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Clinical Spiritual Counseling in Texas

Clinical Spiritual Counseling in Texas

Private clinical spiritual counseling for adults navigating grief, anger at God, moral injury, spiritual distress, church harm, disaster exposure, hard decisions, and survival responses under stress.

Texas Spiritual Counseling provides virtual clinical spiritual counseling across Texas and in-person appointments by arrangement in Hill Country Texas.

This is not psychotherapy, diagnosis, medical care, psychiatric care, emergency care, or treatment of mental-health disorders.

Schedule an Initial Spiritual Counseling Consultation

What Clinical Spiritual Counseling Means

Clinical spiritual counseling is structured spiritual care for the parts of life that do not always fit cleanly into therapy language.

It addresses grief, meaning, guilt, anger, moral injury, faith questions, belief conflict, church harm, disaster exposure, hard decisions, and spiritual distress.

The work helps clarify what is happening, what kind of care fits, and whether pastoral counseling can stand alone or should work alongside licensed mental-health care.

Who This Is For

Clinical spiritual counseling may fit adults who are carrying:

  • Grief after death, disaster, divorce, diagnosis, or major loss
  • Anger at God, loss of belief, doubt, or spiritual confusion
  • Moral injury, guilt, regret, or unresolved responsibility
  • Church harm, spiritual trauma, religious conflict, or loss of trust
  • Hard decisions involving family, faith, work, caregiving, ministry, or identity
  • Disaster exposure, responder burden, or flood recovery impact
  • Spiritual distress that is affecting daily life, work, relationships, or decision-making
  • Support alongside licensed therapy when mental-health care is also involved

What Sessions Help Clarify

Sessions focus on the presenting issue, the spiritual or moral weight of the situation, and the next step that fits the client’s actual life.

A session may help clarify:

  • What is happening and why it has become hard to carry alone
  • What grief, guilt, anger, or belief conflict is holding
  • What the situation is costing at home, work, church, or in daily functioning
  • What spiritual care can address
  • Whether licensed therapy, medical care, psychiatric care, or another referral is needed
  • What next step is responsible, honest, and possible

Clinical Spiritual Assessment and Pastoral Care

This work is not open-ended religious conversation.

Dr. Charlie Michele Hornes uses chaplaincy-based clinical spiritual care assessment and intervention models to assess spiritual distress, grief, meaning, guilt, moral injury, belief conflict, sources of support, and referral needs.

These are clinical spiritual care frameworks, not psychotherapy protocols.

Not Psychotherapy. Not Diagnosis.

Dr. Charlie Michele Hornes, DMin, BCC, MCPC, is a Doctor of Ministry, Board Certified Chaplain, ordained PC(USA) minister, and clinical spiritual counseling provider with more than two decades of experience in hospital chaplaincy, crisis response, pastoral care, palliative care, grief care, moral injury support, higher education, and leadership environments.

Her work is pastoral counseling and clinical spiritual care. It is not psychotherapy, diagnosis, medical care, psychiatric care, emergency care, or treatment of mental-health disorders.

Clinical spiritual care can stand alone when pastoral counseling is the right fit. It can also work alongside licensed therapy when mental-health care is needed.

For Christian, Interfaith, Agnostic, Atheist, None, and Done Clients

Clinical spiritual counseling does not require a shared belief system.

The work can include Christian faith, prayer, scripture, theology, church experience, anger at God, calling, grief, guilt, and meaning when the client wants those included.

It can also support clients who are interfaith, spiritual-but-not-religious, agnostic, atheist, unsure, done with church, or carrying no formal belief system.

Clinical Spiritual Counseling Across Texas

Virtual clinical spiritual counseling sessions are available across Texas.

In-person appointments may be available by arrangement in Hill Country Texas.

Start With an Initial Consultation

The Initial Spiritual Counseling Consultation is a focused first session to clarify the presenting issue, identify the care lane, and determine next steps for pastoral counseling, referral, coordination, or ongoing support.

