Objectives: The objective of this study was to explore the current status of marriage and family counseling. Methods: The researcher studied 105 counseling cases presented at KAMFC’s monthly case conferences and group case supervisions between 2007 and 2014. Results: The most frequently used mode of counseling was family sessions, as expected. However, 28.6% of the cases were individual therapy, even though most of the clients presented marital or family problems. The most utilized theoretical model was Bowen’s multi-generational approach (27.6%), followed by the Experiential approach (21%). 70% of the therapists stated that they used one model only. The average number of sessions was 14, ranging from three to 50 sessions, and the average time spent on a case was 18.69 weeks, ranging from three to 208 weeks. Except for the genogram, which was a requirement for the case conference, the most frequently used assessment tool was MBTI (27.6%), followed by MMPI (26.7%). The results of the supervision request analysis generated two main categories (“therapy process” and “professional identity as a marriage and family therapist”), which included five sub-categories: “application of models and theories,” “practical skills and techniques,” “general advice,” “use of marriage and family therapy,” and “ethical issues.” Conclusions: Even though marriage and family counselors may have many years of experience, they still experience difficulties when conducting counseling sessions. The results of this study will provide a useful guide regarding education and training for the future marriage and family therapists.