Many abused adolescents do not perceive how past abuse relates to current problems. Others, however, have learned to use past abuse as an explanation for every problem they face. Yet other adolescents apparently re-enact abuse dynamics, as they exhibit either identification with aggressors or experiences of victimization. It is necessary to make careful assessment to determine the most helpful interventions for adolescents with histories of abuse. The overriding goal, however, is to improve the youth's overall functioning, remove obstacles to ongoing development, and assist with the development of personal power, safety, and mastery. How these goals are addressed will differ from clinician to clinician; however, until treatment-outcome studies are conducted to help determine which techniques are most effective, clinicians must use good theory coupled with good ethics to inform and shape treatment interventions. In addition, therapists must make ongoing efforts to develop treatment plans with measurable goals, incorporate self-report instruments to gauge changes in the client's mood or behavior, and develop standardized methods of accountability, including peer review, consultation, and client satisfaction reports. Abuse will generally need to be addressed directly in a structured manner under specific conditions. In these cases, adolescents will need a safe environment in which to acknowledge, honor, and process their thoughts and feelings, as well as guidance in altering problem behavior, so they are functioning in their own best interests. Transcripts of some treatment conversations are provided.