Heart disease is the leading cause of death in the United States and can affect individuals of all ages, gender, ethnicity, and socioeconomic status. This article reviews the research on psychosocial interventions in cardiac rehabilitation programs and discusses the evolving set of best practices for counselors working in a new setting with people who have experienced the trauma of cardiac disease. Recommendations for best practices for counselors who work in this emerging area are provided, including recommendations for facilitating posttraumatic growth.