This chapter provides some thoughts on exploring the possibility of developing a model of pastoral counseling in Muslim communities. As a concept, pastoral counseling does not translate entirely or accurately in the Muslim community. Religious leaders in most Muslim communities are well-meaning, well-intentioned individuals who want to provide help to members of the faith, but often they have no background or expertise to do so. The notion of pastoral care as it exists in the Muslim context bears little semblance to the way that it is understood in its broader professional context. Muslims are required to live in their own historical time and seek contemporary solutions to practical problems of human existence drawn from the knowledge base of society in their own time. Viewing Muslims through the exclusive lens of their religion can become very problematic when attempting to provide care in the context of mental health and mental well-being.