1. Introduction
Version followed: each body as it describes itself in its own published documents: Hellenion (USA) through its By-Laws and Demos Manual; the Supreme Council of Ethnikoi Hellenes (YSEE, Greece) and Pietas – Comunità Gentile (Italy) as their officers are quoted in The Wild Hunt's reporting (2017, 2020, 2021, 2024); Kemetic Orthodoxy (House of Netjer, USA) through kemet.org. Greek- and Italian-language founding documents of YSEE and Pietas are [uncertain: not verified]. For the ancient mystery initiations these movements look back to, cross-refer 006 (Mystery initiations, historical).
These are not therapies. They are religious movements that aim to restore the public and household worship of the gods of ancient Greece, Rome and Egypt, each organised in one or more named bodies.
- Hellenic. Hellenion calls itself "a polytheistic reconstructionist organization" that revives ancient Greek practice on the basis of academic research. It is a US non-profit religious corporation (IRC 501(c)(3), principal office in California) [source: Hellenion By-Laws]. YSEE, in Greece, works to restore what it calls the indigenous Hellenic Ethnic Religion; its practitioners call themselves Ethnikoi Hellenes. It marked 20 years under its present name in 2017. Its stated centre is arete (virtue), alongside reason, education and philosophy. It says the religion has no dogma [source: Wild Hunt 2017; Wild Hunt 2024].
- Roman. Pietas – Comunità Gentile traces itself to the 1960s and to a community of scholars and professionals founded in 1981 by Professor Gianfranco Barbera. Its guide is the mos maiorum ("way of the ancestors"), an unwritten code of conduct and virtue. Pietas is presented as dutiful reverence for gods, traditions and ancestors, and Cicero's "justice towards the gods" is quoted for it. Its president, Giuseppe Barbera (son of the founder), holds the title pontifex maximus. Leaders describe the practice as a reconstruction, not a full revival, drawing also on Hermeticism and modern occult philosophy [source: Wild Hunt 2020; Wild Hunt 2021].
- Kemetic. Kemetic Orthodoxy was founded by Rev. Tamara L. Siuda in the late 1980s. It calls itself an African Traditional Religion continuing the religion of ancient Egypt. Its theology centres on Netjer ("divine power"): one divine force that is also many distinct, interlinked deities, called "Names" of Netjer. It calls this monolatry, a "soft" polytheism. Full members give special weight to a parent deity or deities, revealed through the Rite of Parent Divination [source: kemet.org/about].
How change happens, as the traditions frame it: through right relationship with the gods, practised in regular household and communal rites, festivals on a sacred calendar, and an ethic of virtue or right order. Clients may experience this as belonging, continuity with an ancestral or chosen heritage, and meaning. These are attributed religious claims, neither asserted nor dismissed here. Evidence status: empirical studies of the mental-health effects of these specific movements: none found in the sources consulted.
The therapist's work is therefore not to deliver the practice. It is to understand what the client's practice and membership mean to them; to assess without pathologising belief; to look out for the uncommon cases of distress, scrupulosity, exploitation or conflict linked to the practice; and to support the client's own choices, including staying, changing group or leaving [synthesis].
2. Framework
2a. How the organisations are structured (as published)
Hellenion [source: Hellenion By-Laws; Demos Manual]
- Governance: the Prutaneia is a nine-member board elected for staggered three-year terms and is the highest authority. It appoints an Epistates (president), Grammateus (secretary) and Tamias (treasurer). The Boule is an advisory council with one councillor per 25 members and an annual open meeting.
- Membership: there are regular, lifetime and minor members. Only regular members may hold office or clergy roles. The Prutaneia sets annual dues; no amounts appear in the by-laws [uncertain: current fees not verified].
- Local groups: a Demos needs at least three adult members in good standing who do not all live in one household. Where there are fewer members, a provisional Protodemos may form with permission. Chartering is free. Each Demos has three officers (Demarkhos, Grammateus, Tamias), must hold at least six meetings a year, mostly open to the public, and reports annually. Demoi choose their own patron deities and calendar (for example Athenian or Spartan) within Hellenic reconstructionism.
