This qualitative study explored the integration of religion and spirituality in counseling among six African American Christian college students ranging from age 26-48. Specifically, attention was given to the circumstances that either facilitated or discouraged the student's willingness to include their faith system in counseling. Thematic analysis was used with in depth semi-structured interview transcripts to determine the expectations and in-office counseling experiences of African American college students and to assist others in delineating ethical, professional, and culturally sensitive counseling practice and in related education and training contexts. Religion and spirituality played a key role in the lives of the study participants. The participants in this study used their religious and spiritual beliefs to navigate the various challenges of college life. Most participants in this study preferred to have religion and spirituality integrated into their counseling sessions. However, those same participants did not expect the counselors to recognize or place value on those preferences. This study found a striking disparity between the students' preferences and their expectations. Participants viewed their faith as their primary source of hope during times of distress. Results of this study potentially can be used to guide on-campus services for African American college students as counseling effectiveness may be enhanced by therapists' respectful incorporation of clients' religious and spiritual beliefs into treatment. This study suggested that future research might examine the challenges faced by counselors who attempt to integrate their clients' faith without violating their own profession's ethical guidelines. Additionally, this study suggested more research is needed to clarify the relationship between help seeking behaviors among African American college students and the integration of religion and spirituality. [The dissertation citations contained here are published with the permission of ProQuest LLC. Further reproduction is prohibited without permission. Copies of dissertations may be obtained by Telephone (800) 1-800-521-0600. Web page: http://www.proquest.com/en-US/products/dissertations/individuals.shtml.]