This chapter begins with general considerations for religiously and spiritually oriented psychotherapy, including the importance of seeing religion and spirituality as d.imensions of cultural diversity, considering clients\u27 welfare and autonomy, and maintaining competence. Three types of religious and spiritual intervention approaches are then discussed: assimilative, accommodative, and collaborative. Assimilative approaches introduce spiritual interventions or considerations into a standard psychotherapy approach. Accommodative approaches involve adapting a standard psychotherapy regimen to include religious or spiritual matters. Collaborative approaches entail a mental health professional and religious leader working in tandem for the sake of clients\u27 welfare. Next, specific issues related to counseling within (when the client and counselor share the same beliefs) and across (when the client and counselor hold differing beliefs) faith traditions are offered. The chapter concludes with some thoughts regarding future directions of religious and spiritual interventions in counseling and psychotherapy