance from a faith-based perspective.
- Spiritual assessment
- Grief and loss
- Issues related to chronic or terminal illness
- Conflicts around spiritual beliefs
- Mental health issues directly linked to religious beliefs or doctrine
- Crises of faith
- Reintegration into community life after institutionalization or incarceration
- Adjusting to mental health support when wary of the system
- Relationships
- Premarital Counseling
- Marriage Building
Who Can Provide Pastoral Counseling?
Adopted from Good Therapy, “Pastoral Counseling” last modified February 17, 2021, https://www.goodtherapy.org/learn-about-therapy/modes/pastoral-counseling.
Pastoral counselors can range from ordained religious figures like priests, chaplains, and rabbis to practicing psychotherapists who provide what some call pastoral psychotherapy. They might come from any religious background and can be found in multiple settings—congregations, counseling centers, inpatient programs, and private practice, among others.
Training and education is available for those who wish to practice pastoral counseling in various formats. There are pastoral counselors who are not credentialed that actively provide support to people in need. There are also pastoral counselors who are more affiliated with the religious aspect of their role and have less training in mental health treatment. But a vast majority of pastoral counselors seek certification.
To become certified, prospective counselors must meet the requirements of their religious group, usually ordination, and receive graduate-level training in both theology and psychology, as defined by the American Association of Pastoral Counselors (AAPC).
Requirements set forth by the American Association of Pastoral Counselors stipulate candidates must earn one of the following graduate degrees:
- Masters in Divinity
- Graduate or Doctoral degree in Biblical Studies, Theological studies, or Spiritual Studies
- Graduate or Doctoral Degree in Pastoral Counseling
Candidates must also complete 375 hours of supervised counseling experience and a self-reflective clinical pastoral education (CPE) experience. The supervised CPE experience is coupled with classroom instruction and discussion to ensure candidates fully integrate their learning in theology and behavioral science. Once the training requirements and practical experience are completed and approved, candidates take part in a 90-minute interview conducted by a certification committee to finalize the process.
Currently, only a handful of states in the USA have license options for people in this field, including Tennessee (Clinical Pastoral Therapists) and North Carolina (Pastoral Counselors). In most states without this type of license, pastoral counselors must obtain and maintain one of the other types of licenses that permit the practice of psychotherapy: LCSW, MFT, LPC, LMHC, or similar. The majority of insurance companies do not reimburse pastoral counselors for services rendered, yet another reason is common practice for certified pastoral counselors to also pursue licensure in fields such as professional counseling, social work, or marriage and family therapy.
