Shepherding the Harassed and Helpless: Counseling and the Local Church

By Ryan West

Counseling in the local church can be a daunting task, riddled with complexities on numerous issues such as liability, referrals, the place of medicine, and other thorny topics of discussion. In fact, when the leaders of your congregation begin wading through these matters, you will find that many godly men and women have differing opinions about root problems and the “biblical” solutions.

Should we simply throw our hands up and walk away? After all, where do we begin if so many differing ideas within the body of Christ dominate this conversation? These questions have become so pressing that we hosted a panel discussion at the 2014 SBC, featuring Brad Hambrick, Frank Page, and Ed Stetzer (Click here for the audio). Also, Frank Page formed a Mental Health Advisory Group to prepare a report for the Executive Committee to address these issues.

Ultimately, we know one thing: we cannot overlook the pain of people experiencing mental and emotional suffering and say that we have proclaimed the lordship of Christ in a holistic way. We have to do something! As Christ’s body, we must look at people in need of gospel-driven counseling as harassed and helpless, in need of Christ’s peace to replace their anguish. Assuming that we agree that we agree on this point, the question then becomes “what.”

Let me suggest that we should begin addressing the question of church-based counseling ministries with the issue of competency. How can your church competently minister to people hurting around you at this moment? Follow the links included below to explore the realities of several approaches to counseling that are meant to be a part of a church’s ministry. Also, for churches interested in learning more about how to develop a formal lay care ministry, The Summit Church offers an upcoming conference that I highly recommend: https://www.summitrdu.com/counseling-workshop/.

Here are five categories—followed by a brief description and a few resources for each category—Brad Hambrick identifies to help churches begin answering this question. While the lists of resources under each category are not exhaustive, they will help you begin exploring the specific approach to counseling ministry your church chooses to offer. (*NOTE: For a deeper look at these approaches, see this excerpt from a chapter he wrote in Scripture and Counseling, which released late 2014)

Categories of Counseling Ministry

  1. One Another Ministry
  2. Various Forms of Formal Lay Counseling
  3. Graduate Intern Level Counselors
  4. Formally Trained General Practitioners
  5. Counseling Specialists

1. One Another Ministry

Every church already has a one-another level ministry. This is simply people caring for one another as they “do life together,” including ministries that emphasize accountability relationships.

  • Stephen’s Ministry (https://www.stephenministries.org) This ministry bridges between one another ministry and formal lay counseling. However, since Stephen’s Ministry is the least formal programatized resource we surveyed, we placed it in this category.
  • Instruments in the Redeemer’s Hand by Paul Tripp
  • Redemption by Mike Wilkerson
  • Gospel Coach by Scott Thomas and Tom Wood
  • Peacemaker by Ken Sande
  • Restoring the Fallen by Earl & Sandy Wilson, Paul & Virginia Friesen, Larry & Nancy Paulson
  • Covenant Eyes (https://www.covenanteyes.com/)
  • Setting Captives Free (https://www.settingcaptivesfree.com/)
  • Here is a resource (https://www.bradhambrick.com/accountability) outlining the key factors in healthy, lasting accountability.

2. Various Forms of Formal Lay Counseling

The resources below are intended to provide group or mentoring format counseling in which lay people use their personal experience with a given life struggle or transition to facilitate someone else’s journey through a similar experience.

There are also several organizations that offer certification for lay counselors.

Examples of churches using these certificate level counselors include:

3. Graduate Intern Level Counselors

This layer of counseling would entail a partnership between a local and neighboring seminary or graduate school.

4. Formally Trained General Practitioners

These are counselors serving as part of a church or parachurch ministry staff to offer services to the community. These examples will help you identify comparably trained counselors in your area or to help your church identify ministry models that are the best fit for your context.

5. Counseling Specialists

These are individuals or ministries that have intensive training and programming to deal with the severe expressions of various life dominating struggles.

Hopefully, this blog post enable you to see several categories of counseling ministry that your church can offer to your community. My guess is that most churches have a counseling ministry, such as the one another ministry described above, but several questions remain.

Is your church competent in your current offering—formal or informal—of counseling ministry? How can your church become more competent in the specific approach your people are able to do at this point? Should you cultivate another approach to counseling ministry in your church to enhance your current counseling ministry? Whichever form of counseling your church takes, may your people be known as those who offer mercy and peace to people who are helpless and harassed.


Published February 3, 2015

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Ryan West

J. Ryan West is the Team Leader of Mercy Ministry and Community Development at the North American Mission Board. He helps churches throughout the United States and Canada establish and conduct gospel-centered mercy and compassion ministries. He and his wife, Danielle, have three children and live in midtown Atlanta, GA.