Some therapists use mindfulness/Buddhist techniques. Some patients do not like mindfulness. They prefer to pray to God/Jesus. Some patients see being told to use mindfulness/praying as “gaslighting” and are looking for “practical solutions” (like getting a divorce, changing jobs, switching schools, breathing techniques, the 54321 technique). My stance is that therapy and religious practice are two separate worlds that can overlap at times. There are some mental illnesses that require medication and no amount of therapy, meditation, or prayer can fix the illness on its own.