Online Therapy with a psychologist for Mental Health Support for those in Ministry

book an appointment

“Even when you’re the one people turn to for guidance, you’re still human.”

Those in ministry roles often carry enormous responsibility and compassion, yet may feel they must always appear strong. Over time, the weight of others’ expectations, pastoral care demands, and spiritual pressures can take a toll on emotional health. You may notice signs of stress, anxiety, or burnout and wonder where it’s safe to turn. Therapy offers confidential, faith-sensitive support to help you rest, reflect, and recover your sense of clarity and purpose. Investing in your mental health allows you to serve from a place of renewed strength and peace.

When those in ministry experience mental health challenges

Those in ministry roles often carry enormous emotional, spiritual, and relational responsibility. Whether you serve as a pastor, chaplain, ministry leader, or support worker, the work can be deeply meaningful—and deeply demanding. Over time, it’s not uncommon to find yourself feeling exhausted, discouraged, or isolated.

You may be:

  • Struggling with burnout, compassion fatigue, or vicarious trauma

  • Feeling weighed down by others’ stories or ongoing pastoral crises

  • Living with depression, anxiety, or low self-worth but unsure how to seek support

  • Feeling overwhelmed by conflict, unresolved tensions, or disappointment in leadership relationships

  • Wrestling with grief, spiritual doubt, or a sense of disconnection from your calling

  • Recognising you were part of unhealthy systems and unsure how to move forward with integrity

Many ministry leaders feel a deep sense of calling to care for others, often placing their congregation’s needs above their own. Over time, this can lead to compassion fatigue, emotional exhaustion, and a loss of personal identity outside the role of service. Within faith contexts, there may also be unspoken messages that equate rest or vulnerability with weakness, creating guilt around taking time for self-care.

Psychologically, this reflects a dynamic seen in many helping professions — the gradual erosion of emotional boundaries and self-care routines when empathy is continually extended outward without being replenished. Ministry leaders may also fear judgment or misunderstanding if they disclose mental health concerns, especially within communities that interpret distress through purely spiritual lenses. Therapy offers a confidential, non-judgmental space to explore these pressures and re-establish balance between serving others and attending to one’s own wellbeing.

Vicarious trauma is another challenge that ministry leaders can face. Ministry often involves walking closely with others through pain, loss, or crisis. Over time, continually hearing distressing stories or witnessing suffering can lead to vicarious trauma, which is the emotional residue that arises when someone is deeply empathically engaged in others’ trauma. While ministry leaders are not “trauma professionals” in the clinical sense, the pastoral role often involves similar exposure to human suffering and moral injury.

Signs of vicarious trauma can include emotional numbing, irritability, intrusive thoughts about others’ experiences, difficulty feeling joy, or changes in worldview and faith. Leaders may begin to feel disconnected from God, cynical about ministry, or burdened by an overwhelming sense of responsibility. Establishing clear emotional and relational boundaries is crucial — not to create distance, but to preserve compassion and presence.

Psychological support and therapy can help clergy and ministry workers identify early signs of vicarious trauma, process difficult experiences safely, and learn strategies to replenish emotional reserves. This might include reflective practice, exploring beliefs about responsibility and guilt, or identifying if other challenges such as anxiety or depression are affecting them. Through this work, leaders can sustain empathy and avoid burnout while continuing to serve authentically and wisely.

The Paradox of Service: When Helping Others Leads to Personal Strain

  • "Many people who seek support are carrying more than others realise—responsibility, exhaustion, unanswered questions, or the quiet grief of things that haven’t gone as hoped".

    Kylie Walls

My Primary Therapy Modalities:

Schema Therapy - Individual and Couples (Primary Modality)

Schema Therapy is my primary modality, and is an evidence-based psychological approach that supports the processing of trauma and helps people understand and change long-standing patterns of thinking, feeling, and relating that often develop in response to unmet emotional needs or adverse early experiences. It is particularly helpful for individuals who notice repeated relational patterns, entrenched coping responses, or ongoing difficulties with self-worth, emotions, or boundaries.

Schema Therapy uses a range of techniques, including cognitive strategies to identify and challenge unhelpful beliefs, experiential techniques such as imagery and chair work to process emotional and relational experiences, and behavioural strategies to support new, healthier patterns of coping. The therapeutic relationship itself is also an important part of the work, providing a corrective emotional experience that supports healing, emotional regulation, and lasting relational change.


