This chapter gathers frontline counsellors’ experiences with Islamist-extremism cases and integrates them with insights from the wider counselling literature. It separates broader field-of-work hurdles from discrete, difficult session scenarios, pairing each with concrete, systemic solution strategies. Acknowledging counselling’s inherent limits, the text details circumstances where interventions may falter or prove unsuitable, advocating alternative pathways when needed. Robust quality-assurance measures—ongoing supervision, outcome monitoring and organisational embedding of reflective practice —are outlined to sustain effectiveness. The resulting synthesis equips practitioners with a balanced toolkit of craft, caution and accountability for high-quality work in this demanding arena.