- Clergy: Theoroi are trained and ordained nationally with Prutaneia approval, though any adult may lead ritual.
- Discipline: the Prutaneis may suspend or expel a member by a two-thirds vote, after written notice and a 30-day period to respond. Bigoted or abusive conduct is grounds for expulsion. Temperate disagreement is protected.
YSEE [source: Wild Hunt 2017; Wild Hunt 2024]
- It has a General Secretary (Vlassis Rassias in 2017) and a High Priestess (Elena Petri in 2024), a priesthood, and a licensed temple in central Athens.
- Legal status: in April 2017 the Greek Ministry of Education and Religious Affairs recognised Hellenic Religion as a "known religion" and approved an Athens place of worship. This lets members register children as belonging to the religion and hold legally valid weddings. The courts have refused the body the status of a religious legal entity, and YSEE has taken this to the European Court of Human Rights.
- In 2023 YSEE and Pietas joined the Hellenic-Roman association "Mediterraneum". Membership process and fees: [uncertain: not verified].
Pietas – Comunità Gentile [source: Wild Hunt 2020; Wild Hunt 2021]
- It is based in Rome, with affiliates in Bologna, Genoa, Milan and Palermo, and reports more than 300 affiliates and partners in Italy and abroad.
- In December 2020, after the Associazione Tradizionale Pietas was legally reorganised, it was reported as recognised in Italian law as a national religious community; the exact legal form is [uncertain: not verified]. The president called the reorganisation a way to "formalize the initiatory reality" of the community.
- Leadership: the pontifex maximus (Giuseppe Barbera, religious name Hermes Helios). Temples have rectors, and members may be elevated to the priesthood.
- Temples are self-funded. They include a Templum Iovis in Rome and temples to Minerva and Egeria (Rome area), Apollo (Ardea; Palermo) and Minerva Medica (Pordenone). Ritual manuals were still being developed in 2020. Membership terms and fees: [uncertain: not verified].
Kemetic Orthodoxy (House of Netjer) [source: kemet.org; kemet.org/node/2025; kemet.org/node/581]
- Entry is through an online Beginners Class (about 16 weeks in the 2017 offering, run on forums, an email list and chat), described as "the first step in joining" the Temple. Fees: [uncertain: not verified].
- Leadership: the Nisut is described as spiritual and cultural leader and a "bridge" between people and the gods. The organisation states she is not a goddess and that no one is required to worship her. In August 2023 Rev. Tamara Siuda stepped down from the public Nisut role and returned to her role as founder and spiritual leader; the community is deciding its future structure.
- Membership grades: Remetj (friends of the faith), Shemsu (full members, after the parent-divination and naming rites), Shemsu-Ankh, and priestly ranks. A permanent temple is in Joliet, Illinois, with a retreat centre that hosts the New Year (Wep Ronpet) gathering [uncertain: secondary, unverified].
2b. The therapist's work: phases
The sources give no session counts or durations, and none are set here [synthesis throughout this sub-section].
- Engagement and orientation. Goal: learn which tradition and which body (if any) the client belongs to, whether they practise alone or in a group, and what role it plays in their life. Move on once the client has said in their own words what their practice means and whether it bears on the presenting problem.
- Cultural assessment and differential assessment. Goal: complete the Cultural Formulation Interview, including the spirituality, religion and moral traditions module; screen for clinical conditions without treating belief as a symptom; note any group, money or family stressors. Move on once there is a shared formulation that places the practice as a resource, a neutral background, a source of stress, or a mix of these.
- Focused work. Goal: treat the presenting problem with the client's ordinary evidence-based therapy, drawing on the practice as a resource where the client wishes. Address any practice-linked difficulties (scrupulosity, divination-driven decisions, discrimination, family conflict, group concerns, leaving).
- Consolidation and ending. Goal: the client has coping plans that fit their values, along with community or other supports they choose. Discuss referral or liaison with clergy (Theoroi, priests, rectors) only with consent.
