1. Introduction
Version followed: the Sunni prophetic form of salat al-istikhara as narrated by Jabir ibn 'Abdullah in Sahih al-Bukhari (sunnah.com numbering 1166; other editions number it differently, e.g. 1162), as explained by contemporary fatwa bodies: SeekersGuidance and Qibla (Shaykh Faraz Rabbani, Hanafi), Darul Uloom Trinidad and Tobago (Hanafi), Darul Ifta Birmingham (Hanafi) and the Mufti of the Federal Territory, Malaysia (Shafi'i). Twelver Shi'i hadith collections carry their own chapter on the prayer of seeking guidance, and Shi'i practice includes further forms not covered here [uncertain: not verified].
Istikhara (Arabic, "seeking what is good" or "asking God to choose the better") is a voluntary prayer a Muslim makes before a permissible decision whose right course is unclear: marriage, a job, travel, a move, a purchase. In the version followed it is two voluntary units of prayer (rak'ahs) followed by a supplication (du'a) in which the person names the matter and asks God, who knows the unseen, to bring it about and bless it if it is good for their religion, livelihood and final outcome, and to turn it away, and turn them away from it, if it is not, and to make them content with whatever is good [source: Sahih al-Bukhari via sunnah.com; Mathabah]. In the tradition's own terms, change happens because the believer hands the choice over to God's knowledge and power after doing their own part (investigation and consultation), then acts on the inclination or ease that follows and accepts the outcome with contentment (rida) [source: Qibla/Rabbani; Darul Ifta Birmingham]. The theological claims are the tradition's own and are reported here, not asserted or disputed.
For the psychotherapist, istikhara is not a technique to prescribe. It is a practice some Muslim clients already use, or wish to use, while facing decisions. The therapist's work is client-led integration within spiritually integrated psychotherapy (cross-refer Domain VII): understanding the practice, supporting the consultation and reflection that the tradition itself places around it, spotting when it is being used compulsively, under pressure or by exploiters, and referring questions of religious law to the client's scholar [synthesis].
2. Framework
The tradition does not set out phases in a therapeutic sense, and no source gives a session count or course length for therapy that includes istikhara [uncertain: none found]. The practice itself has a recognisable sequence across the sources:
- Preparation and consultation (istishara). The matter is investigated and discussed with trusted, knowledgeable people first; istikhara follows this process rather than replacing it. Imam al-Nawawi advised consulting people whose knowledge, wisdom and concern one trusts, and Ibn Hajar al-Haytami said this distances one from one's own desires [source: Qibla/Rabbani; Darul Ifta Birmingham]. Move on when the options are clear and both are permissible.
- The prayer. Two voluntary rak'ahs other than the obligatory prayers. Two is the preferred form agreed across the four schools; more is valid in the Shafi'i school. Not at the times when voluntary prayer is disliked [source: Mufti of the Federal Territory]. Some teachers recommend praying after the night prayer ('Isha') and reciting Surat al-Kafirun and Surat al-Ikhlas after al-Fatiha; others give no fixed surahs or time [source: Darul Uloom TT; Mufti of the Federal Territory].
- The supplication. The du'a taught in the hadith, opened and closed with praise of God and blessings on the Prophet, with the specific matter named at the point the text refers to "this matter". It may be said in one's own language if Arabic is hard. Someone unable to pray (e.g. travelling or menstruating) may say the du'a alone [source: Darul Uloom TT; Qibla/Rabbani].
- Consigning (tafwid). Setting aside one's own leaning and leaving the choice to God [source: Qibla/Rabbani].
- Reading the outcome. No dream is required. The sign may be the heart settling on one option, a feeling of serenity or unease, or circumstances falling into place or closing off [source: Darul Uloom TT; Mathabah; Darul Ifta Birmingham; SeekersGuidance].
- Repeating if unclear. If still unsure, the prayer may be repeated, up to seven times, usually on separate occasions (citing Radd al-Muhtar); another Hanafi source gives no number and says to continue until the heart settles [source: Qibla/Rabbani; Darul Ifta Birmingham; Darul Uloom TT]. The sources differ here; follow the client's own school and scholar. Caution: repeating istikhara again and again to quiet doubt, or far beyond what the client's school allows, can become reassurance-seeking rather than devotion (see 4.7) [source: IOCDF on reassurance-seeking; application synthesis].
