Evidence map›Paper›PMID 41133769›Full record

ArticlePsychology and psychotherapy2026

Therapy without faith: Muslim clients' experience of religious exclusion and minimisation in therapy.

Rumena Islam, Paul Chadwick

Abstract read
In one paragraph

Article in Psychology and psychotherapy, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Rumena IslamDoctoral College/Department of Psychology, University of Bath, Bath, UK.ORCID 0009-0007-8117-1520
Paul ChadwickDoctoral College/Department of Psychology, University of Bath, Bath, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe integration of religious beliefs is considered an essential component of evidence-based practice; however, clients from faith-based communities frequently report that their beliefs are overlooked in therapy. While existing research primarily centres on therapists' perspectives, there is limited understanding of how Muslim clients themselves make sense of therapy when their religious identity is not acknowledged, particularly within mental health systems often grounded in Western psychological models. This study, therefore, aimed to explore the mental healthcare experiences of Muslim therapy users in the UK who received therapy where their religion was perceived as minimised or excluded, despite its personal significance.

designA qualitative approach was adopted, underpinned by a critical realist epistemology. Semi-structured interviews were conducted with 25 Muslim participants, aged 18-56 years. These interviews were conducted remotely via Teams and subsequently transcribed for analysis. Data analysis was performed using reflexive thematic analysis.

resultsThree overarching themes were generated through the analysis: feeling powerless and unseen when attempting to bring Islam, shaking my foundation and feeling compelled to choose between my faith or therapy. Participants described a significant emotional impact when Islam was excluded or minimised.

conclusionThese findings highlight the need for therapists to actively explore and integrate clients' religious worldviews, and for services to consider culturally responsive practices. The findings also suggest a need for enhanced cultural competence training and systemic changes to improve the therapeutic experience for Muslim clients. This study offers insight for developing more inclusive and effective mental health practices as well as implications for clinical practice.

Indexed as

IslamMental DisordersPsychotherapyReligion and PsychologyAdolescentAdultFemaleHumansMaleMiddle AgedQualitative ResearchUnited KingdomYoung Adultclient experiencescultural sensitivityIslammental healthreligionthematic analysis

Identifiers

PMID41133769
PMCPMC12905511

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.