Regardless of whether therapists are believers or feel a spiritual need themselves, they must be able to deal with the corresponding proportions of their clients. If a person thinks something is real, then the consequences of it are real for him or her. In conversation, religious psychologist Michael Utsch and experience-oriented consciousness researcher Georg Milzner - psychologists and therapists are both - advocate that therapists be open to spiritual world constructions. But they also urge to clarify what follows from spiritual constructions, because they can be both disadvantageous and supportive in coping with crises and disturbances. For many clients, the assumption that their life story or their suffering and suffering could have a higher meaning helps them to cope with personal crises and strokes of fate. Others may shy away from their everyday responsibility with reference to a God who already does everything, so a spiritual worldview can stand in the way of solving problems. For a good path for patients, the positive and negative of religious world constructions in therapy should be addressed.