3. Guiding principles
- Describe, don't adjudicate. Use the client's terms (theoi, Netjer, Names, Lares, pietas, arete) with a short gloss; don't affirm or deny that the gods exist. In practice: ask what a term means to them before you use it. [synthesis]
- Respect religion as an aspect of diversity. The APA Ethics Code asks psychologists to respect differences including religion, to keep their biases out of their work, and not to discriminate unfairly on grounds of religion. In practice: check your reactions to polytheism, "paganism", animal-sacrifice stereotypes or nationalist associations before they shape your questions. [source: APA Ethics Code]
- Competence. The APA Ethics Code calls for training, consultation, supervision or referral when understanding religion is essential to effective services. In practice: read the client's organisation's own pages, or consult, before you formulate. [source: APA Ethics Code]
- Spiritual competencies. Vieten et al. (2013) set out spiritual and religious competencies for psychologists [uncertain: not verified]. In practice: assess spirituality routinely, and know when to refer.
- Internal plurality. These movements differ from one another and inside themselves: reconstructionist versus living-tradition framings, solitary versus congregational practice, and organisations that compete with each other. Hellenion even makes room for disagreeing factions to form their own groups [source: Demos Manual]. In practice: never assume one body speaks for a client's practice.
- The client's choice of community. Organisations publish routes for disagreement, expulsion and leaving (for example Hellenion's notice-and-response procedure). In practice: support the client to weigh staying, changing or leaving on their own terms. [source: Hellenion By-Laws; synthesis]
- No ritual or divination by the therapist. The therapist does not perform offerings, omen-reading or parent-deity divination, and does not interpret signs for the client. In practice: if asked, explore what the client hopes such an answer would give them. [synthesis]
- Rites in outline only. In session, talk about what a rite means and how it fits the client's life, not about how to perform it. In practice: refer questions of correct practice to the client's clergy or group. [synthesis]
- Don't pathologise. Felt relationships with deities, omens or a parent god are culturally normative within these traditions. In practice: judge clinical significance by distress, impairment, insight and the client's own community's view, not by content alone. [synthesis]
- Name the problem accurately. Where religious or spiritual distress is the focus but no disorder is present, ICD-10-CM Z65.8 (Other specified problems related to psychosocial circumstances) includes "Religious or spiritual problem" [source: Unbound Medicine ICD-10-CM]; the DSM-5-TR wording is [uncertain: not verified].
- Consent and transparency. Explain the nature of therapy, fees and the limits of confidentiality early on, including how religious material will be handled. In practice: say that you will ask about faith because it matters, not because it is suspect. [source: APA Ethics Code]
- Avoid multiple relationships. Standard 3.05 (multiple relationships) applies to therapists who belong to the same body or attend the same rites. In practice: discuss any overlap, and refer if your objectivity is at risk. [source: APA Ethics Code]
- Safeguarding over doctrine. Where children are involved, the child's welfare and access to care come first. In practice: Hellenion's own consent and protection rules for minors are a useful benchmark when talking with parents (§4). [source: Demos Manual; synthesis]
4. Intervention inventory
The movements publish religious practices, not therapeutic techniques. The interventions below are the psychotherapist's own. Where they draw on what the organisations publish, this is cited; everything else is [synthesis]. Rites appear in public outline only.
4.1 Orienting to tradition, body and mode of practice
- Purpose: to map affiliation accurately before formulating. Use this at intake, or whenever a client mentions Hellenismos, Religio Romana, Kemetic or "pagan" practice.
- Steps: (1) Ask which tradition the client follows and whether they belong to a body (Hellenion, YSEE, Pietas, House of Netjer, another group, or none). (2) Ask whether they practise alone, in a household, or in a local group such as a Demos or Protodemos. (3) Ask about their role (member, officer, clergy, newcomer, Beginners Class student). (4) Ask how long they have practised, and what drew them to it. (5) Write a one-line summary in the client's own words and check it with them. [synthesis; structures from §2a]
- Example language (illustrative): "You mentioned honouring the Greek gods. Is that something you do on your own, with family, or with a group? And does a particular organisation matter to you?"
