The word “spirituality” has not yet entered the formal lexicon of speechlanguage pathologists and audiologists in North America. Within the past 10 years two articles in mainstream American Speech-Language-Hearing Association (ASHA) journals have broached this topic. Silverman’s guest editorial in the ASHA Leader (2003a) oﬀered speech and hearing professionals a debut invitation to consider the spiritual dimensions of their work. My (2007) article in the American Journal of Speech-Language Pathology (AJSLP) used existential and grief theories to describe some of the spiritual dimensions of clients’ experiences with their communication disorders. Both authors invited speech-language pathologists and audiologists to look beyond the obvious and measurable, and to recognize other dimensions at work in the clinical relationship.