This is a practical, down to earth guide for mental health professionals assisting adult survivors of childhood abuse. Short and long term effects of abuse are presented, (as well as clinical findings from 99 survivors), setting a foundation for the type of therapeutic response most helpful. Assessment of victims who characteristically do not self disclose is emphasized. Specific treatment "phases" are presented with clear goals in each phase. Special issues such as dissociative phenomena, trauma resolution, and group therapy are highlighted.