This report describes the activities of one student completing the final practicum course towards a Master's of Social Work from the University of Northern British Columbia. The report takes an experiential hermeneutics approach to examine the student's process of change from a content-focus to a process-focus in his interactions with clients. The theoretical bases of social work and counselling in outreach care, spiritual care, and counselling practice are discussed. The similarities and differences the author found between these modes are discussed. --Leaf i.