- Watch for: assuming every practitioner belongs to an organisation, or that one body speaks for all; a client who feels on trial. Working: the client corrects or adds to your summary freely.
4.2 Cultural Formulation Interview with the spirituality module
- Purpose: to set out systematically how the tradition bears on the problem and on coping. Use this during assessment, and again when religious stress emerges.
- Steps: (1) Use the DSM-5-TR CFI core interview. (2) Add the supplementary module on spirituality, religion and moral traditions. Its 16 questions cover four areas: identity and affiliation; the tradition's role in daily, family and community life; whether it helps with coping (including through leaders, texts and practices such as prayer or ritual); and stresses, discrimination or conflict linked to it. (3) Add the social network and psychosocial stressors modules where the group or discrimination matter. (4) Paraphrase the questions into the client's vocabulary; don't read out items mechanically. (5) Summarise the findings as resource, stressor or both. [source: APA CFI Supplementary Modules; APA DSM-5-TR CFI]
- Example language (illustrative): "Some people find their gods or their rites a real help when things are hard. Others find them a source of strain, or both. How is it for you right now?"
- Watch for: skipping the module because the tradition seems unusual; the client minimising stresses so as not to look "weird". Working: the formulation names specific practices and relationships, not just "pagan".
4.3 Practice as a resource
- Purpose: to draw on the client's own rites, calendar and ethics to support coping, at the client's initiative.
- Steps: (1) Ask what regular practice the client keeps, in outline. Published examples include household and group offerings, hymns, prayers, libations and monthly or festival rites on a chosen calendar (Hellenion); hymns and an annual cycle (YSEE); temple offerings to Jupiter (Pietas); and a daily shrine rite and parent-deity devotion (Kemetic Orthodoxy). (2) Ask what each gives them (calm, structure, belonging, gratitude, continuity). (3) Ask whether practice has lapsed with their current difficulty, and how they feel about that. (4) Agree with the client how, if at all, they want practice to feature in their plan; for example, linking a behavioural-activation schedule to their festival calendar. (5) Leave the content of rites to the client and their community. [source: Demos Manual; Wild Hunt 2021, 2024; kemet.org/about; synthesis]
- Example language (illustrative): "When you keep your monthly rite, what changes for you that day? Would it help to keep that in view while we plan your weeks?"
- Watch for: the therapist prescribing ritual; rites becoming rigid duties (see 4.7). Working: the client reports the practice supporting their mood or routine, in their own words.
4.4 Deity relationships, patron and parent deities
- Purpose: to understand felt relationships with gods as meaning-bearing experience. Use this when the client speaks of a patron deity, a Demos's patron gods, a Kemetic parent or beloved deity, or the Genius.
- Steps: (1) Ask how the client experiences the relationship (felt presence, dialogue in prayer, dreams, signs). (2) Explore what qualities the deity stands for and how those qualities link to the client's goals or conflicts. (3) Explore any changes in the relationship (feeling abandoned, rejected, or "called"). (4) If the identity was given by a divination within the group (for example the Rite of Parent Divination), ask how the client feels about the result and whether it fits their sense of self. (5) Note any experiences that cause distress or impairment for differential assessment (4.6). [source: kemet.org/about; Wild Hunt 2021 (Genius as sense of self and purpose); synthesis]
- Example language (illustrative): "When you say Sekhmet is your parent, what does that say about who you are, or who you are becoming?"
- Watch for: reducing the relationship to "just a projection" or a symptom; a client feeling bound by a divined identity they did not choose. Working: the client can speak about the relationship with both reverence and reflection.
4.5 Omens, divination and decisions
- Purpose: to work with omen-reading or divination results when they affect major life decisions or cause distress. Hellenion lists omen-reading as optional, decided by each Demos, and Kemetic membership includes a parent-deity divination [source: Demos Manual; kemet.org/about].
