This course will focus upon both the historic, and rapidly changing, relationship between medical and mental health. The integration of medical, cognitive behavioral (CBT), and spiritual approaches in counseling will be explored to assist both counselor and client in understanding the comprehensive nature of client difficulties and their treatment. Trauma informed care will be highlighted in the course and attention given to “What happened to us?” (versus “What is wrong with you?”), how this affects the choices clients make in their lives, and the “costs” of such choices.