Schedule an Initial Spiritual Counseling Consultation

Frequently Asked Questions

What is clinical spiritual counseling?

Clinical spiritual counseling is structured pastoral care for grief, faith questions, moral injury, spiritual distress, anger at God, church harm, hard decisions, disaster exposure, and meaning-level concerns. It is not psychotherapy, diagnosis, or medical care.

Is this therapy?

No. This is pastoral counseling and clinical spiritual care. It is not psychotherapy, diagnosis, medical care, psychiatric care, emergency care, or treatment of mental-health disorders.

Is this Christian counseling?

Yes, for clients seeking Christian counseling. The work can include Christian faith, scripture, prayer, theology, church experience, anger at God, grief, doubt, calling, and meaning when the client wants those included.

Do I have to be religious?

No. Clients may be Christian, interfaith, spiritual-but-not-religious, agnostic, atheist, unsure, done with church, or carrying no formal belief system.

Can I be angry at God here?

Yes. Anger at God, loss of belief, doubt, numbness, guilt, grief, and the question “How could this happen?” are welcome here.

Can this work alongside my therapist?

Yes. Clinical spiritual care can work alongside licensed therapy when mental-health care is already involved or needed. Coordination can happen with client permission.

Do you take insurance?

No. Sessions are private pay. Texas Spiritual Counseling does not bill insurance directly.

Can I submit receipts?

Yes. Upon request, an itemized receipt can be provided for clients who want to attempt reimbursement through insurance, EAP, HSA/FSA, employer assistance, church assistance, disaster-relief, or other benefit programs. Reimbursement is not guaranteed.

Is this emergency or crisis care?

No. This practice does not provide emergency, crisis, medical, psychiatric, or suicide-intervention care. If there is immediate danger, call 911 or go to the nearest emergency room.

Do you work virtually?

Yes. Virtual sessions are available across Texas. In-person appointments may be available by arrangement in Hill Country Texas.

Your Questions, Answered

  • No. This is not psychotherapy, diagnosis, medical care, psychiatric care, or treatment of mental-health disorders.

    Texas Spiritual Counseling provides pastoral counseling and clinical spiritual care. The work focuses on grief, faith questions, moral injury, spiritual distress, hard decisions, disaster exposure, and the parts of a crisis that need language before they are forced into the wrong category.

  • Yes, for clients who are specifically seeking Christian counseling.

    The work can include Christian faith, scripture, prayer, theology, church experience, spiritual struggle, anger at God, or questions of calling and meaning when the client wants that included.

    It is also not limited to Christian clients.

  • No.

    Clients may be Christian, interfaith, spiritual-but-not-religious, agnostic, atheist, unsure, done with church, or carrying no formal belief system at all.

    The work begins with the person in front of me, not with a required belief statement.

  • Yes.

    Anger at God, loss of belief, numbness, doubt, guilt, grief, and the question “How could this happen?” are all welcome here.

    This is not a space for forced answers, religious correction, or spiritual bypassing.

  • Yes.

    Clinical spiritual care can stand alone when pastoral counseling is the right fit. It can also work alongside licensed therapy when mental-health care is already involved or needed.

    With client permission, coordination or referral can happen when appropriate.

  • No. Sessions are private pay. I do not bill insurance directly.

  • Yes. Upon request, I can provide an itemized receipt for clients who want to attempt reimbursement through insurance, EAP, HSA/FSA, employer assistance, church assistance, disaster-relief, or other benefit programs.

    Reimbursement is not guaranteed and depends on the client’s plan, payer rules, and benefit structure.

  • No.

    This practice does not provide emergency, crisis, medical, psychiatric, or suicide-intervention care. If there is immediate danger, call 911, go to the nearest emergency room, or contact a local crisis resource.

  • Yes.

    Virtual sessions are available across Texas. In-person appointments may be available by arrangement in Hill Country Texas.

  • Yes.

    Clinical spiritual care is not limited to religious clients. Many people need support around meaning, grief, guilt, anger, loss, responsibility, or what no longer makes sense, whether they believe in God or not.