- Acting and contentment. Act on what one is wholeheartedly inclined to, do not cling to an earlier wish (al-Nawawi, as quoted), do not hasten, and accept the result [source: Qibla/Rabbani; Darul Ifta Birmingham].
Format in therapy [synthesis]: the client does istikhara at home, in their own time and tradition. In sessions the therapist (a) assesses what the practice means to the client, (b) supports the consultation stage with ordinary decision work, (c) helps the client reflect on what follows the prayer, and (d) watches for compulsive repetition, coercion or distress. Move from decision work to reflection once the client reports having prayed; move to closure once the client has acted or chosen to wait; move to scrupulosity or risk work whenever the warning signs in section 4 appear.
3. Guiding principles
The tradition's principles, as its scholars state them:
- For permissible choices only. Istikhara is for matters where both doing and not doing are allowed; not for obligatory duties or forbidden acts [source: Darul Uloom TT]. Practical meaning: if the client is using it to decide whether to do something their tradition forbids or requires, that is a question for their scholar, not for istikhara or therapy.
- Consult first, then pray. Consultation and investigation come before istikhara [source: Qibla/Rabbani; Darul Ifta Birmingham]. Practical meaning: thorough decision work in therapy is consistent with the practice, not in competition with it.
- No dream is required. Dreams are a common expectation but not the sign [source: Darul Uloom TT; Mathabah; Darul Ifta Birmingham]. Practical meaning: gently correct the belief that "no dream means no answer" by pointing to the client's own scholars.
- The person prays for themself. The basis is that one performs it oneself; asking a trusted person to pray as well is permitted by some, but paying someone for it is not [source: SeekersGuidance/Rabbani; Qibla/Rabbani]. Practical meaning: treat paid "istikhara services" as a red flag for exploitation and outsourced agency.
- Do not hasten; accept the outcome. [source: Qibla/Rabbani]. Practical meaning: tolerate a period of not knowing; work with regret without implying the prayer "failed".
- Any language. The du'a can be made in one's own language [source: Darul Uloom TT]. Practical meaning: language difficulty is no barrier; do not coach Arabic.
The therapist's principles [synthesis unless tagged]:
- Client-led and consented. Raise istikhara only if the client brings it or after asking whether faith is relevant to the decision; record consent to include religious material. Practical meaning: ask, never prescribe.
- Not a mufti, imam or shaykh. The therapist does not issue rulings, pray istikhara for the client, or interpret signs or dreams as religious authority. Practical meaning: route questions of law and practice to the client's scholar.
- Respect without endorsement or dismissal. Describe God's guidance as the client holds it. Practical meaning: use the client's words ("Allah's choice", "my heart settled").
- The client's own school and scholar decide differences. Sources differ on timing, surahs and repetition. Practical meaning: ask "what does your imam or teacher say?"
- Protect autonomy. The outcome belongs to the person praying. Practical meaning: be alert when a family member's or third party's "istikhara result" is used to override the client's choice, especially in marriage decisions.
- Distinguish devotion from compulsion. Doubt that will not settle, endless repetition and reassurance-seeking point to OCD, not piety [source: IOCDF]. Practical meaning: screen for scrupulosity when repetition grows.
- Competence and ethics. Spiritual and religious competencies for psychologists have been set out by professional authors (Vieten et al. 2013) [uncertain: not verified]; ethical duties on competence, multiple relationships and respect for religion follow the profession's code [synthesis]. Practical meaning: seek consultation or training before working with religious content you do not know, and declare your own religious stance only when it serves the client.
4. Intervention inventory
The first item is the practice as the tradition teaches it, so the therapist knows what the client is doing. The remaining items are the therapist's own work alongside it. Except where a source is tagged, the clinical procedures are [synthesis]: no clinical protocol for istikhara appears in the sources consulted.
4.1 The practice as taught (for the therapist's understanding, not for instruction in session)
- Purpose: to know the steps the client follows so you can ask informed questions and spot misunderstandings.
- Steps (paraphrased from the sources): (1) investigate the matter and consult trusted, knowledgeable people; (2) make wudu and pray two voluntary rak'ahs, outside the disliked times, with some teachers recommending after 'Isha' and the surahs al-Kafirun and al-Ikhlas; (3) make the du'a from the hadith, naming the matter where the text says "this matter", in Arabic or one's own language; (4) leave the choice to God; (5) attend to inclination, serenity or unease, and how events unfold; (6) repeat if unsure, within the limit the client's school gives; (7) act and accept [source: Sahih al-Bukhari via sunnah.com; Darul Uloom TT; Qibla/Rabbani; Mufti of the Federal Territory; Darul Ifta Birmingham]. Some teachers add going to sleep in wudu facing the qibla; others also describe a general daily istikhara for all that is good, e.g. at mid-morning (duha), attributed to Ibn al-'Arabi [source: Darul Uloom TT; Qibla/Rabbani].