Cognitive Behavioural Therapy & Exposure & Response Prevention (ERP)

Cognitive Behavioural Therapy (CBT) is an evidence-based approach that focuses on identifying and changing unhelpful patterns of thinking and behaviour that contribute to emotional distress. It supports people to develop practical skills for managing symptoms, improving coping, and responding to challenges in more balanced and adaptive ways.

Exposure and Response Prevention (ERP) is a specialised, evidence-based form of therapy used primarily to treat obsessive–compulsive disorder (OCD) and related anxiety conditions. It involves gradually and safely facing feared thoughts, situations, or sensations while learning to resist compulsive or avoidance behaviours, helping reduce anxiety and build confidence over time.


Eye Movement Desensitisation and Reprocessing (EMDR)

Eye Movement Desensitisation and Reprocessing (EMDR) is an evidence-based therapy designed to help people process and resolve traumatic or distressing memories that continue to impact their emotional wellbeing. By using bilateral stimulation while recalling difficult experiences, EMDR supports the brain’s natural healing processes, reducing the intensity of trauma-related distress and helping memories become less overwhelming over time.


Gottman Therapy & Emotionally Foused Therapy (Couples & Relationships)

Emotionally Focused Therapy (EFT) is an evidence-based, attachment-informed approach that helps individuals and couples understand, experience, and express emotions in healthier ways. It focuses on identifying emotional patterns and strengthening secure connection, supporting deeper emotional safety, responsiveness, and lasting relational change.

The Gottman Method Couples Therapy is an evidence-based approach to relationship therapy grounded in decades of research on what helps relationships thrive or break down. It focuses on strengthening friendship, improving communication and conflict management, increasing emotional connection, and reducing patterns such as criticism, defensiveness, contempt, and withdrawal through practical, structured interventions.

book an appointment

Hi, I’m Kylie Walls, a registered psychologist and the founder of Refuge Psychology.

My practice is shaped by professional experience, research, and a long-standing commitment to supporting people navigating complex emotional, relational, and faith-related experiences. I have worked with individuals from a wide range of backgrounds and faith traditions, and I have also held volunteer and professional roles within church and ministry contexts. These experiences have deepened my understanding of the unique dynamics that can arise when wellbeing, identity, and faith intersect — and the importance of care that is both sensitive and clinically grounded.

I have published research on control, attachment, and emotional regulation, and have previously worked as a Domestic and Family Violence Advisor within a faith-based organisation. I began my career as a teacher and later spent time working in photography, but my ongoing interest in people — their stories, relationships, and inner worlds — led me into psychological practice. I bring both professional and lived experience to my work in a way that is clinically grounded, respectful, and client-led.

ABOUT KYLIE

About Kylie

Areas of Interest


I offer support to adults who may be:

  • Managing general mental health concerns such as anxiety, depression, stress, grief, or life transitions — whether or not these are connected to faith or ministry.

  • Navigating confusing, painful, or high-pressure experiences in church or ministry environments, including those recovering from spiritual abuse, coercion, or high-control faith settings, including cults.

  • Pastors, ministry leaders, and caregivers experiencing stress, burnout, role strain, or relational challenges within ministry or leadership roles.

  • Experiencing domestic and family violence, coercive control, or destructive relationship patterns — whether in intimate partnerships, family, community, or faith-based contexts.

  • Experiencing scrupulosity / Religious OCD or distress related to rigid or fear-based beliefs.

  • Facing workplace challenges, including bullying, power imbalances, role strain, or organisational conflict, and the emotional toll these experiences can create.

  • Couples seeking support around communication, connection, conflict patterns, recovery after relational harm, infidelity, or navigating values and expectations within relationships.

Inclusive and Client-Led Care
While I have a particular interest in supporting people from faith backgrounds, I welcome clients from all backgrounds. My focus is on providing compassionate, trauma-informed, and ethical psychological care that honours each person’s values, experiences, and goals for wellbeing.


This is a collaborative space, shaped by your needs and values.

About Kylie

My Approach is…

evidence based

Support is grounded in well-established psychological research and clinical approaches shown to be effective, while remaining responsive to your needs and goals.

compassionate

Care is offered with warmth, empathy, and respect, creating a safe space where you can be heard with understanding.