- Steps: (1) Ask what reading or sign the client received, from whom, and what decision it touches. (2) Explore how the client's community expects divination to be weighed (as advice or as binding). (3) Separate the client's own wishes, the practical facts and the reading, and make each explicit. (4) Look for patterns of repeated consulting, reassurance-seeking or paralysis before decisions (see 4.7). (5) Support a decision the client owns. The therapist gives no readings and offers no interpretation of signs. [synthesis]
- Example language (illustrative): "Setting the omen aside for a moment, what would you choose? Now, how does the omen sit next to that?"
- Watch for: decisions handed over to someone else's reading, especially when money or a relationship with a leader is involved; anxiety rising when no sign comes. Working: the client describes the decision as their own.
4.6 Differential assessment without pathologising
- Purpose: to tell culturally normative religious experience apart from psychosis, mania, dissociation, OCD or complicated grief.
- Steps: (1) Establish what is normative in the client's tradition: felt divine presence, visions or dreams of gods, and signs are all part of these religions. Kemetic Orthodoxy's founder reported visions at its beginning [uncertain: secondary, unverified]. (2) Assess form rather than content: distress, impairment, insight, fixity, sleep, mood, thought disorder, and any change from the client's baseline. (3) Ask whether co-religionists or clergy regard the experiences as typical (with consent if you are to speak to them). (4) Screen for mood elevation where there are grandiose "chosen by the gods" themes alongside reduced sleep and pressured speech. (5) Where no disorder is present and the distress is spiritual, consider ICD-10-CM Z65.8 "Religious or spiritual problem". (6) For spiritual-emergency framings (Grof; Lukoff's work on a DSM category), weigh them with care [uncertain: not verified]. [source: Unbound Medicine ICD-10-CM; synthesis]
- Example language (illustrative): "Many people in your tradition feel the gods close by. What I'd like to understand is how this has been for you lately: whether it feels like your usual practice or something different."
- Watch for: your own unfamiliarity being read as bizarreness; a genuine emerging psychosis missed out of cultural deference. Working: the formulation would make sense to both a clinician and the client's community.
4.7 Ritual purity, correctness and scrupulosity
- Purpose: to identify and treat OCD-type scrupulosity attached to purification, correct performance or calendar observance. Purification (for example with khernips, lustral water) and personal cleanliness are part of published group rites, and purity standards vary by group [source: Demos Manual].
- Steps: (1) Ask about time spent on purification, repeating rites "until right", fear of divine anger after errors, and checking the calendar. (2) Distinguish the community's standard from the client's private escalation ("What does your group actually expect?"). (3) If OCD is likely, formulate it and offer exposure and response prevention by a trained clinician. Build the hierarchy collaboratively, with consent, around the client's values, and never require the client to commit acts they hold sacrilegious. (4) With consent, involve clergy to confirm what counts as acceptable practice. (5) Track compulsions and distress. [synthesis; ERP per IOCDF clinical guidance, uncertain: not verified]
- Example language (illustrative): "Your group asks for clean hands and a clean altar. It sounds as though the fear asks for much more than that. Shall we look at where the gods' requirement ends and the fear's begins?"
- Watch for: the therapist ruling on what the gods require; exposures that violate sincere belief. Working: rites shorten towards the community norm, and devotion feels less fearful.
4.8 Grief, ancestors and death
- Purpose: to support bereavement in a tradition-consistent way. Ancestors are central to pietas and the mos maiorum; Hellenion's sample calendar includes a monthly rite for Hekate; Kemetic theology speaks of the ba (eternal soul) [source: Wild Hunt 2021; Demos Manual; Wikipedia, uncertain: secondary, unverified].
- Steps: (1) Ask how the tradition understands death and the dead, and what rites the client wants or was denied (for example at a funeral held in another faith). (2) Explore continuing bonds through ancestor honour, if the client wishes. (3) Assess for prolonged grief and risk in the usual way. (4) Help the client plan with family where funeral practices are contested. [synthesis]
- Example language (illustrative): "Your father's funeral was in the family church. Is there something you'd like to do, in your own tradition, to honour him?"
- Watch for: guilt over "wrong" rites; ritual used only to avoid grief. Working: the client experiences the rite as connecting, and grief moves.
