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

“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.

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

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.

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

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.

View the Lastes on the Refuge Psychology Blog

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