Trauma-informed

Therapy recognises the impact of past and present trauma, prioritising your safety, choice, and sense of control throughout the process. Trauma-informed approaches are used.

respectful of your unique situation, beliefs and story

Support is tailored to your lived experience, values, and worldview, with sensitivity to cultural, spiritual, and personal contexts.

Have questions about support for mental health support for those in ministry?

Q&A
  • Yes. If you have a current Mental Health Treatment Plan from your GP, you may be eligible to receive a Medicare rebate for up to 10 individual psychology sessions per calendar year. These rebates help reduce the out-of-pocket cost for each session. You’ll need to provide a copy of your referral letter and MHTP prior to your first appointment.

  • Although there are some presentations that I cannot safely treat online, I work with individuals experiencing a range of mental health concerns, from mild anxiety or low mood through to more complex challenges such as PTSD, dissociation, religious trauma, and OCD. If your presentation is more complex, I will work collaboratively with your broader care team (e.g., psychiatrist, GP, or support worker) where appropriate, to ensure you receive safe and effective care.
    Online therapy is offered as long as it is deemed clinically appropriate and safe for your specific needs.

  • Yes. Research shows that online therapy can be just as effective as face-to-face sessions for a wide range of concerns, including depression, anxiety, trauma, and relationship issues. It also offers convenience, privacy, and access to support regardless of location. All sessions are conducted via a secure telehealth platform.

  • Although all three support wellbeing and reflection, psychological therapy, pastoral supervision, and spiritual direction serve different but complementary purposes.

    • Pastoral supervision focuses on the quality, safety, and sustainability of one’s ministry practice. It provides a reflective space to consider pastoral relationships, boundaries, and ethical issues.

    • Spiritual direction is oriented around the person’s relationship with God — discerning movement of the Spirit, exploring faith questions, and deepening prayer life.

    • Therapy, by contrast, is designed to address emotional, cognitive, or behavioural difficulties such as anxiety, depression, trauma, burnout, or interpersonal conflict. Although it may cover some of the same things as supervision, it draws on psychological science to help individuals understand patterns, manage distress, and promote long-term wellbeing.

    For ministry leaders, therapy can complement supervision and spiritual direction by providing a confidential setting to process experiences that are emotionally charged or personally painful, without concern for professional evaluation or theological framing. Psychological support allows space to explore internal dynamics — such as perfectionism, guilt, or people-pleasing — that may affect both ministry and personal life. Working with a psychologist who understands faith contexts ensures this process is both clinically sound and spiritually sensitive.

  • Ministry-related burnout rarely happens overnight — it develops gradually, often in people who are deeply committed to their work and care deeply about others. In ministry, the early signs can be subtle: persistent tiredness that doesn’t lift with rest, irritability or emotional numbness, and a loss of joy in areas that once felt deeply meaningful. You might notice yourself dreading tasks that once inspired you, struggling to focus, or feeling detached from your congregation, your sense of purpose, or even your faith.

    Physical symptoms such as headaches, difficulty sleeping, or recurring illnesses can also appear as your body signals the need for rest and recovery. Emotionally, you may feel guilt for not “doing enough,” or pressure to keep serving even when you have little left to give. Over time, burnout can erode empathy and make ministry feel like a burden rather than a calling.

    These experiences are not signs of weakness or spiritual failure — they are invitations to pause, reflect, and seek support. Talking with a psychologist who understands the emotional and spiritual demands of ministry can help you identify the causes of burnout, restore balance, and re-engage with your work and faith in a more sustainable way.

  • When something has gone wrong in ministry, it can be hard to imagine what the future might hold. For pastors, ministers, clergy and faith leaders, a mistake can shake not only their confidence but also their sense of calling and belonging within a faith community. The nature of the mistake matters — some may involve personal misjudgment, boundary confusion, emotional reactivity, or poor decision-making under stress. Others may be more serious, involving ethical breaches, misuse of power, or behaviour that has caused harm to others.

    Whatever the specifics, the path forward depends on two essential things: accountability and restoration. Both are necessary — and both can coexist. Accountability ensures that responsibility is taken, harm is acknowledged, and processes for repair and protection are followed. Restoration focuses on healing, growth, and learning — for the individual, those affected, and the broader faith community. Therapy can support both elements by helping ministry leaders process guilt and shame, understand what led to their actions, and explore the psychological and relational patterns that contributed to the situation.