4.9 Minority stress, disclosure and discrimination
- Purpose: to address stigma and disclosure decisions. YSEE reports strong social influence from the Greek Orthodox Church, stereotypes about animal sacrifice, and the movement's name being misread as political. Pietas reports an attempt to have its Jupiter temple classed as illegal, which officials reportedly treated as discrimination [source: Wild Hunt 2024; Wild Hunt 2021].
- Steps: (1) Ask where the client is open about their religion (family, work, school, online) and what that has cost them. (2) Use the CFI stressor and discrimination prompts. (3) Weigh the pros and cons of disclosure in each setting. (4) Validate the experience of discrimination without catastrophising. (5) Point to legal or organisational support where relevant (for example the registration and wedding rights YSEE reports in Greece). [source: APA CFI Supplementary Modules; Wild Hunt 2017; synthesis]
- Example language (illustrative): "Who knows that you worship the old gods? And how does keeping it from the others affect you?"
- Watch for: secrecy that isolates the client; the therapist pushing them to come out. Working: disclosure choices feel deliberate rather than fearful.
4.10 Families, partners and children
- Purpose: to address conflict when a family member converts or practises, and to keep children's welfare in view.
- Steps: (1) Map each family member's view and fears; families' concerns are often about difference, heritage or politics, not danger. (2) Offer a joint session if wanted, focused on values and on practical arrangements (festivals, food, alcohol, children's education). (3) For children, the published benchmarks include Hellenion's: minors need parental or guardian consent, may join ritual from about age three, are not served alcohol at the feast beyond a ritual sip, and must not be exposed to nudity, sexual activity, drug use or illegal acts. Children's religious education is encouraged [source: Demos Manual]. (4) In Greece, registering a child's religion became possible after the 2017 recognition [source: Wild Hunt 2017]. (5) Any concern about a child's safety or access to care follows ordinary safeguarding procedure, whatever the faith. [synthesis]
- Example language (illustrative): "What worries you most about your son's new practice? Let's separate what you've seen from what you fear."
- Watch for: a parent's religious difference being treated as a safeguarding concern in itself. Working: family members can describe each other's practice accurately.
4.11 Assessing group dynamics, leadership and money
- Purpose: to assess whether a client's experience of a group is healthy, with no presumption either way. Published structures differ. Hellenion has elected boards, a written discipline procedure and protection for dissent; Pietas and Kemetic Orthodoxy have a single senior spiritual leader (pontifex maximus; Nisut, until 2023). The House of Netjer states the Nisut is not to be worshipped [source: Hellenion By-Laws; Wild Hunt 2020; kemet.org/node/581].
- Steps: (1) Ask how decisions are made, how dues or donations are set, and what happens when someone disagrees. (2) Explore the client's relationship to the leader: respect versus fear, and choice versus obligation. (3) Screen for general signs of coercive control: isolation from non-members, financial pressure beyond published dues, punishment for questions, information control, and sexual or exploitative demands. (4) Compare what the client describes with the group's own published rules. (5) Documented harm by these bodies: none found in the sources consulted. Do not assume it; record specifics only. [synthesis]
- Example language (illustrative): "When people in your group disagree with the leadership, what happens next?"
- Watch for: importing stereotypes about new religions; missing real pressure because the group's language sounds benign. Working: the client can state freely what they value and what troubles them.
4.12 Changing group, leaving and religious hurt
- Purpose: to support a client who is leaving a body, has been expelled, or is moving to solitary practice or another faith.
- Steps: (1) Clarify what the client is leaving (an organisation, a community, the gods, or all of these). (2) Explore their losses (friends, role, title, religious name, identity) and their gains. (3) Separate the client's relationship with the gods from their relationship with the organisation; many continue practising alone [synthesis]. (4) Process anger, shame or fear of divine sanction at the client's own pace. (5) Build new supports. For conflicts, Hellenion itself suggests that those who want different practices form their own group or practise privately [source: Demos Manual]. (6) Treat any religious trauma symptoms with standard trauma-focused care. [synthesis]
- Example language (illustrative): "Leaving the Temple and leaving your gods may not be the same thing. Which one are you grieving today?"