- Example language (illustrative): "Can you walk me through how you usually do istikhara, and what your teacher or imam has told you about it?"
- Watch for: beliefs the sources correct (a dream is required; Arabic is required; someone must be paid to do it; it can settle whether to fulfil an obligation or commit a sin). Do not correct these yourself as an authority; point to the client's own scholars.
4.2 Respectful enquiry and spiritual assessment
- Purpose and when: at intake or when a decision comes up, to learn whether and how faith shapes the client's choices, with consent to include it.
- Steps: (1) ask an open question about whether faith or prayer plays a part in the decision; (2) if yes, ask what istikhara means to them, how often they use it, who taught them, and their school or community; (3) ask how they recognise an answer and what happens when none comes; (4) ask who else is involved (parents, spouse, a shaykh, a paid service); (5) note the client's preferred terms; (6) ask how they would like it included in therapy, and record consent. The DSM-5-TR Cultural Formulation Interview and its supplementary module on spirituality, religion and moral traditions can structure this [uncertain: not verified].
- Example language (illustrative): "Some people I work with pray about big decisions. Is that part of how you're approaching this one? If it is, I'd like to understand how, and only bring it in as much as you want."
- Watch for: guardedness after past experiences of therapists minimising faith; shame about doubt; signs that the practice is a source of strength versus a source of fear. Working when: the client talks about the practice openly and in their own words.
4.3 Supporting the consultation stage (istishara) with decision work
- Purpose and when: the tradition puts investigation and consultation before istikhara [source: Qibla/Rabbani; Darul Ifta Birmingham]. Use when the client is about to pray, or has prayed without having first gathered information.
- Steps: (1) name the options precisely; (2) check with the client that both are permissible in their understanding, or refer the question to their scholar; (3) gather facts still missing (e.g. about a prospective spouse's character, a job's conditions); (4) list consequences for the client's religion, livelihood and long-term outcome (the three areas the du'a itself names) as the client sees them; (5) identify whom to consult and what to ask them; (6) note the client's own leaning honestly, since the tradition asks them to set it aside, and that is easier once it is named.
- Example language (illustrative): "You mentioned your scholars say to consult before praying. Shall we use some of today to get clear on what you know and what you still need to find out, so you go into istikhara with the matter laid out?"
- Watch for: the therapist becoming the consultant whose view decides; the client using therapy to get a verdict. Working when: the client can state the options, the facts and their own leaning, and has chosen whom to consult.
4.4 Reflecting on what follows the prayer
- Purpose and when: after the client has prayed, to help them notice inclination, serenity, unease or how events are unfolding, which their scholars treat as possible signs [source: Darul Uloom TT; Mathabah; Darul Ifta Birmingham].
- Steps: (1) invite a description of what has happened since praying, inside (feelings, thoughts, sleep, dreams) and outside (doors opening or closing); (2) reflect back without labelling anything as God's answer; (3) help the client separate a settled inclination from fear, avoidance or a wish for relief from anxiety; (4) ask what their tradition says about what they are noticing; (5) ask what they are inclined to do and what would follow.
- Example language (illustrative): "When you picture taking the job now, what do you notice? I'm not the one to say what it means religiously. I'm curious whether this feels like your heart settling, or like relief from being scared."
- Watch for: reading anxiety-driven avoidance as a divine "no"; reading a depressive low as unease about the choice; treating any small event as a sign. Working when: the client can describe their inclination and own the choice while understanding it in religious terms.
4.5 Working with "no clear answer" and uncertainty
- Purpose and when: when the client reports no sign, feels abandoned, or keeps repeating the prayer.
- Steps: (1) note that scholars say no dream or vivid sign is required, and that repetition has a limit in some schools (up to seven times) or is open in others [source: Qibla/Rabbani; Darul Ifta Birmingham; Darul Uloom TT], and ask what the client's scholar says; (2) explore what an acceptable level of certainty would be; (3) explore the client's own concepts of trust in God (tawakkul) and not hastening, in their words [source: Qibla/Rabbani for not hastening]; (4) agree whether to act, wait for a set period, or gather more information; (5) if repetition is compulsive, move to 4.7.
