Existential therapy, rooted in the writings of May, and existential integrative theory, further developed in the writing of May and Schneider, provide a contribution to the psychological literature that emphasizes the role of paradox in the themes of freedom and responsibility, authenticity and isolation, and constrictive and expansive potentialities, among others. In this paper, these themes are applied to the development of the God image and how people experience God. This theory is illustrated in a case example which emphasizes case conceptualization and treatment approaches. Particular attention is given to the relational and experiential processes in psychotherapy.