I n this chapter, we provide an overview of Christian-based spiritually integrated psychotherapy in Ontario, Canada, focused on East Asian Canadians. Some references are made to findings from the Christian-Based Spiritually Integrated Psychotherapy for East Asians Research Initiative of Toronto (CSPEARIT) project conducted as part of the Bridges Consortium for Spiritually Integrated Psychotherapy. The study had three recruitment sites, all outpatient centers located in Toronto, Canada: (a) Tyndale University, which includes Tyndale Counselling Services, serving the student population, and Tyndale Family Life Centre, serving clients coming from the surrounding communities; (b) Grace Health Centre; and (c) Living Water Counselling Centre. WHY IS THE APPROACH NEEDED?Toronto is the largest city in Canada and one of the most culturally diverse cities in the world. Immigrants bring their families, culture, language, traditions, and spiritual faith to the city. According to the 2011 Census, the Chinese are the second largest visible minority group in Canada, comprising 21.1% (numbering The first three authors contributed equally to this chapter. We wish to thank those who participated in our research and the site champions who assisted with the study.