Abstract: In the aftermath of September 11th, 2001 spiritualism has become apparent as critical to Social Work practice with Pakistani families. Regrettably, research on such families today is all-but non-existent. Their belief in Islam is the fastest growing form of spirituality in Central Asia. Social Workers who do not acknowledge this fact will be at a severe disadvantage in their attempts to treat Pakistani-American clientele. It is not compulsory that practitioners endorse client belief systems or other aspects of their spirituality, but practitioners should acknowledge said systems as a critical point in the client`s frame of reference. In the interest of social justice they are thus challenged to develop creative treatment strategies less confined to Western bias.