The authors conducted a 26-study meta-analysis of 5,759 therapists and their integration of religlon and spirituality in counseling. Most therapists consider spirituality relevant to their lives but rarely engage in spiritual practices or participate in organized religion. Marriage and family therapists consider spirituality more relevant and participate In organized religion to a greater degree than therapists from other professions. Across professions, most therapists surveyed (over 80%) rarely discuss Spiritual or religious issues in training. In mixed samples of religious and secular therapists, therapists' religious faith was associated with using religious and spiritual techniques in counseling frequently, willingness to discuss religion in therapy, and theoretical orientation.erapists' integration of religion and spirituality in counseling has been evaluated in 26 studies of 5,759 psychotherapists from the fields toral counseling. We suggest that it is now appropriate to perform a metaanalysis of the existing research. We discuss the relevance of religion and spirituality to counseling, review methods of integrating religion and spirituality in counseling, and conduct a meta-analysis of studies concerning therapists' integration of religion and spirituality into counseling.