There is a growing concern about issues of standard of practice due to a number of paraprofessionals and untrained people offering counselling. Counselling practice in Botswana is not regulated therefore this is a concern about the welfare of the clients and the quality of service provided. The problem of malpractice, supervision and misconduct by practicing professionals will always be a great concern if there are no regulatory standards. There are no registrations facilities, certification or licensing statutes, counselling service is offered by providers who have not been accredited.
In addition, the positive changes associated with the transition of Botswana into a modern society also brought with them a number of serious social challenges more common in modern societies, including increased rates of unemployment, crime, teenage pregnancy, and substance abuse, among others.