This article considers issues specifically related to dual role relationships between Christian therapists, counselors, and other mental health professionals and their clients. An underlying assumption is that problems and potential problems frequently accompany such relationships but that a particularly Christian approach concerning dual relationships with clients is not immediately obvious. Secular perspectives and reasons for concern about dual role relationships are considered. Many parallels to the challenges faced by Christian counselors who function in church or local settings can be recognized as existing also within rural mental health settings. Specific solutions and guidelines offered by and for rural mental health professionals are examined. Finally, guidelines and suggestions supporting integrity for Christian therapists and counselors concerning dual role relationships are offered.