When I’m in pastoral care with someone, I begin with the realization that I am sitting next to someone who is beloved of Christ. I am sitting next to someone who has the divine spark of God in them.
Whatever suffering is brought into a pastoral care situations, I am reminded of Colossians 1:17, “In [Christ] all things hold together.”
God is present. I am not God, but my role is to be keenly watching for where God is on the move, even (or especially) if that means God is crying with us in the immense pain that is present in our stories.