The internship experience begins during the Fall semester of the first year as the intern observes therapy from behind the one-way mirror as well as supervision sessions. During the Spring semester of the first year, the intern functions as a cotherapist with a more experienced second-year intern. The internship experience continues throughout the entire two years of the program. Supervision is provided by the M.F.T. faculty in individual and group settings utilizing video, live, and case presentation approaches.

The supervision experience focuses on integrating the student's academic training with the clinical skills of marriage and family therapy. Specifically, during the clinical phase interns develop skills of assessing, diagnosing, and treating individuals, couples, and families from both medical models and systems perspectives.

Students are exposed to a wide range of systemic approaches to therapy, including cognitive-behavioral, structural-strategic, multigenerational, narrative, integrative, brief-solution focused, internal family systems, and emotion focused.

Graduation requirements include accumulating 500+ hours of client contact time and 100+ hours of individual and group supervision. The intern is required by COAMFTE to receive supervision each week of the internship, which extends from Spring of the first year until graduation in August of the second year.

The clientele for the internship experience come from the community and offer a wide variety of problems. Some off-campus sites are used in the internship experience, such as Hendrick Medical Center and the University Counseling Center. Most of the internship is done within the department's clinical facilities, the Marriage and Family Institute, in the Biblical Studies Building on the ACU campus.