- Watch for: the therapist cheering the exit, or discouraging it. Working: the client has a coherent account of the change that they own.
4.13 Heritage, identity and political entanglement
- Purpose: to explore what ancestry, nation or "ethnic" belonging mean in the client's practice. YSEE describes the religion as emerging with the ethnos; Kemetic Orthodoxy describes itself as an African Traditional Religion that respects an established heritage even outside its original setting; Hellenion bars membership denial on race or ancestry and expels bigoted conduct [source: Wild Hunt 2024; kemet.org/about; Demos Manual].
- Steps: (1) Ask what heritage the practice connects the client to. (2) Explore any tension: being told they don't belong, or meeting nationalist or racist voices online or in a group. For far-right appropriation of pagan symbols, cross-refer 172 (Heathenry and Ásatrú) and 039 (UR Group, Evola). (3) Clarify the client's own values. (4) If the client expresses hostility towards groups of people, assess risk in the usual way, separately from their religion. [synthesis]
- Example language (illustrative): "What does it mean to you to call yourself Hellene? And have you met ideas in that world you don't agree with?"
- Watch for: equating the religion with politics; missing radicalisation. Working: the client articulates an identity consistent with their stated values.
4.14 Alcohol at libations and feasts
- Purpose: to support clients in recovery, or with alcohol risk, who take part in rites that use wine. Hellenion's group rite includes libations in which each person may sip from the bowl if it is drinkable, and its feast guidance asks hosts to provide non-alcoholic drinks and safe transport [source: Demos Manual].
- Steps: (1) Ask whether rites involve alcohol and how much is customary. (2) Explore substitutes the client and their group accept (for example pouring without drinking, or a non-alcoholic offering), and confirm them with clergy if needed. (3) Plan for festivals as high-risk events. (4) Coordinate with addiction care. [synthesis]
- Example language (illustrative): "Would it feel right to you to pour the libation and not drink? Is that something your group would accept?"
- Watch for: shame at "insulting the gods"; pressure from others at the feast. Working: the client takes part in the rite without drinking.
4.15 Boundaries: the therapist's own beliefs, self-disclosure and role
- Purpose: to keep the therapy frame clear. This matters most for therapists who are themselves pagan or who belong to the same body.
- Steps: (1) Before taking on the client, check for overlapping memberships, shared rites, or roles such as clergy or officer (APA Standard 3.05). (2) Decide on self-disclosure by asking whether it serves the client; keep it brief. (3) Never lead rites, give divinations or omens, or act as the client's priest in therapy. (4) If the overlap is unavoidable (small communities), discuss it explicitly, document it, and seek supervision. [source: APA Ethics Code; synthesis]
- Example language (illustrative): "I do know something about Hellenic practice. But my role here is your therapist, not a priest, so I'll leave questions of correct ritual to your Theoros."
- Watch for: the client seeking spiritual authority from you; your agreement or disagreement with their theology seeping in. Working: the client uses sessions for therapy and their community for religion.
4.16 Liaison and referral
- Purpose: to involve community resources or other services when helpful.
- Steps: (1) With written consent, and only if the client wishes, speak with clergy (Theoroi, priests, rectors, Kemetic priests) about practice-specific questions (purity standards, acceptable substitutes, rites for the dead). (2) Refer to psychiatry for suspected psychosis or bipolar disorder; to OCD specialists for scrupulosity; to addiction services as needed; and to legal or advocacy help for discrimination. (3) Refer on when religious understanding beyond your competence is essential. [source: APA Ethics Code; APA CFI Supplementary Modules (community leaders as a coping resource); synthesis]
- Example language (illustrative): "Would it help if I spoke with someone from your Demos about what's expected? Only if you want that, and only about what you agree to."
- Watch for: breaches of confidentiality in small communities; clergy pulled into a clinical role. Working: the client feels supported by both systems.
