This chapter reviews the implementation of the Relational Equine-Partnered Counseling (REPC) approach in equine-assisted counseling and psychotherapy. The chapter opens with a discussion of Chandler’s (2017) Human-Animal Relational Theory to present a foundational theory to conceptualize the practice of EACP. Following this review, the chapter presents a discussion the role of the equine’s communication in the session and how to effectively incorporate the equines as therapeutic partners. The next section discusses the treatment team’s approach and each member’s defined roles in co-facilitating the EACP session. The chapter then discusses the different types of client presentations in EACP such as the talking-focused client, the activity-focused client, and the self-directed client. The chapter presents a summary of session themes based on the REPC approach to guide client conceptualization and treatment planning. Finally, the chapter concludes with a review of basic facilitative skills in REPC including observational, nonverbal, and verbal skills.