    Moving forward, “ministry” may look very different. For some, it involves stepping away permanently due to loss of licence, or to prioritise personal healing and family stability. For others, it may mean a slow and supervised return, with safeguards, mentoring, and greater awareness of personal vulnerabilities. In all cases, humility and transparency are vital. There is no quick path to rebuilding trust; however, with time, consistent accountability, and genuine change, many people find new ways to serve that are wiser, healthier, and more sustainable.

    Therapy can help clarify questions such as:

    • How did this happen, and what factors contributed to my decisions?

    • What does accountability and integrity look like now?

    • What am I learning about my own patterns, limits, and areas of vulnerability?

    • How can I integrate the lessons of this season into future work or relationships?

    • How can I repair relationships or step back responsibly while prioritising the wellbeing of others?

    • What supports do my family and I need to navigate the consequences of this?

    • What does repentance, restoration, and repair mean in practical terms?

    • What can I learn about myself — emotionally, psychologically, and spiritually — to prevent repetition and foster genuine healing?

    • Is returning to ministry in its former capacity wise or possible — and what other avenues of service might honour my gifts and experiences?

    For some, this process leads to renewed ministry within a new structure or role; for others, it opens up unexpected but meaningful paths beyond formal ministry — such as community work, counselling, advocacy, education, or creative projects. Even when public ministry is no longer appropriate, the call to live with purpose, humility, and compassion remains.

    However, not all distress after a “failure” in ministry stems from actual misconduct. There are also times when pastors or ministry leaders experience a deep sense of failure due to underlying schemas — long-held beliefs such as “I must never disappoint others,” “I am only valuable when I’m needed,” or “I am unworthy unless I perform perfectly.” In these cases, the person may feel enormous guilt or self-condemnation even when they have done their best and, to the best of their ability, acted with integrity.

    Understanding these schemas is vital. Schema Therapy can help uncover how early experiences of criticism, high expectations, or emotional neglect can shape the way we interpret failure, criticism, or conflict in ministry. A leader with a strong “unrelenting standards” schema, for example, might feel intense shame for ordinary human limitations, or perceive healthy feedback as personal rejection. Therapy can help differentiate between true accountability and distorted self-blame, allowing space for realistic reflection rather than overwhelming guilt.

    Psychological support during this time can help you manage the emotional turbulence, navigate systemic or relational complexities, and begin to rebuild an identity grounded not in position or status, but in authenticity and integrity. Healing after a ministry mistake is rarely simple, but it is possible — and with the right support, it can become a season of deep transformation and renewed grace.

  • Healthy boundaries in ministry are not about being distant or uncaring — they are about sustainability, wisdom, and love expressed through balance. Boundaries help ministry leaders serve others without losing their own sense of identity, family life, or wellbeing. They include practical limits around availability (such as setting clear times for rest, sabbath, and family), emotional limits (not carrying every burden as your own), and relational limits (knowing when to refer someone for professional or specialised support).

    At the same time, it is important that boundaries are not so rigid that they create disconnection or harm. Psychological research shows that when people experience relational strain, they may instinctively distance themselves or emotionally withdraw — a coping strategy that can look like stonewalling or detachment. In pastoral settings, rigid or avoidant boundaries can inadvertently cause relational distress and confusion. Congregants or team members may feel dismissed, unheard, or spiritually neglected. In some cases, when boundaries become overly defensive or are used to control access or information, this dynamic can even contribute to an imbalance of power or the perception of spiritual or emotional harm. Ultimately, these type of rigid boundaries tend to cause further strain for clergy or pastors, because they increase relational tension and friction. 

    Healthy boundaries are therefore both firm and flexible — clear enough to protect wellbeing, yet compassionate enough to allow genuine connection. Therapy offers a confidential space to explore how your own patterns of relating, past experiences, or personality traits influence the way you set and maintain boundaries. A psychologist who understands the complexities of pastoral relationships and church dynamics can help you identify when a boundary is healthy, when it’s too porous, and when it may have become rigid or self-protective in ways that hinder trust or cause your further stress.

