The current study examined the relationship between theoretical orientations and competencies in counseling women among professional counselors. Counselors currently meeting clients were recruited from professional counseling organizations, and the responses from 265 counselors were analyzed using structural equation models. Results indicated that a stronger psychoanalytic orientation predicted lesser competencies in counseling women, while stronger humanistic, feminist, and multicultural orientations predicted higher competencies in counseling women. The study highlights the need for counselors to integrate theoretical orientations with social justice perspectives to better serve women.