Counselling in Africa is extremely different from Western system because it is rooted in the African traditional worldview as opposed to Western instruction. The research that led to this book set out to explore the practice and experience of pastoral counselling within Africa compared to a concept analysis of the same from a Western perspective. Furthermore, a theological reflection of the research revealed that there are various practices that are consistent with the Christian tradition but others that tend towards extremes. This book also reveals that counselling in the West was more spiritual in its outlook. It has deviated from its original course after the introduction of psychological theories to its counselling ministry. Therefore, Counselling in Africa and the Western world are in conversation as they encouraged each other in the areas of their strengths and challenged each other to revisit their weaknesses in order to enrich their ministries. Pastors, leaders, counsellors and theological seminaries in Africa and the West will find this enriching to their pastoral and counselling ministry.