- Example language (illustrative): "You've prayed and nothing dramatic happened. What have your teachers said about what an answer looks like? ... What would it be like to choose, trusting God with the outcome, without being completely sure?"
- Watch for: spiritual distress (feeling unheard by God), which may need the client's imam as well as you; perfectionism.
4.6 Dreams, unusual experiences and telling spiritual experience from illness
- Purpose and when: when the client reports a dream, voice, vision or certainty they take as the answer, especially if it is vivid, commanding or distressing.
- Steps: (1) listen and take a full description without endorsing or dismissing it; (2) note that the client's scholars treat dreams as neither required nor necessarily linked to istikhara [source: Darul Uloom TT; Darul Ifta Birmingham]; (3) ask how their community would usually understand such an experience and whether others in it would see it as normal; (4) screen for features pointing to illness: other perceptual changes, persecutory or grandiose content, commands to harm, loss of sleep, rapid speech, marked change in functioning, or no fit with the client's own tradition; (5) if illness is possible, assess and refer for psychiatric review; if not, DSM-5-TR lists a religious or spiritual problem as a focus of clinical attention, code Z65.8, which can describe a faith-related difficulty without implying disorder; (6) with consent, involve the client's imam on the religious meaning.
- Example language (illustrative): "That dream clearly mattered to you. How would people in your community usually understand a dream like that? ... I also want to check on a few other things, like sleep and whether you've noticed anything else unusual, so I'm looking after all of you."
- Watch for: missing psychosis or mania because content is religious, or pathologising ordinary religious experience. Working when: the experience is understood in the client's frame and any illness is assessed and treated.
4.7 Scrupulosity: repeated istikhara and reassurance-seeking
- Purpose and when: when istikhara is repeated far beyond the limit the client's school gives, redone because it "might not have been done right", or paired with repeated questioning of scholars, family or online services.
- How it presents: the IOCDF describes Muslim scrupulosity as repeated prayers and recitation to feel certain they were correct, repeated wudu until it feels "just right", repeated questions to scholars and family about rulings, and doubt about belief itself. It frames this as "not a faith problem; it is an OCD problem" [source: IOCDF, Mirza]. Repeated istikhara is not named there; applying it here is [synthesis].
- Steps (ERP adapted, with consent): (1) assess for OCD and agree the formulation; (2) with the client's consent, consult their scholar or ask the client to, to establish what their school counts as a complete istikhara and how many repetitions are permitted, so exposures stay within Islamic law [source: IOCDF]; (3) build a hierarchy of triggers (e.g. making the du'a once without checking every word; acting after the permitted number of repetitions without a sign); (4) carry out exposures without reassurance-seeking, including from scholars, and with limits on mental checking [source: IOCDF]; (5) review what the client learns about tolerating uncertainty.
- Example language (illustrative): "Your imam said once is enough, and you've done it many times this week and still feel unsure. That pattern looks like OCD using your faith. Would you be willing to try making it once, the way your imam described, and then sit with the doubt here with me?"
- Watch for: the therapist being drawn into giving rulings; scholar consultation turning into reassurance; contamination or wudu-related rituals around the prayer. Working when: repetition and reassurance-seeking drop and the client can act with some uncertainty while remaining devout.
4.8 Proxy and paid istikhara, and third-party pressure
- Purpose and when: when someone else's istikhara result (a parent, a relative, a shaykh, a paid service) decides the client's marriage, career or move, or when the client is paying for istikhara.
- Steps: (1) ask who did the istikhara and how the result is being used; (2) note that scholars say the basis is that one performs it oneself, that asking a trusted person to pray as well is permitted by some, and that paying someone to perform it is not permissible [source: SeekersGuidance/Rabbani; Qibla/Rabbani]; let the client check this with their own scholar; (3) assess for coercion, threats, financial exploitation or forced marriage, and act under local safeguarding law where it applies; (4) support the client to make istikhara themself if they wish and to consult people they trust; (5) for related exploitative spiritual services, cross-refer to the ruqya entry (261, written under Domain XI 049).
- Example language (illustrative): "Your uncle's istikhara said no. What did you notice when you prayed about it yourself? What do your own teachers say about whose istikhara counts for your marriage?"