5. Handling problems
- The client fears you will judge or ridicule their religion. Name your interest openly. Use their terms and ask for glosses. Tell them that faith is assessed for every client. [synthesis]
- The client wants you to confirm the gods are real, or that an omen is true. Reflect the need behind the request (certainty, reassurance or permission) and explore it. Neither affirm nor deny. [synthesis]
- The client wants you to perform or join a rite or divination. Decline warmly, explain the role boundary, and redirect to their community (4.15). [synthesis]
- Stuck: "the gods have abandoned me." Explore what has changed (mood, losses, community conflict). Screen for depression. Treat depression while keeping the spiritual meaning open, and consider Z65.8 if there is no disorder [source: Unbound Medicine ICD-10-CM; synthesis].
- Overwhelm during intense devotional experiences. Ground the client in present-focused ways that fit their beliefs, slow the exploration down, and assess for dissociation, mania or psychosis (4.6). Liaise with psychiatry when warning signs are present. [synthesis]
- Non-adherence because a treatment conflicts with ritual obligations (timing, purity rules, fasting days in a calendar). Map the obligations and adapt scheduling. With consent, ask clergy about accepted exemptions. Never advise on medicines; route any medication questions to the prescriber. [synthesis]
- Rupture over the therapist's assumptions (for example linking the religion to nationalism or to animal sacrifice). Acknowledge the error specifically, repair it, and ask the client how you can understand their practice better [source: Wild Hunt 2024 on stereotypes; synthesis].
- Conflict inside the group, or between rival bodies. Help the client set out their options. Note that some organisations explicitly allow splitting off or private practice (Demos Manual) [source: Demos Manual; synthesis].
- Leader-centred distress (a lost status, a disputed divination result, the 2023 change in Kemetic leadership). Validate the uncertainty and explore the client's relationship to authority and their own agency, without taking sides on internal politics [source: kemet.org/node/581; synthesis].
- Suspected financial or other exploitation. Get specifics. Compare them with the group's published rules (dues set by board; discipline procedures). Support documentation, and refer to legal advice or to the organisation's own governance channels. Use the naming and evidence standards of courts and regulators, not rumour [synthesis].
- Family pressure to abandon the religion, or a family member asking you to "deprogramme" the client. Decline any coercive role. Offer family work focused on understanding, while respecting the client's autonomy [source: APA Ethics Code; synthesis].
- Child welfare concerns. Apply ordinary safeguarding thresholds. Faith practice is not in itself a concern; neglect of medical care or exposure to harm is [synthesis].
- Online-only practitioners (much Kemetic and Hellenic community life runs on forums and chat; the Beginners Class is online). Assess online conflict, parasocial ties to prominent practitioners, and isolation [source: kemet.org/node/2025; synthesis].
- Gaps in the sources. Adverse mental-health events specific to these movements, and published therapist protocols for them: none found in the sources consulted. The guidance in this section is [synthesis] from general clinical practice.
Sources
- Hellenion's By-Laws
- Hellenion: Demos Manual
- The Wild Hunt (2017): Greek Paganism legally recognized as 'known religion' in Greece
- The Wild Hunt (2024): A conversation with Elena Petri, High Priestess of the Supreme Council of Ethnikoi Hellenes
- The Wild Hunt (2020): Italy formally recognizes Religio Romana organization
- The Wild Hunt (2021): Spotlight on Traditions: An evening with Pietas – Comunità Gentile
- kemet.org: What is Kemetic Orthodoxy?
- kemet.org: Next Beginners Class: February 2017
- kemet.org: What role does the Nisut fill?
- Wikipedia: Kemetic Orthodoxy [uncertain: secondary, unverified]: used only for membership grades, the temple and retreat centre, ba, and the founder's reported visions
- APA: DSM-5 Cultural Formulation Interview Supplementary Modules
- APA: DSM-5-TR Cultural Formulation Interview [uncertain: not verified]
- ICD-10-CM Z65.8 "Other specified problems related to psychosocial circumstances" (Includes: religious or spiritual problem): ICD-10-CM Z65.8 (Unbound Medicine)
- APA Ethical Principles of Psychologists and Code of Conduct
- Further works [uncertain: not verified]: Vieten, C. et al. (2013), spiritual and religious competencies for psychologists, Psychology of Religion and Spirituality.