Spiritual counseling in some ways is a lot like individual therapy. The difference is that instead of one on one, it's one on one PLUS One - the Holy Spirit. God is invited first through prayer and both client and therapist allow God room to suggest what strategies to implement.
Sometimes a traditional strategy will be replaced by a spiritual practice i.e. Fr. William Watson's Ignatian practice of renouncing a bad habit or sin and allowing Christ to heal it.
Sometimes, especially with EMDR (eye movement desensitization reprocessing), God is deliberately brought to the center.
In Spiritual Counseling - in every instance - Christ is Lord.