- Watch for: high fees, repeated payments for repeat readings, fear-based messages (curses, harm if ignored), and family leverage. Working when: the client decides with their own judgement and prayer, and any coercion is addressed.
4.9 Acting, acceptance and post-decision regret
- Purpose and when: after the decision, especially when the outcome has gone badly and the client feels misled by the prayer or guilty for having ignored a sign.
- Steps: (1) review the decision process the client followed; (2) explore their tradition's idea of contentment with what God chooses and not insisting on an earlier wish, as their scholars teach it [source: Qibla/Rabbani; Darul Ifta Birmingham]; (3) separate guilt about "ignoring" a sign from evidence of wrongdoing; (4) work with grief, anger at God or doubt as part of the client's religious life, involving their imam if they wish; (5) plan next steps.
- Example language (illustrative): "You prayed, you consulted, and it still hurt. How does your faith make sense of a hard outcome after istikhara? And what part of this feels like something you need to forgive yourself for?"
- Watch for: depressive self-blame dressed as religious guilt; a crisis of faith the client wants support with, which is theirs to steer.
4.10 Referral to and collaboration with an imam, scholar or chaplain
- Purpose and when: for questions of religious law (is this permissible, how many repetitions, what counts as an answer), for spiritual distress, or when the client wants their religious guide involved.
- Steps: (1) ask whom the client trusts religiously; (2) agree what is a religious question and what is a clinical one; (3) obtain written consent before any contact and agree what is shared; (4) frame contact around the client's goals, not your opinion of the practice; (5) where OCD is present, agree with the scholar a single clear ruling rather than repeated reassurance [source: IOCDF on consulting a scholar; rest synthesis].
- Example language (illustrative): "That's a question about what Islam requires, so your imam is better placed than me. Would it help if you asked, or if, with your permission, I spoke with them about how we're working?"
- Watch for: the therapist acting as a religious authority (a dual role to avoid); a religious adviser who discourages needed treatment, which calls for a careful, respectful conversation led by the client's wishes.
4.11 Trauma-sensitive adaptation
- Purpose and when: for clients with religious trauma, coercive religious upbringing, or past experiences where "God's answer" was used to control them.
- Steps: (1) let the client decide whether istikhara has any place in therapy; never suggest it; (2) if they choose to use it, explore what they need to feel safe (praying privately, making only the du'a, which scholars permit when prayer is not possible, in their own language [source: Qibla/Rabbani; Darul Uloom TT]); (3) watch for flashbacks or shutdown when religious authority comes up and use grounding in the room; (4) separate the practice they choose from the people who misused it. Trauma-sensitive mindfulness (Treleaven 2018) is a published adaptation for meditation that may inform this stance [uncertain: not verified].
- Example language (illustrative): "You said 'istikhara' used to mean your father deciding for you. If you ever want to pray about a decision now, it can be completely yours, or you can leave it aside. Both are fine here."
- Watch for: compliance with the therapist instead of real choice; re-enactment of control.
4.12 Screening for adverse experiences
- Purpose and when: istikhara is a brief prayer and du'a, not an absorption or retreat practice; no studies of its adverse effects appear in the sources consulted. Research on meditation shows challenging experiences can occur in people with no prior mental health history: a systematic review of 83 studies found adverse events in 8.3% of participants overall, most often anxiety, depression and cognitive anomalies [source: Farias et al. 2020, Acta Psychiatrica Scandinavica]. The Varieties of Contemplative Experience study (Lindahl et al. 2017, PLOS ONE) mapped perceptual, affective, cognitive, sense-of-self, social and somatic challenges in meditators [source: Cheetah House]. How far these apply to istikhara is [synthesis]: they are most relevant if the client combines istikhara with long night vigils, intensive dhikr or retreat.
- Steps: (1) ask about sleep, mood, anxiety and any unusual experiences around the practice; (2) if the client is combining it with intensive practice, ask about duration and support, and suggest they talk with their teacher; (3) reduce or pause only by the client's choice and with their religious adviser, and use grounding; (4) assess and refer for psychosis, mania, severe depression or dissociation as usual; (5) Cheetah House offers resources and consultations for practitioners and clinicians [source: Cheetah House].
- Example language (illustrative): "Since you started praying about this every night, how have you been sleeping? Anything feeling different or unsettling?"
- Watch for: sleep loss, fear about the result, unusual perceptions, functional decline.
5. Handling problems
All guidance in this section is [synthesis] except where a source is tagged.
