From all indications, meditation is being used more and more by psychotherapists and counselors in their practices. Research has not to date produced empirical guidelines for the therapeutic use of meditation. This report compiles clinical and research data to provide a step toward a systematized approach to the utilization of meditation so as to yield maximal benefit with minimal harm. Observations, findings, and suggestions from the literature are gathered to produce a listing of problem areas and unresolved issues, as well as interim strategies for dealing with the problems. Practical issues covered are: (1) importance of regular practice and problem of "drop-outs;" (2) choosing appropriate candidates; (3) potential adverse effects of meditation; (4) the meditating therapist; and (6) an attempt to specify the unique contributions of meditation to therapy. (Author)