In this study, the authors compared two versions of the C. E. Hill (1996) Cognitive-Experimental Dream Interpretation Model, one using waking life interpretation in the insight stage and the other using clients' spirituality as an aid in the interpretation process during the insight stage. Spiritually oriented volunteer clients completed either two sessions of waking life dream interpretation or two sessions of spiritual dream interpretation. Volunteer clients in the spiritual condition gained more spiritual insight into their dreams and gained more existential well-being than volunteer clients in the waking life condition. No differences between conditions were found for ratings of session outcome or general insight into dreams. Hence, adding a spiritual component to the C. E. Hill model seems to be particularly effective for spiritually and existentially related outcomes. These results are discussed individually. The findings point to the value of addressing the spiritual and existential dimensions of the human experience in psychotherapy.