This article presents some of the author's reflections and observations of the challenges and opportunities that arise when including matters of spirituality in the therapeutic process. Research indicates that many individuals want to incorporate their spiritual or religious ideas with therapy (Hull, Suarez, & Hartman, 2016), yet doing so can often raise discomfort in the client, therapist and the therapeutic process, and so frequently the topic is avoided. This article considers the presence and importance of spirituality for many clients in understanding the dilemmas they bring to the therapy room, and reflects on some of the personal and institutional challenges of integrating spirituality into the therapeutic process. It concludes with some thoughts about the modest contribution systemic therapy might make in this regard, including the usefulness of opening dialogue about a client's spiritual history with early enquiry (Payman, 2016) and considering the relational context of a person's spirituality using Bowen Family Systems Theory (Kerr & Bowen, 1988).1 Many individuals seeking counselling services want to include their spiritual beliefs or religious worldview with their mental health treatment. 2 Spirituality does not fit easily with a culture of evidence-based treatments, but can be an important part of how clients attribute meaning and understanding to their presenting dilemmas. 3 There are significant challenges to integrating spirituality with the therapeutic process, including the discomfort that arises for therapists. 4 Enquiring early on about a client's spiritual and religious history and how a client wants to include spirituality in therapy can be an important part of the therapeutic contract. 5 Exploring the relational context of a client's spirituality using Bowen Family Systems Theory as a framework can help clients think through how their beliefs, values, and opinions have been influenced and are maintained.As a kid from a devout religious family I was always acutely aware of how skittish people could be about anything to do with the sacred. My neighbours and schoolmates did not exactly welcome expressions of spiritual devotionthat sort of thing made them very uncomfortable, even angryand in this regard, despite generations of multiculturalism, Australians haven't changed much. We're pretty good at maintaining a secular public space, and that's worth celebrating, but we're a bit tin-eared about matters of religion and anxious about using terms like 'sacred.' This strikes me as a bit ironic, for we live on the most spiritually potent continent imaginable. (Winton, 2015, p. 220) Partway through writing this article I came to the realisation that there was an uncomfortable parallel process playing out. I consider spirituality to be a core aspect