This book addresses the specifics of counselling clients who have suffered major trauma, whether recently or in the past, and includes 18 detailed case examples together with transcripts of sessions. It is unique in covering the diagnosis and treatment of the full spectrum of post-traumatic states. This fully updated Third Edition includes the needs of special populations: children/adolescents, refugees and those in pain are also addressed. Additional material includes a new PTSD screening inventory and a counselling competence scale.