- Client asks the therapist to tell them what the istikhara meant. Decline the religious role, reflect what the client noticed, and refer the religious meaning to their scholar (4.4, 4.10). "(illustrative) I can help you look at what you're feeling. What it means before God is something you and your teachers know better than me."
- Stuck: "I keep praying and nothing comes." Revisit what their scholars say about signs and repetition [source: Darul Uloom TT; Darul Ifta Birmingham; Qibla/Rabbani]; return to the consultation stage (4.3); explore tolerating uncertainty (4.5). If repetition is driven by anxiety and checking, assess for OCD (4.7).
- Avoidance disguised as waiting for a sign. Name the pattern gently: the tradition puts consultation and action alongside prayer and advises not hastening, not indefinite delay (4.3, 4.5). Set a review date the client chooses.
- Resistance to discussing faith in therapy. Do not push. Ask what made it hard (often prior minimisation by clinicians); offer to keep it out, or to include it only as they wish.
- Rupture: client feels the therapist dismissed or medicalised their prayer. Acknowledge, apologise for the impact, restate respect for their practice, and clarify your role. If the therapist's own religious or secular commitments are leaking into the work, seek supervision.
- Client wants the therapist to pray istikhara for them, or to pray together in session. Decline the role of praying on their behalf; explore what they hope it would give them; refer to a trusted person in their community, which some scholars permit [source: Qibla/Rabbani; SeekersGuidance].
- Non-adherence (agreed decision work not done before praying). Explore whether the task fit their beliefs and life; shrink it; do it in session.
- Overwhelm or spiritual crisis ("God has abandoned me"). Stabilise first; validate; assess for depression and suicide risk using current standard practice; with consent, involve their imam or chaplain.
- Third-party pressure, forced marriage or paid services. Follow 4.8; prioritise safety and local safeguarding procedures; document.
- OCD around the prayer's correctness. Follow 4.7 with consent and scholar consultation [source: IOCDF].
- Psychotic or manic presentation with religious content. Do not argue the content; assess and refer urgently as indicated (4.6).
- Therapist and client share the faith. Avoid offering your own religious views as a co-religionist authority; watch for dual relationships (same mosque, community events).
- Minors. Where a young person's decisions (e.g. marriage, schooling) are being settled by others' istikhara, follow safeguarding and consent or assent procedures in your jurisdiction.
Sources
- Sahih al-Bukhari, istikhara hadith narrated by Jabir ibn 'Abdullah (sunnah.com)
- The Method of Performing Istikhara, Shaykh Omar Subedar (Mathabah)
- Dua and method of Salaatul Istikharah, Darul Uloom Trinidad and Tobago (IslamQA)
- Istikhara: the guidance prayer, Shaykh Faraz Rabbani (Qibla, via IslamQA)
- Does the answer of istikhaara have to be followed? Darul Ifta Birmingham
- Paying Someone To Perform Istikhara, Shaykh Faraz Rabbani (SeekersGuidance), 2020
- Al-Kafi #1803: The ruling of performing the istikharah prayer in more than two rakaats, Mufti of the Federal Territory, Malaysia, 2021
- Islam and OCD, Mubeena Mirza (IOCDF)
- Farias, Maraldi, Lucchetti, Wallenkampf 2020, Adverse events in meditation practices and meditation-based therapies: a systematic review, Acta Psychiatrica Scandinavica 142(5):374-393 (Coventry University)
- The Varieties of Contemplative Experience (VCE) Study (Cheetah House); Lindahl, Fisher, Cooper, Rosen, Britton 2017, PLOS ONE 12(5): e0176239.
- Haque, Khan, Keshavarzi, Rothman 2022, Integrating Islamic Traditions in Modern Psychology: Research Trends in Last Ten Years, Journal of Muslim Mental Health (Khalil Center): background on Islamically integrated psychotherapy; does not address istikhara.
- Also cited: DSM-5-TR Cultural Formulation Interview and the religious or spiritual problem category, Z65.8; Treleaven 2018, trauma-sensitive mindfulness [uncertain]; Vieten et al. 2013, spiritual and religious competencies [uncertain]; Twelver Shi'i forms of istikhara [uncertain].
- ICD-10-CM Z65.8, Other specified problems related to psychosocial circumstances (includes 'Religious or spiritual problem'), https://www.unboundmedicine.com/icd/view/ICD-10-CM/945432/all/Z65_8___Other_specified_problems_related_to_psychosocial_circumstances