    Boundaries are not barriers to ministry — they are what make safe, ethical, and sustainable ministry possible. When pastors and ministry leaders model balanced boundaries, they demonstrate to others that care and accountability can coexist with compassion, creating healthier and more resilient faith communities.

  • Yes. If you have a valid referral and Mental Health Treatment Plan from your GP, you may be eligible for Medicare rebates for up to 10 psychology sessions per calendar year. This is deducted from the session fee. 

  • It’s not uncommon for pastors, ministry leaders, or people of faith to go through seasons of doubt, confusion, or tension between their beliefs and personal experiences. These moments can feel unsettling — especially for those whose work or identity is deeply intertwined with their faith. You may feel torn between loyalty to your tradition or community and the private awareness that something no longer feels aligned. This inner conflict can create anxiety, guilt, or even a crisis of identity.

    A psychologist does not offer theological answers or interpret doctrine.  However, therapy can help you understand the psychological and emotional processes behind the tension you’re feeling — and that understanding can bring clarity and peace. For instance, someone who is grappling with a theological concept about obedience or submission might find that early life experiences of control or fear are shaping how they perceive that teaching. Another person might feel distress about a church practice because it unconsciously mirrors past experiences of exclusion, coercion, or spiritual pressure they experienced.

    Understanding these deeper dynamics can bring clarity. By identifying what belongs to your emotional history versus what belongs to your current faith experience, you can approach spiritual questions with more compassion, curiosity, and freedom — rather than fear or self-judgment.

    For some, this conflict overlaps with a condition known as scrupulosity, a form of obsessive-compulsive disorder (OCD) that focuses on fears of sin, blasphemy, or moral failure. People experiencing scrupulosity often feel intense guilt or anxiety about not living up to perceived spiritual or ethical standards, leading to repetitive prayer, confession, or reassurance-seeking. Historians have speculated that some famous preachers and ministers struggled with scupulosity, including Martin Luther and John Bunyan, In therapy, this can be gently addressed through evidence-based approaches such as Schema Therapy or Exposure and Response Prevention (ERP), helping individuals find relief from intrusive guilt and rediscover a healthier, grace-filled faith. You can learn more about this in detail on my page: Scrupulosity (Religious OCD).

    Therapy does not replace spiritual discernment or pastoral guidance — but it can complement it. By making sense of your inner conflicts and emotional responses, you can engage in theological reflection from a place of greater clarity and calm. Whether your questions lead to reaffirmation, re-evaluation, or simply more honest faith, therapy provides a confidential space to explore these matters with integrity, gentleness, and psychological understanding.

  • Yes. With your permission I can enter into an agreement with the denomination so that they can pay the invoices. Please be assured that no other information is shared with them other than what is required to manage payment. What you say in sessions remains confidential, apart from mandatory reporting requirements, or if I recieve a subpoena. 

  • Yes. I provide online therapy via secure telehealth to clients across Australia. Many pastors, ministry leaders, and people of faith prefer online sessions because they offer privacy, flexibility, and the assurance that their personal circumstances remain confidential.

    For those in ministry or close-knit communities, concerns about conflict of interest or multiple relationships are understandable and valid. In smaller regions or faith contexts, it can feel uncomfortable to seek support from someone who may also be part of your local networks. Ethical practice in psychology requires avoiding dual or overlapping roles that could affect confidentiality or professional boundaries. Choosing online therapy helps to reduce that risk, allowing you to engage safely with someone who is not directly connected to your community or organisation.

    While my practice is based in East Brisbane, all sessions are conducted online. This means you can access therapy from anywhere in Australia, with no need to visit in person. I understand the desire to see a psychologist who is not in your immediate area — particularly when your work or ministry role makes privacy more complex. If I am not a suitable psychologist for you, then I can help you find a suitable alternative. 

    Online sessions provide the same professional and evidence-based care as face-to-face appointments, while offering additional comfort and distance from potential dual relationships. For many in ministry or leadership, this approach makes it easier to seek help confidently and confidentially, knowing that your wellbeing and privacy are fully protected.

To take the next step, book an confidential online session with psychologist Kylie Walls and access compassionate, trauma-informed support wherever you are in Australia.

book an appointment

View the Lastes on the Refuge Psychology Blog

let's get started

Get in touch to arrange

an appointment

Contact Kylie