The paper analyzes social work integrating the principles of Gestalt therapy, such as dialogue and phenomenological approach, internalization, responsibility and creative adaptation. The main perspectives of Gestalt therapy, which are related to the cases of social work, contexts and possibilities of therapeutic work, are highlighted. The article also reveals obstacles (e.g. dominant, patronizing, controlling and expert model of client assistance, isolated and restricted by directives the reality of social work, institutionalized social work practices and bureaucratic dependence of social security) that impede the development of therapeutic social work in Lithuania. It can be argued that the perspective for Gestalt therapies is available to social workers who seek therapeutic social work practice methodologies, help relationships, and empower clients for change.