Abstract
Objectives
This study explored how Muslim clients experience the minimisation or exclusion of religion in therapy and identified their recommendations for making therapeutic practice more inclusive of faith.
Design
A qualitative design using reflexive thematic analysis was employed to examine participants' lived experiences and meaning-making processes.
Methods
Semi-structured interviews were conducted with 25 Muslim adults in the UK who had received therapy in both NHS and private settings. Data were analysed inductively to capture individual and systemic influences shaping the minimisation or exclusion of religion in therapy.
Results
Two overarching themes were developed: perceived barriers to discussing religion in therapy reflected therapists' limited confidence and knowledge, secular service frameworks and participants' resulting self-censorship. Recommendations for facilitating religious inclusion captured participants' calls for faith-sensitive competence, proactive engagement with religion in therapy and organisational change to legitimise faith within professional practice.
Conclusions
Excluding religion risks marginalising clients' core identities and undermining therapeutic safety and ultimately compromising the effectiveness of treatment. Embedding religious competence within training, supervision and service policy is vital to ensure therapy is culturally responsive, ethically grounded and genuinely inclusive for clients of faith.
This study explored how Muslim clients experience the minimisation or exclusion of religion in therapy and identified their recommendations for making therapeutic practice more inclusive of faith.
Design
A qualitative design using reflexive thematic analysis was employed to examine participants' lived experiences and meaning-making processes.
Methods
Semi-structured interviews were conducted with 25 Muslim adults in the UK who had received therapy in both NHS and private settings. Data were analysed inductively to capture individual and systemic influences shaping the minimisation or exclusion of religion in therapy.
Results
Two overarching themes were developed: perceived barriers to discussing religion in therapy reflected therapists' limited confidence and knowledge, secular service frameworks and participants' resulting self-censorship. Recommendations for facilitating religious inclusion captured participants' calls for faith-sensitive competence, proactive engagement with religion in therapy and organisational change to legitimise faith within professional practice.
Conclusions
Excluding religion risks marginalising clients' core identities and undermining therapeutic safety and ultimately compromising the effectiveness of treatment. Embedding religious competence within training, supervision and service policy is vital to ensure therapy is culturally responsive, ethically grounded and genuinely inclusive for clients of faith.
| Original language | English |
|---|---|
| Pages (from-to) | 1157-1175 |
| Number of pages | 19 |
| Journal | Psychology and Psychotherapy Theory, Research and Practice |
| Volume | 99 |
| Issue number | 3 |
| Early online date | 1 May 2026 |
| DOIs | |
| Publication status | Published - 30 Sept 2026 |
| Externally published | Yes |
Data Availability Statement
The data that support the findings of this study are available on request from the corresponding author. The data are not publicly available due to privacy or ethical restrictions.UN SDGs
This output contributes to the following UN Sustainable Development Goals (SDGs)
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SDG 3 Good Health and Well-being
Keywords
- cultural competence
- inclusion
- Muslim clients
- psychotherapy
- qualitative research
- religion
- therapeutic relationship
ASJC Scopus subject areas
- Developmental and Educational Psychology
- Clinical Psychology
- Arts and Humanities (miscellaneous)
- Psychiatry and Mental health
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