In this editorial, David Powlison raises points where frank, cordial debate and discussion is needed among those committed to biblical counseling: (1) How do we help non-Christians?; (2) What is the place of psychotropic medications?; (3) How much attention should we pay to situational factors that affect counselees? and (4) How do we interact with secular knowledge, theory, and practice? [Letter to the editor in response in 15:2]